Department of Women's and Children's Health, UGHRIS - Uppsala Global Health Research on Implementation and Sustainability, Uppsala University, Uppsala, Sweden.
Department of Geography, Bamenda University, Bamenda, Cameroon.
Glob Public Health. 2021 Jun;16(6):895-910. doi: 10.1080/17441692.2020.1828985. Epub 2020 Oct 6.
Faith-based health professions schools contribute to the training of staff in many Sub-Saharan African countries. Yet little is known about these actors, their role in the health system, potential comparative advantages and challenges faced. This is a qualitative study drawing on 24 qualitative interviews and 3 focus group discussions. Participants included faith-based health professions schools, staff at faith-based health professions schools, Ministry of Health officials and donors. Thematic analysis was used to analyse the data. The findings reveal that understanding of faith-based health professions schools held by donors and the Ministry of Health rest on a set of assumptions rather than evidence-backed knowledge and that knowledge on key aspects is missing (not least on the market share of such actors). This suggests that collaboration with and oversight of these non-state schools is limited, raising questions about the balance of state regulation and control in the public-private mix for training health workers. Linked to this weak oversight, the findings also raise concerns over a number of problematic activities at these schools, unaccredited training programmes and the presence of missionary volunteers whose presence and actions are rarely interrogated.
基于信仰的医疗专业学校为许多撒哈拉以南非洲国家的人员培训做出了贡献。然而，人们对这些行为体、它们在卫生系统中的作用、潜在的比较优势和面临的挑战知之甚少。这是一项定性研究，借鉴了 24 次定性访谈和 3 次焦点小组讨论。参与者包括基于信仰的医疗专业学校、基于信仰的医疗专业学校的工作人员、卫生部官员和捐助者。采用主题分析方法对数据进行分析。研究结果表明，捐助者和卫生部对基于信仰的医疗专业学校的理解基于一系列假设，而不是基于证据的知识，而且在关键方面的知识也缺失（尤其是关于这些行为体的市场份额）。这表明，对这些非国家学校的合作和监督有限，这引发了关于在公私混合培训卫生工作者方面的国家监管和控制之间平衡的问题。与这种薄弱的监督相关的是，研究结果还对这些学校的一些有问题的活动、未经认可的培训计划以及传教志愿者的存在表示关注，而这些志愿者的存在和行动很少受到质疑。
