The Afya Bora Consortium: An Africa-US Partnership to Train Leaders in Global Health

Farquhar, Carey; Nathanson, Neal

doi:10.1016/j.idc.2011.02.005

Cited by 17 publications

(19 citation statements)

References 6 publications

(4 reference statements)

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“…Now widespread in undergraduate and postgraduate medical training, research training is essential to build research capacity in low-and middle-income countries [3,22], with even short-term clinical training programs having success in building capacity in resource-poor settings [12,24,43]. Short-term courses, such as the IGOT research symposium, could have numerous benefits, including the development of mentoring relationships and collaborations, a frequently discussed driver of orthopaedic research and an important aspect of international research partnerships to address the infectious disease threat [15,25,26]. Improved data management could overcome an often-cited hindrance to research and publication-poor patient tracking.…”

Section: Discussionmentioning

confidence: 99%

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Elliott

Sonshine

Akhavan

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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Background Research addressing the burden of musculoskeletal disease in low-and middle-income countries does not reflect the magnitude of the epidemic in these countries as only 9% of the world's biomedical resources are devoted to addressing problems that affect the health of 90% of the world's population. Little is known regarding the barriers to and drivers of orthopaedic surgery research in such resource-poor settings, the knowledge of which would help direct specific interventions for increasing research capacity and help surgeons from high-income countries support the efforts of our colleagues in low-and middle-income countries. Purpose We sought to identify through surveying academic orthopaedic surgeons in East Africa: (1) barriers impeding research, (2) factors that support or drive research, and (3) factors that were identified by some surgeons as barriers and others as drivers (what we term barrier-driver overlap) as they considered the production of clinical research in resource-poor environments. Materials Semistructured interviews were conducted with 21 orthopaedic surgeon faculty members at four academic medical centers in Ethiopia, Kenya, Tanzania, and Uganda. Qualitative content analysis of the interviews was conducted using methods based in grounded theory. Grounded theory begins with qualitative data, such as interview transcripts, and analyzes the data for repeated ideas or concepts which then are coded and grouped into categories which allow for identification of subjects or problems that may not have been apparent previously to the interviewer. Results We identified and quantified 19 barriers to and 21 drivers of orthopaedic surgery research (mentioned n = 1688 and n = 1729, respectively). Resource, research process, and institutional domains were identified to This study was supported by private donations to the Institute for Global Orthopaedics and Traumatology (IGOT, San Francisco, CA, USA). No authors received payment or in-kind benefit for this study, nor are any authors members of a company that provided funding to IGOT. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. categorize the barriers (n = 7, n = 5, n = 7, respectively) and drivers (n = 7, n = 8, n = 6, respectively). Resource barriers (46%) were discussed more often by interview subjects compared with the research process (26%) and institutional barriers (28%). Drivers of research discussed at least once were proportionally similar across the three domains. Some themes such as research ethics boards, technology, and literature access occurred with similar frequency as barriers to and drivers of orthopaedic surgery research. Conclusions The barriers we identified most often among East African academic orthopaedic faculty members focused on resources to accomplish research, followed by institutional barriers, and method or process ba...

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Section: Discussionmentioning

confidence: 99%

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Elliott

Sonshine

Akhavan

et al. 2015

Clinical Orthopaedics &Amp; Related Research

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“…In 2008, leaders from eight academic health professions institutions, four in Africa paired with four in the United States, convened to envision a new partnership to advance training in global health leadership (Daniels et al, 2014; Farquhar & Nathanson, 2011). Each of the four Africa-U.S. partnerships in Botswana, Kenya, Uganda, and Tanzania (Figure 1) have had a long-standing record of productive collaborations in research, education, and training of health professions students and faculty.…”

Section: The Afya Bora Consortiummentioning

confidence: 99%

“…The ability to bridge learning from academic institutions with service-oriented training in leadership development, program management and evaluation, and quality improvement and outcomes measurement is critical to prevent and control HIV in African countries. Alliances between African and U.S. academic institutions are ideally suited to provide such training because they create effective interprofessional and nursing collaborations between U.S. and African universities, government organizations, NGOs, and health care settings (Daniels et al, 2014; Farquhar & Nathanson, 2011; Stringer et al, 2014). These partnerships capitalize on shared human, financial, and institutional resources to scale-up health professions leadership training and its impact on transformational changes in health care delivery.…”

Section: The Afya Bora Consortiummentioning

confidence: 99%

Interprofessional Fellowship Training for Emerging Global Health Leaders in Africa to Improve HIV Prevention and Care: The Afya Bora Consortium

Ousman¹,

Polomano

Seloilwe

et al. 2016

Journal of the Association of Nurses in AIDS Care

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HIV continues to challenge health systems, especially in low- and middle-income countries in Sub-Saharan Africa. A qualified workforce of transformational leaders is required to strengthen health systems and introduce policy reforms to address the barriers to HIV testing, treatment, and other HIV services. The 1-year Afya Bora Consortium Fellowship in Global Health capitalizes on academic partnerships between African and U.S. universities to provide interprofessional leadership training through classroom, online, and service-oriented learning in 5 countries in Africa. This fellowship program prepares health professionals to design, implement, scale-up, evaluate, and lead health programs that are population-based and focused on prevention and control of HIV and other public health issues of greatest importance to African communities and health service settings. Afya Bora nurse fellows acquire leadership attributes and competencies that are continuously and systematically tested during the entire program. This multinational training platform promotes interprofessional networks and career opportunities for nurses.

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“…This report outlines the fellowship’s goals and processes, and highlights the experiences of U.S.-based fellows. 5 …”

Section: Problemmentioning

confidence: 99%

The Afya Bora Fellowship

2017

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Problem Most current health professions education programs are focused on the development of clinical skills. As a result, they may not address the complex and interconnected nature of global health. Trainees require relevant clinical, programmatic, and leadership skills to meet the challenges of practicing in an increasingly globalized environment. Approach To develop health care leaders within sub-Saharan Africa, the Afya Bora Consortium developed a one-year fellowship for medical doctors and nurses. Fellows from nine institutions in the United States and sub-Saharan Africa participate in 12 learning modules focused on leadership development and program management. Classroom-based training is augmented with an experiential apprenticeship component. Outcomes Since 2011, 100 fellows have graduated from the program. During their apprenticeships, fellows developed projects beneficial to their development and to host organizations. The program has developed fellows’ skills in leadership, lent expertise to local organizations, and built knowledge in local contexts. Most fellows have returned to their countries of origin, thus building local capacity. U.S.-based fellows examine global health challenges from regional perspectives and learn from sub-Saharan African experts and peers. Next Steps The Consortium provides ongoing support to alumni through career development awards and alumni network engagement with current and past fellow cohorts. The Consortium expanded from its initial network of five countries to six and continues to seek opportunities for geographical and institutional expansion.

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The Afya Bora Consortium: An Africa-US Partnership to Train Leaders in Global Health

Cited by 17 publications

References 6 publications

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

What Factors Influence the Production of Orthopaedic Research in East Africa? A Qualitative Analysis of Interviews

Interprofessional Fellowship Training for Emerging Global Health Leaders in Africa to Improve HIV Prevention and Care: The Afya Bora Consortium

The Afya Bora Fellowship

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