Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda.

Journal: International journal of health policy and management

Volume: 7

Issue: 11

Year of Publication: 2019

Affiliated Institutions:  Center for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. Office of the Vice-Chancellor, University of Rwanda, Kigali, Rwanda. Rwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda. Office of the Dean, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Center for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA. Center for Health Equity, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA. Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA. Office of the Principal, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University - Western Campus, Ishaka, Uganda. S choolof Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Office 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. School of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Anesthesiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Ear, Nose, and Throat, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Neurosurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA. Department of Orthopedic Surgery, Rwanda Military Hospital, Kigali, Rwanda. Department of Pathology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Pediatrics, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Mental Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Radiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Department of Surgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda. Yale School of Medicine, New Haven, CT, USA. Department of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA. Department of Pediatrics, Yale School of Medicine, New Haven, CT, USA. Division of Hospital Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, USA. Global Health Leadership Institute, Yale School of Public Health, New Haven, CT, USA. Division of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA. University of Global Health Equity, Kigali, Rwanda. Clinton Health Access Initiative, Boston, MA, USA. Clinton Health Access Initiative, Kigali, Rwanda. Office of Global and Community Health, Harvard School of Dental Medicine, Boston, MA, USA. Department of General Pediatrics, Boston Children's Hospital, Boston, MA, USA. Department of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. Department of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA. Department of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA. sidHARTe Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USA. Department of Anesthesiology, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA. Department of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA. Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA. Duke Hubert-Yeargan Center for Global Health, Durham, NC, USA. Department of Medicine, Duke University School of Medicine, Durham, NC, USA. Duke Global Health Institute, Durham, NC, USA. Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine, New York City, NY, USA. Division of Nursing, Howard University College of Nursing and Allied Health Sciences, Washington, DC, USA. University of Connecticut School of Nursing, Storrs, CT, USA. New York University Rory Meyers College of Nursing, New York City, NY, USA. University of Illinois at Chicago College of Nursing, Chicago, IL, USA. Columbia University School of Nursing, New York City, NY, USA. Department of Family & Community Health, University of Maryland School of Nursing, Baltimore, MD, USA. Department of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA. Office of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA. Department of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA. Department of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA. Center for Global Health, American Society for Clinical Pathology, Chicago, IL, USA. Department of Radiology, Brigham and Women's Hospital, Boston, MA, USA. Global Health and Research Programs, Biomedical Research Institute, Brigham and Women's Hospital, Boston MA, USA. Department of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.

Abstract summary 

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.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.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.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.

Authors & Co-authors:  Cancedda Corrado C Cotton Phil P Shema Joseph J Rulisa Stephen S Riviello Robert R Adams Lisa V LV Farmer Paul E PE Kagwiza Jeanne N JN Kyamanywa Patrick P Mukamana Donatilla D Mumena Chrispinus C Tumusiime David K DK Mukashyaka Lydie L Ndenga Esperance E Twagirumugabe Theogene T Mukara Kaitesi B KB Dusabejambo Vincent V Walker Timothy D TD Nkusi Emmy E Bazzett-Matabele Lisa L Butera Alex A Rugwizangoga Belson B Kabayiza Jean Claude JC Kanyandekwe Simon S Kalisa Louise L Ntirenganya Faustin F Dixson Jeffrey J Rogo Tanya T McCall Natalie N Corden Mark M Wong Rex R Mukeshimana Madeleine M Gatarayiha Agnes A Ntagungira Egide Kayonga EK Yaman Attila A Musabeyezu Juliet J Sliney Anne A Nuthulaganti Tej T Kernan Meredith M Okwi Peter P Rhatigan Joseph J Barrow Jane J Wilson Kim K Levine Adam C AC Reece Rebecca R Koster Michael M Moresky Rachel T RT O'Flaherty Jennifer E JE Palumbo Paul E PE Ginwalla Rashna R Binanay Cynthia A CA Thielman Nathan N Relf Michael M Wright Rodney R Hill Mary M Chyun Deborah D Klar Robin T RT McCreary Linda L LL Hughes Tonda L TL Moen Marik M Meeks Valli V Barrows Beth B Durieux Marcel E ME McClain Craig D CD Bunts Amy A Calland Forrest J FJ Hedt-Gauthier Bethany B Milner Danny D Raviola Giuseppe G Smith Stacy E SE Tuteja Meenu M Magriples Urania U Rastegar Asghar A Arnold Linda L Magaziner Ira I Binagwaho Agnes A

Study Outcome 

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Citations :  Farmer PE, Nutt CT, Wagner CM. et al. Reduced premature mortality in Rwanda: Lessons from success. BMJ. 2013;346:f65.
Authors :  76
Identifiers
Doi : 10.15171/ijhpm.2018.61
SSN : 2322-5939
Study Population
Male,Female
Mesh Terms
Capacity Building
Other Terms
Academic Partnerships;Health Professional Training;Human Resource for Health;Institutional Capacity;Rwanda;Strengthening
Study Design
Case Study
Study Approach
Country of Study
Rwanda
Publication Country
Iran