Naval Medicine’s Involvement in Global Health: The Participation of Women’s Healthcare Providers in Continuing Promise 2017

Background: Recent reviews of published guidelines for conducting short-term medical missions (STMM) identify significant concerns about the lack of adherence and of formal regulations concurrent with the increasing number of individuals and organizations participating in STMM. Method: A descriptive survey methodology was used. A 44-item survey that identifies current practices utilized by healthcare providers (HCP) who have participated in STMM was used based on the literature and prior research, and distributed electronically to HCP participating in STTM to identify current best practices and compare findings with the most recent recommendations for short-term global health activities. A focus on current operational practices was surveyed and analyzed to develop operational recommendations for the ethical and safe care provided during STMM. Results: Eighty-seven surveys were included in the final analysis, with 33% (N=29) serving as coordinators for the trip. The majority of the respondents were female (67%) and the primary roles represented were: MD (N=17; 20%), nurse practitioner (N=20; 23%), and registered nurse (N=18; 21%). A majority (N=48; 67%) traveled to South America or Latin America, with 38% (N=33) having participated in four or more STMM. Language proficiency was reported as deficient (N=35; 40%) along with little or no knowledge of the basic culture (N=39; 45%). Additional data were collected on trip preparation, clinic operations, and outcomes follow up. Conclusions: Using a convenience sample, the results of the survey provide information on the current best practices utilized by HCP who have participated in STMM and compare the findings to assess for adherence with the most recent recommendations for short-term global health activities. There was variation in the degree to which HCP were knowledgeable about specific aspects related to knowledge of local culture, language proficiency, and adherence to recommended practices for STMM. Additional research on STMM is needed, along with further exploration of how evidence based practices for STMM can be implemented to improve access and safety to the care provided while in the host country.

Download Full-text

Evaluation of Perception and Correct Tourniquet Use among EMS Personnel and Healthcare Providers in Latin-American: A Search for Barriers for the Implementation of the Stop the Bleed Campaign in a Global Health Setting

Journal of the American College of Surgeons ◽

10.1016/j.jamcollsurg.2020.08.632 ◽

2020 ◽

Vol 231 (4) ◽

pp. e236

Author(s):

Juan Jose Melendez ◽

Edison Angamarca ◽

Juliana Ordonez ◽

Monica Guzman ◽

Juan Pablo Herrera ◽

...

Keyword(s):

Global Health ◽

Latin American ◽

Healthcare Providers

Download Full-text

Joined-Up Thinking in Global Health Education

International Journal of Women’s Health Care ◽

10.33140/ijwhc.04.02.03 ◽

2019 ◽

Vol 4 (2) ◽

Keyword(s):

Health Education ◽

Global Health ◽

Clinical Skill ◽

Healthcare Providers ◽

Best Interests ◽

Healthcare Provision ◽

Middle Income ◽

Global Health Education ◽

Healthcare Needs ◽

Low Middle Income Countries

The scope of global health is necessarily broad and healthcare professionals need special knowledge and skill to help them work effectively in any multi-cultural, multi-ethnic society. Without some form of training over and above traditional areas of core clinical skill, the healthcare needs of vulnerable populations could be left unmet, whether in low-middle income countries where health infrastructure is poorly developed or in high-income countries where ethnic minorities might struggle accessing the care that they need. Recognising that while healthcare provision is always subject to financial constraint, health is not a commodity to be traded, and nursing and healthcare leaders have a role to play in helping create an environment that is conducive towards enabling patients achieve optimum health. Potential barriers to achieving this include creeping commercialisation, weak systems of governance and lack of recognition for the ethical nature of much healthcare provision. The picture varies greatly between and within countries, between specialism’s and providers and between individuals. Global health education programmes should recognise the moral nature of the enterprise, which creates a need for informed leadership and robust systems of governance. Critical to raising awareness of the interconnected nature of global health is a realisation that 1) Healthcare provision is essentially a form of public service, 2) Systems of governance should be fit for purpose and work to promote patient’s best interests (above those of healthcare providers) and 3) Ethical consideration should be factored into all policy initiatives and programmes for the promotion of global health. Without these elements, policy makers could find it hard finding effective interventions to address global health problems, such as the need to reduce rates of infant mortality. Nursing and global health educators can play their part in helping to create an environment whereby leadership, governance and ethics work together in serving the interests of whole communities.

Download Full-text

Perspectives on Global Health and Volunteerism for Healthcare Providers: The Importance of Preparation, Identification and Management of Infectious Diseases, and Mitigation of Other Risks

Global Health and Volunteering Beyond Borders ◽

10.1007/978-3-319-98660-9_3 ◽

2019 ◽

pp. 35-50

Author(s):

Celia J. Maxwell ◽

Shaliyah Sledge

Keyword(s):

Global Health ◽

Infectious Diseases ◽

Healthcare Providers

Download Full-text

An Overview of Global Health Initiatives and Practices

Optimizing Health Literacy for Improved Clinical Practices - Advances in Medical Technologies and Clinical Practice ◽

10.4018/978-1-5225-4074-8.ch011 ◽

2018 ◽

pp. 198-209

Author(s):

Kijpokin Kasemsap

Keyword(s):

Health Literacy ◽

Global Health ◽

Medical Errors ◽

Healthcare Providers ◽

The Internet ◽

Medical Procedures ◽

Healthcare Organizations ◽

Global Health Initiatives ◽

Effective Manner ◽

Health Initiatives

This chapter presents the overview of global health literacy, the advances issues of global health literacy, global health literacy and the internet utilization, global health literacy and disease management, and global health literacy and diabetes. Global health literacy is the important subject that is related to the individual's ability to understand and manage any healthcare issue. Global health literacy should be enhanced through healthcare providers and healthcare organizations. Global health literacy can help people prevent their health problems, protect their health, and manage their healthcare problems in a timely and effective manner. People who understand health instructions usually make fewer mistakes when taking medicine or preparing for the medical procedures toward the reduction of medical errors in global healthcare.

Download Full-text

Pediatric Resuscitation Education in the Age of COVID-19

The Columbia University Journal of Global Health ◽

10.52214/thecujgh.v10i2.7105 ◽

2021 ◽

Vol 10 (2) ◽

Author(s):

Jesse Abelson ◽

Mary Ann McNeil ◽

Leeore Levinstein ◽

Samuel Abelson

Keyword(s):

Global Health ◽

Life Support ◽

Healthcare Providers ◽

Advanced Life Support ◽

Heart Association ◽

Pediatric Emergency ◽

University Of Minnesota ◽

Middle Income ◽

Delivery Of Care ◽

Pediatric Resuscitation

Despite improving medical care worldwide, vast healthcare disparities remain in low- and middle-income countries (LMIC). In Haiti, the under-5 mortality rate is more than double the rate of the Dominican Republic on the other side of the island. Through a partnership with St. Damien and Hospital Bernard Mevs in Port-Au-Prince, Haiti, and the Department of Emergency Medicine, University of Minnesota Medical School, healthcare providers have collaborated to improve pediatric emergency care and outcomes by teaching American Heart Association (AHA) courses in Haiti. Due to COVID-19, many global health initiatives, including through the University of Minnesota, have been postponed indefinitely. In efforts to continue working toward improved delivery of care, we sought to pilot a remote AHA Pediatric Advanced Life Support (PALS) course in Haiti. We delivered a complete AHA PALS course through videoconferencing, with participants engaging in hands-on procedures and simulations. We surveyed participants’ confidence in relevant skills and knowledge pre- and post-course. Results showed significantly improved ratings in 12 of the 18 surveyed items (p<0.05). Participant satisfaction in the video-based delivery of the course indicated that videoconferencing may be an effective method of course delivery. Videoconferencing shows promise as a successful tool to continue global health education.

Download Full-text

Child Development Monitoring in Well-baby Clinics in Kenya

International Journal of MCH and AIDS (IJMA) ◽

10.21106/ijma.473 ◽

2021 ◽

Vol 10 (1) ◽

pp. 128-133

Author(s):

Eren Oyungu ◽

Anna Roose ◽

Ananda Roselyne Ombitsa ◽

Rachel C. Vreeman ◽

Megan S. McHenry

Keyword(s):

Child Development ◽

Global Health ◽

Clinical Care ◽

Healthcare Providers ◽

Integrated Approach ◽

Healthcare Staff ◽

Developmental Milestones ◽

Cross Sectional ◽

Creative Commons ◽

Nutritional Monitoring

Background: Maternal and child health (MCH) clinics represent an integrated approach for providing healthcare to pregnant women and children 0-59 months of age. Although MCH clinics are also charged with monitoring child development, which involves tracking developmental milestones, it is unclear how these services are provided or perceived within the clinic. This study aimed to describe self-reported knowledge, perceptions, and practice of developmental monitoring in selected MCH clinics in western Kenya. Methods: This cross-sectional descriptive study was conducted within six clinics. We administered a descriptive survey to measure caregiver and healthcare staff attitudes towards and awareness of developmental monitoring; we also reviewed MCH booklets to identify services received at the clinic. Data collection occurred over a period of one day at each of the six clinic sites. The data were analyzed using descriptive statistics. Results: During the study period, 78 caregiver-child pairs presented to the clinics and had their MCH booklets reviewed. The median child age was three months (interquartile range [IQR]: 1-8 months). Most caregivers were aware of weight monitoring and immunization services; however, when asked specifically about developmental monitoring, only 2.6% of caregivers were aware this service was available at the clinics. Nearly 80% of caregivers reported that they would be very interested in developmental monitoring services. Thirty-three MCH healthcare staff were interviewed about services provided and goals of clinical care. Fewer healthcare staff (60.6%) identified their roles in developmental monitoring compared to their roles in growth (90.9%) and nutritional monitoring (84.8%). Developmental milestones had not been recorded in any of the 78 MCH booklets. However, 78.1% of healthcare staff indicated support for developmental screening. Conclusion and Global Health Implications: While developmental monitoring was valued by healthcare providers, it was not consistently performed at the six clinics in our study. We recommend further work to raise awareness about developmental monitoring and to measure the implications of increased caregiver knowledge and perceptions on developmental monitoring practice. Copyright © 2021 Oyungu, et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in this journal, is properly cited.

Download Full-text

Knowledge, Perception and Management of Pre-eclampsia among Health Care Providers in a Maternity Hospital

International Journal of MCH and AIDS (IJMA) ◽

10.21106/ijma.275 ◽

2019 ◽

Vol 8 (2) ◽

pp. 80-88 ◽

Cited By ~ 1

Author(s):

Titilayo Olaoye ◽

Oyewole O. Oyerinde ◽

Oluwatoyin J. Elebuji ◽

Oluwapelumi Ologun

Keyword(s):

Health Care ◽

Global Health ◽

Health Care Providers ◽

Management Practices ◽

Healthcare Providers ◽

Sampling Technique ◽

Maternity Hospital ◽

Care Providers ◽

Cross Sectional ◽

Emergency Cesarean

Background: Morbidity and mortality of women and children associated with pre-eclampsia present major global health problems in low and middle income countries. The prevalence of pre-eclampsia in Nigeria ranges from 2% to 16.7%, with approximately 37,000 women dying from preeclampsia annually. This study examines knowledge, perception and management of preeclampsia among healthcare providers in a major maternity hospital in Lagos, southwest Nigeria. Methods: In this descriptive cross-sectional study, 110 health care providers comprising of 75 Nurses, 9 Consultant Physicians, and 26 General Medical Practitioners with varying years of service were selected using purposive sampling technique. Data were collected using a self-administered 36-item semi-structured questionnaire. Data were analysed using the Statistical Package for Social Sciences to generate descriptive and inferential statistics with level of significance set at 0.05. Results: Health care providers in the study had an average knowledge of pre-eclampsia with a mean score of 16.69±3.53. There was generally a good perception of pre-eclampsia with a mean sore of 28.31±3.71. The most-prevalent clinical management practices were emergency cesarean section (16%), magnesium sulphate infusion (29%), and fluid/electrolyte management (9%). Knowledge of pre-eclampsia and years of practice were significantly associated (F=3.31; p= 0.023). Conclusion and Global Health Implications: Gaps in the knowledge of causes, diagnoses, and treatment of pre-eclampsia may be attributable to lack of refresher trainings and absence of written practice guidelines on pre-eclampsia management. Health care providers at this hospital may benefit from training courses that include current nationally and internationally-approved management of preeclampsia. Key words: • Pre-eclampsia • Eclampsia • Knowledge • Perception • Management • Health care providers • Nigeria Copyright © 2019 Olaoye et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Download Full-text