The development of a graduate program in rehabilitation sciences in Ghana: A case report about a global health academic partnership

Abstract

Introduction: Global Health Academic Partnerships (GHAP) involve complex and dynamic relationships between nations, people, and institutions (Citrin et al, 2017) and have the potential to leverage resources from the power and privilege in high income countries (HIC) to improve healthcare in low or middle income countries (LMIC). When done effectively, GHAPs can help to address health inequities through the development of transnational research programs, support of progressive policy agendas, development of education programs and increased financial and human resources (Citrin et al, 2017). However, when GHAPs are not done well, these collaborations are at risk of exploitation due to an imbalance of power, privilege and positionality. It is important to measure, and to describe, the quality of the global health relationship so that predictors to successful partnerships, as well as obstacles impinging on success, can be identified. Objectives: The purpose of this case report is to present 1) a coherent description of how and why a GHAP was formed between the University of Health and Allied Sciences located Ghana and University of Washington located in the United States and 2) to provide lessons learned for future work. Methods: Information for how the GHAP was formed came from personal experiences (e.g. memories, reflections and interactions). In order to explore attributes, as well as to identify strengths and weaknesses of the GHAP, an electronic survey was developed and sent to UHAS faculty who were involved in the GHAP. Results: The results of this case study showed that a GHAP was initiated by UHAS through the posting of an advert for faculty to support their existing programs. The UW MPH student responded to the advert which resulted in an unpaid Visiting Scholar appointment. One focus of the GHAP was to develop a UHAS Masters of Philosophy program in Rehabilitation Sciences. Results for lessons learned showed that while participants had high expectations and enthusiasm for the project, and the final product met or exceeded their expectations, the necessity of virtual meetings coupled with internet challenges resulted in difficulty establishing strong working relationships between the HIC and LMIC group members. Conclusions: This case study showed that a GHAP was developed and the partnership resulted in a product that was deemed robust. Relationship indicators that pointed to success were that the partnership was strategic, aligned with Ministry of Health and UHAS goals, and the work was conducted with responsibility. The indicators that pointed to areas of weakness included the virtual nature of the relationship resulting in poor communication and which also impacted relationship building. Further, the project might be unstainable without funding and also due to COVID19 travel restrictions. While the GHAP experience described here is limited in scope and unique to the academic environment, this descriptive account will inform not only our future work but other institutions who aim to strengthen systems.