Empirical effect of the Dr Lee Jong-wook Fellowship Program to empower sustainable change for the health workforce in Tanzania: a mixed-methods study.

IF 9.3 Q1 EDUCATION, SCIENTIFIC DISCIPLINES Journal of Educational Evaluation for Health Professions Pub Date : 2025-01-01 Epub Date: 2025-01-20 DOI:10.3352/jeehp.2025.22.6
Masoud Dauda, Swabaha A Yusuph, Harouni Yasini, Issa Mmbaga, Perpetua Mwambinngu, Hansol Park, Gyeongbae Seo, Kyoung Kyun Oh
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Abstract

Purpose: This study evaluated the Dr Lee Jong-wook Fellowship Program's impact on Tanzania's health workforce, focusing on relevance, effectiveness, efficiency, impact, and sustainability in addressing healthcare gaps.

Methods: A mixed-methods research design was employed. Data were collected from 97 out of 140 alumni through an online survey, 35 in-depth interviews, and one focus group discussion. The study was conducted from November to December 2023 and included alumni from 2009 to 2022. Measurement instruments included structured questionnaires for quantitative data and semi-structured guides for qualitative data. Quantitative analysis involved descriptive and inferential statistics (Spearman's rank correlation, non-parametric tests) using Python ver. 3.11.0 and Stata ver. 14.0. Thematic analysis was employed to analyze qualitative data using NVivo ver. 12.0.

Results: Findings indicated high relevance (mean=91.6, standard deviation [SD]=8.6), effectiveness (mean=86.1, SD=11.2), efficiency (mean=82.7, SD=10.2), and impact (mean=87.7, SD=9.9), with improved skills, confidence, and institutional service quality. However, sustainability had a lower score (mean=58.0, SD=11.1), reflecting challenges in follow-up support and resource allocation. Effectiveness strongly correlated with impact (ρ=0.746, P<0.001). The qualitative findings revealed that participants valued tailored training but highlighted barriers, such as language challenges and insufficient practical components. Alumni-led initiatives contributed to knowledge sharing, but limited resources constrained sustainability.

Conclusion: The Fellowship Program enhanced Tanzania's health workforce capacity, but it requires localized curricula and strengthened alumni networks for sustainability. These findings provide actionable insights for improving similar programs globally, confirming the hypothesis that tailored training positively influences workforce and institutional outcomes.

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李钟郁博士奖学金计划对增强坦桑尼亚卫生人力可持续变革的经验效应:一项混合方法研究。
目的:本研究评估了Lee Jong-wook博士奖学金计划对坦桑尼亚卫生人力的影响,重点关注解决卫生保健差距的相关性、有效性、效率、影响和可持续性。方法:采用混合方法研究设计。通过在线调查、35次深度访谈和一次焦点小组讨论,从140名校友中收集了97名校友的数据。该研究于2023年11月至12月进行,包括2009年至2022年的校友。测量工具包括用于定量数据的结构化问卷和用于定性数据的半结构化指南。定量分析涉及使用Python ver的描述性和推断性统计(Spearman等级相关,非参数检验)。3.11.0和Stata版本。14.0. 采用NVivo ver对定性数据进行专题分析。12.0.结果:研究结果显示相关性(均值=91.6,标准差[SD]=8.6)、有效性(均值=86.1,SD=11.2)、效率(均值=82.7,SD=10.2)和影响(均值=87.7,SD=9.9)较高,技能、信心和机构服务质量均有所提高。然而,可持续性得分较低(平均值=58.0,SD=11.1),反映了后续支持和资源分配方面的挑战。结论:奖学金项目提高了坦桑尼亚卫生人力的能力,但它需要本地化的课程和加强校友网络,以实现可持续性。这些发现为改善全球类似项目提供了可行的见解,证实了定制培训对劳动力和机构结果产生积极影响的假设。
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来源期刊
CiteScore
9.60
自引率
9.10%
发文量
32
审稿时长
5 weeks
期刊介绍: Journal of Educational Evaluation for Health Professions aims to provide readers the state-of-the art practical information on the educational evaluation for health professions so that to increase the quality of undergraduate, graduate, and continuing education. It is specialized in educational evaluation including adoption of measurement theory to medical health education, promotion of high stakes examination such as national licensing examinations, improvement of nationwide or international programs of education, computer-based testing, computerized adaptive testing, and medical health regulatory bodies. Its field comprises a variety of professions that address public medical health as following but not limited to: Care workers Dental hygienists Dental technicians Dentists Dietitians Emergency medical technicians Health educators Medical record technicians Medical technologists Midwives Nurses Nursing aides Occupational therapists Opticians Oriental medical doctors Oriental medicine dispensers Oriental pharmacists Pharmacists Physical therapists Physicians Prosthetists and Orthotists Radiological technologists Rehabilitation counselor Sanitary technicians Speech-language therapists.
期刊最新文献
Empathy and tolerance of ambiguity in medical students and doctors participating in art-based observational training at the Rijksmuseum in Amsterdam, Netherlands: a before-and-after study. Halted medical education and medical residents' training in Korea, journal metrics, and appreciation to reviewers and volunteers. Pharmacy students' perspective on remote flipped classrooms in Malaysia: a qualitative study. Empirical effect of the Dr Lee Jong-wook Fellowship Program to empower sustainable change for the health workforce in Tanzania: a mixed-methods study. Presidential address 2025: expansion of computer-based testing from 12 to 27 health professions by 2027 and adoption of a large language model for item generation.
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