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Equitable Access to Health Professional Training in Uganda: A Cross Sectional Study.

M Galukande1, S Maling2, J Kabakyenga3

  • 1Department of Surgery, Makerere University, College of Health Sciences, Kampala, UG.

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Summary

Inequalities in health professional education access persist in sub-Saharan Africa. The Medical Education Partnership Initiative (MEPI) program showed a significant increase in student admissions but did not reduce regional disparities.

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Area of Science:

  • Health Professions Education
  • Higher Education Access
  • Health Workforce Development

Background:

  • Persistent inequalities in higher education access in sub-Saharan Africa despite transformative policies.
  • The Medical Education Partnership Initiative (MEPI) aimed to improve health professional education.

Purpose of the Study:

  • To assess inequalities in health professional education access.
  • To evaluate the impact of the MEPI program on these inequalities.

Main Methods:

  • Analysis of enrollment data (2001-2014) from four universities across various health professional programs.
  • Qualitative data collection through stakeholder and expert group discussions.
  • Statistical analysis of gender ratios, regional representation, and admissions data.

Main Results:

  • Overall male-to-female student ratio was 2.3:1.
  • A significant increase in total admissions was observed after MEPI implementation (p=0.018).
  • No significant increase in admissions was noted for central and western regions (p=0.713 and p=0.253, respectively).

Conclusions:

  • Significant inequalities in higher education for health professions training exist in Uganda based on gender, region, and prior schooling.
  • Modifying university admission criteria and increasing enrollment are proposed solutions to mitigate these disparities.