243121 Assessing the public health impact of training ob/gyns in Ghana

Tuesday, November 1, 2011

Erika Boothman, BS , Department of Obstetrics and Gynecology, University of Michigan Hospital, Ann Arbor, MI
Henry Opare-Addo, BSc, MB ChB , Obstetrics and Gynecology, Komfo-Anokye Teaching Hospital, Kumasi, Ghana
Samuel Obed, BSc, MB ChB , Obstetrics and Gynecology, Korle Bu Teaching Hospital, Accra, Ghana
Kwabena Antwi Danso, BSc, MB ChB, FWACS , School of Medical Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana
Frank Anderson, MD, MPH , Department of Obstetrics and Gynecology, University of Michigan Medical School, Ann Arbor, MI
This project assessed the national public health effect of the ob/gyn Ghana Postgraduate Training Program (GPTP) based on interviews with program graduates. The GPTP was established in 1989 to reduce maternal mortality and retain graduates by training ob/gyn specialists in Ghana. 98% of graduates practice in Ghana. 78 were interviewed for this study. Interviews were semi-structured, in English, and audiorecorded, focusing on four categories: clinical, teaching, leadership, and research experiences. Transcripts were entered into Microsoft Access for statistical and qualitative analysis. Graduates work in 8 of the 10 Ghanaian regions, actively engaging in clinical, teaching, leadership, and research work. Over 25% hold clinical leadership positions including department heads and family planning directors. Many consult for outside agencies including NGOs, governmental policy-makers, Engender Health, and the World Health Organization. Graduates teach doctors, nurses, and/or midwives at their clinical setting. Approximately 50% practice in teaching hospitals, formally mentoring students and residents. Many engage in community education through media and church presentations. Over 15% were the first ob/gyns at their facilities. Their hospitals intercept cases formerly destined for larger cities, providing immediate care and reducing teaching hospitals' patient load. Additionally, the GPTP graduates have published over 100 peer-reviewed papers. Interviewees excelled in all four areas assessed (leadership, teaching, clinical work, and research). The GPTP has successfully retained graduates and positively impacts the country's health. This research informs and influences Ghanaian and international policy on maternal mortality reduction. The GPTP demonstrates successful sustainability, suggesting that it is a useful model for other countries.

Learning Areas:
Administer health education strategies, interventions and programs
Administration, management, leadership
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public

Learning Objectives:
Assess the public health impact of training ob/gyns in Ghana

Keywords: Women's Health, Health Care Workers

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the primary data collector and analyzer for this project and have gained a comprehensive knowledge of the program under review.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.