The Use of a Theory of Change Model to Guide the Implementation of a Comprehensive Surgical Specialty Training Program in Equatorial Guinea.

Autor segons l'article: Memba R; Puyana JC; Grayling M; Climent C; Martínez P; Blanco E; Rigueiro J; Suárez D; Viscasillas G; Fortea E; Roman O; Gracia D; Feliu F; Nve S; Jorba R

Departament: Medicina i Cirurgia

Autor/s de la URV: Jorba Martin, Rosa Maria

Paraules clau: Equatorial guinea; Global surgery; Humans; Needs assessment; Program development; Program evaluation; Specialist training program; Specialties, surgical; Surgical education; Surgical trainees

Resum: Background: Equatorial Guinea (EG) is located on the African west coast, with only 0.4 trained physicians per 1,000 resident population. The country has one medical school and there is no specialist training program. From 2000 to 2022, 524 doctors have received their medical degree. However, the number of national surgical specialists in the entire country is currently 42. Objective: Formación Especializada Sanitaria en Guinea Ecuatorial (FES Guinea) is a program specifically aimed at designing and implementing a long-term national surgical specialist training program. Methods: Más Que Salud (+QS), which means "More than Health" in Spanish, is a nonprofit organization leading the FES Guinea program. We used the theory of change (ToC) framework to evaluate the work accomplished and implement subsequent phases. The initial phase (A) included a needs assessment and mapping of available resources. An intermediate phase (B) started with a memorandum of understanding to implement a Train the Trainer program. The consolidation phase (C) consists of educational interventions and future advanced training projects. Findings: The ToC model allowed us an analyses of initial and intermediate phases. The needs assessments and resources mapping were executed while several scientific meetings and workshops were given. Scholarships to support specialist training abroad benefited six physicians in a diverse set of surgical disciplines. A regulatory commission to implement the FES Guinea program and the National Medical Council of EG were created. Working directly with the EG Ministry of Health, +QS codesigned a National Health Development Plan that began implementation in 2021 to continue until 2025. Conclusions: The ToC model allowed us to predict the current and future potential effects of FES Guinea on surgical workforce development in EG. This is a unique surgical training program, which combined effective initiatives spearheaded initially by an NGO that successfully incorporated both local health and academic authorities, ensuring sustainability.

Grup de recerca: Infection and Immunity

Àrees temàtiques: Biotecnología; Ciências biológicas iii; Ensino; General medicine; Medicina i; Medicina ii; Medicine (all); Medicine (miscellaneous); Public, environmental & occupational health; Saúde coletiva

Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/

Adreça de correu electrònic de l'autor: rosamaria.jorba@urv.cat

Data d'alta del registre: 2024-08-03

Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion

Referència a l'article segons font original: Annals Of Global Health. 90 (1): 43-

Referència de l'ítem segons les normes APA: Memba R; Puyana JC; Grayling M; Climent C; Martínez P; Blanco E; Rigueiro J; Suárez D; Viscasillas G; Fortea E; Roman O; Gracia D; Feliu F; Nve S; Jor (2024). The Use of a Theory of Change Model to Guide the Implementation of a Comprehensive Surgical Specialty Training Program in Equatorial Guinea.. Annals Of Global Health, 90(1), 43-. DOI: 10.5334/aogh.4477

URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/

DOI de l'article: 10.5334/aogh.4477

Entitat: Universitat Rovira i Virgili

Any de publicació de la revista: 2024

Tipus de publicació: Journal Publications