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May 13, 2026BMC Primary CareOpen Access

Strengthening Libya’s primary healthcare workforce: a replicable model for health system resilience in fragile states

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Authors

SMSara A. MoustafaAmerican University in CairoSESaededdien ElmshawatPrimary Health Care InstituteMEMohamed Moftah EmsalemPrimary Health Care Institute

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Implication

Randomized trial evaluates in-service training's impact on strengthening primary healthcare in Libya, suggesting a model for fragile states.

Key Points

  • This initiative aims to strengthen the primary healthcare workforce in Libya through a standardized in-service training system.
  • Implemented a multi-year initiative from 2021 to 2025 with various phases.
  • Conducted a national landscaping analysis and developed a national IST Framework using a Technical Working Group.
  • Evaluated program outcomes using pre-post knowledge assessments and thematic analysis.
  • Achieved national endorsement of a 5-pillar In-Service Training (IST) Framework.
  • Reported significant knowledge gains among trainees with increases of 29.4% and 33.0% in successive cascades (p < 0.001).
  • Identified improved professional collaboration, empowerment, and accountability through qualitative feedback.

Cite This Study

Moustafa et al. (2026) studied this question.

synapsesocial.com/papers/6a04141c79e20c90b44444e8https://doi.org/10.1186/s12875-026-03341-2
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Also Consider

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  1. 1A rapid mixed-methods assessment of Libya’s primary care system2024 · 4 citations
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  4. 4Enhancing breast cancer knowledge and clinical breast examination skills among healthcare providers at the polyclinics in Misrata, Libya2026
  5. 5Leveraging social media for resident training in developing countries: A case study of Libya2024 · 1 citations