Abstract
This commentary addresses the statement that "the authors believe that the HRH [Human Resources for Health] Program can serve as a model for other initiatives that seek to address the shortage of qualified health professionals in low-income countries and strengthen the long-term capacity of local academic institutions." I adopt the position of the devil’s advocate and ask whether a country, with a profile comparable to Rwanda’s, should adopt this twinning model. I suggest that the alignment with population and other capacity development needs should be the main criteria of decision.
Highlights
I suggest that the alignment with population and other capacity development needs should be the main criteria of decision
The paper by Cancedda et al1 offers an opportunity to reflect on strategies for health workforce development in the context of the pursuit of the health Sustainable Development Goal (SDG-3) and universal health coverage
Dussault workers invest its limited resources in training specialists who will likely work in hospitals and in urban areas, when the greatest proportion of health problems require community-based primary care services[1]? These can be provided by non-physician clinicians, like the clinical officers which Rwanda has been training since 2011 and nurses and midwives, complemented by community health workers
Summary
This commentary addresses the statement that “the authors believe that the HRH [Human Resources for Health] Program can serve as a model for other initiatives that seek to address the shortage of qualified health professionals in low-income countries and strengthen the long-term capacity of local academic institutions.” I adopt the position of the devil’s advocate and ask whether a country, with a profile comparable to Rwanda’s, should adopt this twinning model.
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