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health professional training and capacity strengthening through international academic partnerships: the first five years of the human resources for health program in rwanda
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نویسنده
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cancedda corrado ,cotton philip ,shema joseph ,rulisa stephen ,riviello robert ,adams lisa v. ,farmer paul e. ,kagwiza jeanne n. ,kyamanywa patrick ,mukamana donatilla ,mumena chrispinus ,tumusiime david k. ,mukashyaka lydie ,ndenga esperance ,twagirumugabe theogene ,mukara kaitesi b. ,dusabejambo vincent ,walker timothy d. ,nkusi emmy ,bazzett-matabele lisa ,butera alex ,rugwizangoga belson ,kabayiza jean claude ,kanyandekwe simon ,kalisa louise ,ntirenganya faustin ,dixson jeffrey ,rogo tanya ,mccall natalie ,corden mark ,wong rex ,mukeshimana madeleine ,gatarayiha agnes ,ntagungira egide kayonga ,yaman attila ,musabeyezu juliet ,sliney anne ,nuthulaganti tej ,kiernan meredith ,okwi peter ,rhatigan joseph ,barrow jane ,wilson kim ,levine adam c. ,reece rebecca ,koster michael ,moresky rachel t. ,o’flaherty jennifer e. ,palumbo paul e. ,ginwalla rashna ,binanay cynthia a. ,thielman nathan ,relf michael ,wright rodney ,hill mary ,chyun deborah ,klar robin t. ,mccreary linda l. ,hughes tonda l. ,moen marik ,meeks valli ,barrows beth ,durieux marcel e. ,mcclain craig d. ,bunts amy ,calland forrest j. ,hedt-gauthier bethany ,milner danny ,raviola giuseppe ,smith stacy e. ,tuteja meenu ,magriples urania ,rastegar asghar ,arnold linda ,magaziner ira ,binagwaho agnes
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منبع
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international journal of health policy and management - 2018 - دوره : 7 - شماره : 11 - صفحه:1024 -1039
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چکیده
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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.
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کلیدواژه
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health professional training ,human resource for health ,institutional capacity ,strengthening ,academic partnerships ,rwanda
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آدرس
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university of pennsylvania, perelman school of medicine, center for global health, usa, university of rwanda, office of the vice-chancellor, rwanda, ministry of health, rwanda human resources for health program team, rwanda, university of rwanda, college of medicine and health sciences, school of medicine and pharmacy, rwanda, harvard medical school, department of global health and social medicine, usa. brighamand women’s hospital, center for surgery and public health, usa, dartmouth college, geisel school of medicine, center for health equity, department of medicine, usa, brigham and women’s hospital, department of medicine, division of global health equity, usa. harvard medical school, department of global health and social medicine, usa, university of rwanda, college of medicine and health sciences, rwanda, kampala international university, western campus, faculty of clinical medicine and dentistry, department of surgery, uganda, university of rwanda, school of nursing and midwifery, college of medicine and health sciences, rwanda, university of rwanda, school of dentistry, college of medicine and health sciences, department of oral and maxillofacial surgery, oral pathology and oral medicine, rwanda, university of rwanda, school of health sciences, college of medicine and health sciences, rwanda, ministry of health, rwanda human resources for health programteam, rwanda, ministry of health, rwanda human resources for health programteam, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of anesthesiology, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of ear, nose, and throat, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of internal medicine, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of internal medicine, rwanda. calvary mater hospital, department of general medicine, australia. university of newcastle, school of medicine and public health, faculty of health and medicine, australia, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of neurosurgery, rwanda, yale school of medicine, department of obstetrics, gynecology, and reproductive sciences, usa, rwanda military hospital, department of orthopedic surgery, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of pathology, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of pediatrics, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of mental health, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of radiology, rwanda, university of rwanda, school of medicine and pharmacy, college of medicine and health sciences, department of surgery, rwanda, yale school of medicine, usa, icahn school of medicine at mount sinai, department of pediatrics, usa. bronxcare health system, department of pediatrics, usa, yale school of medicine, department of pediatrics, usa, university of southern california, keck school of medicine, department of pediatrics, usa. children’s hospital los angeles, department of pediatrics, division of hospital medicine, usa, yale school of public health, global health leadership institute, usa, university of rwanda, school of nursing and midwifery, college of medicine and health sciences, rwanda, university of rwanda, school of dentistry, college of medicine and health sciences, department of oral and maxillofacial surgery, oral pathology and oral medicine, department of preventive and community dentistry, rwanda, university of rwanda, school of health sciences, college of medicine and health sciences, rwanda, brigham and women’s hospital, department of medicine, division of global health equity, usa, university of global health equity, rwanda, clinton health accessinitiative, usa, clinton health accessinitiative, usa, clinton health accessinitiative, usa, clinton health access initiative, rwanda, brigham and women’s hospital, department of medicine, division of global health equity, usa. harvard medical school, department of global health and social medicine, usa, harvard school of dental medicine, office of global and community health, department of oral health policy and epidemiology, usa, harvard medical school, department of global health and social medicine, usa. boston children’s hospital, department of general pediatrics, usa, brown university, warren alpert medical school, department of emergency medicine, usa, warren alpert medical school of brown university, department of medicine, usa, brown university, warren alpert medical school, department of pediatrics, usa, columbia university, mailman school of public health, college of physicians and surgeons, heilbrunn department of population and family health, department of emergency medicine, sidharte program, usa, dartmouth-hitchcock medical center, usa. dartmouth college, geisel school of medicine, department of anesthesiology, usa, dartmouth college, geisel school of medicine, department of pediatrics, department of medicine, usa. dartmouth-hitchcock medical center, usa, dartmouth college, geisel school of medicine, department of surgery, usa. dartmouth-hitchcock medical center, usa, dukehubert-yeargan center for global health, usa, duke university, school of medicine, duke university medical center, department of medicine, usa. duke global health institute, usa, duke university, school of nursing, usa. duke global health institute, usa, montefiore medical center, department of obstetrics & gynecology and women’s health, usa. albert einstein college of medicine, department of obstetrics & gynecology and women’s health, usa, howard university, college of nursing and allied health sciences, division of nursing, usa, university of connecticut, school of nursing, usa, new york university, rory meyers college of nursing, usa, university of illinois at chicago, college of nursing, usa, columbia university, school of nursing, usa, university of maryland, school of nursing, office of global health, department of family & community health, usa, university of maryland, school of dentistry, department of oncology & diagnostic sciences, usa, university of maryland, school of nursing, office of global health, usa, university of virginia, school of medicine, department of anesthesiology, usa, harvard medical school, department of global health and social medicine, usa. boston children’s hospital, department of anesthesiology perioperative and pain medicine, usa, university of virginia, school of medicine, department of surgery, usa, university of virginia, school of medicine, department of surgery, usa, harvard medical school, department of global health and social medicine, usa, american society for clinical pathology, center for global health, usa. harvard t. h. chan school of public health, department of immunology and infectious diseases, usa, harvard medical school, department of global health and social medicine, usa. boston children’s hospital, department of psychiatry, usa, brigham and women’s hospital, department of radiology, usa, brigham and women’s hospital, biomedical research institute, global health and research programs, usa, yale school of medicine, department of obstetrics, gynecology, and reproductive sciences, usa, yale school of medicine, department of internal medicine, usa, yale school of medicine, department of pediatrics, usa, clinton health accessinitiative, usa, harvard medical school, department of global health and social medicine, usa. university of global health equity, office of the vice-chancellor, rwanda. dartmouth college, geisel school of medicine, institute for health policy and clinical practice, department of pediatrics, usa
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پست الکترونیکی
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dr.agnes.binagwaho@gmail.com
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Authors
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