The Determinants of Sub-Saharan African Healthcare Professional Training and Capacity Building Efficacy
Authors
Health Sciences, LJMU, Liverpool (United Kingdom)
Article Information
DOI: 10.51584/IJRIAS.2026.110100114
Subject Category: Public Health
Volume/Issue: 11/1 | Page No: 1360-1379
Publication Timeline
Submitted: 2026-01-25
Accepted: 2026-01-30
Published: 2026-02-16
Abstract
The healthcare system in Sub-Saharan Africa (SSA) is a significant challenge due to the availability and competence of its healthcare workforce. Effective training and capacity-building programs are crucial for improving service delivery and achieving better health outcomes. However, the efficacy of these programs varies widely, influenced by various factors. This scoping review aims to map existing literature to identify key determinants that impact the success of healthcare professional training and capacity-building initiatives within the SSA context.
Keywords
Sub Saharan Africa, Scoping review, Healthcare Professionals, Training
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References
1. Agyei, E. and Kumah, E., (2024) Navigating the complex terrain of healthcare systems in Sub-Saharan Africa: challenges and opportunities for progress. Discover Health Systems, [online] 31, p.39. Available at: https://doi.org/10.1007/s44250-024-00108-3 [Accessed 8 Jun. 2025]. [Google Scholar] [Crossref]
2. Ahmat, A., Okoroafor, S.C., Kazanga, I., Asamani, J.A., Millogo, J.J.S., Illou, M.M.A., Mwinga, K. and Nyoni, J., (2022) The health workforce status in the WHO African Region: findings of a cross-sectional study. BMJ Global Health, [online] 7Suppl 1. Available at: https://gh.bmj.com/content/7/Suppl_1/e008317 [Accessed 8 Jun. 2025]. [Google Scholar] [Crossref]
3. Alwy Al-beity, F.M., Baker, U., Kakoko, D., Hanson, C. and Pembe, A.B., (2022) Health workers’ experiences of implementation of Helping Mothers Survive Bleeding after Birth training in Tanzania: a process evaluation using the i-PARIHS framework. BMC Health Services Research, [online] 221, p.1240. Available at: https://doi.org/10.1186/s12913-022-08605-y [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
4. Asamani, J.A., Bediakon, K.S.B., Boniol, M., Joseph Kyalo Munga’tu, Akugri, F.A., Muvango, L.L., Bayiga, E.D.Z., Christmals, C.D., Okoroafor, S., Titus, M., Titi-Ofei, R., Gotora, B., Nkala, B., Twum-Barimah, A.T., Moussound, J.B., Sowah, R., Kipruto, H., Kidane, S.N., Droti, B., Bisorborwa, G., Ahmat, A., Chukwujekwu, O., Cabore, J.W. and Mwinga, K., (2024) Projected health workforce requirements and shortage for addressing the disease burden in the WHO Africa Region, 2022–2030: a needs-based modelling study. BMJ Global Health, [online] 7Suppl 1. Available at: https://gh.bmj.com/content/7/Suppl_1/e015972 [Accessed 8 Jun. 2025]. [Google Scholar] [Crossref]
5. Ayisi-Boateng, N.K., Sarfo, F.S., Opoku, D.A., Nakua, E.K., Konadu, E., Tawiah, P., Owusu, -Antwi Ruth, Essuman, A., Barnie, B., Mock, C. and Donkor, P., (2022) Educational intervention to enhance the knowledge of Ghanaian health workers on Alzheimer’s disease and related dementias. African Journal of Primary Health Care and Family Medicine, [online] 141, p.3448. Available at: https://journals.co.za/doi/abs/10.4102/phcfm.v14i1.3448 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
6. Bryden, B., Bryden, M., Steer-Massaro, J. and Malope, S., (2021) Family Medicine Training in Lesotho: A Strategy of Decentralized Training for Rural Physician Workforce Development. Frontiers in Medicine, [online] 7. Available at: https://www.frontiersin.org/journals/medicine/articles/10.3389/fmed.2020.582130/full [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
7. Chan, S.L., Ho, C.Z.H., Khaing, N.E.E., Ho, E., Pong, C., Guan, J.S., Chua, C., Li, Z., Lim, T., Lam, S.S.W., Low, L.L. and How, C.H., (2024) Frameworks for measuring population health: A scoping review. PLOS ONE, [online] 192, p.e0278434. Available at: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0278434 [Accessed 8 Jun. 2025]. [Google Scholar] [Crossref]
8. Chinchu, C., (2024) Balancing Regulation and Autonomy: NCAHP Act and the Psychology Profession in India. Indian Journal of Psychological Medicine, 46(4), pp.350-355.Available at: https://doi.org/10.1177/02537176231179920 [Accessed 12 Jun. 2025]. [Google Scholar] [Crossref]
9. Hadie, S., (2024) ABC of a Scoping Review: A Simplified JBI Scoping Review Guideline. Education in Medicine Journal, 16, pp.185–197. Available at: http://dx.doi.org/10.21315/eimj2024.16.2.14 [Accessed 8 Jun. 2025] [Google Scholar] [Crossref]
10. Hicks, J.P., Allsop, M.J., Akaba, G.O., Yalma, R.M., Dirisu, O., Okusanya, B., Tukur, J., Okunade, K., Akeju, D., Ajepe, A., Okuzu, O., Mirzoev, T. and Ebenso, B., (2021) Acceptability and Potential Effectiveness of eHealth Tools for Training Primary Health Workers From Nigeria at Scale: Mixed Methods, Uncontrolled Before-and-After Study. JMIR mHealth and uHealth, [online] 99, p.e24182. Available at: https://mhealth.jmir.org/2021/9/e24182 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
11. Kibone, W., Semulimi, A.W., Kwizera, R. and Bongomin, F., (2024) Community-Based Mycetoma Surveillance in Uganda: Identifying Knowledge Gaps and Training of Community Health Workers to Improve Case Detection. PLOS Neglected Tropical Diseases, [online] 1810, p.e0012572. Available at: https://journals.plos.org/plosntds/article?id=10.1371/journal.pntd.0012572 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
12. Kiguli-Malwadde, E., Forster, M., Martin, S., Chilemba, E., Couper, I., Motlhatlhedi, K., Celentano, J., Haruzivishe, C., Sears, D., Budak, J.Z., Khanyola, J.N., Zinkernagel, D.V., Molwantwa, M., Semitala, F., Villiers, M. de, Reid, M. and Kazembe, A., (2022) Evaluating the impact of a multicountry interprofessional training programme to improve HIV knowledge and clinical confidence among healthcare workers in sub-Saharan Africa: a cohort study. BMJ Open, [online] 127, p.e060079. Available at: https://bmjopen.bmj.com/content/12/7/e060079 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
13. Kikaya, V., Katembwe, F., Yabili, J., Mbwanya, M., Dhuse, E., Gomez, P., Waxman, R., Mohan, D. and Tappis, H., (2024) Effectiveness of Capacity-Building and Quality Improvement Interventions to Improve Day-of-Birth Care in Kinshasa, Democratic Republic of the Congo. Global Health: Science and Practice, [online] 121. Available at: https://www.ghspjournal.org/content/12/1/e2300236 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
14. Luke, M.B., Ziah, M., Lu, L.Z.N., Davis, M.D., Arzoaquoi, S., Drucker, E., Kanneh, F., Logan, G.G. and Massaquoi, M., (2025) Effectiveness of a short-term oxygen therapy training program in Liberia during and after COVID-19. Frontiers in Public Health, [online] 13. Available at: https://www.frontiersin.org/journals/publichealth/articles/10.3389/fpubh.2025.1490134/full [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
15. Mamo, E., Tsehay, D., Hassen, S., Getahun, S., Mengiste, A., Tadesse, B., Tadesse, T., Legesse, M. and Bobosha, K., (2024) Training and Active Case Detection to Prevent Leprosy: Effect on Knowledge, Attitude and Skills of Health Workers on Early Diagnosis of Leprosy in a Leprosy Hotspot District in Ethiopia. Tropical Medicine and Infectious Disease, [online] 93, p.51. Available at: https://www.mdpi.com/2414-6366/9/3/51 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
16. Mattos, S.M., Cestari, V.R.F. and Moreira, T.M.M., (2023) Scoping protocol review: PRISMA-ScR guide refinement. Revista Enfermagem UFPI, [online] 121. Available at: https://periodicos.ufpi.br/index.php/reufpi/article/view/3062 [Accessed 8 Jun. 2025]. [Google Scholar] [Crossref]
17. McGuire, C.M., Fatusin, B.B., Kodicherla, H., Yakubu, K., Ameh, P., van Waes, A., Rhoad, E., Jack, B.W. and Scott, N.A., (2021) Implementation of Online Research Training and Mentorship for Sub-Saharan African Family Physicians. Annals of Global Health, [online] 871, p.13. Available at: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7863851/ [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
18. Mwansisya, T., Mbekenga, C., Isangula, K., Mwasha, L., Mbelwa, S., Lyimo, M., Kisaka, L., Mathias, V., Pallangyo, E., Edwards, G., Mantel, M., Konteh, S., Rutachunzibwa, T., Mrema, S., Kidanto, H. and Temmerman, M., (2022) The impact of training on self-reported performance in reproductive, maternal, and newborn health service delivery among healthcare workers in Tanzania: a baseline- and endline-survey. Reproductive Health, [online] 191, p.143. Available at: https://doi.org/10.1186/s12978-022-01452-4 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
19. Ndayisaba, A., Harerimana, E., Borg, R., Miller, A.C., Kirk, C.M., Hann, K., Hirschhorn, L.R., Manzi, A., Ngoga, G., Dusabeyezu, S., Mutumbira, C., Mpunga, T., Ngamije, P., Nkikabahizi, F., Mubiligi, J., Niyonsenga, S.P., Bavuma, C. and Park, P.H., (2017) A Clinical Mentorship and Quality Improvement Program to Support Health Center Nurses Manage Type 2 Diabetes in Rural Rwanda. Journal of Diabetes Research, [online] 20171, p.2657820. Available at: https://onlinelibrary.wiley.com/doi/abs/10.1155/2017/2657820 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
20. Ngusie, H.S., Ahmed, M.H., Mengiste, S.A., Kebede, M.M., Shemsu, S., Kanfie, S.G., Kassie, S.Y., Kalayou, M.H. and Gullslett, M.K., (2023) The effect of capacity building evidence-based medicine training on its implementation among healthcare professionals in Southwest Ethiopia: a controlled quasi-experimental outcome evaluation. BMC Medical Informatics and Decision Making, [online] 231, p.172. Available at: https://doi.org/10.1186/s12911-023-02272-7 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
21. Otu, A., Onwusaka, O., Otokpa, D.E., Edadi, U., Udoh, U., Yougha, P., Oduche, C., Okuzu, O., Jacob, S.T., Rylance, J. and Effa, E., (2024) Implementing health worker training on sepsis in South Eastern Nigeria using innovative digital strategies: an interventional study. Therapeutic Advances in Infectious Disease, [online] 11, p.20499361241233816. Available at: https://doi.org/10.1177/20499361241233816 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
22. Perera, S.M., Isa, G.P., Sebushishe, A., Sundararaj, P., Piccirillo, M., Xia, S., Langaigne, A., Ali, J. and Casey, S.E., (2023) “Midwives are heroes of the country”: qualitative evaluation of a midwifery education program in South Sudan. Frontiers in Global Women’s Health, [online] 4. Available at: https://www.frontiersin.org/journals/global-womens-health/articles/10.3389/fgwh.2023.1215405/full [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
23. Rotenberg, S., Ryan, S., Ziebland, S. and Ganle, J., (2025) Participant perceptions of disability training for health workers: a qualitative study in Ghana. BMC Medical Education, [online] 251, p.420. Available at: https://doi.org/10.1186/s12909-025-06892-7 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
24. Stiles, C.E., Jr, E.O., Kabali, K. and O’Donovan, J., (2021) The use of low-cost ruggedized Android tablets to augment in-service training of community health workers in Mukono, Uganda: perspectives and lessons learned from the field. African Health Sciences, [online] 213, pp.1482–1490. Available at: https://www.ajol.info/index.php/ahs/article/view/215242 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
25. Stubbe, L., Philippeit, A., Philippeit, J., Kaukemüller, L., Kruppa, M., Sunder-Plassmann, M., Ruppert, A., Hillemanns, P., Mugisha, J. and Klapdor, R., (2024) Web-Based Development of Standard Operating Procedures and Midwifery Trainings at Ugandan Birth Clinic in the Framework of Implementing a Quality Improvement System for the MEWU—Midwife Exchange with Uganda. Women’s Health Reports, [online] 51, pp.775–784. Available at: https://www.liebertpub.com/doi/full/10.1089/whr.2024.0068 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
26. Vancampfort, D., Mugisha, J., Kimbowa, S., Lukwata, H., Damme, T.V. and Vandenbulcke, M., (2023) Efficacy of an 8-hour education intervention on dementia knowledge, attitude and skills in healthcare professionals in regional hospitals: a nation-wide study from Uganda. Pan African Medical Journal, [online] 441. Available at: https://www.ajol.info/index.php/pamj/article/view/260092 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
27. Wood, S., Roberts, E., Stout, A.A., Kaboré, A., Namagembe, A., Cover, J., Ndiaye, M.D., Diokh, M., Sèye, F. and Balderston, B., (2024) Capacity-Building Through Digital Approaches: Evaluating the Feasibility and Effectiveness of eLearning to Introduce Subcutaneous DMPA Self-Injection in Senegal and Uganda. Global Health: Science and Practice, [online] 125. Available at: https://www.ghspjournal.org/content/12/5/e2400019 [Accessed 3 Jun. 2025]. [Google Scholar] [Crossref]
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