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Preparing the Health Workforce in Ethiopia: A Cross‑sectional Study of Competence of Anesthesia Graduating Students

Journal Article
(Published March, 2016)
Kibwana, S. (Author),
Woldemariam, D. (Author),
Misganaw, A. (Author),
Teshome, M. (Author),
Akalu, L. (Author),
Kols, A. (Author),
Mengistu, S. (Author),
van Roosmalen, J. (Author),
Stekelenburg, J. (Author)
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This study examines selected competencies achieved by graduating BS and nurse anesthetist students in Ethiopia, a country facing a critical shortage of anesthesia professionals. In June July 2, 122 students graduating from anesthetist training programs at six public universities and colleges in Ethiopia; (80% of graduates from these institutions in the 2013 academic year) were assessed for skills and knowledge. Data was collected from direct observations of student performance, using an objective structured clinical examination approach, and from structured interviews regarding the adequacy of the learning environment. Student performance varied, with mean percentage scores highest for spinal anesthesia (80%), neonatal resuscitation (74%), endotracheal intubation (73%), and laryngeal mask airway insertion check (71%). Average scores were lowest for routine anesthesia machine check (37%) and preoperative screening assessment (48%). Male graduates outscored female graduates (63.2% versus 56.9%, P = 0.014), and university graduates outscored regional health science college graduates (64.5%versus 55.5%, P = 0.023). Multivariate linear regression found that competence was associated with being male and attending a university training program. Less than 10% of the students believed that skills labs had adequate staff and resources, and only 57.4% had performed at least 200 endotracheal intubations at clinical practicum sites, as required by national standards. Ethiopia has successfully expanded higher education for anesthetists, but a focus on quality of training and assessment of learners is required to ensure that graduates have mastered basic skills and are able to offer safe services.
Citation: 
Kibwana S, Woldemariam D, Misganaw A, Teshome M, Akalu L, Kols A, Mengistu S, van Roosmalen J, Stekelenburg J.. Preparing the Health Workforce in Ethiopia: A Cross‑sectional Study of Competence of Anesthesia Graduating Students. Education for Health. 2016;29(April):7