Evidence map›Paper›PMID 30624876›Full record

ArticleInternational journal of health policy and management2018

Health Professional Training and Capacity Strengthening Through International Academic Partnerships: The First Five Years of the Human Resources for Health Program in Rwanda.

Corrado Cancedda, Phil Cotton, Joseph Shema, Stephen Rulisa, Robert Riviello, Lisa V Adams, Paul E Farmer, Jeanne N Kagwiza, Patrick Kyamanywa, Donatilla Mukamana and 66 more

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Article in International journal of health policy and management, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. From tragedy to triumph: Rwanda's healthcare over three decades.Annals of medicine and surgery (2012) · 2025
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  8. Global disparities in gynecologic cancer outcomes: A call for action.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Mapping the evidence of emergency nursing research in who Afro-region states: A Scoping Review.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2024
    Article
  15. Article
  16. Article
  17. Review
  18. Review
  19. Clinicopathological Characteristics and Mutational Landscape ofCurrent issues in molecular biology · 2023
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

76 authors.

Corrado CanceddaCenter for Global Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Phil CottonOffice of the Vice-Chancellor, University of Rwanda, Kigali, Rwanda.
Joseph ShemaRwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda.
Stephen RulisaOffice of the Dean, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Robert RivielloCenter for Surgery and Public Health, Brigham and Women's Hospital, Boston, MA, USA.
Lisa V AdamsCenter for Health Equity, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Paul E FarmerDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Jeanne N KagwizaOffice of the Principal, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Patrick KyamanywaDepartment of Surgery, Faculty of Clinical Medicine and Dentistry, Kampala International University - Western Campus, Ishaka, Uganda.
Donatilla MukamanaS choolof Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Chrispinus MumenaOffice of the Dean and Department of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
David K TumusiimeSchool of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Lydie MukashyakaRwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda.
Esperance NdengaRwanda Human Resources for Health Program Team, Ministry of Health, Kigali, Rwanda.
Theogene TwagirumugabeDepartment of Anesthesiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Kaitesi B MukaraDepartment of Ear, Nose, and Throat, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Vincent DusabejamboDepartment of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Timothy D WalkerDepartment of Internal Medicine, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Emmy NkusiDepartment of Neurosurgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Lisa Bazzett-MatabeleDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA.
Alex ButeraDepartment of Orthopedic Surgery, Rwanda Military Hospital, Kigali, Rwanda.
Belson RugwizangogaDepartment of Pathology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Jean Claude KabayizaDepartment of Pediatrics, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Simon KanyandekweDepartment of Mental Health, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Louise KalisaDepartment of Radiology, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Faustin NtirenganyaDepartment of Surgery, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Jeffrey DixsonYale School of Medicine, New Haven, CT, USA.
Tanya RogoDepartment of Pediatrics, Icahn School of Medicine at Mount Sinai, New York City, NY, USA.
Natalie McCallDepartment of Pediatrics, Yale School of Medicine, New Haven, CT, USA.
Mark CordenDivision of Hospital Medicine, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA, USA.
Rex WongGlobal Health Leadership Institute, Yale School of Public Health, New Haven, CT, USA.
Madeleine MukeshimanaS choolof Nursing and Midwifery, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Agnes GatarayihaOffice of the Dean and Department of Oral and Maxillofacial Surgery, Oral Pathology and Oral Medicine, School of Dentistry, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Egide Kayonga NtagungiraSchool of Health Sciences, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
Attila YamanDivision of Global Health Equity, Department of Medicine, Brigham and Women's Hospital, Boston, MA, USA.
Juliet MusabeyezuUniversity of Global Health Equity, Kigali, Rwanda.
Anne SlineyClinton Health Access Initiative, Boston, MA, USA.
Tej NuthulagantiClinton Health Access Initiative, Boston, MA, USA.
Meredith KernanClinton Health Access Initiative, Boston, MA, USA.
Peter OkwiClinton Health Access Initiative, Kigali, Rwanda.
Joseph RhatiganDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Jane BarrowOffice of Global and Community Health, Harvard School of Dental Medicine, Boston, MA, USA.
Kim WilsonDepartment of General Pediatrics, Boston Children's Hospital, Boston, MA, USA.
Adam C LevineDepartment of Emergency Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Rebecca ReeceDepartment of Medicine, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Michael KosterDepartment of Pediatrics, Warren Alpert Medical School of Brown University, Providence, RI, USA.
Rachel T MoreskysidHARTe Program, Heilbrunn Department of Population and Family Health, Mailman School of Public Health, Columbia University, New York City, NY, USA.
Jennifer E O'FlahertyDepartment of Anesthesiology, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Paul E PalumboDepartment of Medicine, Geisel School of Medicine, Dartmouth College, Hanover, NH, USA.
Rashna GinwallaDartmouth-Hitchcock Medical Center, Lebanon, NH, USA.
Cynthia A BinanayDuke Hubert-Yeargan Center for Global Health, Durham, NC, USA.
Nathan ThielmanDepartment of Medicine, Duke University School of Medicine, Durham, NC, USA.
Michael RelfDuke Global Health Institute, Durham, NC, USA.
Rodney Wright56Department of Obstetrics & Gynecology and Women's Health, Albert Einstein College of Medicine, New York City, NY, USA.
Mary HillDivision of Nursing, Howard University College of Nursing and Allied Health Sciences, Washington, DC, USA.
Deborah ChyunUniversity of Connecticut School of Nursing, Storrs, CT, USA.
Robin T KlarNew York University Rory Meyers College of Nursing, New York City, NY, USA.
Linda L McCrearyUniversity of Illinois at Chicago College of Nursing, Chicago, IL, USA.
Tonda L HughesColumbia University School of Nursing, New York City, NY, USA.
Marik MoenDepartment of Family & Community Health, University of Maryland School of Nursing, Baltimore, MD, USA.
Valli MeeksDepartment of Oncology & Diagnostic Sciences, University of Maryland School of Dentistry, Baltimore, MD, USA.
Beth BarrowsOffice of Global Health, University of Maryland School of Nursing, Baltimore, MD, USA.
Marcel E DurieuxDepartment of Anesthesiology, University of Virginia School of Medicine, Charlottesville, VA, USA.
Craig D McClainDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Amy BuntsDepartment of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA.
Forrest J CallandDepartment of Surgery, University of Virginia School of Medicine, Charlottesville, VA, USA.
Bethany Hedt-GauthierDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Danny MilnerCenter for Global Health, American Society for Clinical Pathology, Chicago, IL, USA.
Giuseppe RaviolaDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.
Stacy E SmithDepartment of Radiology, Brigham and Women's Hospital, Boston, MA, USA.
Meenu TutejaGlobal Health and Research Programs, Biomedical Research Institute, Brigham and Women's Hospital, Boston MA, USA.
Urania MagriplesDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT, USA.
Asghar RastegarDepartment of Internal Medicine, Yale School of Medicine, New Haven, CT, USA.
Linda ArnoldDepartment of Pediatrics, Yale School of Medicine, New Haven, CT, USA.
Ira MagazinerClinton Health Access Initiative, Boston, MA, USA.
Agnes BinagwahoDepartment of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Rwanda Human Resources for Health Program (HRH Program) is a 7-year (2012-2019) health professional training initiative led by the Government of Rwanda with the goals of training a large, diverse, and competent health workforce and strengthening the capacity of academic institutions in Rwanda.

methodsThe data for this organizational case study was collected through official reports from the Rwanda Ministry of Health (MoH) and 22 participating US academic institutions, databases from the MoH and the College of Medicine and Health Sciences (CMHS) in Rwanda, and surveys completed by the co-authors.

resultsIn the first 5 years of the HRH Program, a consortium of US academic institutions has deployed an average of 99 visiting faculty per year to support 22 training programs, which are on track to graduate almost 4600 students by 2019. The HRH Program has also built capacity within the CMHS by promoting the recruitment of Rwandan faculty and the establishment of additional partnerships and collaborations with the US academic institutions.

conclusionThe milestones achieved by the HRH Program have been substantial although some challenges persist. These challenges include adequately supporting the visiting faculty; pairing them with Rwandan faculty (twinning); ensuring strong communication and coordination among stakeholders; addressing mismatches in priorities between donors and implementers; the execution of a sustainability strategy; and the decision by one of the donors not to renew funding beyond March 2017. Over the next 2 academic years, it is critical for the sustainability of the 22 training programs supported by the HRH Program that the health-related Schools at the CMHS significantly scale up recruitment of new Rwandan faculty. The HRH Program can serve as a model for other training initiatives implemented in countries affected by a severe shortage of health professionals.

Indexed as

Capacity BuildingGovernment ProgramsHealth WorkforceInternational CooperationOrganizationsSchoolsDeveloping CountriesFacultyFinancial ManagementHealth PersonnelHumansRwandaStudentsUnited StatesAcademic PartnershipsHealth Professional TrainingHuman Resource for HealthInstitutional CapacityRwandaStrengthening

Identifiers

PMID30624876
PMCPMC6326644

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.