Preservice Education

Community-Based Education Programs in Africa: Faculty Experience within the Medical Education Partnership Initiative (MEPI) Network

This article examines the various models, challenges, and evaluative efforts of community-based education programs at Medical Education Partnership Initiative (MEPI) schools and makes recommendations to strengthen those programs in the African context. Data were gathered from 12 MEPI schools. All schools reported a number of challenges in meeting the demands of increased student enrollment. Planned strategies used to tackle these challenges include motivating faculty, deploying students across expanded centers, and adopting innovations. Although the programs have similar goals, their strategies for achieving these goals vary. To identify approaches that successfully address the challenges, particularly with increasing enrollment, medical schools need to develop structured models and tools for evaluating the processes, outcomes, and impacts of community-based education programs. Such efforts should be accompanied by training faculty and embracing technology, improving curricula, and using global/regional networking opportunities. CapacityPlus’s Rebecca Bailey and Christopher Deery contributed to this article in the journal’s MEPI supplement issue.

Graduate Tracking Systems for the Medical Schools in Africa: Processes for Developing an Implementation Framework

Human resources for health are critical for effective health systems. In Africa, the number of doctors and nurses required to provide essential health services will be deficient by an estimated 800,000 in 2015. Numerous interventions have been implemented to mitigate these shortages; tracking graduates from African universities is critical to determine whether interventions are effective. Based on a community of practice theory, a Graduate Tracking Technical Working Group was established within the Medical Education Partnership Initiative (MEPI) network. The group, with CapacityPlus, developed graduate tracking requirements for MEPI institutions and countries through a collaborative process. A framework was created to guide the establishment of graduate tracking systems consisting of seven core processes or elements: 1) general requirements; 2) locate graduates; 3) collect/update information; 4) search and view information; 5) create tracking survey tools; 6) manage tracking survey response data; and 7) generate reports. CapacityPlus’s Dykki Settle contributed to this article in the journal’s MEPI supplement issue.

Preservice Education of Community Health Extension Workers, Nurses, and Midwives in Nigeria: Findings and Recommendations from a Rapid Scoping Assessment

Using a modified version of the CapacityPlus Bottlenecks and Best Buys approach, CapacityPlus assessed 19 institutions training targeted health cadres. The intent was to find areas where support by CapacityPlus could assist Nigerian training institutions to maximize the number of newly trained health workers produced between August 2012 and October 2013. Based on the findings, the assessment team recommended six possible activities for CapacityPlus support to schools of midwifery and health technology. (The project subsequently acted on these recommendations in close collaboration with Nigerian stakeholders.)

Whose Job Is It? Educational Institutions and Their Responsibility for Retention of the Health Workers They Trained

This presentation guided an interactive roundtable discussion at the CapacityPlus knowledge-sharing and dissemination event, Supporting Country-Led Efforts to Recruit and Retain Health Workers and Improve Their Productivity, held on February 18, 2014, at the National Press Club in Washington, DC.

Private-Sector Participation in Preservice Health Education

Private health professional schools are expanding rapidly. With health training needs increasing and developing country budgets not keeping pace, private-sector schools will soon produce more health workers than public-sector institutions. This free eLearning course explores critical success factors in private-sector health education and training that are also relevant to public institutions.

Innovative Financing for Preservice Education of Health Professionals

In an environment of limited resources, educational institutions must be creative in finding financial resources. This free eLearning course provides an overview of creative financing mechanisms designed to help a health professional education institution reach its funding goals. Participants will learn how to select, prioritize, and implement new financing mechanisms.

Bridges to Health Worker Employment

Twelve suggestions that health professional schools, ministries of health, employer councils, and others can implement to shorten the time between graduation and employment.

Scaling Up Health Worker Production: The Bottlenecks and Best Buys Approach

Countries need to rapidly scale up the production of health workers in order to ensure universal access to health care and address the global shortage of over four million doctors, nurses, midwives, and support workers. In many cases, small but targeted investments in the preservice education of health workers can lead to measurable increases in the production of qualified and competent graduates. This technical brief presents an overview of an approach to help identify critical bottlenecks to providing quality preservice education and prioritize affordable actions for increasing the quantity of graduates while maintaining or improving the quality of education.

Innovative Financing Options for the Preservice Education of Health Professionals

Many developing countries are making significant investments to increase the number of health workers available to provide care to growing populations. However, the available funding is far short of what is required. For these countries to train and produce a health workforce sufficient to meet the populations’ needs, new sources of funding for health worker education need to be found. To address this problem, CapacityPlus partnered with the International Finance Corporation, the World Bank, and the Global Health Workforce Alliance in an exploration of innovative financing of health worker education. This technical brief presents a summary of the forms of financing proposed or documented through this process.

Transforming the Health Worker Pipeline: Interventions to Eliminate Gender Discrimination in Preservice Education

Governments and preservice education institutions must take action against gender barriers if they are to produce robust workforces able to respond to the health needs of the populations they serve. This report describes the results of a systematic and expert review undertaken to identify practices that have the potential to counter forms of gender discrimination against students and faculty in preservice education institutions. Also see the related technical brief.

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