Azerbaijan's healthcare system is on a transformative journey, though not without significant challenges including inadequate infrastructure, medical equipment, unbalanced distribution of healthcare personnel, and varying levels of quality of care throughout the country. [1] Training quality is compromised by outdated curricula, traditional teaching methods, a shortage of qualified instructors, and limited practical training facilities within the health workforce education system. To address these issues, the World Health Organization (WHO) partnered with key local institutions, such as Azerbaijan Medical University (AMU), the Azerbaijan State Advanced Training Institute for Doctors (ASATID), and various medical colleges offering pre-bachelor degree programs. This collaborative effort focuses on enhancing teaching skills, refining assessment methods, improving clinical proficiency, and strengthening emergency care management, all tailored to Azerbaijan's needs. Achievements include the establishment of new departments and training programs at AMU, the integration of competency-based skills training, and the introduction of innovative educational strategies, benefiting over 500 staff members. These initiatives, supported by WHO's ongoing mentorship and technical guidance, demonstrate significant progress in revitalizing Azerbaijan's healthcare education system. The Government of Azerbaijan has prioritized "human capital" development as a strategic objective, a focus that is echoed in the current United Nations Sustainable Development Cooperation Framework (UNSDCF) as a designated area of work. Within this scope, the development of the health workforce is a key component. This initiative also reflects WHO/Europe’s enhanced collaboration with Member States, agreed through “Delivering United Action for Better Health – a strategy for collaboration between the WHO Regional Office for Europe and Member States in the WHO European Region”, in this case working more closely with national partners to mobilize skills, knowledge and expertise.
Key WHO Contributions
- Partnered with local institutions like AMU and ASATID to address Azerbaijan's health education challenges.
- Guided strategy including the establishment of specialized departments in AMU and the ToT model at ASATID for sustainable systems.
- Adapted global resources to develop training programmes that encompass modern teaching techniques, clinical skills, and emergency care, based on Azerbaijan's unique needs.
- Provided direct mentorship for consistent guidance and knowledge transfer.
How did Azerbaijan, with the support of WHO, achieve this?
Primary health care (PHC) is recognized as one of the most effective and cost-efficient strategies for achieving universal health coverage (UHC), a cornerstone of health security.[2] In Azerbaijan, WHO collaborated with the Government through the PROACT Care project under the UHC Partnership to enhance the primary healthcare workforce. Launched in 2021, a pilot initiative in Shamakhi District trained and empowered a diverse group of healthcare workers to provide essential primary healthcare services to remote communities.[3][4] Based on rapid health and learning needs assessments, WHO developed tailored training programmes in collaboration with local trainers from various institutions. Two training programmes were successfully implemented in early 2021, focusing on cardiometabolic risks and hypertension management, and parental counselling on vaccines in primary care.[5] The pilot demonstrated the effectiveness of a primary healthcare approach in laying the groundwork for a more resilient healthcare system nationwide, paving the way for the approach’s widespread implementation.[6][7]

Staff Members in Azerbaijan Medical University’s newly opened Department of Medicine and Health Sciences Education in October 2023.
Photo credit: Dr Samir Cavadli
WHO's SDG3 recovery funds facilitated the expansion and acceleration of the Shamakhi pilot project through three tranches of funding.[8] Then, to enhance training quality nationwide, a team of four WHO experts collaborated with the Ministry of Health to forge strong partnerships with leaders in educational institutions, providing technical guidance and ongoing mentorship to devise an innovative educational strategy. In 2022, AMU introduced two new departments: the Department of Medical and Health Sciences Education (DMHSE) and the Department of Emergency Medicine (DEM). Concurrently, the Azerbaijan State Advanced Training Institute for Doctors (ASATID) established a dedicated training working group.
AMU launched faculty development programmes aimed at modernizing teaching methods, refining assessment techniques, enhancing clinical skills, and elevating emergency care management standards. Training materials, tailored from WHO's global resources by WHO Azerbaijan, were specifically designed to meet the country’s unique requirements. Remarkably, 30 percent of AMU's and 80 percent of ASATID’s faculty participated in DMHSE-led training, leading to the certification becoming mandatory for staff contract renewals.
“Since 2019, we've been revitalizing our educational programs and working towards international accreditation. The establishment of the Department of Medicine and Health Sciences Education marks a milestone in our university's history. This initiative is a beacon of hope and progress in medical education in Azerbaijan. Our collaboration with WHO in this endeavour has been invaluable, reflecting its commitment to enhancing health professionals’ education and training globally.”
-Dr Samir Cavadlı, Head of Department of Medicine and Health Sciences Education, Azerbaijan Medical University
Volunteer faculty from various departments gradually transitioned to permanent positions within these new departments. This transition facilitated the integration of competency-based clinical skills training and objective structured clinical examinations (OSCE) for DMHSE and nursing students during the 2022-2023 academic year. Additionally, the Emergency Medicine Clerkship Programme was launched, a pioneering initiative in undergraduate emergency medical care education in Azerbaijan. In June 2023, a Memorandum of Understanding was signed between WHO Azerbaijan and AMU, further solidifying their collaboration. AMU continues to focus on enhancing faculty development, providing structured training for students, rejuvenating the curriculum, and fostering academic dialogue through seminars and international congresses.
At ASATID, the Training of Trainers (ToT) model was implemented. In 2022, WHO experts orchestrated a seven-day programme that has since engaged over 100 participants. Alumni of earlier ToT sessions have taken on leadership roles, concentrating on updating teaching methodologies in health professional education and promoting ongoing professional growth among the faculty, thereby ensuring the longevity and effectiveness of the training.
“In our institute, we have launched a new initiative - a course for teachers aimed at enhancing our educational approach through the "Faculty Development Program." A significant number of our colleagues actively participated in these enriching training sessions. This active participation and the effective integration of the knowledge gained are truly inspiring for me. In connection with this, the establishment of the Medical Education Department in our educational institution can be considered a crucial step towards achieving excellence in medical education.”
-Dr Mətanət Qaraxanova, Azerbaijan State Advanced Training Institute for Doctors (ASATID) Faculty Staff Member
To date, over 500 staff members have participated in these courses, with the "essential teaching skills" module now a compulsory component for all academic personnel at both AMU and ASATID. WHO continues its support, providing both technical and capacity-building assistance, to strengthen Azerbaijan's medical education system.