Dauda Masoud, Yusuph Swabaha Aidarus, Yasini Harouni, Mmbaga Issa, Mwambinngu Perpetua, Park Hansol, Seo Gyeongbae, Oh Kyoung Kyun
Department of Sociology and Anthropology, University of Dar es Salaam, Dar es Salaam, Tanzania.
Korea Foundation for International Healthcare (KOFIH) Tanzania Office, Dar es Salaam, Tanzania.
J Educ Eval Health Prof. 2025;22:6. doi: 10.3352/jeehp.2025.22.6. Epub 2025 Jan 20.
This study evaluated the Dr LEE Jong-wook Fellowship Program’s impact on Tanzania’s health workforce, focusing on relevance, effectiveness, efficiency, impact, and sustainability in addressing healthcare gaps.
A mixed-methods research design was employed. Data were collected from 97 out of 140 alumni through an online survey, 35 in-depth interviews, and one focus group discussion. The study was conducted from November to December 2023 and included alumni from 2009 to 2022. Measurement instruments included structured questionnaires for quantitative data and semi-structured guides for qualitative data. Quantitative analysis involved descriptive and inferential statistics (Spearman’s rank correlation, non-parametric tests) using Python ver. 3.11.0 and Stata ver. 14.0. Thematic analysis was employed to analyze qualitative data using NVivo ver. 12.0.
Findings indicated high relevance (mean=91.6, standard deviation [SD]=8.6), effectiveness (mean=86.1, SD=11.2), efficiency (mean=82.7, SD=10.2), and impact (mean=87.7, SD=9.9), with improved skills, confidence, and institutional service quality. However, sustainability had a lower score (mean=58.0, SD=11.1), reflecting challenges in follow-up support and resource allocation. Effectiveness strongly correlated with impact (ρ=0.746, P<0.001). The qualitative findings revealed that participants valued tailored training but highlighted barriers, such as language challenges and insufficient practical components. Alumni-led initiatives contributed to knowledge sharing, but limited resources constrained sustainability.
The Fellowship Program enhanced Tanzania’s health workforce capacity, but it requires localized curricula and strengthened alumni networks for sustainability. These findings provide actionable insights for improving similar programs globally, confirming the hypothesis that tailored training positively influences workforce and institutional outcomes.
本研究评估了李钟郁博士奖学金计划对坦桑尼亚卫生人力的影响，重点关注该计划在解决医疗差距方面的相关性、有效性、效率、影响和可持续性。
采用混合方法研究设计。通过在线调查从140名校友中的97人收集数据，进行35次深入访谈，并开展一次焦点小组讨论。该研究于2023年11月至12月进行，涵盖2009年至2022年的校友。测量工具包括用于定量数据的结构化问卷和用于定性数据的半结构化指南。定量分析涉及使用Python ver. 3.11.0和Stata ver. 14.0进行描述性和推断性统计（斯皮尔曼等级相关性、非参数检验）。采用主题分析使用NVivo ver. 12.0分析定性数据。
研究结果表明该计划具有高度相关性（均值=91.6，标准差[SD]=8.6）、有效性（均值=86.1，SD=11.2）、效率（均值=82.7，SD=10.2）和影响（均值=87.7，SD=9.9），参与者的技能、信心和机构服务质量均有所提高。然而，可持续性得分较低（均值=58.0，SD=11.1），反映出后续支持和资源分配方面存在挑战。有效性与影响密切相关（ρ=0.746，P<0.001）。定性研究结果显示，参与者重视量身定制的培训，但也强调了语言挑战和实践内容不足等障碍。校友主导的举措有助于知识共享，但资源有限限制了可持续性。
该奖学金计划提高了坦桑尼亚卫生人力的能力，但需要本地化课程并加强校友网络以实现可持续性。这些研究结果为全球改进类似计划提供了可操作的见解，证实了量身定制的培训对卫生人力和机构成果产生积极影响的假设。
