Transformative Education
for Health Professionals

The domains for action: focus of the guidelines

The Guidelines Development Group members identified five main ‘domains’ for attention and action by policy-makers:

  1. Education and training institutions
  2. Accreditation and regulation
  3. Financing and sustainability
  4. Monitoring, implementation and evaluation
  5. Governance and planning.

The guidelines describe each of these domains, summarize available evidence and provide recommendations and implementation considerations. The last section identifies gaps in knowledge indicative of the need for further research, either at country or at global level.

To seek transformation in these five areas, the Group’s work was guided by a series of principles considered fundamental for success (Box 4).

Box 4. The fundamental principles for transformation success

  • Be country-owned, country-led, context-specific, and embedded in the broader socio-economic and development characteristics of communities and populations.
  • Respond to population health needs and expectations, and adapt to evolving epidemiological profiles and burden of disease.
  • Aim at health equity, delivery of people-centred services, responsiveness and inclusion.
  • Foster the use of effective strategies of promotion, prevention, education and rehabilitation.
  • Contribute to universal access to health services.
  • Be designed and implemented system-wide and through multi-sectoral coordination and inclusion of all relevant public and private sector stakeholders and policy-makers.
  • Be aligned with national health objectives and strategies and human resources for health plans (evidence-based, costed and sustainable).
  • Apply a combination of context-specific interventions, applicable in both the public and private sectors, in broad areas such as: governance; education and training institutions; regulatory frameworks; financing; and planning.
  • Produce health professionals who are globally competent and locally relevant, able to serve their local communities in an effective manner.
  • Ensure that increased production of health professionals is accompanied by an increased absorptive capacity of the labour market to employ and retain additional health workers.
  • Be supported by significant long-term financial investment, and effective leadership and management, good information systems and political commitment.
  • Be monitored and assessed with respect to the quantity, quality and relevance of professionals practicing within the health system, and not simply on the numbers of new graduates.

Source: Guidelines Development Group, 2012