CHWs (166) Research collaboration on community health worker programmes in low-income countries (2)

23 August, 2019

A paper appeared in Family Practice 2014 Aug 31 (4)(427-36) detailing a south-south cooperation between countries in sub-saharan Africa, the primafamed project, connecting family medicine departments/units in university colleges of medicine to share academic resources in capacity building , research and sharing  of relvant experiences in helping these departments to build training complexes that include primary health care structures and community health workers. Please find the abstract below:

PubMed: US National Library of Medicine National Institutes of Health Search database


Background: Health-care systems based on primary health care (PHC) are more equitable and cost effective. Family medicine trains medical doctors in comprehensive PHC with knowledge and skills that are needed to increase quality of care. Family medicine is a relatively new specialty in sub-Saharan Africa.

Objective: To explore the extent to which the Primafamed South-South cooperative project contributed to the development of family medicine in sub-Saharan Africa.

Methods: The Primafamed (Primary Health Care and Family Medicine Education) project worked together with 10 partner universities in sub-Saharan Africa to develop family medicine training programmes over a period of 2.5 years. A SWOT (strengths, weaknesses, opportunities and threats) analysis was done and the training development from 2008 to 2010 in the different partner universities was analysed.

Results: During the 2.5 years of the Primafamed project, all partner universities made progress in the development of their family medicine training programmes. The SWOT analysis showed that at both national and international levels, the time is ripe to train medical doctors in family medicine and to integrate the specialty into health-care systems, although many barriers, including little awareness, lack of funding, low support from other specialists and reserved support from policymakers, are still present.

Conclusions: Family medicine can play an important role in health-care systems in sub-Saharan Africa; however, developing a new discipline is challenging. Advocacy, local ownership, action research and support from governments are necessary to develop family medicine and increase its impact. The Primafamed project showed that development of sustainable family medicine training programmes is a feasible but slow process. The South-South cooperation between the ten partners and the South African departments of family medicine strengthened confidence at both national and international levels.

Keywords: Continuing medical education (CME); faculty development; family health; graduate medical education/fellowship training; international health.

HIFA Profile: Olayinka O. Ayankogbe is Senior Lecturer in Family Medicine and Head, Family Medicine Unit, Department Of Community Health and Primary care, College of Medicine, University of Lagos and also Consultant in charge of Family Medicine Unit, Primary Care Health Center, Lagos University Teaching Hospital, Pakoto, Ogun state. His interests are in Primary Health Care, Adolescent care, quality improvement and Public/Private partnerships and ICPC-2 (International Classification of Primary Care).

Email: yinayanks AT

A HIFA Country Representative from Nigeria-