Tracking university graduates in the workforce: Information to improve education and health systems in Tanzania
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.
Keywordshealth professions education workforce tracer study graduate survey human resources information systems Tanzania
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- Ministry of Health Tanzania. (2004) Results of the 2002 Health Worker Census. Dar es Salaam, Tanzania: Ministry of Health.Google Scholar
- Schomburg, H. (2003) Handbook for Graduate Tracer Studies, http://www.uni-kassel.de/wz1/proj/edwork/handbook.ghk, accessed 4 September 2012.
- 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.
- 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
- Robson, C. (2002) Real World Research: A Resource for Social Scientists and Practitioner-Researchers: Hoboken. New Jersey: Wiley-Blackwell.Google Scholar
- 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.
- 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
- 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
- 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.
- Capacity Project. Free and open health workforce information software, http://www.ihris.org/, accessed 4 September 2012.
- 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.
- 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
- 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
- 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