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- Research article Empirical effect of the Dr Lee Jong-wook Fellowship Program to empower sustainable change for the health workforce in Tanzania: a mixed-methods study
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Masoud Dauda1
, Swabaha Aidarus Yusuph2, Harouni Yasini1, Issa Mmbaga3, Perpetua Mwambinngu4, Hansol Park2,5, Gyeongbae Seo2,5, Kyoung Kyun Oh2,5* -
DOI: https://doi.org/10.3352/jeehp.2025.22.6 [Epub ahead of print]
Published online: January 20, 2025
1Department of Sociology and Anthropology, University of Dar es Salaam, Dar es Salaam, Tanzania
2Korea Foundation for International Healthcare (KOFIH) Tanzania Office, Dar es Salaam, Tanzania
3Department of Human Resources, Ministry of Health, Dodoma, Tanzania
4National Blood Transfusion Services, Dar es Salaam, Tanzania
5Korea Foundation for International Healthcare (KOFIH), Seoul, Korea
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*Corresponding email:
kyoungkyun@kofih.org
Editor: A Ra Cho
, The Catholic University of Korea, Korea
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Abstract
Purpose
This study evaluated the Dr Lee Jong-wook Fellowship Program’s impact on Tanzania’s health workforce, focusing on relevance, effectiveness, efficiency, impact, and sustainability in addressing healthcare gaps.
Methods
A mixed-methods research design was employed. Data were collected from 97 out of 140 alumni through an online survey, 35 in-depth interviews, and one focus group discussion. The study was conducted from November to December 2023 and included alumni from 2009 to 2022. Measurement instruments included structured questionnaires for quantitative data and semi-structured guides for qualitative data. Quantitative analysis involved descriptive and inferential statistics (Spearman’s rank correlation, non-parametric tests) using Python ver. 3.11.0 and Stata ver. 14.0. Thematic analysis was employed to analyze qualitative data using NVivo ver. 12.0.
Results
Findings indicated high relevance (mean=91.6, standard deviation [SD]=8.6), effectiveness (mean=86.1, SD=11.2), efficiency (mean=82.7, SD=10.2), and impact (mean=87.7, SD=9.9), with improved skills, confidence, and institutional service quality. However, sustainability had a lower score (mean=58.0, SD=11.1), reflecting challenges in follow-up support and resource allocation. Effectiveness strongly correlated with impact (ρ=0.746, P<0.001). The qualitative findings revealed that participants valued tailored training but highlighted barriers, such as language challenges and insufficient practical components. Alumni-led initiatives contributed to knowledge sharing, but limited resources constrained sustainability.
Conclusion
The Fellowship Program enhanced Tanzania’s health workforce capacity, but it requires localized curricula and strengthened alumni networks for sustainability. These findings provide actionable insights for improving similar programs globally, confirming the hypothesis that tailored training positively influences workforce and institutional outcomes.
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