Educating Enough Competent Health Professionals Advancing Educational Innovation at Muhimbili University of Health and Allied Sciences, Tanzania 英文参考文献.docVIP
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Educating Enough Competent Health Professionals Advancing Educational Innovation at Muhimbili University of Health and Allied Sciences, Tanzania 英文参考文献
HealthinAction
EducatingEnoughCompetentHealthProfessionals:
AdvancingEducationalInnovationatMuhimbili
UniversityofHealthandAlliedSciences,Tanzania
EphataE.Kaaya1,SarahB.Macfarlane2*,CharlesA.Mkony1,EligiusF.Lyamuya1,HelenLoeser2,
PhyllisFreeman3,EdwardK.Kirumira4,KisaliPallangyo1,HaileT.Debas2
1MuhimbiliUniversityofHealthandAlliedSciences,DaresSalaam,Tanzania,2UniversityofCaliforniaSanFrancisco,SanFrancisco,California,UnitedStatesofAmerica,
3JournalofPublicHealthPolicy,Boston,Massachusetts,UnitedStatesofAmerica,4MakerereUniversity,Kampala,Uganda
TheNeedtoReformHealth
ProfessionsEducationin
Tanzania
physician
supervisors,
but
COs
and
sole institution training graduate health
professionals in Tanzania. At MUHAS,
medicine dates to 1963, pharmacy to
1974, public health (as community med-
icine) to 1976, dentistry to 1979, and
nursing to 1988. In 2007, MUHAS
gained its charter as a public university
of health sciences and still teaches the
largest number of health professional
students. Itisnowjoinedbyanewpublic
university inDodoma (admitting medical
students from 2009) and seven private
universities (1997–2010) (Table 1). The
authors (EEK, EL, and CM) estimate
AMOs commonly work without such
supervision, and thus beyond their levels
oftraining.
As immediate and crushing as the
health burden is for Tanzania and across
Africa,healthsystemswillnotcopebetter
without many more health professionals
competenttoplayleadingrolesinmeeting
population needs. Thus, national and
internationalstrategiesdependfundamen-
tallyonuniversities,andontheirtransfor-
mation into modern engines for change
andascustodiansofqualityeducation.
Tanzaniasuffersanextremeshortageof
healthworkers[1].A2006facility survey
undertaken in Tanzania (Mainland and
Zanzibar) suggests that about 39 nurses
and midwives, between three and four
medical doctors, and fewer than one
pharmacistordentistservedapopulation
of 100,000 [2]. The Ministry of Health
andSocialWelfareestimatedthatin2006
about 29,000 go
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