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Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study.
Galukande, M; Maling, S; Kabakyenga, J; Nshaho, J; Oboke, H; Oonge, B; Muyenje, H; Katumba-Sentongo, G; Mayanja-Kizza, H; Sewankambo, N K.
Afiliação
  • Galukande M; Department of Surgery, Makerere University, College of Health Sciences, Kampala, UG.
  • Maling S; Department of Psychiatry, Mbarara University of Science and Technology, Mbarara, UG.
  • Kabakyenga J; Maternal Newborn and Child Health Institute, Mbarara University of Science and Technology, Mbarara, UG.
  • Nshaho J; School of Postgraduate Training and Research, Kampala International University, Western Campus, Ishaka, UG.
  • Oboke H; Department of Psychiatry, Gulu University, Gulu, UG.
  • Oonge B; Faculty of Clinical Medicine, Kampala International University, Western Campus, Ishaka, UG.
  • Muyenje H; Information Translation Unit, Makerere University, College of Health Sciences, Kampala, UG.
  • Katumba-Sentongo G; Registrar Department, Uganda Medical and Dental Practitioners Council, Kampala, UG.
  • Mayanja-Kizza H; Department of Medicine, Makerere University, College of Health Sciences, Kampala, UG.
  • Sewankambo NK; Department of Medicine, Makerere University, College of Health Sciences, Kampala, UG.
Ann Glob Health ; 84(1): 91-99, 2018 04 30.
Article em En | MEDLINE | ID: mdl-30873807
OBJECTIVE: We set out to assess inequalities to access health professional education, and the impact of an education improvement program supported by MEPI (Medical Education Partnership Initiative). Inequalities in the higher education system in sub-Saharan Africa remain despite some transformative policies and affirmative action. METHODS: We reviewed enrollment data from four universities for the period 2001-2014 for various health professional training programs, and conducted group discussions through an iterative process with selected stakeholders, and including a group of education experts. Two time periods, 2001-2010 and 2011-2014, were considered. In 2010-11, the MEPI education program began. Gender ratios, regional representation, secondary schools, and the number of admissions by university and year were analysed. We used SPSS version 17 software to analyse these data with level of significance p < 0.05. We collated qualitative data along predetermined and emerging themes. RESULTS: The overall male-to-female ratio among the student population was 2.3:1. In total, there were 7,023 admissions, 4,403 between 2001-2010 (440 per annum) and 2,620 between 2011-2014 (655 per annum) with p = 0.018. There were no significant increases in admissions in the central and western regions over the two time periods, 1,708 to 849 and 1,113 to 867 respectively, both p = 0.713 and p = 0.253. We propose improving the university admission criteria and increasing enrollment to health professions training schools. CONCLUSION: There were significant inequalities for higher education training in Uganda by gender, regional representation and school attended. Modifying the admission criteria and increasing enrollment may reduce these inequalities.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Faculdades de Medicina / Educação Médica / Ocupações em Saúde Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research Limite: Female / Humans / Male País/Região como assunto: Africa Idioma: En Ano de publicação: 2018 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Faculdades de Medicina / Educação Médica / Ocupações em Saúde Tipo de estudo: Observational_studies / Prevalence_studies / Qualitative_research Limite: Female / Humans / Male País/Região como assunto: Africa Idioma: En Ano de publicação: 2018 Tipo de documento: Article