The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa

The World Health Organization estimates a global deficit of about 12.9 million skilled health professionals (midwives, nurses, and physicians) by 2035. These shortages limit the ability of countries, particularly resource-constrained countries, to deliver basic health care, to respond to emerging an...

Full description

Bibliographic Details
Main Authors: Eileen M. Stuart-Shor, Elizabeth Cunningham, Laura Foradori, Elizabeth Hutchinson, Martha Makwero, Jill Smith, Jane Kasozi, Esther M. Johnston, Aliasgar Khaki, Elisa Vandervort, Fabiola Moshi, Vanessa B. Kerry
Format: Article
Language:English
Published: Frontiers Media S.A. 2017-07-01
Series:Frontiers in Public Health
Subjects:
Online Access:http://journal.frontiersin.org/article/10.3389/fpubh.2017.00174/full
_version_ 1818248023613898752
author Eileen M. Stuart-Shor
Eileen M. Stuart-Shor
Eileen M. Stuart-Shor
Elizabeth Cunningham
Laura Foradori
Elizabeth Hutchinson
Elizabeth Hutchinson
Martha Makwero
Jill Smith
Jane Kasozi
Esther M. Johnston
Esther M. Johnston
Aliasgar Khaki
Elisa Vandervort
Elisa Vandervort
Fabiola Moshi
Vanessa B. Kerry
Vanessa B. Kerry
Vanessa B. Kerry
Vanessa B. Kerry
author_facet Eileen M. Stuart-Shor
Eileen M. Stuart-Shor
Eileen M. Stuart-Shor
Elizabeth Cunningham
Laura Foradori
Elizabeth Hutchinson
Elizabeth Hutchinson
Martha Makwero
Jill Smith
Jane Kasozi
Esther M. Johnston
Esther M. Johnston
Aliasgar Khaki
Elisa Vandervort
Elisa Vandervort
Fabiola Moshi
Vanessa B. Kerry
Vanessa B. Kerry
Vanessa B. Kerry
Vanessa B. Kerry
author_sort Eileen M. Stuart-Shor
collection DOAJ
description The World Health Organization estimates a global deficit of about 12.9 million skilled health professionals (midwives, nurses, and physicians) by 2035. These shortages limit the ability of countries, particularly resource-constrained countries, to deliver basic health care, to respond to emerging and more complex needs, and to teach, graduate, and retain their future health professionals—a vicious cycle that is perpetuated and has profound implications for health security. The Global Health Service Partnership (GHSP) is a unique collaboration between the Peace Corps, President’s Emergency Plan for AIDS Relief, Seed and host-country institutions, which aims to strengthen the breadth and quality of medical and nursing education and care delivery in places with dire shortages of health professionals. Nurse and physician educators are seconded to host institutions to serve as visiting faculty alongside their local colleagues. They serve for 1 year with many staying longer. Educational and clinical best practices are shared, emphasis is placed on integration of theory and practice across the academic–clinical domains and the teaching and learning environment is expanded to include implementation science and dissemination of locally tailored and sustainable practice innovations. In the first 3 years (2013–2016) GHSP placed 97 nurse and physician educators in three countries (Malawi, Tanzania, and Uganda). These educators have taught 454 courses and workshops to 8,321 trainees, faculty members, and practicing health professionals across the curriculum and in myriad specialties. Mixed-methods evaluation included key stakeholder interviews with host institution faculty and students who indicate that the addition of GHSP enhanced clinical teaching (quality and breadth) resulting in improved clinical skills, confidence, and ability to connect theory to practice and critical thinking. The outputs and outcomes from four exemplars which focus on the translation of evidence to practice through implementation science are included. Findings from the first 3 years of GHSP suggest that an innovative, locally tailored and culturally appropriate multi-country academic–clinical partnership program that addresses national health priorities is feasible and generated new knowledge and best practices relevant to capacity building for nursing and medical education. This in turn has implications for improving the health of populations who suffer a disproportionate burden of global disease.
first_indexed 2024-12-12T15:14:00Z
format Article
id doaj.art-25157e56d5674dbc9fc96e1e8246597f
institution Directory Open Access Journal
issn 2296-2565
language English
last_indexed 2024-12-12T15:14:00Z
publishDate 2017-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Public Health
spelling doaj.art-25157e56d5674dbc9fc96e1e8246597f2022-12-22T00:20:32ZengFrontiers Media S.A.Frontiers in Public Health2296-25652017-07-01510.3389/fpubh.2017.00174252233The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in AfricaEileen M. Stuart-Shor0Eileen M. Stuart-Shor1Eileen M. Stuart-Shor2Elizabeth Cunningham3Laura Foradori4Elizabeth Hutchinson5Elizabeth Hutchinson6Martha Makwero7Jill Smith8Jane Kasozi9Esther M. Johnston10Esther M. Johnston11Aliasgar Khaki12Elisa Vandervort13Elisa Vandervort14Fabiola Moshi15Vanessa B. Kerry16Vanessa B. Kerry17Vanessa B. Kerry18Vanessa B. Kerry19Seed Global Health, Boston, MA, United StatesDepartment of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Boston, MA, United StatesCollege of Nursing and Health Sciences, University of Massachusetts Boston, Boston, MA, United StatesSeed Global Health, Boston, MA, United StatesPeace Corps, Washington, DC, United StatesSeed Global Health, Boston, MA, United StatesDepartment of Family Medicine, Swedish Family Medicine-First Hill, University of Washington, Seattle, WA, United StatesDepartment of Family Medicine, University of Malawi College of Medicine, Blantyre, MalawiSeed Global Health, Boston, MA, United StatesSchool of Nursing, Mbarara University of Science and Technology, Mbarara, UgandaSeed Global Health, Boston, MA, United StatesWright Center National Family Medicine Residency at HealthPoint, Auburn, WA, United StatesDepartment of Medicine, Herbert Kairuki Memorial University, College of Medicine, Dar es Salaam, Tanzania0School of Nursing, University of Utah, Salt Lake City, UT, United States1Grounds for Health, Williston, VT, United States2School of Nursing, University of Dodoma, Dodoma, TanzaniaSeed Global Health, Boston, MA, United States3Mass General Global Health, Massachusetts General Hospital, Boston, MA, United States4Department of Medicine, Massachusetts General Hospital, Boston, MA, United States5Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, United StatesThe World Health Organization estimates a global deficit of about 12.9 million skilled health professionals (midwives, nurses, and physicians) by 2035. These shortages limit the ability of countries, particularly resource-constrained countries, to deliver basic health care, to respond to emerging and more complex needs, and to teach, graduate, and retain their future health professionals—a vicious cycle that is perpetuated and has profound implications for health security. The Global Health Service Partnership (GHSP) is a unique collaboration between the Peace Corps, President’s Emergency Plan for AIDS Relief, Seed and host-country institutions, which aims to strengthen the breadth and quality of medical and nursing education and care delivery in places with dire shortages of health professionals. Nurse and physician educators are seconded to host institutions to serve as visiting faculty alongside their local colleagues. They serve for 1 year with many staying longer. Educational and clinical best practices are shared, emphasis is placed on integration of theory and practice across the academic–clinical domains and the teaching and learning environment is expanded to include implementation science and dissemination of locally tailored and sustainable practice innovations. In the first 3 years (2013–2016) GHSP placed 97 nurse and physician educators in three countries (Malawi, Tanzania, and Uganda). These educators have taught 454 courses and workshops to 8,321 trainees, faculty members, and practicing health professionals across the curriculum and in myriad specialties. Mixed-methods evaluation included key stakeholder interviews with host institution faculty and students who indicate that the addition of GHSP enhanced clinical teaching (quality and breadth) resulting in improved clinical skills, confidence, and ability to connect theory to practice and critical thinking. The outputs and outcomes from four exemplars which focus on the translation of evidence to practice through implementation science are included. Findings from the first 3 years of GHSP suggest that an innovative, locally tailored and culturally appropriate multi-country academic–clinical partnership program that addresses national health priorities is feasible and generated new knowledge and best practices relevant to capacity building for nursing and medical education. This in turn has implications for improving the health of populations who suffer a disproportionate burden of global disease.http://journal.frontiersin.org/article/10.3389/fpubh.2017.00174/fullglobal healthhealth professionals educationhealth promotionclinical educationmentoring
spellingShingle Eileen M. Stuart-Shor
Eileen M. Stuart-Shor
Eileen M. Stuart-Shor
Elizabeth Cunningham
Laura Foradori
Elizabeth Hutchinson
Elizabeth Hutchinson
Martha Makwero
Jill Smith
Jane Kasozi
Esther M. Johnston
Esther M. Johnston
Aliasgar Khaki
Elisa Vandervort
Elisa Vandervort
Fabiola Moshi
Vanessa B. Kerry
Vanessa B. Kerry
Vanessa B. Kerry
Vanessa B. Kerry
The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa
Frontiers in Public Health
global health
health professionals education
health promotion
clinical education
mentoring
title The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa
title_full The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa
title_fullStr The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa
title_full_unstemmed The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa
title_short The Global Health Service Partnership: An Academic–Clinical Partnership to Build Nursing and Medical Capacity in Africa
title_sort global health service partnership an academic clinical partnership to build nursing and medical capacity in africa
topic global health
health professionals education
health promotion
clinical education
mentoring
url http://journal.frontiersin.org/article/10.3389/fpubh.2017.00174/full
work_keys_str_mv AT eileenmstuartshor theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT eileenmstuartshor theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT eileenmstuartshor theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elizabethcunningham theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT lauraforadori theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elizabethhutchinson theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elizabethhutchinson theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT marthamakwero theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT jillsmith theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT janekasozi theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT esthermjohnston theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT esthermjohnston theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT aliasgarkhaki theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elisavandervort theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elisavandervort theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT fabiolamoshi theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry theglobalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT eileenmstuartshor globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT eileenmstuartshor globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT eileenmstuartshor globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elizabethcunningham globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT lauraforadori globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elizabethhutchinson globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elizabethhutchinson globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT marthamakwero globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT jillsmith globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT janekasozi globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT esthermjohnston globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT esthermjohnston globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT aliasgarkhaki globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elisavandervort globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT elisavandervort globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT fabiolamoshi globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica
AT vanessabkerry globalhealthservicepartnershipanacademicclinicalpartnershiptobuildnursingandmedicalcapacityinafrica