Training for health services and systems research in Sub-Saharan Africa - a case study at four East and Southern African Universities
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Date
2013
Journal Title
Journal ISSN
Volume Title
Publisher
Human Resources for Health
Abstract
The need to develop capacity for health services and systems research (HSSR) in low and middle
income countries has been highlighted in a number of international forums. However, little is known about the
level of HSSR training in Sub-Saharan Africa (SSA). We conducted an assessment at four major East and Southern
African universities to describe: a) the numbers of HSSR PhD trainees at these institutions, b) existing HSSR curricula
and mode of delivery, and c) motivating and challenging factors for PhD training, from the trainees’ experience.
Methods: PhD training program managers completed a pre-designed form about trainees enrolled since 2006. A
desk review of existing health curricula was also conducted to identify HSSR modules being offered; and PhD
trainees completed a self-administered questionnaire on motivating and challenging factors they may have
experienced during their PhD training.
Results: Of the 640 PhD trainees enrolled in the health sciences since 2006, only 24 (3.8%) were in an HSSR field.
None of the universities had a PhD training program focusing on HSSR. The 24 HSSR PhD trainees had trained in
partnership with a university outside Africa. Top motivating factors for PhD training were: commitment of
supervisors (67%), availability of scholarships (63%), and training attached to a research grant (25%). Top challenging
factors were: procurement delays (44%), family commitments (38%), and poor Internet connection (35%).
Conclusion: The number of HSSR PhD trainees is at the moment too small to enable a rapid accumulation of the
required critical mass of locally trained HSSR professionals to drive the much needed health systems strengthening
and innovations in this region. Curricula for advanced HSSR training are absent, exposing a serious training gap for
HSSR in this region.
Description
Keywords
Health services and systems research, Training, Sub-Saharan Africa
Citation
Guwatudde et al.: Training for health services and systems research in Sub-Saharan Africa - a case study at four East and Southern African Universities. Human Resources for Health 2013 11:68. doi:10.1186/1478-4491-11-68