Health workforce development: a needs assessment study in French speaking African countries
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  • 作者：Philippe Chastonay (1) (2)
    Roberto Moretti (3)
    Véronique Zesiger (1)
    Marco Cremaschini (3)
    Rebecca Bailey (4)
    George Pariyo (5)
    Emmanuel Mpinga Kabengele (1) (6)
  • 关键词：Health workforce development ; Training needs assessment ; Public health
  • 刊名：Advances in Health Sciences Education
  • 出版年：2013
  • 出版时间：May 2013
  • 年：2013
  • 卷：18
  • 期：2
  • 页码：265-277
  • 全文大小：199KB
  • 参考文献：1. Alexander, L., Igumbor, E. U., & Sanders, D. (2009). Building capacity without disrupting health services: Public health education for Africa through distance learning. / Human Resources for Health, / 7, 28. CrossRef
    2. AUF. (2011). / Campus virtuel de la Francophonie. Accessed on May 23rd 2011, http://www.auf.org.
    3. Bowing, A. (2002). / Research methods in health. Investigating health and health services. Buckingham, PA: Open University Press.
    4. CDC. (2001). Center for Disease Control and Prevention and Agency for Toxic Substances and Disease Registry. Strategic plan for public health: Workforce development summary. Washington: DHHS.
    5. CDC. (2011). / What is EpiInfo?. Accessed on May 26th 2011, http://www.cdc.gov/epiinfo/.
    6. Chastonay, P., & Bastard, B. (Dir.) (2009). Apprendre la Santé publique. L’expérience pédagogique du Dipl?me- MAS en santé publique de l’Université de Genève. Médecine & Hygiène, Genève, Mars, pp. 1-79.
    7. Chastonay, P., Brenner, E., Peel, S., & Guilbert, J. J. (1996). The need for more efficacy in medical education. / Medical Education, / 30, 235-38. CrossRef
    8. Chastonay, P., Guilbert, J. J., & Rougemont, A. (1992). Les besoins institutionnels en matière de santé publique: une enquête dans trois cantons romands et au Tessin. / Cahiers Médico-Sociaux, / 36, 45-3.
    9. Chastonay, P., Papart, J. P., Durieux-Paillard, S., Etter, J. F., Etienne, Y., Barazzoni, F., et al. (1997). Stratégies et outils pédagogiques dans le cadre d’un Dipl?me de santé publique. / Sozial & Praventiv Medizin, / 42, 55-5. CrossRef
    10. Chastonay, P., Praplan, G., Brenner, E., Viennois, E., Papart, J. P., Laporte, J. D., Chamot, E., Walker, F., Rougemont, A., & Guilbert, J. J. (1998). Development and use of a professional profile in a public health master’s program. / Education for Health, / 11, 379-86.
    11. Curran, R. V., & Keegan, D. (2007). A comparative analysis of perceived continuing medical education needs of a cohort of rural and urban Canadian family physicians. / Canadian Journal of Rural Medicine, / 12, 161-66.
    12. DHHS. (1997). / The public health workforce: An agenda for the 21st century. Washington: DHHS.
    13. EU. (2005). European Union. Community action in the field of public health. Workplan 2003-008, Bruxelles, p. 20.
    14. GEMPH. (2011). The Geneva-e-module in public health http://gemph.unige.ch/accueil.html. Accessed on April 4th 2011.
    15. Gould, D., Kelly, D., Goldstone, L., & Maidwell, A. (2001). The changing needs of clinical nurse managers: Exploring issues for continuing professional development. / Journal of Advanced Nursing, / 34, 7-7. CrossRef
    16. Guilbert, J. J. (1992). / Educational Handbook for health personnel. WHO, 6th ed. WHO offset Publication no 35, revised and updated, Geneva, p. 335.
    17. Harrisson, L. M., Davis, M. V., Alexander, L. K., Cline, J. S., Alexander, J. G., Rothney, E. E., et al. (2005). Development and implementation of a public health workforce training needs assessment survey in North Carolina. / Public Health Reports, / S1-20, 28-4.
    18. HRSA. (2005). / Bureau of Health professions. Public Health Workforce Study. http://bhpr.hrsa.gov/healthworkforce/reports/publichealth/default.htm. Accessed on June 4th 2011.
    19. IOM. (1988). / Committee for the study of the future of public health, Institute of Medicine. The future of public health. Washington: National Academy Press.
    20. IOM. (2011). / Institute of Medicine of the National Academies. Who will keep the public healthy: Educating public health professionals for the 21st century. http://www.iom.edu/report.asp?id=4307. Accessed on April 4th 2011.
    21. Jarvenpaa, S. L., & Ives, B. (1994). The global network organization of the future: Information management opportunities and challenges. / Journal of Management Information Systems, / 10(4), 45-7.
    22. Kitzinger, J. (1995). Qualitative research: Introducing focus group. / BMJ, / 311, 299-02. CrossRef
    23. Knowles, M. S. (1990). / The adult learner. A neglected species, 4th ed. Gulf Publishing, Houston, p. 293.
    24. Martineau, T., Decker, K., & Bundred, P. (2004). Brain Drain of health professionals: From rhetoric to responsible action. / Health Policy, / 70, 1-0. CrossRef
    25. Murray, S. A., & Graham, L. J. (1995). Practice based health needs assessment: Use of four methods in a small neighbourhood. / BMJ, / 310, 1443-448. CrossRef
    26. Mutungi, A., Harvey, S., Kibaru, J., et al. (2008). / Kenya: Assessment of health workforce competency and facility readiness to provide quality maternal health services. USAID.
    27. OPHA. (2004). / Ontario Public Health Association. Core Competencies Task Group. Project report: Core competencies in public health. Toronto: OPHA, p. 12.
    28. Petersen, D. J., & Alexander, G. R. (2001). / Needs assessment in public health. A practical guide (p. 138). New York: Kluwer/Plenum.
    29. PHF. (2011). / Council on Linkages between Academia and Public Health Practice. Core Competencies for Public Health Professionals. Accessed on April 28th 2011, http://www.phf.org/link/Core-Competencies-for-Public-Health-Professionals-ADOPTED-061109.pdf.
    30. Potter, M., Pistella, C., Fertman, C., & Dato, V. (2000). Needs assessment and a model agenda for training public health workforce. / AJPH, / 90, 1294-296. CrossRef
    31. Pruitt, S., & Epping-Jordan, J. (2005). Preparing the 21st century global healthcare workforce. / BMJ, / 330, 637. doi:10.1136 . CrossRef
    32. Rabie, F. (2004). Focus Group interview and data analysis. / Proceedings of the Nutrition Society, / 63, 655-60. CrossRef
    33. Roper, W., Baker, E., Dyal, W., & Nicola, R. (1992). Strengthening the public health system. / Public Health Reports, / 107, 609-15.
    34. Survey Monkey. (2011). / créer des questionnaires en ligne http://www.paperblog.fr/690658/survey-monkey-creer-des-questionnaires-en-ligne/. Accessed on May 17th 2011.
    35. WHO. (2006). / World health report 2006. Working together for health http://www.who.int/whr/2006/en/index.html. Accessed on June 4th 2011.
    36. WHO. (2007). / International action needed to increase health workforce. WHO News release 2007. http://www.who.int/mediacentre/news/releases/2007/pr05/en/. Accessed on June 4th 2011.
    37. WHO. (2010). Masters Degree Programme with a focus on Health Workforce Development in Francophone Africa http://www.who.int/workforcealliance/media/events/2010/mastersfrancophone/en/. Accessed on June 4th 2011.
  • 作者单位：Philippe Chastonay (1) (2)
    Roberto Moretti (3)
    Véronique Zesiger (1)
    Marco Cremaschini (3)
    Rebecca Bailey (4)
    George Pariyo (5)
    Emmanuel Mpinga Kabengele (1) (6)

    1. Institute of Social and Preventive Medicine, Faculty of Medicine, University of Geneva, Centre Médical Universitaire, Rue Michel Servet 1, 1211, Geneva 4, Switzerland
    2. Unit of Development and Research in Medical Education, Faculty of Medicine, University of Geneva, Geneva, Switzerland
    3. Bergamasc Centre for Health Education, Bergamo, Italy
    4. World Health Organization, WHO, Geneva, Switzerland
    5. Global Health Workforce Alliance Secretariat, Geneva, Switzerland
    6. Swiss School of Public Health Plus, Zurich, Switzerland
  • ISSN：1573-1677
文摘
In 2006, WHO alerted the world to a global health workforce crisis, demonstrated through critical shortages of health workers, primarily in Sub-Saharan Africa (WHO in World Health Report, 2006). The objective of our study was to assess, in a participative way, the educational needs for public health and health workforce development among potential trainees and training institutions in nine French-speaking African countries. A needs assessment was conducted in the target countries according to four approaches: (1) Review at national level of health challenges. (2) Semi-directed interviews with heads of relevant training institutions. (3) Focus group discussions with key-informants. (4) A questionnaire-based study targeting health professionals identified as potential trainees. A needs assessment showed important public health challenges in the field of health workforce development among the target countries (e.g. unequal HRH distribution in the country, ageing of HRH, lack of adequate training). It also showed a demand for education and training institutions that are able to offer a training programme in health workforce development, and identified training objectives and core competencies useful to potential employers and future trainees (e.g. leadership, planning/evaluation, management, research skill). In combining various approaches our study was able to show a general demand for health managers who are able to plan, develop and manage a nation’s health workforce. It also identified specific competencies that should be developed through an education and training program in public health with a focus on health workforce development.

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