The African Paediatric Fellowship Programme To Advance Africa's Pediatric Workforce

The African Paediatric Fellowship Programme (APFP), a preeminent program which aims to train African pediatric doctors and post- graduate nurses, will be working with more universities to expand Africa's pediatric workforce.

The African Paediatric Fellowship Programme trains pediatric doctors, pediatric sub-specialists and masters of child health nurses in Africa for Africa. Photo: The African Paediatric Fellowship Programme


Through the APFP, the University of Cape Town has trained 151 pediatricians, pediatric sub-specialists, and pediatric nurses from across Africa since 2008. The addition of the University of Witwatersrand (Wits) and the University of KwaZulu-Natal (UZKN) to APFP will enable 150 more pediatric specialists to be trained in the next three years, doubling the number of doctors and nurses trained to date.  

Prof. Ashraf Coovadia, Dept. Head, Pediatrics & Child Health at Wits states: "There's a critical shortage of child-health providers in Africa. Without an adequate number of trained experts, it's difficult to make a significant difference in the way a country's health care system can respond to the needs of infants and children."  

There is less than one pediatrician per 100,000 children in Africa, compared to an estimated 99 pediatricians per 100,000 children in the United States. With support from APFP, these numbers have changed significantly.  There were four pediatricians in Malawi in 2009; eight years later, there are now 15 pediatricians including the country's first Neonatologist, and 94 qualified specialist children's nurses. 

APFP works closely with Ministries of Health and 33 partner universities from 13 African countries, who select candidates for the program, pay their salaries while training and ensure there are positions available to them upon completion. APFP fellows are primarily returning to the public health system, where the need for child health professionals is the greatest. This collaboration has resulted in 98% of graduates remaining in their home country, leading the delivery of high-quality child health services, training and research.

APFP fellow Dr. Joyce Balagadde-Kambugu of Uganda's Cancer Institute adds: "The African Paediatric Fellowship Programme changed my life and changed the outlook for childhood cancer in Uganda. The training I received through APFP equipped me with the knowledge and skills I needed to start the first dedicated pediatric oncology service in Uganda, where today we see approximately 450 children per year."