A Case Study Optimizing Human Resources in Rwanda’s First Dental School: Three Innovative Management Tools
Abstract
Harvard School of Dental Medicine, University of Maryland School of Dentistry, and the University of Rwanda (UR) are collaborating to create Rwanda's first School of Dentistry as part of the Human Resources for Health (HRH) Rwanda initiative that aims to strengthen the health care system of Rwanda. The HRH oral health team developed three management tools to measure progress in systems-strengthening efforts: 1) the road map is an operations plan for the entire dental school and facilitates delivery of the curriculum and management of human and material resources; 2) each HRH U.S. faculty member develops a work plan with targeted deliverables for his or her rotation, which is facilitated with biweekly flash reports that measure progress and keep the faculty member focused on his or her specific deliverables; and 3) the redesigned HRH twinning model, changed from twinning of an HRH faculty member with a single Rwandan faculty member to twinning with multiple Rwandan faculty members based on shared academic interests and goals, has improved efficiency, heightened engagement of the UR dental faculty, and increased the impact of HRH U.S. faculty members. These new tools enable the team to measure its progress toward the collaborative's goals and understand the successes and challenges in moving toward the planned targets. The tools have been valuable instruments in fostering discussion around priorities and deployment of resources as well as in developing strong relationships, enabling two-way exchange of knowledge, and promoting sustainability.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Several African states have started initiatives to shift the paradigm with successful examples of expansion and use of mid-level providers.
“several African states have started initiatives to shift the paradigm with successful examples of expansion and use of mid-level providers [7,28,29,30,31].”
From Oral health workforce in Africa: a scarce resource (2023) · cites this paper as [29]
The role of mid-level providers in delivering healthcare generally has been advocated for the WHO African Region, embraced by Rwanda, and explored in Sierra Leone, Tanzania, and Malawi.
“The role of mid-level providers in delivering healthcare generally has been advocated for the AFR [5], embraced by countries such as Rwanda [29,30], and being explored in Sierra Leone [7,31], Tanzania [36], and Malawi [37] in line with workforce research and guidance [11,38].”
From Oral health workforce in Africa: a scarce resource (2023) · cites this paper as [29]
Cites
The Human Resources for Health Program in Rwanda — A New Partnership
Binagwaho, A., Kyamanywa, P., Farmer, P. E., Nuthulaganti, T., Umubyeyi, B., Nyemazi, J. P., Mugeni, S. D., Asiimwe, A., Ndagijimana, U., McPherson, H. L., et al. (2013) · New England Journal of Medicine · doi:10.1056/nejmsr1302176 · Cited by 290 · see citing works
Self-citationCancedda, C., Farmer, P. E., Kerry, V. B., Nuthulaganti, T., Scott, K. W., Goosby, E., & Binagwaho, A. (2015) · PLoS Medicine · doi:10.1371/journal.pmed.1001840 · Cited by 118 · see citing works
Self-citationEstablishing a New Medical School
Mokone, G. G., Kebaetse, M. B., Wright, J., Kebaetse, M. B., Dintwa, O. M., Kebaabetswe, P. M., Badlangana, L., Mogodi, M. S., Bryant, K., & Nkomazana, O. (2014) · Academic Medicine · doi:10.1097/acm.0000000000000329 · Cited by 33 · see citing works
Capacity Building and Financing Oral Health in the African and Middle East Region
Mumghamba, E. G. S., Joury, E., Fatusi, O. A., Ober-Oluoch, J., Onigbanjo, R. J., & Honkala, S. (2015) · Advances in Dental Research · doi:10.1177/0022034515578909 · Cited by 16 · see citing works
Loomer, P., Masalu, J., Mumghamba, E., & Perry, D. A. (2012) · Journal of Public Health Policy · doi:10.1057/jphp.2012.39 · Cited by 13 · see citing works
Dental caries management at a rural district hospital in northern Rwanda: a neglected disease
Mukashyaka, C., Uzabakiriho, B., Amoroso, C. L., Mpunga, T., Odhiambo, J. A., Mukashema, P., Seymour, B. A., Sindayigaya, J. D. D., & Hedt‐Gauthier, B. (2015) · Public Health Action · doi:10.5588/pha.15.0022 · Cited by 11 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Oral health workforce in Africa: a scarce resource
Gallagher, J. E., Mattos Savage, G. C., Crummey, S. C., Sabbah, W., Varenne, B., & Makino, Y. (2023) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph20032328 · Cited by 54 · see citing works
Foláyan, M. O., Ishola, A. G., Bhayat, A., El Tantawi, M., & Ndembi, N. (2025) · Frontiers in Public Health · doi:10.3389/fpubh.2025.1539805 · Cited by 25 · see citing works
Oral health system strengthening in fragile and conflict-affected states: A systematic review
Bogale, B., Scambler, S., Khairuddin, A. N. M., & Gallagher, J. E. (2024) · Journal of Global Health · doi:10.7189/jogh-14-04132 · Cited by 25 · see citing works
Establishing New Dental Schools: Lessons Learned and Future Promise
Walmsley, A. D. (2018) · Journal of Dental Education · doi:10.21815/jde.018.060 · Cited by 5 · see citing works
Saekel, R. (2024) · Journal of Dental Health Oral Disorders and Therapy · doi:10.15406/jdhodt.2024.15.00621 · Cited by 3 · see citing works
Optimal Allocation of Human Resources Based on Intelligent Computer Management System
Jiang, S. (2019) · International Conference on Measuring Technology and Mechatronics Automation (ICMTMA) · doi:10.1109/icmtma.2019.00152 · Cited by 2 · see citing works
- Authors
- Hackley, D. M., Mumena, C. H., Gatarayiha, A., Cancedda, C., & Barrow, J. R.
- Affiliations
- University of Rwanda (RW)
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Corresponding author
- Hackley, Donna M.
- Venue
- Journal of Dental Education
- Publisher
- Wiley
- Published
- 2018-06
- Volume
- 82
- Issue
- 6
- Pages
- 602-607
- ISSN
- 0022-0337 (ISSN-L)
- 1930-7837
- OpenAlex
- W2804546045
- Cited by
- 7
- References
- 6
- Citations by year
- 2025: 1 · 2024: 3 · 2023: 1 · 2019: 1 · 2018: 1
- FWCI
- 0.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Dental Education (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Global Health and Surgery
- Health Sciences › Health Professions › General Health Professions › Health and Medical Education
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Innovations in Medical Education
- Keywords
- human resources for health, Rwanda, Harvard School of Dental Medicine, University of Rwanda, faculty development, progress measurement, international cooperation, dental workforce, systems strengthening, sustainability
- MeSH terms
- Workforce, Curriculum, Education, Dental, Rwanda, Schools, Dental
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review