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.
Annals of Global Health
|March 16, 2019
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.
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.
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