Challenges and Strategies in Training Programs for Healthcare Professionals
Lack of adequate training programs in Sub-Saharan Africa poses challenges with outdated curricula and limited leadership training. Proposed strategies include enhancing competencies, fostering leadership, and continual learning. Capacity building initiatives at academic levels focus on curriculum development, teacher training, and financial sustainability. However, the impact of training programs is sometimes limited due to issues like ineffective needs assessment, traditional teaching methods, and lack of support systems and conducive working conditions.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Besim Nuri Unit de Sant Internationale CHUM/Universit de Montr al
The need for training in developing countries In Sub-Saharan Africa: Only 4% of medical schools (64 out of 1642) 21 countries had 1 medical school and 6 countries had none; Half of the African countries no graduate program in public health 173 800 young doctors graduate each year in Europe versus 5100 in Africa Curricula misaligned with countries health problems; outdated pedagogical methods, excluding practical problem-solving skills; Few health leadership and management programs Major gaps in continuing education Human Resources for Health. Overcoming the crisis. Joint Learning Initiative, 2004
Proposed strategies - Joint Learning Initiative, 2004 Enhancing competencies by educating for appropriate skills Fostering leadership and entrepreneurship Training for continual learning
Training programs in cooperation projects an engine for capacity building? Academic institutions (universities, schools, institutes, centers ) Health service organizations (health centers, hospitals, clinics, etc.) Sub-systems (PHC, HRH, MIS etc.)
Unit de Sant Internationale - UdeM 20 ans de partenariats pour la sant dans le monde Population and Health Program in Africa, 2003-2013, 11 million $ US, Gates Foundation Support to Health Management capacities in Haiti (PARC), 2006-2011, 15 million $C, CIDA Professional Development System in Albania, Phase 1 - 2007-2010, 2,7 milion SFr, Swiss Cooperation
Capacity building at academic level Graduate and post-graduate training programs Develop curriculum and content Professor/teachers/trainers Institutional challenges Teaching materials and access to information Financial resources to ensure sustainability
Training programs: why their impact is sometimes limited? Problems related with training needs assessment Traditional training courses and pedagogical methods Lack of support systems Enabling working conditions (salaries, motivation etc.)
Challenges of implementation Implementation of knowledge and skills: problems Frequent turn-over of directors and decision- makers Political influence versus merit-based appointments Autonomy of health services not yet implemented in practice Not all members of health teams are trained Culture of health sector organizations doesn t allow personal initiative Training Program in Health Planning and Management in Albania, 2005- 2008
Leadership and Management in health systems http://www.who.int/management/strengthen/en/index.html
Systemic capacity building Ch.Potter and R. Brough, Health Policy and planning, 19(5), 2004
Systemic capacity building Ch.Potter and R. Brough, Health Policy and planning, 19(5), 2004
Strengthening Health Management Capacities in Haiti Conceptual framework of the project PARC (2006-2011) Internal end external factors with an impact on HRH : - Governance - - skills and appropriate use of HRH - - availability of resources - Learning and continuing education HUMAN CAPITAL PersonnalitY Qualities Basic ducation etc. Individual capabilities Knowledge and skills CAPACITY CAPACITY CAPACITIY Personal (know-how) Organiz. System NEEDS TO STRENGTHEN/BUILD/DEVELOP Performance of organizations Performance of people Performance of the system PERFORMANCE
Beneficiaries: project PARC, Haiti Individuals: managers and professionals attending training programs (graduate diploma and Masters) Central level decision- makers, mostly in the area of HRH Organizations: Academic Health services Health system (MoH, health departments, etc.)
PDS Project in Albania, 2007-2010 Schematic view Certification of health workforce Quality of health services and performance of health system Training programs Centre of Cont. Education Planning, organizing, implementing, financing Universities Schools Training org. Accreditation of programs
Summary of ideas Training programs through cooperation project an engine for capacity building: Personal capacities Capacities of academic institutions - sustainability Training can have an impact on health organizations capacities when combined with other interventions Support to build/improve structures and processes in order to enhance the impact of training/education programs
