A quick needs assessment of key stakeholder groups on the role of family medicine in Zambia

• Published in: African Journal of Health Professions Education Vol. 9; no. 3; pp. 94 - 97
• Main Authors: Goma, F., Ngoma, M., Sanders, J., Nzala, S., Kafumukache, E., Makasa, M.
• Format: Journal Article
• Language: English
• Published: Health and Medical Publishing Group (HMPG) 01.09.2017; South African Medical Association
• ISSN: 2078-5127; 2078-5127
• DOI: 10.7196/AJHPE.2017.v9i3.831

Background. Zambia is a nation of nine million people, and has too few physicians to meet the country’s health needs. Following the strategy of other sub- Saharan countries, Zambia has developed a training programme in family medicine to help improve the medical competencies of its physician workforce. A needs assessment was undertaken to better understand the landscape into which Zambian family medicine is being placed. Methods. In 2014, a nine-question survey in Likert-scale format was developed, validated, and then delivered to four stakeholder groups: (i) practicing clinical physicians, (ii) the general public, (iii) the University of Zambia’s School of Medicine’s academic faculty and (iv) medical students. The needs assessment was delivered through several different mechanisms: via web-based service, to respondents’ email addresses; in paper form, to population samples of convenience; and verbally, through face-to-face encounters. Results. The number of stakeholders from each group who responded to the needs assessment were: clinical physicians, 27; general public, 15; academic faculty, 14; and medical students, 31. Five of the nine survey statements achieved super-majority consensus, with >66% of stakeholders in each group agreeing. Two additional statements achieved a simple-majority consensus with >50% agreement within each stakeholder group. Conclusion. This survey suggests that there is a broad-based a priori understanding of family medicine in Zambia, and general agreement that its presence would be valuable to Zambia’s healthcare system.