Health professional training and capacity strengthening through international academic partnerships: The first five years of the human resources for health program in rwanda

Corrado Cancedda, Phil 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-MatabeleAlex 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 Kernan, 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 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

Research output: Contribution to journalArticle

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.

Original languageEnglish (US)
Pages (from-to)1024-1039
Number of pages16
JournalInternational Journal of Health Policy and Management
Volume7
Issue number11
DOIs
StatePublished - Jan 1 2018

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Rwanda
Health Resources
Health
Medicine
Organizational Case Studies
Tissue Donors
Health Manpower
Education
School Health Services
Communication
Databases
Students

Keywords

  • Academic Partnerships
  • Health Professional Training
  • Human Resource for Health
  • Institutional Capacity
  • Rwanda
  • Strengthening

ASJC Scopus subject areas

  • Health Policy

Cite this

Health professional training and capacity strengthening through international academic partnerships : The first five years of the human resources for health program in rwanda. / Cancedda, Corrado; Cotton, Phil; 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; Kernan, 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; 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.

In: International Journal of Health Policy and Management, Vol. 7, No. 11, 01.01.2018, p. 1024-1039.

Research output: Contribution to journalArticle

Cancedda, C, Cotton, P, Shema, J, Rulisa, S, Riviello, R, Adams, LV, Farmer, PE, Kagwiza, JN, Kyamanywa, P, Mukamana, D, Mumena, C, Tumusiime, DK, Mukashyaka, L, Ndenga, E, Twagirumugabe, T, Mukara, KB, Dusabejambo, V, Walker, TD, Nkusi, E, Bazzett-Matabele, L, Butera, A, Rugwizangoga, B, Kabayiza, JC, Kanyandekwe, S, Kalisa, L, Ntirenganya, F, Dixson, J, Rogo, T, McCall, N, Corden, M, Wong, R, Mukeshimana, M, Gatarayiha, A, Ntagungira, EK, Yaman, A, Musabeyezu, J, Sliney, A, Nuthulaganti, T, Kernan, M, Okwi, P, Rhatigan, J, Barrow, J, Wilson, K, Levine, AC, Reece, R, Koster, M, Moresky, RT, O’flaherty, JE, Palumbo, PE, Ginwalla, R, Binanay, CA, Thielman, N, Relf, M, Wright, R, Hill, M, Chyun, D, Klar, R, McCreary, LL, Hughes, TL, Moen, M, Meeks, V, Barrows, B, Durieux, ME, McClain, CD, Bunts, A, Calland, FJ, Hedt-Gauthier, B, Milner, D, Raviola, G, Smith, SE, 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, vol. 7, no. 11, pp. 1024-1039. https://doi.org/10.15171/ijhpm.2018.61
Cancedda, Corrado ; Cotton, Phil ; 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 ; Kernan, 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 ; 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. / Health professional training and capacity strengthening through international academic partnerships : The first five years of the human resources for health program in rwanda. In: International Journal of Health Policy and Management. 2018 ; Vol. 7, No. 11. pp. 1024-1039.
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title = "Health professional training and capacity strengthening through international academic partnerships: The first five years of the human resources for health program in 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.",
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T1 - Health professional training and capacity strengthening through international academic partnerships

T2 - The first five years of the human resources for health program in rwanda

AU - Cancedda, Corrado

AU - Cotton, Phil

AU - Shema, Joseph

AU - Rulisa, Stephen

AU - Riviello, Robert

AU - Adams, Lisa V.

AU - Farmer, Paul E.

AU - Kagwiza, Jeanne N.

AU - Kyamanywa, Patrick

AU - Mukamana, Donatilla

AU - Mumena, Chrispinus

AU - Tumusiime, David K.

AU - Mukashyaka, Lydie

AU - Ndenga, Esperance

AU - Twagirumugabe, Theogene

AU - Mukara, Kaitesi B.

AU - Dusabejambo, Vincent

AU - Walker, Timothy D.

AU - Nkusi, Emmy

AU - Bazzett-Matabele, Lisa

AU - Butera, Alex

AU - Rugwizangoga, Belson

AU - Kabayiza, Jean Claude

AU - Kanyandekwe, Simon

AU - Kalisa, Louise

AU - Ntirenganya, Faustin

AU - Dixson, Jeffrey

AU - Rogo, Tanya

AU - McCall, Natalie

AU - Corden, Mark

AU - Wong, Rex

AU - Mukeshimana, Madeleine

AU - Gatarayiha, Agnes

AU - Ntagungira, Egide Kayonga

AU - Yaman, Attila

AU - Musabeyezu, Juliet

AU - Sliney, Anne

AU - Nuthulaganti, Tej

AU - Kernan, Meredith

AU - Okwi, Peter

AU - Rhatigan, Joseph

AU - Barrow, Jane

AU - Wilson, Kim

AU - Levine, Adam C.

AU - Reece, Rebecca

AU - Koster, Michael

AU - Moresky, Rachel T.

AU - O’flaherty, Jennifer E.

AU - Palumbo, Paul E.

AU - Ginwalla, Rashna

AU - Binanay, Cynthia A.

AU - Thielman, Nathan

AU - Relf, Michael

AU - Wright, Rodney

AU - Hill, Mary

AU - Chyun, Deborah

AU - Klar, Robin

AU - McCreary, Linda L.

AU - Hughes, Tonda L.

AU - Moen, Marik

AU - Meeks, Valli

AU - Barrows, Beth

AU - Durieux, Marcel E.

AU - McClain, Craig D.

AU - Bunts, Amy

AU - Calland, Forrest J.

AU - Hedt-Gauthier, Bethany

AU - Milner, Danny

AU - Raviola, Giuseppe

AU - Smith, Stacy E.

AU - Tuteja, Meenu

AU - Magriples, Urania

AU - Rastegar, Asghar

AU - Arnold, Linda

AU - Magaziner, Ira

AU - Binagwaho, Agnes

PY - 2018/1/1

Y1 - 2018/1/1

N2 - 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.

AB - 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.

KW - Academic Partnerships

KW - Health Professional Training

KW - Human Resource for Health

KW - Institutional Capacity

KW - Rwanda

KW - Strengthening

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