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Health systems research at the University of Botswana: Working with the MoH
Oathokwa Nkomazana
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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
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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
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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
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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
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NUMBERS 4 doctors for 10 000 people 26 nurses for 10 000 people
2 pharmacists for people 21 % (of 1820) doctors in BHPC Batswana 25% (4 417) health professionals registered by BHPC
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WHY WILL THESE ONES STAY?
Multi-stakeholder forum Focus on: Internship programme Residency programmes Career tracks
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STAKEHOLDERS
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MEDICAL STUDENTS
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MEDICAL STUDENTS ABROAD
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RESIDENTS
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Batswana doctors in private and development partners
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Wisdom of the Wise
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MINISTRY OF HEALTH
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Ministry of Education and Skills Development
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Human Resources Advisory Council
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National Strategy Office
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Botswana Health Professions Council
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University of Botswana Leadership
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In-Country USG (CDC)
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South/North Partners
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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.
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BoMEPI THANK YOU
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