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The University of Toronto, the Mastercard Foundation and a network of leading African universities are embarking on a 10-year initiative to enhance primary health care workforce education, entrepreneurship and innovation across Africa.

The partnership, known as the (AHEHC), was launched in 2022 and aims to bolster the continent’s health sectors as part of efforts to improve care for millions while supporting youth employment and economic growth. Participating institutions from Africa include Addis Ababa University, the African Institute for Mathematical Sciences, African Leadership University, Amref International University, Ashesi University, Kwame Nkrumah University of Science and Technology, Moi University and the University of Cape Town.

The AHEHC partners are committed to reshaping the health-care landscape in Africa by preparing young people for meaningful work in health and wellness through contextually appropriate and sustainable primary health care.

, there’s an average of only 1.55 doctors, nurses, and midwives per 1,000 people, significantly below the WHO’s recommended ratio.

AHEHC was a key topic at a 2023 meeting in Cape Town, South Africa that focused on a collective goal of enhancing the health sector to benefit African societies. The gathering included several ��������οleaders: Joseph Wong, vice-president, international; Trevor Young, dean of the Temerty Faculty of Medicine who is now vice-president and provost; and Wisdom Tettey, vice-president and principal of ��������οScarborough. Representatives from all partnering institutions also participated.

“The Africa Higher Education Health Collaborative is part of a larger movement – driven by Africans for Africans – aimed at enhancing the continent's economic vitality, improving access to health care and generating fulfilling employment in the health sector,” Wong said.

"The members of this collaborative are working hand-in-hand to advance local priorities and leverage our collective resources to create a healthier, more sustainable future, with each partner contributing to and learning from the others.”

Wong added that AHEHC’s work is guided by the idea of co-creation – an approach that was evident at the October 2023 convening as the partners cemented the mutual relationships, laying the foundation for the widespread adoption of African-led solutions across the network.

U of T’s participation in the AHEHC aligns with the university’s broader Africa strategy, which encompasses various initiatives from entrepreneurship exchanges to high-level summits involving representatives from universities, governments and various international development groups. It is guided by the President’s International Council on Engagement with Africa and is outlined in the university’s , focused on global reach, global learning and global impact.

"We aim to tap into the tremendous young talent and vast opportunities across the continent while addressing challenges facing Africa’s primary healthcare systems, including severe worker shortages,” said Penina Lam, U of T’s senior director of international relations, who is leading AHEHC’s implementation.

 AHEHC’s initial focus will be in Ethiopia, Ghana, Kenya, Rwanda and South Africa, aiming to strengthen health sectors. Through hands-on training in various disciplines, AHEHC seeks to prepare the next generation of health-care practitioners. The approach aims to enhance the delivery of high-quality primary care, stimulate economic growth and develop robust societies. This aligns with the , which seeks to create three million dignified and fulfilling jobs in primary care, with an emphasis on employment opportunities for women and young people.

As the secretariat for the initiative, ��������οplays a supportive role in co-ordinating collaborations and programs tailored to each partner’s local health priorities, needs, assets and expertise. This involves facilitating learning, development and implementation across the network, managed by a team in Canada and through three regional hubs in Africa.

For example, the Temerty Faculty of Medicine’s department of family and community medicine partnered with the Kwame Nkrumah University of Science and Technology. Together, they co-delivered continuing education courses for primary care workers in critical areas such as palliative care. About 100 Ghanaian primary care professionals participated in the courses this fall.

This program is among many guided by AHEHC’s three pillars: health employment, focusing on workforce development; health entrepreneurship, which supports the creation of businesses that will produce health innovations and self-employment opportunities; and health ecosystems, which engages partners in government, corporations, non-profits and other institutions in the collective effort to transform the health sector.

AHEHC will also build on the success of the , ushering in a new cohort of graduate students from countries in Sub-Saharan Africa to pursue their studies at ��������οover ten years.

AHEHC leverages U of T’s longstanding, mutually beneficial relationships with institutions in Africa, such as the Toronto Addis Ababa Academic Collaboration, which brings together ��������οfaculty members with colleagues at Addis Ababa University to co-develop graduate programs and train professionals, many of whom remain in Ethiopia to contribute to various sectors.

Wong said the initiative is an important one for the university.

“This collaborative aligns with our institutional mission to foster an academic community in which the learning and scholarship of everyone flourishes,” he said. “We are committed to the principles of equal opportunity, equity and justice – not just here in Canada but globally.”