wow-inequalities/02-data/intermediate/wos_sample/f63aaf1c6f9c025c75d568ee5005b21a-kolie-delphin-and-v/info.yaml

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2023-09-28 14:46:10 +00:00
abstract: 'IntroductionRural pipeline approach has recently gain prominent
recognition in improving the availability of health workers in
hard-to-reach areas such as rural and poor regions. Understanding
implications for its successful implementation is important to guide
health policy and decision-makers in Sub-Saharan Africa. This review
aims to synthesize the evidence on rural pipeline implementation and
impacts in sub-Saharan Africa.MethodsWe conducted a scoping review using
Joanna Briggs Institute guidebook. We searched in PubMed and Google
scholar databases and the grey literature. We conducted a thematic
analysis to assess the studies. Data were reported following the PRISMA
extension for Scoping reviews guidelines.ResultsOf the 443 references
identified through database searching, 22 met the inclusion criteria.
Rural pipeline pillars that generated impacts included ensuring that
more rural students are selected into programmes; developing a
curriculum oriented towards rural health and rural exposure during
training; curriculum oriented to rural health delivery; and ensuring
retention of health workers in rural areas through educational and
professional support. These impacts varied from one pillar to another
and included: increased in number of rural health practitioners;
reduction in communication barriers between healthcare providers and
community members; changes in household economic and social
circumstances especially for students from poor family; improvement of
health services quality; improved health education and promotion within
rural communities; and motivation of community members to enrol their
children in school. However, implementation of rural pipeline resulted
in some unintended impacts such as perceived workload increased by
trainee''s supervisors; increased job absenteeism among senior health
providers; patients'' discomfort of being attended by students; perceived
poor quality care provided by students which influenced health
facilities attendance. Facilitating factors of rural pipeline
implementation included: availability of learning infrastructures in
rural areas; ensuring students'' accommodation and safety; setting no age
restriction for students applying for rural medical schools; and
appropriate academic capacity-building programmes for medical students.
Implementation challenges included poor preparation of rural health
training schools'' candidates; tuition fees payment; limited access to
rural health facilities for students training; inadequate living and
working conditions; and perceived discrimination of rural health
workers.ConclusionThis review advocates for combined implementation of
rural pipeline pillars, taking into account the specificity of country
context. Policy and decision-makers in sub-Saharan Africa should extend
rural training programmes to involve nurses, midwives and other allied
health professionals. Decision-makers in sub-Saharan Africa should also
commit more for improving rural living and working environments to
facilitate the implementation of rural health workforce development
programmes.'
affiliation: 'Kolie, D (Corresponding Author), Minist Hlth, Maferinyah Natl Training
\& Res Ctr Rural Hlth, Forecariah, Guinea.
Kolie, Delphin, Minist Hlth, Maferinyah Natl Training \& Res Ctr Rural Hlth, Forecariah,
Guinea.
Van De Pas, Remco, Inst Trop Med Antwerp, Dept Publ Hlth, Antwerp, Belgium.
Codjia, Laurence; Zurn, Pascal, World Hlth Org, Dept Hlth Workforce, Geneva, Switzerland.'
article-number: '20'
author: Kolie, Delphin and Van De Pas, Remco and Codjia, Laurence and Zurn, Pascal
author-email: dkolie@maferinyah.org
author_list:
- family: Kolie
given: Delphin
- family: Van De Pas
given: Remco
- family: Codjia
given: Laurence
- family: Zurn
given: Pascal
da: '2023-09-28'
doi: 10.1186/s12960-023-00801-z
eissn: 1478-4491
files: []
journal: HUMAN RESOURCES FOR HEALTH
keywords: 'Rural pipeline programmes; Medical education reforms; Health workers;
Sub-Saharan Africa; Scoping review'
keywords-plus: RETENTION; DOCTORS
language: English
month: MAR 14
number: '1'
number-of-cited-references: '61'
orcid-numbers: KOLIE, Delphin/0000-0003-4705-0964
papis_id: 67fd7316158127d802047fa1ed039a6f
ref: Kolie2023increasingavailabili
tags:
- review
times-cited: '0'
title: 'Increasing the availability of health workers in rural sub-Saharan Africa:
a scoping review of rural pipeline programmes'
2023-10-01 08:15:07 +00:00
type: article
2023-09-28 14:46:10 +00:00
unique-id: WOS:000951299200001
usage-count-last-180-days: '5'
usage-count-since-2013: '5'
volume: '21'
web-of-science-categories: Health Policy \& Services; Industrial Relations \& Labor
year: '2023'