# Programme administrators’ views on barriers in the Cuban-South African medical collaboration at UKZN

## TL;DR

This study explores the challenges faced by administrators in managing a Cuban-South African medical collaboration program at UKZN, aimed at addressing doctor shortages in rural South Africa.

## Contribution

The study provides new insights into systemic barriers affecting the coordination of an international medical collaboration program.

## Key findings

- Barriers include incomplete documentation, registration delays, and transportation complications.
- Language barriers and connectivity issues also hinder the program's effectiveness.
- Recommendations are provided to improve the sustainability of the collaboration.

## Abstract

The Cuban-South African medical collaboration, initiated in the early 1990s, aims to address the shortage of medical doctors, particularly in remote and rural South Africa, thereby contributing to achieving health-related outcomes for universal health coverage.

This study focusses on the perceptions of programme administrators of the systemic barriers in coordinating the Cuban-South African medical collaboration programme.

The main site for this study is the University of KwaZulu-Natal, Nelson Rohihlahla Mandela School of Medicine. It is the only medical university located in KwaZulu-Natal.

A qualitative exploratory design was employed to understand the barriers to coordinating the programme. Purposive sampling was used to select participants. Data collection was conducted through semi-structured interviews with participants at the medical school. Data were analysed using thematic analysis.

The study revealed several barriers that hinder the smooth operation of the programme, such as incomplete documentation and delays in registration, delays in equipment distribution and transportation complications because of registration issues, language barriers, connectivity issues, and the need for provisions during load shedding and water shortages.

Addressing these barriers is crucial for improving the overall experience of the cohort students, who play a vital role in enhancing human resources for health, driving health reforms and supporting primary healthcare in South Africa.

The study provides recommendations to enhance the programme’s effectiveness. These measures are essential for ensuring the sustainability and success of the Cuban-South African medical collaboration programme.