Journal of Public Health Policy

, Volume 33, Supplement 1, pp S202–S215 | Cite as

Tracking university graduates in the workforce: Information to improve education and health systems in Tanzania

  • Senga Pemba
  • Sarah B Macfarlane
  • Rose Mpembeni
  • Alex J Goodell
  • Ephata E Kaaya
Viewpoint

Abstract

With a severe shortage of highly trained health professionals, Tanzania must make the best possible use of available human resources and support training institutions to educate more graduates. We highlight the overlooked but significant role of universities in collecting, managing, and using human resources data in Tanzania and in other countries struggling to build their health workforces. Although universities, professional councils, ministries of health, education, and finance, and non-governmental organizations in Tanzania all maintain databases that include details of health professionals’ education, registration, and employment, they do not make the information easily accessible to one another. Using as an example Muhimbili University of Health and Allied Sciences – the leading public institution for health professions education in Tanzania – we explore how training institutions can gather and use data to target and improve the quality of education for increasing numbers of graduates. We specifically examine the substantial challenge universities face in locating more members of each graduating class and conclude with recommendations about how the situation can be improved.

Keywords

health professions education workforce tracer study graduate survey human resources information systems Tanzania 

References

  1. Anand, S. and Bärnighausen, T. (2007) Health workers and vaccination coverage in developing countries: An econometric analysis. The Lancet 369 (9569): 1277–1285.CrossRefGoogle Scholar
  2. Speybroeck, N., Kinfu, Y., Dal Poz, M.R. and Evans, D.B. (2006) Reassessing the relationship between human resources for health, intervention coverage and health outcomes. Background paper prepared for The World Health Report, http://www.who.int/hrh/documents/reassessing_relationship.pdf, accessed 4 September 2012.
  3. World Health Organization. (2006) World health report 2006: Working together for health. Geneva: World Health Organization, http://www.who.int/whr/2006/whr06_en.pdf, accessed 4 September 2012.
  4. United Nations, Department of Economic and Social Affairs. Country Profile: United Republic of Tanzania, http://esa.un.org/unpd/wpp/country-profiles/country-profiles_1.htm, accessed 4 September 2012.
  5. Kurowski, C., Wyss, K., Abdulla, S. and Mills, A. (2007) Scaling up priority health interventions in Tanzania: The human resources challenge. Health Policy and Planning 22 (3): 113–127.CrossRefGoogle Scholar
  6. United Republic of Tanzania Ministry of Health and Social Welfare. (2008) Human Resource for Health Strategic Plan 2008–2013, http://hdptz.esealtd.com/fileadmin/documents/Key_Sector_Documents/HRH_Documents/Human_Resources_for_Health_Strategic_Plan-_2008-2013_.pdf, accessed 4 September 2012.
  7. Devarajan, S., Monga, C. and Zongo, T. (2011) Making higher education finance work for Africa. Journal of African Economies 20 (Supplement 3): iii133–iii54.CrossRefGoogle Scholar
  8. Ngassapa, O.D. et al (2012) Curricular transformation of health professions education in Tanzania: The process at Muhimbili University of Health and Allied Sciences (2008-2011). Journal of Public Health Policy 33 (S1): S64–S91.CrossRefGoogle Scholar
  9. Mkony, C.A. (2012) Emergence of a university of health sciences: Health professions education in Tanzania. Journal of Public Health Policy 33 (S1): S45–S63.CrossRefGoogle Scholar
  10. Kaaya, E.E. et al (2012) Educating enough competent health professionals: Advancing educational innovation at Muhimbili University of Health and Allied Sciences, Tanzania. PLoS Medicine 9 (8): e1001284.CrossRefGoogle Scholar
  11. Ministry of Health and Social Welfare [Tanzania and Zanzibar] and World Health Organization. (2007) Tanzania Service Availability Mapping 2005–2006. Geneva, Switzerland: World Health Organization, http://hdptz.esealtd.com/fileadmin/documents/Key_Sector_Documents/Monitoring__Evaluation/SAM_CountryReport_Tanzania_Final.pdf, accessed 4 September 2012.
  12. Kurowski, C., Wyss, K., Abdulla, S., Yémadji, N. and Mills, A. (2004) Human resources for health: Requirements and availability in the context of scaling-up priority interventions in low-income countries Case studies from Tanzania and Chad?, http://www.who.int/workforcealliance/knowledge/resources/priority_interventions_tanzaniachad/en/index.html, accessed 6 September 2012.
  13. Kolstad, J.R. (2011) How to make rural jobs more attractive to health workers: Findings from a discrete choice experiment in Tanzania. Journal of Health Economics 20 (2): 196–211.CrossRefGoogle Scholar
  14. US Agency for International Development. (2009) Human Resources-Geographical Information Systems Data Development and Systems Implementation for the Christian Social Services Commission of Tanzania: Final report. US Agency for International Development, http://www.intrahealth.org/~intrahea/files/media/health-informatics/hr_gis_cssc_tanzania.pdf, accessed 4 September 2012.
  15. Japan International Cooperation Agency (JICA). (2011) Strengthening leadership and ownership of HR information management. United Republic of Tanzania, http://www.who.int/workforcealliance/forum/2011/hrhawardscs7/en/index.html, accessed 4 September 2012.
  16. Ministry of Health Tanzania. (2004) Results of the 2002 Health Worker Census. Dar es Salaam, Tanzania: Ministry of Health.Google Scholar
  17. Schomburg, H. (2003) Handbook for Graduate Tracer Studies, http://www.uni-kassel.de/wz1/proj/edwork/handbook.ghk, accessed 4 September 2012.
  18. Kaijage, E.S. (2001) Knowledge and skills of B.com graduates of the Faculty of Commerce and Management, University of Dar es Salaam in the job market, http://rc.aau.org/en/node/96, accessed 4 September 2012.
  19. Ishumi, A.G.M. and Mkude, D.J. (2004) Tracer Studies in a Quest for Academic Improvement: The Process and Results of a University-Wide Tracer Study Project Conducted in 2002–2003. Dar es Salaam, Tanzania: University Press.Google Scholar
  20. Robson, C. (2002) Real World Research: A Resource for Social Scientists and Practitioner-Researchers: Hoboken. New Jersey: Wiley-Blackwell.Google Scholar
  21. Shongwe, M. and Ocholla, D. (2011) A tracer study of LIS graduates at the University of Zululand, 2000-2009. Paper presented at the 6th Biennial ProLISSA Conference; 9–11 March, Pretoria, South Africa, University of Zululand http://www.lis.uzulu.ac.za/2011/Mzwandile%20and%20Ocholla%20PROLISSA%20paper%20revised%20March%2029.pdf, accessed 4 September 2012.
  22. Msuya, J. (2005) The information studies program of the University of Dar es Salaam: Perceptions of stakeholders. Information Development 21 (3): 209–218.CrossRefGoogle Scholar
  23. Dovlo, D. and Nyonator, F. (1999) Migration by graduates of the University of Ghana Medical School: A preliminary rapid appraisal. Human Resources for Health Development Journal 3 (1): 40–51.Google Scholar
  24. Al-Samarrai, S. and Bennell, P. (2007) Where has all the education gone in sub-Saharan Africa? Employment and other outcomes among secondary school and university leavers. The Journal of Development Studies 43 (7): 1270–1300.CrossRefGoogle Scholar
  25. Ministry of Health (Uganda). (2004) Tracking Human Resources and Wage Bill Management in the Health Sector: A Study to Identify Bottlenecks and Constraints in the Production, Recruitment and Management of Health Workers and Funds for the Wage Bill in the Public Health Services. Kampala, Uganda: African Medical and Research Foundation.Google Scholar
  26. US Agency for International Development TCP. (2009) Planning, Developing and Supporting the Health Workforce: Results and Lessons Learned from the Capacity Project, 2004–2009. Chapel Hill, NC: IntraHealth International, http://www.capacityproject.org/index.php?option=com_content&task=view&id=16&Itemid=33, accessed 4 September 2012.
  27. Capacity Project. Free and open health workforce information software, http://www.ihris.org/, accessed 4 September 2012.
  28. Riley, P.L. et al (2012) Information systems on human resources for health: A global review. Human Resources for Health 10 (1): 7.CrossRefGoogle Scholar
  29. Regional Office for Africa WHO. (2008) Concept of the Africa Health Workforce Observatory. Brazzaville, Republic of the Congo 2008, http://www.hrh-observatory.afro.who.int/images/Document_Centre/concept_ahwo_eng2.pdf, accessed 4 September 2012.
  30. Riley, P.L. et al (2007) Developing a nursing database system in Kenya. Health Services Research 42 (3p2): 1389–1405.CrossRefGoogle Scholar
  31. Spero, J.C., McQuide, P.A. and Matte, R. (2011) Tracking and monitoring the health workforce: A new human resources information system (HRIS) in Uganda. Human Resources for Health 9 (1): 6.CrossRefGoogle Scholar
  32. Price, M. and Weiner, R. (2005) Where have all the doctors gone? Career choices of Wits medical graduates. South African Medical Journal 95 (6): 414–419.Google Scholar
  33. Zwarenstein, M., Youngleson, M. and Botha, J. (1989) Validity of the register of medical practitioners for manpower planning. Results and recommendations from a postal sample survey. South African Medical Journal 76 (3): 105–108.Google Scholar
  34. Goldacre, M.J., Davidson, J.M. and Lambert, T.W. (2009) Retention in the British National Health Service of medical graduates trained in Britain: Cohort studies. British Medical Journal 338, doi:10.1136/bmj.b1977.Google Scholar
  35. Frenk, J. et al (2010) Health professionals for a new century: Transforming education to strengthen health systems in an interdependent world. Lancet 376 (2010): 1923–1958.CrossRefGoogle Scholar

Copyright information

© Palgrave Macmillan, a division of Macmillan Publishers Ltd 2012

Authors and Affiliations

  • Senga Pemba
    • 1
  • Sarah B Macfarlane
    • 2
  • Rose Mpembeni
    • 3
  • Alex J Goodell
    • 4
  • Ephata E Kaaya
    • 5
  1. 1.Tanzanian Training Centre for International Health, Mlabani PassageIfakaraTanzania
  2. 2.School of Medicine, and Global Health Sciences, University of California San Francisco (UCSF)San FranciscoUSA
  3. 3.School of Public HealthDar es SalaamTanzania
  4. 4.Phillip R. Lee Institute of Health Policy Studies, UCSF
  5. 5.School of Medicine, MUHAS

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