An Exploration of the Quality Assurance Roles of the Various Regulators of Human Resources for Health Training in Zambia
Abstract:
This inquiry was conducted following reports that questioned the quality of higher education in Zambia, including the quality of Human Resources for Health (HRH) training. One of the notable reports was from research conducted by the Zambia Medical Association (2019). This inquiry built on all these reports by focusing on the roles of the various regulators (also referred to here as Actors) on how their individual and collective roles can play a role in improving the quality of HRH training in Zambia. Ideally, one does not expect to see any challenges in the quality of HRH training because when reading the acts and mandates of the various actors (summarized in Table 1), such as HPCZ, HEA, ZAQA, and local government authorities, there appears to enough authority to provide quality assurance. The inquiry focused on what could have gone wrong and what could have been improved.
Keywords: Actors, Human Resources for Health (HRH), Intersectoral collaboration, Quality, Regulators, Training.
References:
[1] Zambia Medical
Association (2018). Report on the State
of Medical Training Institutions in Zambia. Medical Education and Research
Board (ZMA-MERB).
[2] Kalaluka,
L. (2019). Attorney General Ponders CBU Conflict. Zambia Daily Mail. Available from:
http://www.daily-mail.co.zm/attorney-general-ponders-cbu-conflict/ [Accessed: 22nd
July 2019].
[3] Kanyika,
J. (2019). PSZ Protests Mujajati Sacking. Zambia Daily Mail. Available from: https://www.dailynation.info/psz-protest-mujajati-sacking/ [Accessed: 22nd
July 2019].
[4] Higher Education Authority (2019). Public Notice - Universities Operating
Illegally in Zambia. Available from: https://www.hea.org.zm/index.php/downloads [Accessed:15th
October 2019].
[5]
Creswell,
J. (2013). Qualitative inquiry and research design: Choosing among five approaches, 2nd ed. London: Sage.
[6]
Yin, Robert K. (1981). The Case-Study Crisis:
Some Answers. Administrative Science Quarterly, 26 (1), p.58-65.
[7]
Yin (2002) cited in Yazan, B. (2015). Three Approaches to Case-Study Methods in Education:
Yin, R., Merriam, S. and Stake, R. The Qualitative Report, 20 (2), p. 134-152. Available from: http://www.nova.edu/ssss/QR/QR20/2/yazan1.pdf
[Accessed: 13th January 2016].
[8]
Riessman, C.K. (1993) ‘Narrative analysis.
Qualitative Research Methods’ Series No. 30. Newbury Park, CA: Sage.
[9]
Stake
(1995) cited in Yazan, B. (2015). Three
Approaches to Case-Study Methods in Education: Yin, Merriam, and Stake. The Qualitative Report, 20 (2), p. 134-152.
Available from: http://www.nova.edu/ssss/QR/QR20/2/yazan1.pdf [Accessed: 13th
January 2016].
[10] Pyone, T., Smith, H., and van den Broek, N. (2017). Frameworks
to assess health systems governance: a systematic review. Health Policy and Planning,
32, p. 710–722. Doi: 10.1093/heapol/czx007.
[11]
Atkinson (1997). Cited in Riessman, C.K. (1993)
‘Narrative analysis. Qualitative Research
Methods’ Series No. 30. Newbury Park, CA: Sage.
[12] Higher Education
Authority (2019). Public Notice - Universities Operating Illegally
in Zambia. Zambia Daily Mail, 20th September 2019, p.14.
[13]
Simukanga, S. (2019). Five Varsities Closed. Daily Nation,
September 2019, p.2.
[14] Okeyo, I., Lehmann, U. &
Schneider, H. (2020).
The impact of differing frames
on early stages of intersectoral collaboration: the case of the First 1000 Days
Initiative in the Western Cape Province. Health Res Policy Sys 18, 3.
Available
from: https://doi.org/10.1186/s12961-019-0508-0
(Accessed:
2 August 2022).
[15] Kang, E, Park, H. and Kim, J. (2011). Health Impact Assessment
as a Strategy for Intersectoral Collaboration. Journal of Preventive
Medicine and Public Health, 44 (5), p.201-209. Available from: http://dx.doi.org/10.3961/jpmph.2011.44.5.201
[Accessed: 20th July 2020].
[16] Lindeman,
M. Taylor, K. Kuipers, P., Stothers, K. and Piper, K. (2012). We don’t have anyone
with dementia here’: A case for better intersectoral collaboration for remote Indigenous
clients with dementia. Australian Journal of Rural Health, 20, p.190–194. Doi: 10.1111/j.1440-1584.2012.01284.
x.
[17] Findings
in the Area of Community Psychology Reported from the University of Alabama at Birmingham
(2019). The Perceived Importance of Intersectoral Collaboration by Health Care Alliances.”
Psychology & Psychiatry Journal, 15,
p. 178.
[18] Adeleye, O. and Ofili, A. (2010). Strengthening Intersectoral
Collaboration for Primary Health Care in Developing Countries: Can the Health Sector
Play Broader Roles? Journal of Environmental and Public Health. doi:10.1155/2010/272896.
[19] Anand. S.
and Bärnighausen, T. (2007). Health workers and vaccination coverage in developing
countries: an econometric analysis. The Lancet, 369, pp. 1277–1285.
[20] Materu,
P. (2007). The State of Quality Assurance in Africa Higher Education Quality Assurance
in Sub-Saharan Africa. World Bank Working Paper No. 124. World Bank Publications.
Available from: https://doi.org/10.1596/978-0-8213-7272-2 [Accessed: 16th
October 2019].
[21] Baumgardt, J. and Lekhetho, M. (2013). The Challenges
of Quality Assurance in Private Higher Education Institutions in South Africa. Mediterranean Journal of Social Sciences, 4 (3). doi:10.5901/mjss. 2013.v4n3p421.
[22] World Health Organization (2016). Global strategy
on human resources for health: Workforce 2030. WHO
Library Cataloguing-in-Publication Data, ISBN
978 92 4 151113 1. Available from: 9789241511131-eng.pdf
(Accessed: 31 May 2022).
[23] World
Bank (2022). Understanding Poverty. Available from:Education Overview:
Development news, research, data | World Bank (Accessed: 31 May 2022).
[24] UNESCO
(2017). Links between Education, Poverty and Health. Available from:UNESCO Publications
Assess Links between Education, Poverty and Health | News | SDG Knowledge Hub |
IISD (Accessed: 31 May 2022).
[25] Speybroeck,
N et al. (2006). Reassessing the relationship
between human resources for health, intervention coverage, and health outcomes.
Background paper prepared for the world health report. Evidence and Information
for Policy World Health Organization, Geneva. Available from: https://www.who.int/hrh/documents/reassessing_relationship.pdf
[Accessed:15th October 2019].
[26] World Health Organisation (2018). Low quality healthcare is increasing the burden of illness and health costs
globally. Available from: Low quality
healthcare is increasing the burden of illness and health costs globally (who.int) (Accessed: 31st
May 2022).