Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120 |
Resumo: | Introduction: In the context of fragility that characterizes the Republic of Guinea-Bissau, there is an absence of effective management of human resources for Health, which begs reflection regarding training that is provided. The purpose of this study was to analyse the training of human resources for Health in the Republic of Guinea-Bissau since 1974, placing it in the national context and relating the analysis to the situation described for Fragile States.Material and Methods: Using the content analysis of the results of semi-structured interviews, focus group and documentary analysis, we analysed the training offer on human resources for Health in two pillars - at the level of the structures / training institutions; and at the level of processes. The consideration of the context in which it takes place allowed for an integrated analysis in the reality experienced by Fragile States.Results: We synthesize the historical steps of the establishment of human resources for Health, describing the structures and their procedures, concretely of the public entities like the National School of Health and the Faculty of Medicine, as well as of the private entities that proliferate in the country.Discussion: The country reflects the problems that have been identified for the African Region, and for Fragile States in particular, namely: weak health leadership / governance; limitation in the implementation of the planned training strategies; inadequate human resources training capacity; total / partial dependence on training funding, proliferation of private, unofficially recognized training providers.Conclusion: The models that emerge as a response to the fragility in this area partially allow to respond to the training needs of the country but neglect the quality and perpetuate dependencies, aggravating the weaknesses of the State and of the public sector. |
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Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile StateFormação de Recursos Humanos em Saúde na República da Guiné-Bissau: Evolução das Estruturas e Processos num Estado FrágilDelivery of Health Care/manpowerGuinea-BissauHealth Personnel/educationGuiné-BissauPessoal de Saúde/educaçãoPrestação de Cuidados de Saúde/recursos humanosIntroduction: In the context of fragility that characterizes the Republic of Guinea-Bissau, there is an absence of effective management of human resources for Health, which begs reflection regarding training that is provided. The purpose of this study was to analyse the training of human resources for Health in the Republic of Guinea-Bissau since 1974, placing it in the national context and relating the analysis to the situation described for Fragile States.Material and Methods: Using the content analysis of the results of semi-structured interviews, focus group and documentary analysis, we analysed the training offer on human resources for Health in two pillars - at the level of the structures / training institutions; and at the level of processes. The consideration of the context in which it takes place allowed for an integrated analysis in the reality experienced by Fragile States.Results: We synthesize the historical steps of the establishment of human resources for Health, describing the structures and their procedures, concretely of the public entities like the National School of Health and the Faculty of Medicine, as well as of the private entities that proliferate in the country.Discussion: The country reflects the problems that have been identified for the African Region, and for Fragile States in particular, namely: weak health leadership / governance; limitation in the implementation of the planned training strategies; inadequate human resources training capacity; total / partial dependence on training funding, proliferation of private, unofficially recognized training providers.Conclusion: The models that emerge as a response to the fragility in this area partially allow to respond to the training needs of the country but neglect the quality and perpetuate dependencies, aggravating the weaknesses of the State and of the public sector.Introdução: No contexto de fragilidade que caracteriza a República da Guiné-Bissau constata-se uma ausência de gestão eficaz de recursos humanos da Saúde, impondo-se a reflexão sobre a sua formação. Tivemos por objetivo analisar a oferta formativa de recursos humanos da Saúde na República da Guiné-Bissau de 1974 a esta parte, enquadrando-a no contexto nacional e relacionando a análise com o descrito para Estados-Frágeis.Material e Métodos: Recorrendo a análise de conteúdo dos resultados de entrevistas semi-estruturadas, grupo focal e análise documental, analisámos a oferta de formação de recursos humanos da Saúde em dois pilares – ao nível das estruturas/instituições formadoras; ao nível dos processos de formação. A consideração do contexto em que esta decorre permitiu uma análise integrada na realidade vivida por Estados-Frágeis.Resultados: Sintetizámos os passos históricos da formação de recursos humanos da Saúde, descrevendo as estruturas e seus procedimentos, concretamente das entidades públicas como a Escola Nacional de Saúde e a Faculdade de Medicina, e também das entidades privadas que proliferam no país.Discussão: O país enquadra os problemas definidos para a Região Africana, aproximando-se do descrito para Estados-Frágeis, apresentando: fraca liderança/governação em saúde; limitação na implementação das estratégias de formação planeadas; inadequada capacidade de formação de recursos humanos; dependência total/parcial no financiamento da formação, proliferação de entidades formadoras privadas, não oficialmente reconhecidas.Conclusão: Os modelos que emergem como resposta à fragilidade nesta matéria permitem parcialmente responder às necessidades de formação do país mas negligenciam a qualidade e perpetuam dependências, agravando as fragilidades do Estado e do setor público.Ordem dos Médicos2018-12-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfimage/pngimage/pngapplication/mswordapplication/mswordapplication/mswordapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120oai:ojs.www.actamedicaportuguesa.com:article/11120Acta Médica Portuguesa; Vol. 31 No. 12 (2018): December; 742-753Acta Médica Portuguesa; Vol. 31 N.º 12 (2018): Dezembro; 742-7531646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/5564https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/6067https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/5565https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/5566https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10607https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10690https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10691https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10692https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10818https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10819https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10849https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10850Direitos de Autor (c) 2018 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessSá-Guerreiro, CátiaHartz, ZulmiraNeves, ClotildeFerrinho, Paulo2022-12-20T11:06:11Zoai:ojs.www.actamedicaportuguesa.com:article/11120Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:00.167Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State Formação de Recursos Humanos em Saúde na República da Guiné-Bissau: Evolução das Estruturas e Processos num Estado Frágil |
title |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State |
spellingShingle |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State Sá-Guerreiro, Cátia Delivery of Health Care/manpower Guinea-Bissau Health Personnel/education Guiné-Bissau Pessoal de Saúde/educação Prestação de Cuidados de Saúde/recursos humanos |
title_short |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State |
title_full |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State |
title_fullStr |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State |
title_full_unstemmed |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State |
title_sort |
Training of Human Resources for Health in the Republic of Guinea-Bissau: Evolution of Structures and Processes in a Fragile State |
author |
Sá-Guerreiro, Cátia |
author_facet |
Sá-Guerreiro, Cátia Hartz, Zulmira Neves, Clotilde Ferrinho, Paulo |
author_role |
author |
author2 |
Hartz, Zulmira Neves, Clotilde Ferrinho, Paulo |
author2_role |
author author author |
dc.contributor.author.fl_str_mv |
Sá-Guerreiro, Cátia Hartz, Zulmira Neves, Clotilde Ferrinho, Paulo |
dc.subject.por.fl_str_mv |
Delivery of Health Care/manpower Guinea-Bissau Health Personnel/education Guiné-Bissau Pessoal de Saúde/educação Prestação de Cuidados de Saúde/recursos humanos |
topic |
Delivery of Health Care/manpower Guinea-Bissau Health Personnel/education Guiné-Bissau Pessoal de Saúde/educação Prestação de Cuidados de Saúde/recursos humanos |
description |
Introduction: In the context of fragility that characterizes the Republic of Guinea-Bissau, there is an absence of effective management of human resources for Health, which begs reflection regarding training that is provided. The purpose of this study was to analyse the training of human resources for Health in the Republic of Guinea-Bissau since 1974, placing it in the national context and relating the analysis to the situation described for Fragile States.Material and Methods: Using the content analysis of the results of semi-structured interviews, focus group and documentary analysis, we analysed the training offer on human resources for Health in two pillars - at the level of the structures / training institutions; and at the level of processes. The consideration of the context in which it takes place allowed for an integrated analysis in the reality experienced by Fragile States.Results: We synthesize the historical steps of the establishment of human resources for Health, describing the structures and their procedures, concretely of the public entities like the National School of Health and the Faculty of Medicine, as well as of the private entities that proliferate in the country.Discussion: The country reflects the problems that have been identified for the African Region, and for Fragile States in particular, namely: weak health leadership / governance; limitation in the implementation of the planned training strategies; inadequate human resources training capacity; total / partial dependence on training funding, proliferation of private, unofficially recognized training providers.Conclusion: The models that emerge as a response to the fragility in this area partially allow to respond to the training needs of the country but neglect the quality and perpetuate dependencies, aggravating the weaknesses of the State and of the public sector. |
publishDate |
2018 |
dc.date.none.fl_str_mv |
2018-12-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120 oai:ojs.www.actamedicaportuguesa.com:article/11120 |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/11120 |
dc.language.iso.fl_str_mv |
por eng |
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por eng |
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/5564 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/6067 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/5565 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/5566 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10607 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10690 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10691 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10692 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10818 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10819 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10849 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/11120/10850 |
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Direitos de Autor (c) 2018 Acta Médica Portuguesa info:eu-repo/semantics/openAccess |
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Direitos de Autor (c) 2018 Acta Médica Portuguesa |
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application/pdf application/pdf application/pdf application/pdf application/pdf image/png image/png application/msword application/msword application/msword application/pdf application/pdf |
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Ordem dos Médicos |
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Ordem dos Médicos |
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Acta Médica Portuguesa; Vol. 31 No. 12 (2018): December; 742-753 Acta Médica Portuguesa; Vol. 31 N.º 12 (2018): Dezembro; 742-753 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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