Advances in training of the specialized human resources for health in Tanzania: the case of Muhimbili University of Health and Allied Sciences.

Advances in training of the specialized human resources for health in Tanzania: the case of Muhimbili University of Health and Allied Sciences.
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DOI:
10.1186/s12909-022-03102-6
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发表时间:
2022-01-25
影响因子:
3.6
通讯作者:
Pembe A
Pembe A
中科院分区:
医学3区
文献类型:
--
作者:
Balandya E;Hyuha G;Mtaya M;Otieno J;Sunguya B;Frumence G;Muganyizi P;Lyamuya E;Urassa D;Kamuhabwa A;Pembe A

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增加保健方面的专门人力资源对实现联合国可持续发展目标至关重要。低收入和中等收入国家的高等教育机构必须解决这一必要性。在这里,我们描述了坦桑尼亚穆亨比利卫生与相关科学大学(MUHAS)在临床和非临床研究生(PG)课程认证、学生入学和毕业方面的5年趋势,重点介绍了成功、挑战和改进的机会。这是一项回溯性的纵向研究,描述了2015年至2016年和2019-2020年间MUHAS的PG培训趋势。本报告所述期间的主要干预措施包括在全大学范围内为教职员工举办关于课程开发和启动在线应用系统的短期课程培训方案。数据是通过审查来自不同大学记录的次要数据收集的,并进行了描述性分析。主要结果是经认证的研究生课程的数量、研究生入学申请者的数量以及被选中的申请者的比例、已登记(入学)的申请者和毕业学生,重点是性别和国际化(非坦桑尼亚学生)。PG方案的数量从2015-2016年的60个增加到2019-2020年的77个,包括心胸外科、心胸麻醉和重症护理等罕见领域的方案。在过去5个学年,该大学的研究生入学申请、获选申请人、注册申请人及研究生毕业人数分别稳步上升79%、81%、50%及79%。在过去五年中,申请、选择和注册的PG学生以及毕业于该大学的性别和国际化学生的平均比例稳定保持在60%对40%(男性对女性)和90%对10%(坦桑尼亚对国际)。在这五年中,该大学总共毕业了1348名专业医护人员,其中包括45名关键领域的超级专科医生,从2015-2016年的200名毕业生稳步增加到2019-2020年的357名毕业生。遇到的主要挑战包括赞助不足、教学人员数量有限和教学基础设施有限。尽管遇到了挑战,但在过去五年中,卫生部通过增加课程数量、招生人数和毕业生数量,在保持较小的性别差距和国际相关性的同时,在专门和超专门医疗工作人员的培训方面取得了重大进展。卫生部将继续作为培训卫生专业人力资源的支柱,因此愿意为在坦桑尼亚及其他地区,特别是在撒哈拉以南非洲区域及时实现与卫生有关的联合国可持续发展目标作出贡献。
Increasing the number of specialized human resources for health is paramount to attainment of the United Nations sustainable development goals. Higher learning institutions in low-and middle-income countries must address this necessity. Here, we describe the 5-years trends in accreditation of the clinical and non-clinical postgraduate (PG) programmes, student admission and graduation at the Muhimbili University of Health and Allied Sciences (MUHAS) in Tanzania, highlighting successes, challenges and opportunities for improvement. This was a retrospective longitudinal study describing trends in PG training at MUHAS between 2015 and 2016 and 2019-2020. Major interventions in the reporting period included university-wide short course training programme to faculty on curricula development and initiation of online application system. Data were collected through a review of secondary data from various university records and was analyzed descriptively. Primary outcomes were the number of accredited PG programmes, number of PG applicants as well as proportions of applicants selected, applicants registered (enrolled) and students graduated, with a focus on gender and internationalization (students who are not from Tanzania). The number of PG programmes increased from 60 in 2015-2016 to 77 in 2019-2020, including programmes in rare fields such as cardiothoracic surgery, cardiothoracic anesthesia and critical care. The number of PG applications, selected applicants, registered applicants and PG students graduating at the university over the past five academic years had steadily increased by 79, 81, 50 and 79%, respectively. The average proportions of PG students who applied, were selected and registered as well as graduated at the university over the past five years by gender and internationalization has remained stably at 60% vs. 40% (male vs. female) and 90% vs. 10% (Tanzanian vs. international), respectively. In total, the university graduated 1348 specialized healthcare workers in the five years period, including 45 super-specialists in critical fields, through a steady increase from 200 graduates in 2015-2016 to 357 graduates in 2019-2020. Major challenges encountered include inadequate sponsorship, limited number of academic staff and limited physical infrastructure for teaching. Despite challenges encountered, MUHAS has made significant advances over the past five years in training of specialized and super-specialized healthcare workforce by increasing the number of programmes, enrollment and graduates whilst maintaining a narrow gender gap and international relevance. MUHAS will continue to be the pillar in training of the specialized human resources for health and is thus poised to contribute to timely attainment of the health-related United Nations sustainable development goals in Tanzania and beyond, particularly within the Sub-Saharan Africa region.
DOI: 10.1136/bmjopen-2020-040908
发表时间: 2020-11-11
期刊: BMJ open
影响因子: 2.9
作者:
Bintabara D;Ngajilo D
通讯作者: Ngajilo D
DOI: 10.1371/journal.pone.0241915
发表时间: 2020
期刊: PloS one
影响因子: 3.7
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影响因子: 5.5
作者:
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通讯作者: Tollman, Stephen
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发表时间: 2017-06-01
影响因子: 3.7
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发表时间: 2020-10-01
期刊: POLITIKON
影响因子: 1.2
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