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Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study

OBJECTIVE: We set out to assess inequalities to access health professional education, and the impact of an education improvement program supported by MEPI (Medical Education Partnership Initiative). Inequalities in the higher education system in sub-Saharan Africa remain despite some transformative...

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Autores principales: Galukande, M., Maling, S., Kabakyenga, J., Nshaho, J., Oboke, H., Oonge, B., Muyenje, H., Katumba-Sentongo, G., Mayanja-Kizza, H., Sewankambo, N.K.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Levy Library Press 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748279/
https://www.ncbi.nlm.nih.gov/pubmed/30873807
http://dx.doi.org/10.29024/aogh.7
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author Galukande, M.
Maling, S.
Kabakyenga, J.
Nshaho, J.
Oboke, H.
Oonge, B.
Muyenje, H.
Katumba-Sentongo, G.
Mayanja-Kizza, H.
Sewankambo, N.K.
author_facet Galukande, M.
Maling, S.
Kabakyenga, J.
Nshaho, J.
Oboke, H.
Oonge, B.
Muyenje, H.
Katumba-Sentongo, G.
Mayanja-Kizza, H.
Sewankambo, N.K.
author_sort Galukande, M.
collection PubMed
description OBJECTIVE: We set out to assess inequalities to access health professional education, and the impact of an education improvement program supported by MEPI (Medical Education Partnership Initiative). Inequalities in the higher education system in sub-Saharan Africa remain despite some transformative policies and affirmative action. METHODS: We reviewed enrollment data from four universities for the period 2001–2014 for various health professional training programs, and conducted group discussions through an iterative process with selected stakeholders, and including a group of education experts. Two time periods, 2001–2010 and 2011–2014, were considered. In 2010–11, the MEPI education program began. Gender ratios, regional representation, secondary schools, and the number of admissions by university and year were analysed. We used SPSS version 17 software to analyse these data with level of significance p < 0.05. We collated qualitative data along predetermined and emerging themes. RESULTS: The overall male-to-female ratio among the student population was 2.3:1. In total, there were 7,023 admissions, 4,403 between 2001–2010 (440 per annum) and 2,620 between 2011–2014 (655 per annum) with p = 0.018. There were no significant increases in admissions in the central and western regions over the two time periods, 1,708 to 849 and 1,113 to 867 respectively, both p = 0.713 and p = 0.253. We propose improving the university admission criteria and increasing enrollment to health professions training schools. CONCLUSION: There were significant inequalities for higher education training in Uganda by gender, regional representation and school attended. Modifying the admission criteria and increasing enrollment may reduce these inequalities.
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spelling pubmed-67482792019-09-17 Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study Galukande, M. Maling, S. Kabakyenga, J. Nshaho, J. Oboke, H. Oonge, B. Muyenje, H. Katumba-Sentongo, G. Mayanja-Kizza, H. Sewankambo, N.K. Ann Glob Health Original Research OBJECTIVE: We set out to assess inequalities to access health professional education, and the impact of an education improvement program supported by MEPI (Medical Education Partnership Initiative). Inequalities in the higher education system in sub-Saharan Africa remain despite some transformative policies and affirmative action. METHODS: We reviewed enrollment data from four universities for the period 2001–2014 for various health professional training programs, and conducted group discussions through an iterative process with selected stakeholders, and including a group of education experts. Two time periods, 2001–2010 and 2011–2014, were considered. In 2010–11, the MEPI education program began. Gender ratios, regional representation, secondary schools, and the number of admissions by university and year were analysed. We used SPSS version 17 software to analyse these data with level of significance p < 0.05. We collated qualitative data along predetermined and emerging themes. RESULTS: The overall male-to-female ratio among the student population was 2.3:1. In total, there were 7,023 admissions, 4,403 between 2001–2010 (440 per annum) and 2,620 between 2011–2014 (655 per annum) with p = 0.018. There were no significant increases in admissions in the central and western regions over the two time periods, 1,708 to 849 and 1,113 to 867 respectively, both p = 0.713 and p = 0.253. We propose improving the university admission criteria and increasing enrollment to health professions training schools. CONCLUSION: There were significant inequalities for higher education training in Uganda by gender, regional representation and school attended. Modifying the admission criteria and increasing enrollment may reduce these inequalities. Levy Library Press 2018-04-30 /pmc/articles/PMC6748279/ /pubmed/30873807 http://dx.doi.org/10.29024/aogh.7 Text en Copyright: © 2018 The Author(s) http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC-BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See http://creativecommons.org/licenses/by/4.0/.
spellingShingle Original Research
Galukande, M.
Maling, S.
Kabakyenga, J.
Nshaho, J.
Oboke, H.
Oonge, B.
Muyenje, H.
Katumba-Sentongo, G.
Mayanja-Kizza, H.
Sewankambo, N.K.
Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study
title Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study
title_full Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study
title_fullStr Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study
title_full_unstemmed Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study
title_short Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study
title_sort equitable access to health professional training in uganda: a cross sectional study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6748279/
https://www.ncbi.nlm.nih.gov/pubmed/30873807
http://dx.doi.org/10.29024/aogh.7
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