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Medical schools in rural areas - necessity or aberration?
Rural and Remote Health, 08/04/09

Longombe AO – In total, 97.7% of graduates from the rural–located medical school were employed in the province where they trained, the majority (81.4%) in rural areas. In contrast, 40.0% of graduates from the urban–located school were employed in the province where they trained, with 23.7% working in a rural area. Over 55% of all graduates worked 78 km of their training medical school. Only 2.5% of the rural–school graduates entered residency programs, compared with 15.2% for urban–school graduates. The results support the policy of establishing medical schools in rural areas, and also provide indications of approaches likely to increase the number and expertise of rural–located physicians.

Exclusive Author Commentary
Longombe Ahuka, 08/05/09

Working in rural areas is a challenge specially in developing countries where living conditions are hard. All important decisions are taken in big cities where few people are living (39%) compared to majority who are in rural and remote areas where few physicians want to work. What to do? Many strategies can be done but few do have positive impacts. Installing Medical schools in rural areas is one which works in our context. This paper (from one of the poorest country in the world) does have only aim to share experience with those who experienced the same problem. I want to encourage the leaders that they can do a ‘great thing’ by doing little: ESTABLISHING MEDICAL SCHOOLS IN RURAL AND REMOTE AREAS. The development of poor countries must go through their health state in rural areas where majority of people are living and I do not see another way. Ahuka Ona Longombe, MD, PhD, MHPE (Maastr)

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