tailieunhanh - báo cáo sinh học:" Wrong schools or wrong students? The potential role of medical education in regional imbalances of the health workforce in the United Republic of Tanzania"

Tuyển tập các báo cáo nghiên cứu về sinh học được đăng trên tạp chí sinh học quốc tế đề tài : Wrong schools or wrong students? The potential role of medical education in regional imbalances of the health workforce in the United Republic of Tanzania | Leon and Riise Kolstad Human Resources for Health 2010 8 3 http content 8 1 3 ffWJ HUMAN RESOURCES h Ể L J FOR HEALTH RESEARCH Open Access Wrong schools or wrong students The potential role of medical education in regional imbalances of the health workforce in the United Republic of Tanzania Beatus K Leon1 Julie Riise Kolstad2 Abstract Background The United Republic of Tanzania like many other countries in sub-Saharan Africa faces a human resources crisis in its health sector with a small and inequitably distributed health workforce. Rural areas and other poor regions are characterised by a high burden of disease compared to other regions of the country. At the same time these areas are poorly supplied with human resources compared to urban areas a reflection of the situation in the whole of Sub-Saharan Africa where of the world s health workforce shoulders 25 of the world s burden of disease. Medical schools select candidates for training and form these candidates professional morale. It is therefore likely that medical schools can play an important role in the problem of geographical imbalance of doctors in the United Republic of Tanzania. Methods This paper reviews available research evidence that links medical students characteristics with human resource imbalances and the contribution of medical schools in perpetuating an inequitable distribution of the health workforce. Existing literature on the determinants of the geographical imbalance of clinicians with a special focus on the role of medical schools is reviewed. In addition structured questionnaires collecting data on demographics rural experience working preferences and motivational aspects were administered to 130 fifth-year medical students at the medical faculties of MUCHS University of Dar es Salaam HKMU Dar es Salaam and KCMC Tumaini University Moshi campus in the United Republic of Tanzania. The 130 students represented of the Tanzanian finalists in 2005. .