title: Health workforce development: a needs assessment study in French speaking African countries.
abstract: In 2006, WHO alerted the world to a global health workforce crisis, demonstrated through critical shortages of health workers, primarily in Sub-Saharan Africa (WHO in World Health Report, 2006). The objective of our study was to assess, in a participative way, the educational needs for public health and health workforce development among potential trainees and training institutions in nine French-speaking African countries. A needs assessment was conducted in the target countries according to four approaches: (1) Review at national level of health challenges. (2) Semi-directed interviews with heads of relevant training institutions. (3) Focus group discussions with key-informants. (4) A questionnaire-based study targeting health professionals identified as potential trainees. A needs assessment showed important public health challenges in the field of health workforce development among the target countries (e.g. unequal HRH distribution in the country, ageing of HRH, lack of adequate training). It also showed a demand for education and training institutions that are able to offer a training programme in health workforce development, and identified training objectives and core competencies useful to potential employers and future trainees (e.g. leadership, planning/evaluation, management, research skill). In combining various approaches our study was able to show a general demand for health managers who are able to plan, develop and manage a nation's health workforce. It also identified specific competencies that should be developed through an education and training program in public health with a focus on health workforce development.
authors.affiliation: Institute of Social and Preventive Medicine, Faculty of Medicine, University of Geneva, Centre Médical Universitaire, Rue Michel Servet 1, 1211, Geneva 4, Switzerland. philippe.chastonay@unige.ch
authors.forename: Philippe
authors.initials: P
authors.lastname: Chastonay
authors.forename: Roberto
authors.initials: R
authors.lastname: Moretti
authors.forename: Véronique
authors.initials: V
authors.lastname: Zesiger
authors.forename: Marco
authors.initials: M
authors.lastname: Cremaschini
authors.forename: Rebecca
authors.initials: R
authors.lastname: Bailey
authors.forename: George
authors.initials: G
authors.lastname: Pariyo
authors.forename: Emmanuel Mpinga
authors.initials: EM
authors.lastname: Kabengele
mesh_terms: D017954:Africa South of the Sahara; D004501:Education, Medical / Q000706:statistics & numerical data; D017144:Focus Groups; D006280:Health Workforce / Q000706:statistics & numerical data; D006801:Humans; D020380:Needs Assessment; D011635:Public Health Administration / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires