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-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 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 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

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

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 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

Obstetrics & Gynecology and Women's Health

Research output: Contribution to journal › Article › peer-review

57 Scopus citations

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 language	English (US)
Pages (from-to)	1024-1039
Number of pages	16
Journal	International Journal of Health Policy and Management
Volume	7
Issue number	11
DOIs	https://doi.org/10.15171/ijhpm.2018.61
State	Published - 2018

Keywords

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

ASJC Scopus subject areas

Leadership and Management
Health(social science)
Health Policy
Management, Monitoring, Policy and Law
Health Information Management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.15171/ijhpm.2018.61

Cite this

Cancedda, C., Cotton, P., Shema, J., Rulisa, S., Riviello, R., Adams, L. V., Farmer, P. E., Kagwiza, J. N., Kyamanywa, P., Mukamana, D., Mumena, C., Tumusiime, D. K., Mukashyaka, L., Ndenga, E., Twagirumugabe, T., Mukara, K. B., Dusabejambo, V., Walker, T. D., Nkusi, E., ... 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. https://doi.org/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. / Cancedda, Corrado; Cotton, Phil; Shema, Joseph et al.
In: International Journal of Health Policy and Management, Vol. 7, No. 11, 2018, p. 1024-1039.

Research output: Contribution to journal › Article › peer-review

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, RT, 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

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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.",

keywords = "Academic Partnerships, Health Professional Training, Human Resource for Health, Institutional Capacity, Rwanda, Strengthening",

author = "Corrado Cancedda and Phil Cotton and Joseph Shema and Stephen Rulisa and Robert Riviello and Adams, {Lisa V.} and Farmer, {Paul E.} and Kagwiza, {Jeanne N.} and Patrick Kyamanywa and Donatilla Mukamana and Chrispinus Mumena and Tumusiime, {David K.} and Lydie Mukashyaka and Esperance Ndenga and Theogene Twagirumugabe and Mukara, {Kaitesi B.} and Vincent Dusabejambo and Walker, {Timothy D.} and Emmy Nkusi and Lisa Bazzett-Matabele and Alex Butera and Belson Rugwizangoga and Kabayiza, {Jean Claude} and Simon Kanyandekwe and Louise Kalisa and Faustin Ntirenganya and Jeffrey Dixson and Tanya Rogo and Natalie McCall and Mark Corden and Rex Wong and Madeleine Mukeshimana and Agnes Gatarayiha and Ntagungira, {Egide Kayonga} and Attila Yaman and Juliet Musabeyezu and Anne Sliney and Tej Nuthulaganti and Meredith Kernan and Peter Okwi and Joseph Rhatigan and Jane Barrow and Kim Wilson and Levine, {Adam C.} and Rebecca Reece and Michael Koster and Moresky, {Rachel T.} and O{\textquoteright}flaherty, {Jennifer E.} and Palumbo, {Paul E.} and Rashna Ginwalla and Binanay, {Cynthia A.} and Nathan Thielman and Michael Relf and Rodney Wright and Mary Hill and Deborah Chyun and Klar, {Robin T.} and McCreary, {Linda L.} and Hughes, {Tonda L.} and Marik Moen and Valli Meeks and Beth Barrows and Durieux, {Marcel E.} and McClain, {Craig D.} and Amy Bunts and Calland, {Forrest J.} and Bethany Hedt-Gauthier and Danny Milner and Giuseppe Raviola and Smith, {Stacy E.} and Meenu Tuteja and Urania Magriples and Asghar Rastegar and Linda Arnold and Ira Magaziner and Agnes Binagwaho",

note = "Publisher Copyright: {\textcopyright} 2018 The Author(s); Published by Kerman University of Medical Sciences.",

year = "2018",

doi = "10.15171/ijhpm.2018.61",

language = "English (US)",

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pages = "1024--1039",

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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 T.

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

Y1 - 2018

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

Abstract

Keywords

ASJC Scopus subject areas

UN SDGs

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