Frank W. J. Anderson and Erika L. Boothman are with the Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor. Samuel A. Obed is with the Department of Obstetrics and Gynecology, University of Ghana Medical School, Korle-Bu, Accra. Henry Opare-Ado is with the Department of Obstetrics and Gynecology, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
Am J Public Health. 2014 Feb;104 Suppl 1(Suppl 1):S159-65. doi: 10.2105/AJPH.2013.301581. Epub 2013 Dec 19.
We assessed the public health effect of creating and sustaining obstetrics and gynecology postgraduate training in Ghana, established in 1989 to reverse low repatriation of physicians trained abroad.
All 85 certified graduates of 2 Ghanaian university-based postgraduate training programs from program initiation in 1989 through June 2010 were identified and eligible for this study. Of these, 7 were unable to be contacted, inaccessible, declined participation, or deceased.
Of the graduates, 83 provide clinical services in Ghana and work in 33 sites in 8 of 10 regions; 15% were the first obstetrician and gynecologist at their facility, 25% hold clinical leadership positions, 50% practice in teaching hospitals, and 14% serve as academic faculty.
Creating capacity for university-based postgraduate training in obstetrics and gynecology is effective and sustainable for a comprehensive global approach to reduce maternal and neonatal morbidity and mortality. Policies to support training and research capacity in obstetrics and gynecology are an integral part of a long-term national plan for maternal health.
评估 1989 年在加纳建立和维持妇产科研究生培训的公共卫生效果，该培训旨在扭转国外培训医生回国率低的局面。
从 1989 年项目启动到 2010 年 6 月，确定了所有 85 名经过加纳两所大学研究生培训项目认证的毕业生，他们都符合这项研究的条件。其中，有 7 人无法联系、无法接触、拒绝参与或已去世。
这些毕业生中有 83 人在加纳提供临床服务，在加纳 10 个地区中的 8 个地区的 33 个地点工作；15%的人是他们所在机构的首位妇产科医生，25%的人担任临床领导职务，50%的人在教学医院工作，14%的人担任学术教员。
为妇产科建立基于大学的研究生培训能力对于全面的全球方法来降低孕产妇和新生儿发病率和死亡率是有效和可持续的。支持妇产科培训和研究能力的政策是长期国家孕产妇健康计划的组成部分。
