A Comparison of the Expectations and Experiences of Medical Students From High-, Middle-, and Low-Income Countries Participating in Global Health Clinical Electives

2017 ◽  
Vol 30 (1) ◽  
pp. 45-56 ◽  
Author(s):  
Michael J. Peluso ◽  
Adam Rodman ◽  
Douglas A. Mata ◽  
Anne T. Kellett ◽  
Susan van Schalkwyk ◽  
...  
Keyword(s):  
Medical Students ◽  
Global Health ◽  
Low Income ◽  
Low Income Countries

scholarly journals Integrating ultrasound education and resources within undergraduate medical education in order to Bring Ultrasound Internationally for Long-term Development (BUILD)

2022 ◽  
Author(s):  
Michael I. Prats ◽  
Kirsten Irene Boone ◽  
Diane Gorgas ◽  
David Bahner
Keyword(s):  
Medical Students ◽  
Global Health ◽  
Low Income ◽  
Low Income Countries ◽  
State University ◽  
Ultrasound Education ◽  
Online Curriculum ◽  
Health Course ◽  
The Ohio State University

Aims: At the Ohio State University College of Medicine, medical students have the option to train in ultrasound and take part in global electives where they can utilize clinical ultrasound. This presents the opportunity for medical students to engage in bidirectional sharing of medical and ultrasound knowledge in geographic regions with limited resources. We developedBringing Ultrasound Internationally for Long-term development (BUILD), a longitudinal course, to provide standardized ultrasound education to students planning to enroll in global health electives.Material and methods: This was a pilot study of the BUILD curriculum. Third-year medical students planning to complete a global health elective were invited to participate. Enrolled students completed an online curriculum, hands-on scanning, and pathology sessions, which augmented the predeparture Global Health course work. Students received two resource assessments: one to be completed by the student, and one to be completed by the on-site preceptor. Main outcomes measured were number of enrolled students, primary indications for imaging, and number of scans per-day.Results: In total, 152 students participated in the study and traveled to 22 different global sites in Low-Income Countries (LIC’s). All enrolled students completed the curriculum. Between 3 and 25 scans were performed per day and the leading indication for ultrasound imaging was obstetric and abdominal pain evaluation.Conclusions: The BUILD curriculum is a feasible construct to prepare students for using ultrasound during global electives. Students successfully performed proctored scans in a variety of settings. This format can be adopted by other institutions to further support student and global ultrasound programs.

Health system reconstitution syndrome: an often misunderstood phenomenon in global health practice

2019 ◽  
Vol 34 (8) ◽  
pp. 618-624
Author(s):  
Anatole Manzi ◽  
Alyssa Ierardo ◽  
Jean Claude Mugunga ◽  
Cate Oswald ◽  
Patrick Ulysse ◽  
...  
Keyword(s):  
Global Health ◽  
Health System ◽  
Low Income ◽  
Program Implementation ◽  
Quality Care ◽  
Building Blocks ◽  
Health Systems Strengthening ◽  
Low Income Countries ◽  
Global Movement ◽  
Active Implementation

Abstract The beginning of the 21st century was marked by the new definition and framework of health systems strengthening (HSS). The global movement to improve access to high-quality care garnered new resources to design and implement comprehensive HSS programs. In this effort, billions of dollars flowed from novel mechanisms such as The Global Fund to Fight AIDS, Tuberculosis and Malaria; Gavi, the Vaccine Alliance; and several bilateral funders. However, poor health outcomes, particularly in low-income countries, raise questions about the effectiveness of HSS program implementation. While several evaluation projects focus on the ultimate impact of HSS programs, little is known about the short- and mid-term reactions occurring throughout the active implementation of HSS interventions. Using the well-documented WHO framework of six HSS building blocks, we describe the evolution and phases of health system reconstitution syndrome (HSRS), including: (1) quiescent phase, (2) reactive phase, (3) restorative phase and (4) stability phase. We also discuss the implications of HSRS on global health funding, implementation, policy and research. Recognizing signs of HSRS could improve the rigour of HSS program design and minimize premature decisions regarding the progress of HSS interventions.

scholarly journals The contribution of Dutch doctors in Global Health and Tropical Medicine to research in global health in low- and middle-income countries: an exploration of the evidence

2019 ◽  
Vol 50 (1) ◽  
pp. 43-49 ◽  
Author(s):  
Rob Mooij ◽  
Esther MJ Jurgens ◽  
Jeroen van Dillen ◽  
Jelle Stekelenburg
Keyword(s):  
Global Health ◽  
Low Income ◽  
Tropical Medicine ◽  
Low Income Countries ◽  
Global Health Research ◽  
Medical Doctors ◽  
Middle Income ◽  
Middle Income Countries ◽  
Phd Thesis ◽  
Low And Middle Income

Results from medical research from high-income countries may not apply to low- and middle-income countries. Some expatriate physicians combine clinical duties with research. We present global health research conducted by Dutch medical doctors in Global Health and Tropical Medicine in low- and middle-income countries and explore the value of their research. We included all research conducted in the last 30 years by medical doctors in Global Health and Tropical Medicine in a low- and middle-income country, resulting in a PhD thesis. Articles and co-authors were found through Medline. More than half of the 18 identified PhD theses concerned maternal health and obstetrics, and the majority of the research was conducted in low-income countries, mostly in rural hospitals. Over 70 local co-authors were involved. Different aspects of these studies are discussed.

Global Health Perspective in Sarcomas and Other Rare Cancers

2018 ◽  
pp. 916-924 ◽  
Author(s):  
Vaia Florou ◽  
Antonio G. Nascimento ◽  
Ashish Gulia ◽  
Gilberto de Lima Lopes
Keyword(s):  
Radiation Therapy ◽  
Global Health ◽  
Low Income ◽  
Multidisciplinary Approach ◽  
Low Income Countries ◽  
Evidence Based ◽  
Evidence Based Practices ◽  
Management Guidelines ◽  
Systemic Treatments ◽  
Poor Outcomes

Sarcomas, rare and heterogenous malignancies that comprise less than 1% of all cancers, have poor outcomes in the metastatic and refractory setting. Their management requires a multidisciplinary approach that consists of medical and surgical oncologists, radiation oncologists, and pathologists as well as ancillary support. In addition to systemic treatments, most patients will require surgical resection and radiation therapy, which mandates the use of the latest technologies and specialized expertise. Management guidelines have been developed in high-income countries, but their applicability in low-income countries, where resources may be limited, remains a challenge. In this article, we propose the best possible evidence-based practices specifically for income-constrained settings to overcome this challenge. In addition, we review the different methods that can be used in low-income countries to access new and expensive treatments, which often times carry prohibitive costs for these areas.

Master of Public Health Concentrations in Global Health in 2020: Preparing Culturally Competent Professionals to Address Health Disparities in the Context of Globalization

2020 ◽  
pp. 152483992091354
Author(s):  
Kathryn H. Jacobsen ◽  
Helen A. Zeraye ◽  
Michael S. Bisesi ◽  
Meredith Gartin ◽  
Rebecca Malouin ◽  
...  
Keyword(s):  
Public Health ◽  
Social Justice ◽  
Health Disparities ◽  
Global Health ◽  
Low Income ◽  
Cultural Knowledge ◽  
Public Health Workforce ◽  
Low Income Countries ◽  
Special Focus ◽  
Master Of Public Health

During the 2019-2020 academic year, 37 (17%) of 223 Council on Education for Public Health (CEPH) accredited or applicant schools and programs of public health offered Master of Public Health (MPH) degrees with concentrations in general global health. Concentration-specific competencies build on the foundational competencies required for all MPH students enrolled in CEPH-accredited programs. The most popular global health competencies focus on agencies and organizations, ethics and human rights, program management, social and environmental determinants of health, the global burden of disease, collaboration and partnerships, and cultural competency. There is significant overlap between the current concentration competencies and the ones recommended by the Association of Schools and Programs of Public Health in 2018. The online program descriptions for MPH concentrations in global health feature four key themes: globalization, low-income countries, social justice and equity, and culture and diversity. (1) Most programs emphasize transnational health issues and the effects of globalization on health in countries of all income levels. (2) Some programs have a special focus on preparation for serving low-income countries and other disadvantaged populations, such as refugees. (3) Most programs emphasize the social justice and equity issues underlying local and global health disparities. (4) Most programs promote development of the cultural knowledge, awareness, and skills required for serving diverse populations effectively as rising leaders in the international, national, or local public health workforce. Global health MPH programs prepare students for public health practice in resource-limited settings in their home communities as well as internationally.

scholarly journals Vaccine Equity

2021 ◽  
Author(s):  
Shalu Nigam
Keyword(s):  
Human Rights ◽  
Global Health ◽  
Low Income ◽  
Low Income Countries ◽  
Effective Response ◽  
Positive Duties ◽  
Moral Duties ◽  
The Third World ◽  
Vaccine Distribution ◽  
Health Rights

COVID-19 has shown that today the world is more interconnected, yet it is more hierarchical and stratified riddled with disproportionate systemic structural socio-economic inequalities. The global humanitarian disaster has highlighted the despair state of human rights affairs across the planet. It has exposed the supremacy of the neoliberal, nationalist paradigm that is deeply entrenched affecting the poorest of the poor. The pandemic has also indicated how capitalism is eroding democratic values endangering the lives of billions. Today, the high-income countries and the pharmaceutical companies are advancing their strategic interest, whereas the persons in the middle and low-income countries are being deprived of their basic requirements. Inequities in vaccine distribution are obstructing the effective response to the pandemic at the global level. Discrimination in access to the vaccine is adversely affecting the marginalized. This essay argues for respecting human rights as global health justice and suggests for affordable, accessible, and quality vaccination and treatment to all in line with reasoning that health inequalities and cross border issues are morally and ethically troubling and therefore are morally justified. Based on positive duties to create conditions for the availability of health rights for all humans, it argues that no rich country or resourceful persons will be safe until the last person is safe. These moral duties, in turn, generate duties of cooperation and obligations at international and domestic levels to better align with values in line with the principles of global health governance. Leaving a large section of the population in the Third world behind is not going to eliminate the threats of the spread of the epidemic.

scholarly journals Current Status of HIV-1 Vaccines

Vaccines ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1026
Author(s):  
Anna Hargrave ◽  
Abu Salim Mustafa ◽  
Asma Hanif ◽  
Javed H. Tunio ◽  
Shumaila Nida M. Hanif
Keyword(s):  
Clinical Trial ◽  
Clinical Trials ◽  
Global Health ◽  
Low Income ◽  
Vaccine Development ◽  
Low Income Countries ◽  
Current Status ◽  
Health Challenge ◽  
Hiv 1 ◽  
Global Health Challenge

HIV-1 infection and its progression to AIDS remains a significant global health challenge, particularly for low-income countries. Developing a vaccine to prevent HIV-1 infections has proven to be immensely challenging with complex biological acquisition and infection, unforeseen clinical trial disappointments, and funding issues. This paper discusses important landmarks of progress in HIV-1 vaccine development, various vaccine strategies, and clinical trials.

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