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Sudan Academy of Health Sciences. An Innovative Response to Health W orkforce Crisis Dr Elsheikh Badr Academy of Health Sciences, FMOH Global Health Workforce: Pathways to Health, Irish Forum for Global Health International Conference Dublin, 2-3 February 2012. Presentation Outline.
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Sudan Academy of Health Sciences An Innovative Response to Health Workforce Crisis Dr Elsheikh Badr Academy of Health Sciences, FMOH Global Health Workforce: Pathways to Health, Irish Forum for Global Health International Conference Dublin, 2-3 February 2012
Presentation Outline • HRH in Sudan and skill mix imbalance • The challenge of HPE • The AHS: a response to HRH crisis • AHS achievements • Critical success factors • Prospects and way forward
HRH situation in Sudan • Deeply rooted HPE and diversified workforce • Migratory trends and brain drain • High educational potential, yet HRH shortages • Skill mix imbalance: 33 medical schools, 3000 graduates vs. 16 nursing schools 600 graduates • Crisis in nursing/paramedics due to educational shift failure
The Challenge of HPE • Lack of social attraction for nursing, midwifery and paramedics disciplines (inadequate pool of applicants) • Highly centralised education with urban focus • Lack of investment in nursing and paramedics education (compared to medical education) • Limitations of infrastructure and staff • Weak coordination and political support
The AHS: response to crisis • Established in 2005 under umbrella of the FMOH • Mandated to scale up nursing, midwifery and paramedic education • Based on the network of vocational schools • Decentralised governance (HQ and state branches) • Diploma and BSc level qualification
AHS Achievements • Establishment of 15 branches in states • Expansion/renovation of infrastructure • Enrollement of 18.000 students • Educational development and resources • Nearly 4000 graduates with high local/rural retention rates • Social transformation (attraction of students/ community services..)
Critical Success Factors • Advocacy resulting in political commitment and partnerships • the power of the crisis: 5:1 message! • Innovative funding • Streamlining of available funding (one planning framework) • Contractual arrangements • Tapping civil society sources: health professions associations, women groups, etc.
Critical Success Factors • Maximising use of existing potentials • Educational infrastructure and resources • Training sites • Staff and other human resources • Decentralised educational governance • Local ownership/management protocol • Local admission/training jobs for students • The power of local communities
Prospects and Way Forward • Focus on quality assurance and accreditation (supervisory model) • Expanding potential of distance learning and TEL • Strengthening partnerships • Regional and international cooperation and networking