Global disparities in the quantity, distribution, and skills of health workers worldwide pose a threat to attainment of the Sustainable Development Goals by 2030 and deepens already existing global health inequities. Rwanda and other low-resource countries face a critical shortage of health professionals, particularly nurses and midwives. This article describes the Human Resources for Health (HRH) Program in Rwanda, a collaboration between the Ministry of Health of Rwanda and a U.S. consortium of academic institutions. The ultimate goal of the HRH Program is to strengthen health service delivery and to achieve health equity for the poor. The aim of this article is to highlight the HRH nursing and midwifery contributions to capacity building in academic and clinical educational programs throughout Rwanda. International academic partnerships need to align with the priorities of the host country, integrate the strengths of available resources, and encourage a collaborative environment of cultural humility and self-awareness for all participants.

Using CBPR methods, we identified and prioritized the needs of the African community. This information provides a framework for future work of the African Partnership for Health and other service and advocacy groups.

This study examined the current state of cultural competence in health care using a qualitative descriptive design. Interviews were conducted with 20 multidisciplinary experts in culture and cultural competence from the United States and abroad. Findings identified 3 themes; awareness, engagement, and application that crossed 4 domains of cultural competence; intrapersonal, interpersonal, system/organization, and global.

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In 2012, Human Resources for Health (HRH) Rwanda brought together international nursing experts with widely varying backgrounds, worldviews, and values. This phenomenon has generated an increased awareness of the impact of culture on attitudes, behaviors, and professional practices. Conclusions Cultural humility, defined as the lifelong commitment to self-critique and developing mutually beneficial partnerships, is needed in order to work effectively across diverse worldviews. In a model of cultural humility, the most serious barrier to culturally appropriate care is the nurses' failure to develop self-awareness and a respectful, open attitude toward diverse points of view. Interacting from a starting point of humility, rather than professional expertise or arrogance, generates a different, more positive, partnership and healthcare encounter.