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First steps towards interprofessional health practice in Tanzania: An educational experiment in rural Bagamoyo district

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Abstract

Health workers in Tanzania struggle to provide adequate health care for populations with high maternal, neonatal, and child mortality and high prevalence of communicable and non-communicable diseases. There are longstanding shortages of staff and resources. Universities are training more health professionals and revising curricula to be sure that staff have the specific skills needed to work in rural districts. This includes training people from different disciplines to work more effectively together. While teamwork is important in all settings, it is particularly critical in rural areas where there are few trained professionals. The health professional schools at Muhimbili University of Health and Allied Sciences (MUHAS) developed curricula that share common competencies to promote interprofessional cooperation. In this article, we describe a pilot program developed by MUHAS to train its professional students (dentists, doctors, environmental health officers, nurses, and pharmacists) to work collaboratively with each other and with other health staff at the district level. We describe the reactions of participants, and identify some considerations for taking such an exercise to scale for education.

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References

  • United Nations, Department of Economic and Social Affairs (2010). United Republic of Tanzania United Nations, http://esa.un.org/unpd/wpp/country-profiles/country-profiles_1.htm, accessed 4 September 2012.

  • World Health Organization (2008). The Global Burden of Disease: 2004 Update. World Health Organization, http://www.who.int/healthinfo/global_burden_disease/en/index.html, accessed 2 September 2012.

  • Ministry of Health and Social Welfare, Tanzania Mainland and Ministry of Health and Social Welfare, Zanzibar, in collaboration with the World Health Organization. (2007) Tanzania Service Availability Mapping 2005–2006. Geneva: World Health Organization, http://whqlibdoc.who.int/publications/2007/9789241595957_eng.pdf, accessed 5 September 2012.

  • Ngassapa, O.D. et al (2012) Curricular transformation of health professions education in Tanzania: The process at Muhimbili University of Health and Allied Sciences (2008–2011). Journal of Public Health Policy 33 (S1): S64–S91.

    Article  Google Scholar 

  • World Health Organization. (2010) Framework for action on interprofessional education and collaborative practice. Geneva: World Health Organization, http://whqlibdoc.who.int/hq/2010/WHO_HRH_HPN_10.3_eng.pdf, accessed 5 September 2012.

  • Interprofessional Education Collaborative Expert Panel. (2011) Core Competencies for Interprofessional Collaborative Practice: Report of an Expert Panel. Washington DC: Interprofessional Education Collaborative, http://www.aacn.nche.edu/education-resources/ipecreport.pdf, accessed 5 September 2012.

  • Interprofessional Care Steering Committee. (2007) Interprofessional Care: A Blueprint for Action in Ontario. Toronto: Ontario Ministry of Health and Long-term Care, http://www.healthforceontario.ca/upload/en/whatishfo/ipc%20blueprint%20final.pdf, accessed 5 September 2012.

  • Barr, H. and Ross, F. (2006) Mainstreaming interprofessional education in the United Kingdom: A position paper. Journal of Interprofessional Care 20 (2): 96–104.

    Article  Google Scholar 

  • Anderson, E.S. and Lennox, A. (2009) The Leicester model of interprofessional education: Developing, delivering and learning from student voices for 10 years. Journal of Interprofessional Care 23 (6): 557–573.

    Article  Google Scholar 

  • Beattie, A. (1994) Healthy alliances or dangerous liaisons? The challenge of working together in health promotion. In: A. Leathard (ed.) Going Inter-Professional: Working Together for Health and Welfare. London: Routledge.

    Google Scholar 

  • Barr, H., Hammick, M., Koppel, I. and Reeves, S. (1999) Evaluating interprofessional education: Two systematic reviews for health and social care. British Educational Research Journal 25 (4): 533–544.

    Article  Google Scholar 

  • Charles, G., Bainbridge, L. and Gilbert, J. (2010) The University of British Columbia model of interprofessional education. Journal of Interprofessional Care 24 (1): 9–18.

    Article  Google Scholar 

  • Bridges, D.R., Davidson, R.A., Odegard, P.S., Maki, I.V. and Tomkowiak, J. (2011) Interprofessional collaboration: Three best practice models of interprofessional education. Medical Education Online, 16:6035. DOI: 10.3402/meo.v16i0.6035.

  • Bolte, K., Bennett, P. and Moore, M. (2012) Enriching the rural clinical experience for undergraduate health science students: A short report on inter-professional education in Broken Hill. Australian Journal of Rural Health 20 (1): 42–43.

    Article  Google Scholar 

  • McNair, R., Brown, R., Stone, N. and Sims, J. (2001) Rural interprofessional education: Promoting teamwork in primary health care education and practice. The Australian Journal of Rural Health 9 (1): S19–S26.

    Google Scholar 

  • Thistlethwaite, J. and Moran, M. (2010) Learning outcomes for interprofessional education (IPE): Literature review and synthesis. Journal of Interprofessional Care 24 (5): 503–513.

    Article  Google Scholar 

  • Wamsley, M., et al (2012) The impact of an interprofessional standardized patient exercise on attitudes toward working in interprofessional teams. Journal of Interprofessional Care 26 (1): 28–35.

    Article  Google Scholar 

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Acknowledgements

We appreciate the contribution of Bagamoyo District Hospital to Interprofessional Day.

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Because neither the clinical nor public health rotations at Muhimbili University of Health and Allied Sciences had included opportunities for students to work in teams across professions, the faculty organized a first foray into interprofessional education in a rural district in Tanzania.

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Leshabari, S., Lubbock, L., Kaijage, H. et al. First steps towards interprofessional health practice in Tanzania: An educational experiment in rural Bagamoyo district. J Public Health Pol 33 (Suppl 1), S138–S149 (2012). https://doi.org/10.1057/jphp.2012.49

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  • DOI: https://doi.org/10.1057/jphp.2012.49

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