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Building mental health workforce capacity through training and retention of psychiatrists in Zimbabwe

Abas, Melanie A., Nhiwatiwa, Sekai M., Mangezi, Walter, Jack, Helen, Piette, Angharad, Cowan, Frances M., Barley, Elizabeth, Chingono, Alfred, Iversen, Amy and Chibanda, Dixon (2014) Building mental health workforce capacity through training and retention of psychiatrists in Zimbabwe International Review of Psychiatry, 26 (4). pp. 453-459.

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Despite the need to improve the quantity and quality of psychiatry training in sub-Saharan Africa (SSA), very little is known about the experiences of psychiatric trainees in the region. This is the first study examining psychiatric trainees in a low-income country in SSA. It was carried out as part of the needs assessment for a unique Medical Education Partnership Initiative (MEPI) programme to find African solutions for medical shortages in Africa. We approached all doctors who had trained in post-graduate psychiatry in Zimbabwe in 2010 and conducted in-depth qualitative interviews with all except one (n = 6). We analysed the data using constant comparison and thematic analysis. Trainees described the apprenticeship model as the programme's primary strength, through providing clinical exposure and role models. Programme weaknesses included shortages in information sources, trainee salaries, trainers, public health education, and in the mental health service. Most respondents were, however, eager to continue practising psychiatry in Zimbabwe, motivated by family ties, national commitment and helping vulnerable, stigmatized individuals. Respondents called for sub-speciality training and for infrastructure and training to do research. Resources need to be made available for psychiatric trainees in more SSA settings to develop public health competencies. However, investment in psychiatry training programmes must balance service provision with trainees' educational needs. Directing investment towards needs identified by trainees may be a cost-effective, context-sensitive way to increase retention and learning outcomes. © 2014 Institute of Psychiatry.

Item Type: Article
Divisions : Faculty of Health and Medical Sciences > School of Health Sciences
Authors :
Abas, Melanie A.
Nhiwatiwa, Sekai M.
Mangezi, Walter
Jack, Helen
Piette, Angharad
Cowan, Frances M.
Chingono, Alfred
Iversen, Amy
Chibanda, Dixon
Date : 19 August 2014
DOI : 10.3109/09540261.2014.924487
Copyright Disclaimer : Copyright © 2014 Informa UK Limited
Uncontrolled Keywords : article, human, interview, medical education, mental health, mental health service, needs assessment, postgraduate education, priority journal, psychiatrist, psychiatry, thematic analysis, Zimbabwe, capacity building, education, epidemiology, female, male, manpower, procedures, psychiatry, Zimbabwe, Capacity Building, Female, Humans, Male, Mental Health Services, Psychiatry, Zimbabwe
Depositing User : Diane Maxfield
Date Deposited : 19 Jul 2019 13:27
Last Modified : 19 Jul 2019 13:27

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