This longitudinal study (2021–2026) evaluates the contribution of African diaspora health professionals in strengthening The Gambia's health system via structured digital engagement. It addresses critical human resource shortages and skill gaps exacerbated by limited continuous professional development. Employing a mixed-methods approach, the research tracked 150 Gambian healthcare workers across four hospitals participating in virtual mentorship programmes with diaspora specialists. Quantitative data—including clinical competency assessments, telemedicine consultation volumes, and career progression metrics—were integrated with qualitative data from serial in-depth interviews and focus group discussions. Results demonstrate a statistically significant improvement in participants' clinical skills and confidence. By 2026, a 40% increase was recorded in the successful management of complex non-communicable diseases within the study cohort. The parallel telemedicine initiative facilitated over 2,000 specialist consultations, substantially reducing referral delays. The study contends that this model promotes sustainable capacity building by channelling diasporic expertise without exacerbating brain drain, thus embodying an African-led solution for health system resilience. The evidence highlights structured digital diaspora engagement as a rigorous, cost-effective strategy for health workforce development, advocating for its formal integration into national health policies across comparable contexts.
Fatou Ceesay (Tue,) studied this question.