Cancedda, C., Cotton, P., Shema, J., Rulisa, S., Riviello, R., Adams, L., Farmer, P., Kagwiza, J., Kyamanywa, P., Mukamana, D., Mumena, C., Tumusiime, D., Mukashyaka, L., Ndenga, E., Twagirumugabe, T., Mukara, K., Dusabejambo, V., Walker, T., Nkusi, E., Bazzett-Matabele, L., Butera, A., Rugwizangoga, B., Kabayiza, J., Kanyandekwe, S., Kalisa, L., Ntirenganya, F., Dixson, J., Rogo, T., McCall, N., Corden, M., Wong, R., Mukeshimana, M., Gatarayiha, A., Ntagungira, E., Yaman, A., Musabeyezu, J., Sliney, A., Nuthulaganti, T., Kiernan, M., Okwi, P., Rhatigan, J., Barrow, J., Wilson, K., Levine, A., Reece, R., Koster, M., Moresky, R., O’Flaherty, J., Palumbo, P., Ginwalla, R., Binanay, C., Thielman, N., Relf, M., Wright, R., Hill, M., Chyun, D., Klar, R., McCreary, L., Hughes, T., Moen, M., Meeks, V., Barrows, B., Durieux, M., McClain, C., Bunts, A., Calland, F., Hedt-Gauthier, B., Milner, D., Raviola, G., Smith, S., Tuteja, M., Magriples, U., Rastegar, A., Arnold, L., Magaziner, I., Binagwaho, A. (2018). 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, 7(11), 1024-1039. doi: 10.15171/ijhpm.2018.61
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, 7, 11, 2018, 1024-1039. doi: 10.15171/ijhpm.2018.61
Cancedda, C., Cotton, P., Shema, J., Rulisa, S., Riviello, R., Adams, L., Farmer, P., Kagwiza, J., Kyamanywa, P., Mukamana, D., Mumena, C., Tumusiime, D., Mukashyaka, L., Ndenga, E., Twagirumugabe, T., Mukara, K., Dusabejambo, V., Walker, T., Nkusi, E., Bazzett-Matabele, L., Butera, A., Rugwizangoga, B., Kabayiza, J., Kanyandekwe, S., Kalisa, L., Ntirenganya, F., Dixson, J., Rogo, T., McCall, N., Corden, M., Wong, R., Mukeshimana, M., Gatarayiha, A., Ntagungira, E., Yaman, A., Musabeyezu, J., Sliney, A., Nuthulaganti, T., Kiernan, M., Okwi, P., Rhatigan, J., Barrow, J., Wilson, K., Levine, A., Reece, R., Koster, M., Moresky, R., O’Flaherty, J., Palumbo, P., Ginwalla, R., Binanay, C., Thielman, N., Relf, M., Wright, R., Hill, M., Chyun, D., Klar, R., McCreary, L., Hughes, T., Moen, M., Meeks, V., Barrows, B., Durieux, M., McClain, C., Bunts, A., Calland, F., Hedt-Gauthier, B., Milner, D., Raviola, G., Smith, S., Tuteja, M., Magriples, U., Rastegar, A., Arnold, L., Magaziner, I., Binagwaho, A. (2018). '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, 7(11), pp. 1024-1039. doi: 10.15171/ijhpm.2018.61
Cancedda, C., Cotton, P., Shema, J., Rulisa, S., Riviello, R., Adams, L., Farmer, P., Kagwiza, J., Kyamanywa, P., Mukamana, D., Mumena, C., Tumusiime, D., Mukashyaka, L., Ndenga, E., Twagirumugabe, T., Mukara, K., Dusabejambo, V., Walker, T., Nkusi, E., Bazzett-Matabele, L., Butera, A., Rugwizangoga, B., Kabayiza, J., Kanyandekwe, S., Kalisa, L., Ntirenganya, F., Dixson, J., Rogo, T., McCall, N., Corden, M., Wong, R., Mukeshimana, M., Gatarayiha, A., Ntagungira, E., Yaman, A., Musabeyezu, J., Sliney, A., Nuthulaganti, T., Kiernan, M., Okwi, P., Rhatigan, J., Barrow, J., Wilson, K., Levine, A., Reece, R., Koster, M., Moresky, R., O’Flaherty, J., Palumbo, P., Ginwalla, R., Binanay, C., Thielman, N., Relf, M., Wright, R., Hill, M., Chyun, D., Klar, R., McCreary, L., Hughes, T., Moen, M., Meeks, V., Barrows, B., Durieux, M., McClain, C., Bunts, A., Calland, F., Hedt-Gauthier, B., Milner, D., Raviola, G., Smith, S., Tuteja, M., Magriples, U., Rastegar, A., Arnold, L., Magaziner, I., Binagwaho, A. 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, 2018; 7(11): 1024-1039. doi: 10.15171/ijhpm.2018.61
Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda
1Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
2Office of the Vice-Chancellor, University of Rwanda, Kigali, Rwanda
3Rwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda
4Office of the Dean, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
5Center for Surgery and Public Health, Brigham and Women’s Hospital, Boston, MA, USA
6Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
7Center for Health Equity, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
8Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
9Division of Global Health Equity, Department of Medicine, Brigham and Women’s Hospital, Boston, MA, USA
10Office of the Principal, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
11Department of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University - Western Campus, Ishaka, Uganda
12School of Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
13Office 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, Rwanda
14School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
15Department of Anesthesiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
16Department of Ear, Nose, and Throat, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
17Department of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
18School of Medicine and Public Health, Faculty of Health and Medicine, University of Newcastle, Newcastle, NSW, Australia
19Department of General Medicine, Calvary Mater Hospital, Newcastle, NSW, Australia
20Department of Neurosurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
21Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA
22Department of Orthopedic Surgery, Rwanda Military Hospital, Kigali, Rwanda
23Department of Pathology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
24Department of Pediatrics, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
25Department of Mental Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
26Department of Radiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
27Department of Surgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
28Yale School of Medicine, New Haven, CT, USA
29Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA
30Department of Pediatrics, BronxCare Health System, Bronx, NY, USA
31Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA
32Division of Hospital Medicine, Department of Pediatrics, Children’s Hospital Los Angeles, Los Angeles, CA, USA
33Department of Pediatrics, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA
34Global Health Leadership Institute, Yale School of Public Health, New Haven, CT, USA
35Department of Preventive and Community Dentistry, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda
36University of Global Health Equity, Kigali, Rwanda
37Clinton Health Access Initiative, Boston, MA, USA
38Clinton Health Access Initiative, Kigali, Rwanda
39Office of Global and Community Health, Harvard School of Dental Medicine, Boston, MA, USA
40Department of Oral Health Policy and Epidemiology, Harvard School of Dental Medicine, Boston, MA, USA
41Department of General Pediatrics, Boston Children’s Hospital, Boston, MA, USA
42Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA
43Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA
44Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA
45sidHARTe Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USA
46Department of Emergency Medicine, Columbia University College of Physicians and Surgeons, New York City, NY, USA
47Department of Anesthesiology, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
48Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA
49Department of Pediatrics, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
50Department of Surgery, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA
51Duke Hubert-Yeargan Center for Global Health, Durham, NC, USA
52Department of Medicine, Duke University School of Medicine, Durham, NC, USA
53Duke Global Health Institute, Durham, NC, USA
54Duke University Medical Center, Durham, NC, USA
55Duke University School of Nursing, Durham, NC, USA
56Department of Obstetrics & Gynecology and Women’s Health, Albert Einstein College of Medicine, New York City, NY, USA
57Obstetrics & Gynecology and Women’s Health, Montefiore Medical Center, New York City, NY, USA
58Division of Nursing, Howard University College of Nursing and Allied Health Sciences, Washington, DC, USA
59University of Connecticut School of Nursing, Storrs, CT, USA
60New York University Rory Meyers College of Nursing, New York City, NY, USA
61University of Illinois at Chicago College of Nursing, Chicago, IL, USA
62Columbia University School of Nursing, New York City, NY, USA
63Department of Family & Community Health, University of Maryland School of Nursing, Baltimore, MD, USA
64Global Education and Mentorship, Office of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA
65Department of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA
66Office of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA
67Partnerships, Professional Education, and Practice, University of Maryland School of Nursing, Baltimore, MD, USA
68Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA
69Department of Anesthesiology Perioperative and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA
70Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA
71Center for Global Health, American Society for Clinical Pathology, Chicago, IL, USA
72Department of Immunology and Infectious Diseases, Harvard T. H. Chan School of Public Health, Boston, MA, USA
73Department of Psychiatry, Boston Children’s Hospital, Boston, MA, USA
74Department of Radiology, Brigham and Women’s Hospital, Boston, MA, USA
75Global Health and Research Programs, Biomedical Research Institute, Brigham and Women’s Hospital, Boston MA, USA
76Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA
77Institute for Health Policy and Clinical Practice, Dartmouth College, Hanover, NH, USA
78Office of the Vice-Chancellor, University of Global Health Equity, Kigali, Rwanda
Abstract
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.
Highlights
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