Abstract
Introduction: In Africa 24% of the global burden of disease is managed by only 3% of the global health workforce. Medical education is a cornerstone of strengthening health in the region. In Kenya, 51% of healthcare is provided by government-funded facilities, the remainder by private not-for-profit and for-profit institutions. Postgraduate medical education occurs within each of these disparate settings, with institutional residencies and fellowships occurring independently in many specialties. Patient distribution is inequitable across these settings, with for-profit institutions skewing towards the wealthy, the …
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