Medical Brain Drain in Uganda: Causes and Potential Remedies

Kendall, Debbie

doi:10.1016/j.aogh.2017.03.108

Cited by 3 publications

(4 citation statements)

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“…Similarly, the Medical Doctorate program at MakCHS has received increasing applicants following the increasing facilities and trainers in specialized clinical areas that were previously accessed abroad. Many graduates of clinical specialty programs are increasingly finding it more feasible to return home and practice their skills if the infrastructure and environment are conducive 23 Upgrade infrastructure for clinical training, care and research: To expand the infrastructure to support these much-needed services, Makerere University has embarked on a building program to expand the health care capacity of the hospital. This was in part prompted by the big unmet need to expand teaching facilities to keep up with the new advances in medical care, instrumentation and digitalization required for the 21 st Century.…”

Section: Lessons Leanedmentioning

confidence: 99%

Section: Future Plansmentioning

confidence: 99%

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Health Service delivery and training at Makerere University College of Health Sciences: The role of the academic health centers’ network

Nakanjako¹,

Byamugisha²

2022

Afr H. Sci.

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Academic Health Centers provide a network of clinical training facilities for high quality service delivery, within clinical training and research settings. At an academic health/medical center, education, research, and clinical care are combined to provide the best possible clinical care, which uses cutting-edge technologies, resources and therapies other community hospitals may not have available.This paper summarizes the network of teaching hospitals for health care training in the last century of Makerere University College of Health Sciences, its local and regional impact, lessons learned and future of actively engaging the network of academic health centers to expand clinical training and research opportunities to meet the needs of the 21st Century populations.Medical schools and training hospitals need to integrate of their roles in research, education, and patient care to provide evidence-based interventions and innovations to both treat illness and improve health. Keywords: Academic Health Centers; Clinical training; Health care delivery; Health professions education.

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Section: Lessons Leanedmentioning

confidence: 99%

Section: Future Plansmentioning

confidence: 99%

Health Service delivery and training at Makerere University College of Health Sciences: The role of the academic health centers’ network

Nakanjako¹,

Byamugisha²

2022

Afr H. Sci.

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“…According to a human resources report for the sector published in 2015, over 30% of health posts remain unfilled (Ministry of Health, 2015, p. 13). Brain drain is said to have crippled the sector, with thousands of doctors having left Uganda for positions overseas (Kendall, 2017; Mwesigwa, 2015; Okiror, 2017a). Of 251 final year medical students surveyed in 2015, for instance, almost half indicated that they wanted to leave the country after receiving their degree (Kizito et al, 2015).…”

Section: Bribery In Uganda’s Health Sectormentioning

confidence: 99%

Lessons from reducing bribery in Uganda’s health services

Peiffer

Armytage

Marquette

et al. 2021

Development Policy Review

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Motivation Bribery is common in Uganda’s health sector, with an estimated one in four Ugandans who engage with the sector being asked to pay a bribe for services in 2010. Health workers in the public sector are badly paid, while significant numbers of well‐trained health workers emigrate to find better‐paid work. However, between 2010 and 2015, estimated rates of bribery halved in Ugandan health services. Purpose Why did bribery in Uganda’s health service fall so much in the 2010s? What does this mean for anticorruption research and practice? Approach and methods In addition to reviewing relevant literature and documents, in‐depth semi‐structured interviews with service providers, users and experts were conducted in Uganda’s Central, Eastern and Western provinces. Findings The establishment of the Health Monitoring Unit (HMU) in 2009 has been a major factor in reducing bribery. It used highly visible, often controversial investigations based on a principal–agent approach to anticorruption. Its approach, however, also led to negative unintended consequences, including undermining morale among frontline health providers and probably also citizens’ trust in health services. It is moreover questionable if the HMU’s approach can be sustained. Policy Implications To tackle frontline bribery effectively and sustainably, and so enhance service delivery, anticorruption interventions must consider the underlying functions and needs—such as compensating frontline staff for low wages—that bribery may help fill. Otherwise controls on corruption may result in more harm than the good they do in reducing corruption.

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“…Transforming the health workforce: Uganda aspires to optimize more national gains from her well-trained Health Work Force (HWF) through strategic interventions to prevent brain drain as many researchers and clinicians are lost to ‘greener pastures’ due to current limited absorption capabilities of the national HWF pool 35 . In the past few decades there has been a call for transformation of health professions training from all over the globe.…”

mentioning

confidence: 99%