Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda
Background The Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of Rwanda with the goals of training a large, diverse, and competent health workforce and strengthening the capacity of academic institutions...
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| Format: | Article |
| Language: | English |
| Published: |
Kerman University of Medical Sciences
2018-11-01
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| Series: | International Journal of Health Policy and Management |
| Subjects: | |
| Online Access: | http://www.ijhpm.com/article_3524_b08db13b92d2d6b9fa79bfc301b98fd5.pdf |
| _version_ | 1811269527492624384 |
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| author | Corrado Cancedda Philip Cotton Joseph Shema Stephen Rulisa Robert Riviello Lisa V. Adams Paul E. Farmer Jeanne N. Kagwiza Patrick Kyamanywa Donatilla Mukamana Chrispinus Mumena David K. Tumusiime Lydie Mukashyaka Esperance Ndenga Theogene Twagirumugabe Kaitesi B. Mukara Vincent Dusabejambo Timothy D. Walker Emmy Nkusi Lisa Bazzett-Matabele Alex Butera Belson Rugwizangoga Jean Claude Kabayiza Simon Kanyandekwe Louise Kalisa Faustin Ntirenganya Jeffrey Dixson Tanya Rogo Natalie McCall Mark Corden Rex Wong Madeleine Mukeshimana Agnes Gatarayiha Egide Kayonga Ntagungira Attila Yaman Juliet Musabeyezu Anne Sliney Tej Nuthulaganti Meredith Kiernan Peter Okwi Joseph Rhatigan Jane Barrow Kim Wilson Adam C. Levine Rebecca Reece Michael Koster Rachel T. Moresky Jennifer E. O’Flaherty Paul E. Palumbo Rashna Ginwalla Cynthia A. Binanay Nathan Thielman Michael Relf Rodney Wright Mary Hill Deborah Chyun Robin T. Klar Linda L. McCreary Tonda L. Hughes Marik Moen Valli Meeks Beth Barrows Marcel E. Durieux Craig D. McClain Amy Bunts Forrest J. Calland Bethany Hedt-Gauthier Danny Milner Giuseppe Raviola Stacy E. Smith Meenu Tuteja Urania Magriples Asghar Rastegar Linda Arnold Ira Magaziner Agnes Binagwaho |
| author_facet | Corrado Cancedda Philip Cotton Joseph Shema Stephen Rulisa Robert Riviello Lisa V. Adams Paul E. Farmer Jeanne N. Kagwiza Patrick Kyamanywa Donatilla Mukamana Chrispinus Mumena David K. Tumusiime Lydie Mukashyaka Esperance Ndenga Theogene Twagirumugabe Kaitesi B. Mukara Vincent Dusabejambo Timothy D. Walker Emmy Nkusi Lisa Bazzett-Matabele Alex Butera Belson Rugwizangoga Jean Claude Kabayiza Simon Kanyandekwe Louise Kalisa Faustin Ntirenganya Jeffrey Dixson Tanya Rogo Natalie McCall Mark Corden Rex Wong Madeleine Mukeshimana Agnes Gatarayiha Egide Kayonga Ntagungira Attila Yaman Juliet Musabeyezu Anne Sliney Tej Nuthulaganti Meredith Kiernan Peter Okwi Joseph Rhatigan Jane Barrow Kim Wilson Adam C. Levine Rebecca Reece Michael Koster Rachel T. Moresky Jennifer E. O’Flaherty Paul E. Palumbo Rashna Ginwalla Cynthia A. Binanay Nathan Thielman Michael Relf Rodney Wright Mary Hill Deborah Chyun Robin T. Klar Linda L. McCreary Tonda L. Hughes Marik Moen Valli Meeks Beth Barrows Marcel E. Durieux Craig D. McClain Amy Bunts Forrest J. Calland Bethany Hedt-Gauthier Danny Milner Giuseppe Raviola Stacy E. Smith Meenu Tuteja Urania Magriples Asghar Rastegar Linda Arnold Ira Magaziner Agnes Binagwaho |
| author_sort | Corrado Cancedda |
| collection | DOAJ |
| description | Background
The Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of Rwanda with the goals of training a large, diverse, and competent health workforce and strengthening the capacity of academic institutions in Rwanda.
Methods
The data for this organizational case study was collected through official reports from the Rwanda Ministry of Health (MoH) and 22 participating US academic institutions, databases from the MoH and the College of Medicine and Health Sciences (CMHS) in Rwanda, and surveys completed by the co-authors.
Results
In the first 5 years of the HRH Program, a consortium of US academic institutions has deployed an average of 99 visiting faculty per year to support 22 training programs, which are on track to graduate almost 4600 students by 2019. The HRH Program has also built capacity within the CMHS by promoting the recruitment of Rwandan faculty and the establishment of additional partnerships and collaborations with the US academic institutions.
Conclusion
The milestones achieved by the HRH Program have been substantial although some challenges persist. These challenges include adequately supporting the visiting faculty; pairing them with Rwandan faculty (twinning); ensuring strong communication and coordination among stakeholders; addressing mismatches in priorities between donors and implementers; the execution of a sustainability strategy; and the decision by one of the donors not to renew funding beyond March 2017. Over the next 2 academic years, it is critical for the sustainability of the 22 training programs supported by the HRH Program that the health-related Schools at the CMHS significantly scale up recruitment of new Rwandan faculty. The HRH Program can serve as a model for other training initiatives implemented in countries affected by a severe shortage of health professionals. |
| first_indexed | 2024-04-12T21:43:39Z |
| format | Article |
| id | doaj.art-b4b9baa141514d88877580a784f901f4 |
| institution | Directory Open Access Journal |
| issn | 2322-5939 2322-5939 |
| language | English |
| last_indexed | 2024-04-12T21:43:39Z |
| publishDate | 2018-11-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | International Journal of Health Policy and Management |
| spelling | doaj.art-b4b9baa141514d88877580a784f901f42022-12-22T03:15:42ZengKerman University of Medical SciencesInternational Journal of Health Policy and Management2322-59392322-59392018-11-017111024103910.15171/IJHPM.2018.61Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in RwandaCorrado Cancedda0Philip Cotton1Joseph Shema2Stephen Rulisa3Robert Riviello4Lisa V. Adams5Paul E. Farmer6Jeanne N. Kagwiza7Patrick Kyamanywa8Donatilla Mukamana9Chrispinus Mumena10David K. Tumusiime11Lydie Mukashyaka12Esperance Ndenga13Theogene Twagirumugabe14Kaitesi B. Mukara15Vincent Dusabejambo16Timothy D. Walker17Emmy Nkusi18Lisa Bazzett-Matabele19Alex Butera20Belson Rugwizangoga21Jean Claude Kabayiza22Simon Kanyandekwe23Louise Kalisa24Faustin Ntirenganya25Jeffrey Dixson26Tanya Rogo27Natalie McCall28Mark Corden29Rex Wong30Madeleine Mukeshimana31Agnes Gatarayiha32Egide Kayonga Ntagungira33Attila Yaman34Juliet Musabeyezu35Anne Sliney36Tej Nuthulaganti37Meredith Kiernan38Peter Okwi39Joseph Rhatigan40Jane Barrow41Kim Wilson42Adam C. Levine43Rebecca Reece44Michael Koster45Rachel T. Moresky46Jennifer E. O’Flaherty47Paul E. Palumbo48Rashna Ginwalla49Cynthia A. Binanay50Nathan Thielman51Michael Relf52Rodney Wright53Mary Hill54Deborah Chyun55Robin T. Klar56Linda L. McCreary57Tonda L. Hughes58Marik Moen59Valli Meeks60Beth Barrows61Marcel E. Durieux62Craig D. McClain63Amy Bunts64Forrest J. Calland65Bethany Hedt-Gauthier66Danny Milner67Giuseppe Raviola68Stacy E. Smith69Meenu Tuteja70Urania Magriples71Asghar Rastegar72Linda Arnold73Ira Magaziner74Agnes Binagwaho75Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USAOffice of the Vice-Chancellor, University of Rwanda, Kigali, RwandaRwanda Human Resources for Health Program Team, Ministry of Health, Kigali, RwandaOffice of the Dean, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaCenter for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA, USACenter for Health Equity, Geisel School of Medicine, Dartmouth College, Hanover, NH, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAOffice of the Principal, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University - Western Campus, Ishaka, UgandaSchool of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaOffice of the Dean and Department of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaSchool of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaRwanda Human Resources for Health Program Team, Ministry of Health, Kigali, RwandaRwanda Human Resources for Health Program Team, Ministry of Health, Kigali, RwandaDepartment of Anesthesiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Ear, Nose, and Throat, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Neurosurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USADepartment of Orthopedic Surgery, Rwanda Military Hospital, Kigali, RwandaDepartment of Pathology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Pediatrics, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Mental Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Radiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDepartment of Surgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaYale School of Medicine, New Haven, CT, USADepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, NY, USADepartment of Pediatrics, Yale School of Medicine, New Haven, CT, USADivision of Hospital Medicine, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA, USAGlobal Health Leadership Institute, Yale School of Public Health, New Haven, CT, USASchool of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaOffice of the Dean and Department of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaSchool of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, RwandaDivision of Global Health Equity, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USAUniversity of Global Health Equity, Kigali, RwandaClinton Health Access Initiative, Boston, MA, USAClinton Health Access Initiative, Boston, MA, USAClinton Health Access Initiative, Boston, MA, USAClinton Health Access Initiative, Kigali, RwandaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USAOffice of Global and Community Health, Harvard School of Dental Medicine, Boston, MA, USADepartment of General Pediatrics, Boston Children’s Hospital, Boston, MA, USADepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USADepartment of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USAsidHARTe Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USADepartment of Anesthesiology, Geisel School of Medicine, Dartmouth College, Hanover, NH, USADepartment of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USADartmouth-Hitchcock Medical Center, Lebanon, NH, USADuke Hubert-Yeargan Center for Global Health, Durham, NC, USADepartment of Medicine, Duke University School of Medicine, Durham, NC, USADuke Global Health Institute, Durham, NC, USADepartment of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, New York City, NY, USADivision of Nursing, Howard University College of Nursing and Allied Health Sciences, Washington, DC, USAUniversity of Connecticut School of Nursing, Storrs, CT, USANew York University Rory Meyers College of Nursing, New York City, NY, USAUniversity of Illinois at Chicago College of Nursing, Chicago, IL, USAColumbia University School of Nursing, New York City, NY, USADepartment of Family & Community Health, University of Maryland School of Nursing, Baltimore, MD, USADepartment of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USAOffice of Global Health, University of Maryland School of Nursing, Baltimore, MD, USADepartment of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USADepartment of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USADepartment of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USACenter for Global Health, American Society for Clinical Pathology, Chicago, IL, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USADepartment of Radiology, Brigham and Women’s Hospital, Boston, MA, USAGlobal Health and Research Programs, Biomedical Research Institute, Brigham and Women’s Hospital, Boston MA, USADepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USADepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USADepartment of Pediatrics, Yale School of Medicine, New Haven, CT, USAClinton Health Access Initiative, Boston, MA, USADepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USABackground The Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of Rwanda with the goals of training a large, diverse, and competent health workforce and strengthening the capacity of academic institutions in Rwanda. Methods The data for this organizational case study was collected through official reports from the Rwanda Ministry of Health (MoH) and 22 participating US academic institutions, databases from the MoH and the College of Medicine and Health Sciences (CMHS) in Rwanda, and surveys completed by the co-authors. Results In the first 5 years of the HRH Program, a consortium of US academic institutions has deployed an average of 99 visiting faculty per year to support 22 training programs, which are on track to graduate almost 4600 students by 2019. The HRH Program has also built capacity within the CMHS by promoting the recruitment of Rwandan faculty and the establishment of additional partnerships and collaborations with the US academic institutions. Conclusion The milestones achieved by the HRH Program have been substantial although some challenges persist. These challenges include adequately supporting the visiting faculty; pairing them with Rwandan faculty (twinning); ensuring strong communication and coordination among stakeholders; addressing mismatches in priorities between donors and implementers; the execution of a sustainability strategy; and the decision by one of the donors not to renew funding beyond March 2017. Over the next 2 academic years, it is critical for the sustainability of the 22 training programs supported by the HRH Program that the health-related Schools at the CMHS significantly scale up recruitment of new Rwandan faculty. The HRH Program can serve as a model for other training initiatives implemented in countries affected by a severe shortage of health professionals.http://www.ijhpm.com/article_3524_b08db13b92d2d6b9fa79bfc301b98fd5.pdfHealth Professional TrainingHuman Resource for HealthInstitutional CapacityStrengtheningAcademic PartnershipsRwanda |
| spellingShingle | Corrado Cancedda Philip Cotton Joseph Shema Stephen Rulisa Robert Riviello Lisa V. Adams Paul E. Farmer Jeanne N. Kagwiza Patrick Kyamanywa Donatilla Mukamana Chrispinus Mumena David K. Tumusiime Lydie Mukashyaka Esperance Ndenga Theogene Twagirumugabe Kaitesi B. Mukara Vincent Dusabejambo Timothy D. Walker Emmy Nkusi Lisa Bazzett-Matabele Alex Butera Belson Rugwizangoga Jean Claude Kabayiza Simon Kanyandekwe Louise Kalisa Faustin Ntirenganya Jeffrey Dixson Tanya Rogo Natalie McCall Mark Corden Rex Wong Madeleine Mukeshimana Agnes Gatarayiha Egide Kayonga Ntagungira Attila Yaman Juliet Musabeyezu Anne Sliney Tej Nuthulaganti Meredith Kiernan Peter Okwi Joseph Rhatigan Jane Barrow Kim Wilson Adam C. Levine Rebecca Reece Michael Koster Rachel T. Moresky Jennifer E. O’Flaherty Paul E. Palumbo Rashna Ginwalla Cynthia A. Binanay Nathan Thielman Michael Relf Rodney Wright Mary Hill Deborah Chyun Robin T. Klar Linda L. McCreary Tonda L. Hughes Marik Moen Valli Meeks Beth Barrows Marcel E. Durieux Craig D. McClain Amy Bunts Forrest J. Calland Bethany Hedt-Gauthier Danny Milner Giuseppe Raviola Stacy E. Smith Meenu Tuteja Urania Magriples Asghar Rastegar Linda Arnold Ira Magaziner Agnes Binagwaho Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda International Journal of Health Policy and Management Health Professional Training Human Resource for Health Institutional Capacity Strengthening Academic Partnerships Rwanda |
| title | Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda |
| title_full | Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda |
| title_fullStr | Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda |
| title_full_unstemmed | Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda |
| title_short | Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda |
| title_sort | health professional training and capacity strengthening through international academic partnerships the first five years of the human resources for health program in rwanda |
| topic | Health Professional Training Human Resource for Health Institutional Capacity Strengthening Academic Partnerships Rwanda |
| url | http://www.ijhpm.com/article_3524_b08db13b92d2d6b9fa79bfc301b98fd5.pdf |
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