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dc.contributor.authorBajunirwe, Francisen_US
dc.contributor.authorTwesigye, Leonidasen_US
dc.contributor.authorZhang, Michaelen_US
dc.contributor.authorKerry, Vanessa Ben_US
dc.contributor.authorBangsberg, David Ren_US
dc.date.accessioned2015-05-04T15:26:00Z
dc.date.issued2013en_US
dc.identifier.citationBajunirwe, Francis, Leonidas Twesigye, Michael Zhang, Vanessa B Kerry, and David R Bangsberg. 2013. “Influence of the US President’s Emergency Plan for AIDS Relief (PEPfAR) on career choices and emigration of health-profession graduates from a Ugandan medical school: a cross-sectional study.” BMJ Open 3 (5): e002875. doi:10.1136/bmjopen-2013-002875. http://dx.doi.org/10.1136/bmjopen-2013-002875.en
dc.identifier.issn2044-6055en
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:15034802
dc.description.abstractObjective: The purpose of this study was to determine the current work distribution of health professionals from a public Ugandan medical school in a period of major donor funding for HIV programmes. We explore the hypothesis that programmes initiated under unprecedented health investments from the US President's Emergency Plan for AIDS Relief have possibly facilitated the drain of healthcare workers from the public-health system of countries like Uganda. Design: Cross-sectional study conducted between January and December 2010 to survey graduates, using in-person, phone or online surveys using email and social networks. Logistic regression analysis was applied to determine ORs for association between predictors and outcomes. Setting: Located rurally, Mbarara University of Science and Technology (MUST) is one of three government supported medical schools in Uganda. Participants: Graduates who completed a health-related degree at MUST. Main outcome measure Location of health profession graduates (Uganda or abroad) and main field of current job (HIV-related non-governmental organisation (NGO) or others). Results: We interviewed 85.4% (n=796) of all MUST alumni since the university opened in 1989. 78% (n=618) were physicians and 12% (n=94) of graduates worked outside Uganda. Over 50% (n=383) of graduates worked for an HIV-related NGO whether in Uganda or abroad. Graduates receiving their degree after 2005, when large HIV programmes started, were less likely to leave the country, OR=0.24 (95% CI 0.1 to 0.59) but were more likely to work for an HIV-related NGO, OR=1.53 (95% CI 1.06 to 2.23). Conclusions: A majority of health professionals surveyed work for an HIV-related NGO. The increase in resources and investment in HIV-treatment capacity is temporally associated with retention of medical providers in Uganda. Donor funds should be channelled to develop and retain healthcare workers in disciplines other than HIV and broaden the healthcare workforce to other areas.en
dc.language.isoen_USen
dc.publisherBMJ Publishing Groupen
dc.relation.isversionofdoi:10.1136/bmjopen-2013-002875en
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC4400697/pdf/en
dash.licenseLAAen_US
dc.subjectPublic Healthen
dc.titleInfluence of the US President’s Emergency Plan for AIDS Relief (PEPfAR) on career choices and emigration of health-profession graduates from a Ugandan medical school: a cross-sectional studyen
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden
dc.relation.journalBMJ Openen
dash.depositing.authorBangsberg, David Ren_US
dc.date.available2015-05-04T15:26:00Z
dc.identifier.doi10.1136/bmjopen-2013-002875*
dash.contributor.affiliatedBangsberg, David R.


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