title: Influence of the US President's Emergency Plan for AIDS Relief (PEPfAR) on career choices and emigration of health-profession graduates from a Ugandan medical school: a cross-sectional study.
abstract: OBJECTIVE
  The purpose of this study was to determine the current work distribution of health professionals from a public Ugandan medical school in a period of major donor funding for HIV programmes. We explore the hypothesis that programmes initiated under unprecedented health investments from the US President's Emergency Plan for AIDS Relief have possibly facilitated the drain of healthcare workers from the public-health system of countries like Uganda.
  
  
  METHODS
  Cross-sectional study conducted between January and December 2010 to survey graduates, using in-person, phone or online surveys using email and social networks. Logistic regression analysis was applied to determine ORs for association between predictors and outcomes.
  
  
  METHODS
  Located rurally, Mbarara University of Science and Technology (MUST) is one of three government supported medical schools in Uganda.
  
  
  METHODS
  Graduates who completed a health-related degree at MUST.
  
  
  METHODS
  Location of health profession graduates (Uganda or abroad) and main field of current job (HIV-related non-governmental organisation (NGO) or others).
  
  
  RESULTS
  We interviewed 85.4% (n=796) of all MUST alumni since the university opened in 1989. 78% (n=618) were physicians and 12% (n=94) of graduates worked outside Uganda. Over 50% (n=383) of graduates worked for an HIV-related NGO whether in Uganda or abroad. Graduates receiving their degree after 2005, when large HIV programmes started, were less likely to leave the country, OR=0.24 (95% CI 0.1 to 0.59) but were more likely to work for an HIV-related NGO, OR=1.53 (95% CI 1.06 to 2.23).
  
  
  CONCLUSIONS
  A majority of health professionals surveyed work for an HIV-related NGO. The increase in resources and investment in HIV-treatment capacity is temporally associated with retention of medical providers in Uganda. Donor funds should be channelled to develop and retain healthcare workers in disciplines other than HIV and broaden the healthcare workforce to other areas.
authors.affiliation: Departmernt of Community Health, Mbarara University of Science and Technology, Mbarara, Uganda.
authors.forename: Francis
authors.initials: F
authors.lastname: Bajunirwe
authors.forename: Leonidas
authors.initials: L
authors.lastname: Twesigye
authors.forename: Michael
authors.initials: M
authors.lastname: Zhang
authors.forename: Vanessa B
authors.initials: VB
authors.lastname: Kerry
authors.forename: David R
authors.initials: DR
authors.lastname: Bangsberg
keywords: Public Health