Network-based social capital and capacity-building programs: an example from Ethiopia

Human Resources for Health

Case Study

Shoba Ramanadhan¹  Sosena Kebede²  Jeannie Mantopoulos²  Elizabeth H Bradley² 

[1] Center for Community-Based Research, Dana-Farber Cancer Institute, 44 Binney St., LW 703, 02115, Boston, MA, USA;Division of Health Policy and Administration, Yale School of Public Health, P.O. Box 208034, 60 College St., 06520, New Haven, CT, USA;

关键词: Social Capital;    Network Member;    Resource Exchange;    Program Participant;    Trainee Network;   

DOI  :  10.1186/1478-4491-8-17

 received in 2010-02-08, accepted in 2010-07-01,  发布年份 2010

来源: Springer

【 摘 要 】

IntroductionCapacity-building programs are vital for healthcare workforce development in low- and middle-income countries. In addition to increasing human capital, participation in such programs may lead to new professional networks and access to social capital. Although network development and social capital generation were not explicit program goals, we took advantage of a natural experiment and studied the social networks that developed in the first year of an executive-education Master of Hospital and Healthcare Administration (MHA) program in Jimma, Ethiopia.Case descriptionWe conducted a sociometric network analysis, which included all program participants and supporters (formally affiliated educators and mentors). We studied two networks: the Trainee Network (all 25 trainees) and the Trainee-Supporter Network (25 trainees and 38 supporters). The independent variable of interest was out-degree, the number of program-related connections reported by each respondent. We assessed social capital exchange in terms of resource exchange, both informational and functional. Contingency table analysis for relational data was used to evaluate the relationship between out-degree and informational and functional exchange.Discussion and evaluationBoth networks demonstrated growth and inclusion of most or all network members. In the Trainee Network, those with the highest level of out-degree had the highest reports of informational exchange, χ2 (1, N = 23) = 123.61, p < 0.01. We did not find a statistically significant relationship between out-degree and functional exchange in this network, χ2(1, N = 23) = 26.11, p > 0.05. In the Trainee-Supporter Network, trainees with the highest level of out-degree had the highest reports of informational exchange, χ2 (1, N = 23) = 74.93, p < 0.05. The same pattern held for functional exchange, χ2 (1, N = 23) = 81.31, p < 0.01.ConclusionsWe found substantial and productive development of social networks in the first year of a healthcare management capacity-building program. Environmental constraints, such as limited access to information and communication technologies, or challenges with transportation and logistics, may limit the ability of some participants to engage in the networks fully. This work suggests that intentional social network development may be an important opportunity for capacity-building programs as healthcare systems improve their ability to manage resources and tackle emerging problems.

【 授权许可】

CC BY   
© Ramanadhan et al; licensee BioMed Central Ltd. 2010