Health systems research at the University of Botswana: Working with the MoH Oathokwa Nkomazana
Health System Research Unit Build locally and regionally relevant research To develop capacity to support and conduct relevant health systems research Conduct training in Health Systems Research Conduct and facilitate Health Systems Research To establish a “Centre of Excellence” for health systems research Establish a Health Systems Research Centre (HSRC) Establish a platform for health-related policy dialogue in Botswana Build capacity for grant management and resource mobilization
BUILDING RESEARCH CAPACTY Research training (jointly with UB’s ORD and MoH HRU) Ethical conduct of research Strengthening IRB’s Health systems research Training graduate students, faculty and health professionals
Conduct and facilitate health systems research Selected research projects of public health significance in Botswana Paediatric mortality project Research team: MoH, UNICEF, University of Botswana (UB), Botswana Upenn Partnership (BUP), Hospitals Building a database of paediatric deaths Maternal mortality Research team: MoH, BUP, UB Audit of maternal deaths
RETENTION OF DOCTORS IN BOTSWANA First class of 36 medical students graduate in 2014 First class of residents: 3 pediatrics; 3 internal medicine 800 Batswana who graduated between 1997 – 2010 practice medicine outside Botswana 382 Batswana practice in Botswana
NUMBERS 4 doctors for 10 000 people 26 nurses for 10 000 people 2 pharmacists for 10 000 people 21 % (of 1820) doctors in BHPC Batswana 25% (4 417) health professionals registered by BHPC
WHY WILL THESE ONES STAY? Multi-stakeholder forum Focus on: Internship programme Residency programmes Career tracks
STAKEHOLDERS
MEDICAL STUDENTS
MEDICAL STUDENTS ABROAD
RESIDENTS
Batswana doctors in private and development partners
Wisdom of the Wise
MINISTRY OF HEALTH
Ministry of Education and Skills Development
Human Resources Advisory Council
National Strategy Office
Botswana Health Professions Council
University of Botswana Leadership
In-Country USG (CDC)
South/North Partners
RESULTS Steering committee set up Membership: students, junior doctors, residents, MoH leadership, Head of School, Batswana in diaspora, in private, BHPC, UB Som Faculty Many recommendations to prioritise and develop implementation plans Implementation research to monitor outcome.
BoMEPI THANK YOU