Managing national and international priorities: a framework for low-income countries

Burgis-Kasthala, Sarath, Kamiza, Steve and Bates, Imelda ORCID: https://orcid.org/0000-0002-0862-8199 (2012) 'Managing national and international priorities: a framework for low-income countries'. Medical education, Vol 46, Issue 8, pp. 748-756.

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Abstract

CONTEXT
Capacity-building programmes in low-income countries (LICs) are subject to a tension between the requirement to best train workers to fulfil national needs and the requirement to meet international expectations of their students, academics and institutions. This paper presents a theoretical framework developed from a case study of an undergraduate degree programme in Malawi and explores how national needs and international expectations can be managed in health profession settings in LICs to ensure successful curriculum development.
METHODS
An inductive qualitative methodology, grounded theory, combined with open-ended interviews with students, graduates, tutors and external stakeholders in the programme, was used to develop a theoretical framework.
RESULTS
A total of 22 interviews were performed; their analysis conceptualised the tension between national needs and international expectations, and resulted in 12 codes, in four categories: competing and advancing agendas; processes of collaboration; developing a programme or professional identity, and perceptions of programme change.
CONCLUSIONS
This study describes a conceptual framework highlighting three particular areas for analysis to aid in understanding how to best manage competing agendas. These areas refer to, respectively, the significance of international expectations, the organisational climate, and the development of a professional identity.

Item Type:	Article
Uncontrolled Keywords:	Capacity-building Low-income countries Training
Subjects:	W General Medicine. Health Professions > Professional practice > W88 Administrative work. Teaching. Research WA Public Health > WA 30 Socioeconomic factors in public health (General) WA Public Health > Health Problems of Special Population Groups > WA 395 Health in developing countries WA Public Health > Health Administration and Organization > WA 525 General works
Faculty: Department:	Groups (2002 - 2012) > International Health Group
Digital Object Identifer (DOI):	https://doi.org/10.1111/j.1365-2923.2012.04286.x
Depositing User:	Rachel Dominguez
Date Deposited:	29 Apr 2013 11:42
Last Modified:	22 Oct 2019 08:22
URI:	https://archive.lstmed.ac.uk/id/eprint/3345

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