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BMJ Open. 2016 Sep 15;6(9):e012758. doi: 10.1136/bmjopen-2016-012758.

Bioethics training programmes for Africa: evaluating professional and bioethics-related achievements of African trainees after a decade of Fogarty NIH investment.

Author information

1
Johns Hopkins Berman Institute of Bioethics, Baltimore, Maryland, USA Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
2
Johns Hopkins Berman Institute of Bioethics, Baltimore, Maryland, USA.

Abstract

OBJECTIVES:

Our primary aim was to evaluate the impact of US National Institutes of Health (NIH)-funded bioethics training programmes (Fogarty bioethics training programmes, FBTPs) that trained individuals from Africa over the programme's first 10 years to examine changes between pretraining and post-training in individual achievement and to document any associations between individual, training programme and post-training accomplishments.

DESIGN:

We surveyed trainees from the 10 bioethics programmes funded by NIH Fogarty International Center from 2000 to 2011 that included African trainees. McNemar's and Wilcoxon signed rank-sum tests were used to analyse pre-post levels of general and bioethics-related professional achievement. Likelihood of specific post-training achievement outcomes was measured using logistic regression including demographic, pretraining and intratraining variables.

SETTING:

10 different FBTPs that trained individuals from Africa from 2000 to 2011.

PARTICIPANTS:

Of 253 eligible respondents, 171 completed the survey (response rate 67.6%).

PRIMARY OUTCOME MEASURES:

Pre-post comparisons of professional achievement indicators (eg, serving in leadership roles, teaching, publishing manuscripts); likelihood of specific post-training achievement outcomes.

RESULTS:

Post-training, respondents were significantly more likely to report serving in a leadership role, being an investigator on a research grant, serving on international committees, serving as a mentor, and publishing manuscripts than at pretraining. Post-training, significantly greater numbers of respondents reported bioethics-related achievements including being a bioethics instructor, serving on an Institutional Review Board (IRB), being an investigator on a bioethics grant and publishing bioethics-related manuscripts than pretraining. Controlling for other factors, there were no significant differences by gender in the post-training success of these participants in terms of leadership roles, being instructors, investigators on grants and holding IRB roles.

CONCLUSIONS:

African trainees who participated in FBTPs reported significantly higher levels of professional achievement after training. There was no single factor-either demographic, related to a trainee's professional background, or in programme design-that consistently predicted greater levels of post-training achievement.

KEYWORDS:

Africa; bioethics; capacity development; evaluation; research ethics; training

PMID:
27633644
PMCID:
PMC5030587
DOI:
10.1136/bmjopen-2016-012758
[Indexed for MEDLINE]
Free PMC Article

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