Teaching quality improvement in Tanzania: a model of inter-professional partnership for global health development
DOI:
https://doi.org/10.15566/cjgh.v4i1.129Keywords:
Education, Quality Improvement, Tanzania, Health, developmentAbstract
Background: Education is a universal need in health care and a tool for quality improvement. We developed a two-day medical education conference in Iringa, Tanzania that has now evolved to teach the basics of quality improvement to an inter-professional audience from the 28 hospitals in the southern zone of the Tanzania Christian Social Services Commission (CSSC)
Methods: We describe the planning, budget, implementation, evolution and evaluation of this on-going medical education conference. Representatives from medicine, nursing, pharmacy and administration from all 28 hospitals were invited to attend. Attendees evaluated the conference and individual lectures on a 5 point scale. In addition, attendees were asked to rate the most important learning aspect of the conference
Results: Over 100 Tanzanian health professionals and administrators from the 28 hospitals in the southern zone of the CSSC attended. Evaluation forms were completed by 28 attendees. The 2016 conference received an overall rating of 4.0 on a 5 point scale. The individual lectures received an overall rating of 4.2 on a 5 point scale. Quality improvement techniques and co-leadership topics were rated as most useful by attendees.
Conclusion: We provide a framework for developing a medical education conference that can be replicated in other settings. Teaching the basics of quality improvement by having hospital leadership teams develop individual quality improvement projects was found to be a highly useful method of instruction
References
Kerry VB, Ndung'u T, Walensky RP, Lee PT, Kayanja VFIB, Bangsberg DR. Managing the Demand for Global Health Education. PLoS Med PLoS Medicine. 2011Aug;8(11). http://dx.doi.org/10.1371/journal.pmed.1001118
Kotzee TJ, Couper ID. What interventions do South African qualified doctors think will retain them in rural hospitals of the Limpopo province of South Africa? Rural Remote Health. 2006;Jul-Sep;6(3):581. Epub 2006 Sep 6. http://www.rrh.org.au/articles/subviewnew.asp?ArticleID=581
Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, et al. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet. 2010;376(9756):1923–58. https://doi.org/10.1016/S0140-6736(10)61854-5
Maki J, Qualls M, White B, Kleefield S, Crone R. Health impact assessment and short-term medical missions: A methods study to evaluate quality of care. BMC Health Serv Res. 2008Feb;8(1).
https://doi.org/10.1186/1472-6963-8-121
Crump JA, Sugarman J. Ethics and Best Practice Guidelines for Training Experiences in Global Health. American Journal of Tropical Medicine and Hygiene. 2010;83(6):1178–82. https://doi.org/10.4269/ajtmh.2010.10-0527
Bajkiewicz C. Evaluating Short-Term Missions. Journal of Christian Nursing. 2009;26(2):110–4. https://doi.org/10.1097/01.CNJ.0000348272.27924.24
Coors ME, Matthew TL, Matthew DB. Ethical precepts for medical volunteerism: including local voices and values to guide RHD surgery in Rwanda: Table 1. J Med Ethics Journal of Medical Ethics. 2015Nov;41(10):814–9. https://doi.org/10.1136/medethics-2013-101694
Karle H. Global Standards and Accreditation in Medical Education: A View from the WFME. Academic Medicine. 2006;81(Supplement). https://doi.org/10.1097/01.acm.0000243383.71047.c4
Habbick BF, Leeder SR. Orienting medical education to community need: a review. Medical Education. 1996;30(3):163–71. https://doi.org/10.1111/j.1365-2923.1996.tb00738.x
Walker GJA. Medical Care in Developing Countries: Assessment and Assurance of Quality. Evaluation & the Health Professions. 1983Jan;6(4):439–52. https://doi.org/10.1177/016327878300600405
Nicholas DD, Heiby JR, Hatzell TA. The Quality Assurance Project: Introducing Quality Improvement To Primary Health Care In Less Developed Countries. International Journal for Quality in Health Care. 1991Jan;3(3):147–65. https://doi.org/10.1093/intqhc/3.3.147
Gukas ID. 2009. Global Paradigm Shift in Medical Education: Issues of Concern for Africa. Medical Teacher 9:887-892. http://dx.doi.org/10.1080/01421590701814286
The ACCME and the Globalization of Continuing Medical Education [Internet]. Accreditation Council for Continuing Medical Education. [cited 2016Aug20]. Available from: http://www.accme.org/news-publications/news/accme-and-globalization-continuing-medical-education
Campbell A, Sullivan M, Sherman R, Magee WP. The Medical Mission and Modern Cultural Competency Training. Journal of the American College of Surgeons. 2011;212(1):124–9. https://doi.org/10.1016/j.jamcollsurg.2010.08.019
Panosian C, Coates TJ. The New Medical “Missionaries” — Grooming the Next Generation of Global Health Workers. New England Journal of Medicine N Engl J Med. 2006;354(17):1771–3. https://doi.org/10.1056/NEJMp068035
Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization; 2010. http://scholar.harvard.edu/hoffman/files/18_-_jah_-_overview_of_who_framework_for_action_on_ipe_and_cp_2010_gilbert-yan-hoffman.pdf
O’Neil E. Who We Are and Might Be: In Global Health, Excellence Demands Equity. American Journal of Kidney Diseases. 2008;51(1):145–54. https://doi.org/10.1053/j.ajkd.2007.11.005
Capacity Building in Medical Education and Health Outcomes ... [Internet]. [cited 2016Aug20]. Available from: http://www.educationforhealth.net/text.asp?2007/20/3/65/101606
Langowski MK, Iltis AS. Global Health Needs and the Short-Term Medical Volunteer: Ethical Considerations. HEC Forum. 2011;23(2):71–8. https://doi.org/10.1007/s10730-011-9158-5
Martiniuk AL, Manouchehrian M, Negin JA, Zwi AB. Brain Gains: a literature review of medical missions to low and middle-income countries. BMC Health Serv Res. 2012;12(1). https://doi.org/10.1186/1472-6963-12-134
Gordon PR, Carlson L, Chessman A, Kundrat ML, Morahan PS, Headrick LA. A multisite collaborative for the development of interdisciplinary education in continuous improvement for health professions students. Academic Medicine. 1996;71(9):973–8. https://doi.org/10.1097/00001888-199609000-00012
Reerink E. Quality Assurance In Health Care Of Developing Countries. International Journal for Quality in Health Care. 1989Jan;1(4):197. https://doi.org/10.1093/intqhc/1.4.197-a
Sykes KJ. Short-Term Medical Service Trips: A Systematic Review of the Evidence. Am J Public Health. 2014;104(7). https://doi.org/10.2105/AJPH.2014.301983
Berry NS. Did we do good? NGOs, conflicts of interest and the evaluation of short-term medical missions in Sololá, Guatemala. Social Science & Medicine. 2014;120:344–51. https://doi.org/10.1016/j.socscimed.2014.05.006
Barry MM, Allegrante JP, Lamarre M-C, Auld ME, Taub A. The Galway Consensus Conference: international collaboration on the development of core competencies for health promotion and health education. Global Health Promotion. 2009;16(2):05–11. https://doi.org/10.1177/1757975909104097
Houpt ER, Pearson RD, Hall TL. Three Domains of Competency in Global Health Education: Recommendations for All Medical Students. Academic Medicine. 2007;82(3):222–5. https://doi.org/10.1097/ACM.0b013e3180305c10
Drain PK, Primack A, Hunt DD, Fawzi WW, Holmes KK, Gardner P. Global Health in Medical Education: A Call for More Training and Opportunities. Academic Medicine. 2007;82(3):226–30. https://doi.org/10.1097/ACM.0b013e3180305cf9
Bills CB, Ahn J. Global Health Education as a Translational Science in Graduate Medical Education. Journal of Graduate Medical Education. 2015;7(2):166–8. https://doi.org/10.4300/JGME-D-14-00319.1
Strand MA, Chen AI, Pinkston LM. Developing cross-cultural healthcare workers: content, process and mentoring. CJGH Christian Journal for Global Health. 2016;3(1):57. https://doi.org/10.15566/cjgh.v3i1.102
Iserson KV, Biros MH, Holliman CJ. Challenges in International Medicine: Ethical Dilemmas, Unanticipated Consequences, and Accepting Limitations. Academic Emergency Medicine. 2012;19(6):683–92. https://doi.org/10.1111/j.1553-2712.2012.01376.x
Abram FY. Reverse mission: A model for international social work education and transformative intra-national practice. International Social Work. 2005Jan;48(2):161–76. https://doi.org/10.1177/0020872805050490
Montgomery LM. Short-Term Medical Missions: Enhancing or Eroding Health? Missiology: An International Review Missiology. 1993;21(3):333–41. https://doi.org/10.1177/009182969302100305
Isaacson G, Drum ET, Cohen MS. Surgical missions to developing countries: Ethical conflicts. Otolaryngology - Head and Neck Surgery. 2010;143(4):476–9. https://doi.org/10.1016/j.otohns.2010.05.011
Willis-Shattuck M, Bidwell P, Thomas S, Wyness L, Blaauw D, Ditlopo P. Motivation and retention of health workers in developing countries: a systematic review. BMC Health Serv Res. 2008;8(1). https://doi.org/10.1186/1472-6963-8-247
Ott BB, Olson RM. Ethical Issues of Medical Missions: The Clinicians’ View. HEC Forum. 2011;23(2):105–13. https://doi.org/10.1007/s10730-011-9154-9
Published
How to Cite
Issue
Section
License
Christian Journal for Global Health applies the Creative Commons Attribution License to all articles that we publish. Under this license, authors retain ownership of copyright for their articles or they can transfer copyright to their institution, but authors allow anyone without permission to copy, distribute, transmit, and/or adapt articles, even for commercial purposes so long as the original authors and Christian Journal for Global Health are appropriately cited.
This work is licensed under a Creative Commons Attribution 4.0 International License.
40.jpg){kind=logo}
.jpg)
1.jpg)
