2020
DOI: 10.3389/fpubh.2020.582464
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Training a Fit-For-Purpose Rural Health Workforce for Low- and Middle-Income Countries (LMICs): How Do Drivers and Enablers of Rural Practice Intention Differ Between Learners From LMICs and High Income Countries?

Abstract: Equity in health outcomes for rural and remote populations in low-and middle-income countries (LMICs) is limited by a range of socioeconomic , cultural and environmental determinants of health. Health professional education that is sensitive to local population needs and that attends to all elements of the rural pathway is vital to increase the proportion of the health workforce that practices in underserved rural and remote areas. The Training for Health Equity Network (THEnet) is a community-of-practice of 1… Show more

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Cited by 8 publications
(12 citation statements)
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“…Although implementing processes to select doctors from rural regions may be a relatively cheap intervention, the enrollment cost for rural students (particularly in private medical schools) may deter uptake of medical training, especially if decentralised training options near their community do not exist. Implementing high quality rural training requires skilled rural supervisors, clinical infrastructure, funding, positive working conditions and engaged communities [7,55]. Any costs of developing rural pathways to 'grow your own' should be advocated by presenting the projected health, social and economic returns for participating communities [50].…”
Section: Discussionmentioning
confidence: 99%
“…Although implementing processes to select doctors from rural regions may be a relatively cheap intervention, the enrollment cost for rural students (particularly in private medical schools) may deter uptake of medical training, especially if decentralised training options near their community do not exist. Implementing high quality rural training requires skilled rural supervisors, clinical infrastructure, funding, positive working conditions and engaged communities [7,55]. Any costs of developing rural pathways to 'grow your own' should be advocated by presenting the projected health, social and economic returns for participating communities [50].…”
Section: Discussionmentioning
confidence: 99%
“…These facilities are usually staffed by health personnel with no specific training in rehabilitation, often requiring patients in need of rehabilitation to be referred to higher level facilities. Rural healthcare facilities in LMICs also tend to be underfunded and are even less likely to have stroke rehabilitation therapists compared with more urban hospitals 14,15 . Finally, the rural communities are less attractive employment sites for physiotherapists and other needed rehabilitation specialists, making it unlikely that the human resource gap in rural areas will be closed in the near term 16 …”
Section: Barriers To Stroke Rehabilitation In Lmicsmentioning
confidence: 99%
“…Rural healthcare facilities in LMICs also tend to be underfunded and are even less likely to have stroke rehabilitation therapists compared with more urban hospitals. 14,15 Finally, the rural communities are less attractive employment sites for physiotherapists and other needed rehabilitation specialists, making it unlikely that the human resource gap in rural areas will be closed in the near term. 16…”
Section: Severely Limited Resources In Rural Areasmentioning
confidence: 99%
“…Surgeons have limited funds to attend such programs. Government salaries are modest and therefore surgeons will understandably supplement their income with private care or by leaving the host country and working abroad ( Johnston et al., 2020 ; Hagander et al., 2013 ; Cometto et al., 2013 ; Saluja et al., 2020 ).…”
Section: Training and Brain Drainmentioning
confidence: 99%