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