CPD as a strategy for retention of health workers in sub-Saharan Africa In-service training and support is increasingly being recognised as a crucial component in enabling career progression. Professor Kayode Odusote reports.

摘要

For the past 50 years or more, post-independence sub-Saharan Africa (SSA) has made efforts to train health professionals to meet its healthcare system, which was expanding beyond the coverage that it inherited from the colonial era. These efforts were supplemented by nationals trained abroad who returned home in the early days. The structural adjustment programmes of the World Bank and International Monetary Fund put a freeze on investment in education, recruitment of new staff and infra-structural development, as well as capped increases in salaries and emoluments. The infrastructure and quality of service at both training institutions and healthcare facilities deteriorated.