Gaps, Challenges, and Opportunities for Global Health Leadership Training

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Abstract

Background:

Global Health Leadership (GHL) programs are essential for training emerging health care professionals to be effective leaders. Synthesizing knowledge acquired through experience implementing GHL programs can inform future recommendations for GHL.

Objective:

To describe the lessons learned, highlighting gaps, challenges and opportunities, during implementation of two GHL capacity building programs, namely the Afya Bora Consortium Fellowship in Global Health Leadership and the Sustaining Technical and Analytic Resources (STAR) fellowship and internship program for global health professionals.

Methods:

A mixed methods case-comparison study was conducted, using qualitative data (expert opinion) collected from the Program Directors in order to understand the experiences of the two GHL programs. A structured response guide was used to assess the overall experience in GHL program implementation, operational challenges and reported gaps. Afya Bora and STAR have been implemented for 8 and 2.5 years respectively. Thus, the analysis reflects a snapshot of the two programs at different stages.

Findings:

The results reflect knowledge gained through extensive experience in implementing the two GHL programs. Afya Bora has trained 188 multi-disciplinary fellows, and 100% of the African fellows are engaged in leadership positions in government departments and non-governmental organizations (NGOs) in their countries. STAR has placed 147 participants (89 fellows and 58 interns) in more than 25 countries globally. Both programs were successful in strengthening south-south and north-south collaborations for a common goal of improving global health. Implementation of both fellowships identified room for improvement in operational procedures and financing of the programs, and highlighted knowledge and skills gaps, as well as challenges in sustainability of the training programs.

Conclusions:

Afya Bora and STAR have had significant impact and have contributed to changing the leadership landscape in global health. Future GHL programs should address sustainability in terms of financing, delivery modalities and domestic integration of knowledge.

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Most cited references 27

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Towards a common definition of global health

Jeffrey P Koplan, T Christopher Bond, Michael H Merson … (2009)

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Evaluating the quality of medical care. 1966.

Avedis Donabedian (2005)

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Priorities and challenges for health leadership and workforce management globally: a rapid review

Carah Figueroa, Reema Harrison, Ashfaq Chauhan … (2019)

Background Health systems are complex and continually changing across a variety of contexts and health service levels. The capacities needed by health managers and leaders to respond to current and emerging issues are not yet well understood. Studies to date have been country-specific and have not integrated different international and multi-level insights. This review examines the current and emerging challenges for health leadership and workforce management in diverse contexts and health systems at three structural levels, from the overarching macro (international, national) context to the meso context of organisations through to the micro context of individual healthcare managers. Methods A rapid review of evidence was undertaken using a systematic search of a selected segment of the diverse literature related to health leadership and management. A range of text words, synonyms and subject headings were developed for the major concepts of global health, health service management and health leadership. An explorative review of three electronic databases (MEDLINE®, Pubmed and Scopus) was undertaken to identify the key publication outlets for relevant content between January 2010 to July 2018. A search strategy was then applied to the key journals identified, in addition to hand searching the journals and reference list of relevant papers identified. Inclusion criteria were independently applied to potentially relevant articles by three reviewers. Data were subject to a narrative synthesis to highlight key concepts identified. Results Sixty-three articles were included. A set of consistent challenges and emerging trends within healthcare sectors internationally for health leadership and management were represented at the three structural levels. At the macro level these included societal, demographic, historical and cultural factors; at the meso level, human resource management challenges, changing structures and performance measures and intensified management; and at the micro level shifting roles and expectations in the workplace for health care managers. Conclusion Contemporary challenges and emerging needs of the global health management workforce orient around efficiency-saving, change and human resource management. The role of health managers is evolving and expanding to meet these new priorities. Ensuring contemporary health leaders and managers have the capabilities to respond to the current landscape is critical.

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Author and article information

Contributors

Joachim Voss:

ORCID: https://orcid.org/0000-0002-8072-6244

Journal

Journal ID (nlm-ta): Ann Glob Health

Journal ID (iso-abbrev): Ann Glob Health

Journal ID (issn): 2214-9996

Title: Annals of Global Health

Publisher: Ubiquity Press

ISSN (Electronic): 2214-9996

Publication date (Electronic, pub): 12 July 2021

Publication date Collection: 2021

Volume: 87

Issue: 1

Electronic Location Identifier: 62

Affiliations

[1 ]Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA

[2 ]Afya Bora Consortium

[3 ]Center for Development Research, University of Bonn, Bonn, Germany

[4 ]Global Health, Institute for Hygiene and Public Health, University Hospital Bonn, Bonn, Germany

[5 ]Sustaining Technical and Analytical Resources (STAR) Project, Public Health Institute (PHI), Washington D.C., USA

[6 ]School of Nursing, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania

[7 ]School of Nursing, University of Botswana, Gaborone, Botswana

[8 ]Faculty of Health Sciences, University of Botswana, Gaborone, Botswana

Author notes

CORRESPONDING AUTHOR: Joachim Voss, PhD, RN, ACRN, FAAN Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio, USA; Afya Bora Consortium, US Joachim.voss@ 123456case.edu

Author information

Joachim Voss https://orcid.org/0000-0002-8072-6244

Sandul Yasobant https://orcid.org/0000-0003-1770-8745

Anike Akridge https://orcid.org/0000-0002-1879-2339

Edith Tarimo https://orcid.org/0000-0002-5568-8688

Esther Seloilwe https://orcid.org/0000-0002-8746-5040

David Hausner https://orcid.org/0000-0001-9221-1902

Yohana Mashalla https://orcid.org/0000-0003-2031-3672

Article

DOI: 10.5334/aogh.3219

PMC ID: 8284509

PubMed ID: 34307065

SO-VID: c1428740-0e63-4666-82af-86fbfb3f1f1a

License:

This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.

History

Funding

Funded by: U.S. President’s Emergency Plan for AIDS Relief (PEPFAR), doi open-funder-registry10.13039/open_funder_registry10.13039/100009054;

Award ID: U91 HA06801

Funded by: Health Resources and Services Administration (HRSA), doi open-funder-registry10.13039/open_funder_registry10.13039/100007813;

Award ID: U91 HA06801

Funded by: United States Agency for International Development (USAID), doi open-funder-registry10.13039/open_funder_registry10.13039/100000200;

Award ID: 7200AA18CA00001

Funded by: University of Washington Center for AIDS Research (CFAR), doi open-funder-registry10.13039/open_funder_registry10.13039/100007813;

Award ID: P30 AI027757

Funded by: National Institutes of Health (NIH), doi open-funder-registry10.13039/open_funder_registry10.13039/100000002;

Award ID: P30 AI027757

Funded by: National Institute of Allergy and Infectious Diseases, doi open-funder-registry10.13039/open_funder_registry10.13039/100000060;

Funded by: National Cancer Institute, doi open-funder-registry10.13039/open_funder_registry10.13039/100000054;

Funded by: National Institute of Mental Health, doi open-funder-registry10.13039/open_funder_registry10.13039/100000025;

Funded by: National Institute on Drug Abuse, doi open-funder-registry10.13039/open_funder_registry10.13039/100000026;

Funded by: Eunice Kennedy Shriver National Institute of Child Health and Human Development, doi open-funder-registry10.13039/open_funder_registry10.13039/100009633;

Funded by: National Heart, Lung, and Blood Institute, doi open-funder-registry10.13039/open_funder_registry10.13039/100000050;

Funded by: National Institute on Aging, doi open-funder-registry10.13039/open_funder_registry10.13039/100000049;

This work was supported by 1) Afya Bora Consortium fellowship, which is funded by the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) through funding to the University of Washington’s International AIDS Education and Training Center (IAETC) under cooperative agreement U91 HA06801 from the Health Resources and Services Administration (HRSA) Global HIV/AIDS Bureau; (2) Sustaining Technical and Analytic Resources (STAR) project funded through Cooperative Agreement No. 7200AA18CA00001 by the United States Agency for International Development (USAID); and (3) the University of Washington Center for AIDS Research (CFAR), a National Institutes of Health (NIH)-funded program (P30 AI027757) which is supported by the NIH Institutes and Centers: the National Institute of Allergy and Infectious Diseases, the National Cancer Institute, the National Institute of Mental Health, the National Institute on Drug Abuse, the Eunice Kennedy Shriver National Institute of Child Health and Human Development, the National Heart, Lung, and Blood Institute, and the National Institute on Aging. The views presented here do not necessarily reflect the views of these funding agencies.

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Gaps, Challenges, and Opportunities for Global Health Leadership Training

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Abstract

Background:

Objective:

Methods:

Findings:

Conclusions:

Related collections

Educational Challenges

Most cited references 27

Towards a common definition of global health

Evaluating the quality of medical care. 1966.

Priorities and challenges for health leadership and workforce management globally: a rapid review

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