The W4H programme worked with over 20 health training institutions in five Northern Nigerian states – as well as regulatory and state bodies, and a wide range of other important stakeholders. This guide translates the lessons learned from the programme into a series of practical, inter-connected steps to guide similar projects and government initiatives in comparably challenging locations. Its flexibility recognizes that states or countries are at different stages of development and should adapt the guide to its own needs.

The guide has been organized into two main points;

1. Supporting HTIs through the accreditation process
2. Supporting HTIs to development their infrastructure

This guide is for anyone aiming to improve training institutions in health or other sectors, and to contribute to progress on the Sustainable Development Goals. It is suitable for project and programme staff, development partners and non-governmental organisations.

While this Guide is focused on health training institutions, some elements of the guidance could be valuable for the provision of other social services, such as education and more technical support, such as agriculture and water and sanitation.

This guide emphasises the importance of intersectoral and multi-sectoral stakeholders’ collaboration and how it is critical to improving health workers’ training and achieving accreditation. It also recognises that context specific interventions are needed to solve the HRH crisis in developing countries to ensure the achievement of the global goal of universal health coverage.

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