Exploring multiple job holding practices of academics in public health training institutions from three sub-Saharan Africa countries: drivers, impact, and regulation

dc.contributor.authorAmde, Woldekidan Kifle
dc.contributor.authorSanders, David
dc.contributor.authorChilundo, Baltazar
dc.contributor.authorRugigana, Etienne
dc.contributor.authorMariam, Damen Haile
dc.contributor.authorLehmann, Uta
dc.date.accessioned2018-08-21T12:02:28Z
dc.date.available2018-08-21T12:02:28Z
dc.date.issued2018
dc.description.abstractBACKGROUND: The paper examines external multiple job holding practices in public health training institutions based in prominent public universities in three sub-Saharan Africa countries (Rwanda, Ethiopia, Mozambique). OBJECTIVE: The study aims to contribute to broadening understanding about multiple job holding (nature and scale, drivers and reasons, impact, and efforts to regulate) in public health training schools in public universities. METHODS: A qualitative multiple case study approach was used. Data were collected through document reviews and in-depth interviews with 18 key informants. Data were then triangulated and analyzed thematically. RESULTS: External multiple job holding practices among faculty of the three public health training institutions were widely prevalent. Different factors at individual, institutional, and national levels were reported to underlie and mediate the practice. While it evidently contributes to increasing income of academics, which many described as enabling their continuing employment in the public sector, many pointed to the negative effects as well. Similarities were found regarding the nature and drivers of the practice across the institutions, but differences exist with respect to mechanisms for and extent of regulation. Regulatory mechanisms were often not clear or enforced, and academics are often left to self-regulate their engagement. Lack of regulation has been cited as allowing excessive engagement in multiple job holding practice among academics at the expense of their core institutional responsibility. This could further weaken institutional capacity and performance, and quality of training and support to students. CONCLUSION: The research describes the complexity of external multiple job holding practice, which is characterized by a cluster of drivers, multiple processes and actors, and lack of consensus about its implication for individual and institutional capacity. In the absence of a strong accountability mechanism, the practice could perpetuate and aggravate the fledgling capacity of public health training institutions.en_US
dc.identifier.citationAmde, W.K. et al. (2018). Exploring multiple job holding practices of academics in public health training institutions from three sub-Saharan Africa countries: drivers, impact, and regulation. Global Health Action, 11(1): 1491119.en_US
dc.identifier.issn1654-9880
dc.identifier.urihttp://dx.doi.org/10.1080/16549716.2018.1491119
dc.identifier.urihttp://hdl.handle.net/10566/3957
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherTaylor & Francisen_US
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work in properly cited.
dc.status.ispeerreviewedTRUE
dc.subjectCapacity developmenten_US
dc.subjectCase studyen_US
dc.subjectContexten_US
dc.subjectDual practiceen_US
dc.subjectEthiopiaen_US
dc.subjectHigher educationen_US
dc.subjectMoonlightingen_US
dc.subjectMozambiqueen_US
dc.subjectPublic healthen_US
dc.subjectRwandaen_US
dc.titleExploring multiple job holding practices of academics in public health training institutions from three sub-Saharan Africa countries: drivers, impact, and regulationen_US
dc.typeArticleen_US

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