scholarly journals Reciprocal Innovation: A New Approach to Equitable and Mutually Beneficial Global Health Research and Partnership

2021 ◽  
Author(s):  
Thomas G Sors ◽  
Rish Chauhan O'Brien ◽  
Michael Scanlon ◽  
Li Yuan Bermel ◽  
Ibrahim Chikowe ◽  
...  
Keyword(s):  
Global Health ◽  
Global Scale ◽  
Lessons Learned ◽  
Global Health Research ◽  
Transformative Power ◽  
Middle Income ◽  
Mutual Learning ◽  
The Us ◽  
Innovation Approach ◽  
Systemic Health

Abstract Background: Global health researchers and partnerships often discount the potential for mutual learning and benefit to address shared health challenges across high and low- and middle-income settings. Drawing from a 30-year partnership called AMPATH that started between Indiana University in the US and Moi University in Kenya, we describe an innovative approach and program for mutual learning and benefit coined “reciprocal innovation.” In this paper, we define reciprocal innovation and identify its core principles with illustrative examples and describe building a reciprocal innovation program established in 2018 at the Indiana Clinical and Translational Sciences Institute (CTSI).Results: Reciprocal innovation harnesses a bidirectional, co-constituted, and iterative exchange of ideas, resources, and innovations to address shared health challenges across diverse global settings. The success of the AMPATH partnership in western Kenya, particularly in the areas of HIV/AIDS and community health, resulted in several innovations in Kenya being “brought back” to the US. To facilitate and promote the bidirectional flow of learning and innovations, the Indiana CTSI reciprocal innovation program hosts annual meetings (hosted in Indiana and Kenya) of multinational researchers and practitioners to identify shared health challenges across diverse global settings and facilitate partnership building and collaboration. The program supports pilot grants for projects that demonstrate reciprocal exchange and benefit. The program has produced a wealth of educational materials, including videos, webinars and an online dashboard, to train investigators on reciprocal innovation approaches in global health. Lessons learned in building a reciprocal innovation program include increasing awareness of reciprocal approaches among investigators and in supporting collaboration for global–local research. While many global health investigators have strong collaborators with international partners, a challenge has been partnering with “local” Indiana researchers to create reciprocal learning and benefit. Conclusions: The transformative power of global health to address systemic health inequities embraces equitable and reciprocal partnerships with mutual benefit across countries and communities of academics, practitioners, and policymakers, as demonstrated through a reciprocal innovation approach. Leveraging a long-standing partnership, the Indiana CTSI has built a reciprocal innovation program with promise to redefine global health for shared wellbeing at a truly global scale.

scholarly journals Good Financial Grant Practice (GFGP): A Tool for Developing & Demonstrating Institutional Financial & Grant Management Capacity in Global Health

2021 ◽  
Author(s):  
Harry James Harste ◽  
Genevieve Kiff ◽  
Iruka N. Okeke ◽  
Akindele O. Adebiyi ◽  
K. Ravikumar ◽  
...  
Keyword(s):  
Global Health ◽  
Health Research ◽  
Well Being ◽  
Research Unit ◽  
The Philippines ◽  
Lessons Learned ◽  
Global Health Research ◽  
Grant Funding ◽  
Middle Income ◽  
Funding Model

The administration and governance of grant funding across global health organizations presents enormous challenges. Meeting these challenges is crucial to ensuring that funds are used in the most effective way to improve health outcomes, in line with the United Nations' Sustainable Development Goal (SDG) 3, “Ensure healthy lives and promote well-being for all at all ages.” The Good Financial Grant Practice (GFGP) Standard (ARS 1651) is the world’s first – and currently only – international standard in the financial governance and management of grant funding. Through consensus building and global harmonization between both low and middle-income, and high-income country players, the GFGP Standard has achieved a levelling impact: GFGP applies equally to, and can be implemented by, all types of organization, regardless of location, size, or whether they predominantly give or receive funding. GFGP can be used as a tool for addressing some of the challenges of the current funding model. We describe our experiences and lessons learned from implementing GFGP across four diverse research institutions in India, Nigeria, Colombia, and the Philippines, as part of our UK National Institute for Health Research Global Health Research Unit (GHRU) on Genomic Surveillance of Antimicrobial Resistance.

scholarly journals Strengthening Mentoring in Low- and Middle-Income Countries to Advance Global Health Research: An Overview

2019 ◽  
Vol 100 (1_Suppl) ◽  
pp. 3-8 ◽  
Author(s):  
Andres G. Lescano ◽  
Craig R. Cohen ◽  
Tony Raj ◽  
Laetitia Rispel ◽  
Patricia J. Garcia ◽  
...  
Keyword(s):  
Global Health ◽  
Health Research ◽  
Global Health Research ◽  
Middle Income ◽  
Middle Income Countries ◽  
Low And Middle Income

scholarly journals Practical actions for fostering cross-disciplinary global health research: lessons from a narrative literature review

2020 ◽  
Vol 5 (4) ◽  
pp. e002293 ◽  
Author(s):  
Yan Ding ◽  
Justin Pulford ◽  
Imelda Bates
Keyword(s):  
Global Health ◽  
Health Research ◽  
Research Team ◽  
Ecological Model ◽  
High Income ◽  
Global Health Research ◽  
Original Research ◽  
Research Approach ◽  
Middle Income ◽  
Design And Implementation

IntroductionGlobal health research involves disciplines within and beyond the health sciences. A cross-disciplinary collaborative research approach enables an interchange of knowledge and experience and stimulates innovative responses to complex health challenges. However, there is little robust evidence to guide the design and implementation of cross-disciplinary research in global health, hampering effective collective action. This review synthesised evidence on practical actions for fostering cross-disciplinary research to provide guidance on the design and implementation of research in global health.MethodsWe searched five electronic databases using key words. The search included original research and research notes articles in English. We used a framework adapted from the socio-ecological model and thematic synthesis for data analysis.ResultsThirty-six original research and 27 research notes articles were included in the review. These were predominantly from high-income countries and indicated that practical actions on fostering cross-disciplinary research are closely linked to leadership and teamwork which should be planned and implemented at research team and institutional levels. The publications also indicated that individual qualities such as being receptive to new ideas and funders’ power and influence have practical implications for conducting cross-disciplinary research. Practical actions that individuals, research team leaders, academic institutions and funders can undertake to foster cross-disciplinary research were identified.ConclusionOur review found evidence from high-income countries, not low-and-middle-income countries, about practices that can improve cross-disciplinary research in global health. Critical knowledge gaps exist around how leadership and teamwork processes can better integrate expertise from different disciplines to make cross-disciplinary research more effective.

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.

scholarly journals Global Pathology Training in Residency and Fellowship: A Mutually Beneficial Intervention

2020 ◽  
Author(s):  
Lianna Goetz ◽  
Khadija Huggins ◽  
Wesley Greaves ◽  
Tricia Peters ◽  
Melanie Johncilla
Keyword(s):  
Global Health ◽  
Turnaround Time ◽  
Middle Income ◽  
Middle Income Countries ◽  
Level Of Satisfaction ◽  
Significant Difference ◽  
The Us ◽  
Clinician Satisfaction ◽  
High Level ◽  
Pathology Training

Context.— Most cancers occur in lower and middle income countries, where pathologists are scarce. Despite this, few pathology training programs offer global health electives, and trainees are not exposed to challenges associated with practicing in resource-restricted settings. Objective.— To implement a global health elective model aimed at exposing trainees to global health while alleviating overburdened pathologists in resource-restricted settings. Design.— For 1 year, trainees at 2 US institutions reviewed cases shipped weekly from a pathology lab serving Trinidad and Tobago and Guyana. Turnaround time, specimen type, and trainee and clinician satisfaction were assessed. Results.— Trainees reviewed an average of 16 cases per week. Average turnaround time was 6 days. There was no significant difference between the turnaround time for the US trainees and the pathologist based in the lab in Trinidad. Trainees and clinicians reported a high level of satisfaction, and the collaboration was fruitful, resulting in the publication of a case report. Conclusions.— We demonstrate that collaboration between US trainees and laboratories in resource-restricted settings, in the form of a global health elective, is mutually beneficial.

scholarly journals Challenges and solutions: surveying researchers on what type of community engagement and involvement activities are feasible in low and middle income countries during the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e052135
Author(s):  
Karolin Kroese ◽  
Katie Porter ◽  
Heidi Surridge ◽  
Doreen Tembo
Keyword(s):  
Global Health ◽  
Community Engagement ◽  
Health Research ◽  
Round Table ◽  
Global Health Research ◽  
Middle Income ◽  
Middle Income Countries ◽  
Advantages And Disadvantages ◽  
Health And Social Care ◽  
Low And Middle Income

ObjectivesMeasures to limit the spread of infection during the COVID-19 global pandemic have made engaging and involving members of the community in global health research more challenging. This research aimed to explore how global health researchers adapted to the imposed pandemic measures in low and middle income countries (LMICs) and how they overcame challenges to effective community engagement and involvement (CEI).DesignA qualitative two-stage mixed-methods study involving an online survey and a virtual round table.SettingThe survey and round table were completed online.ParticipantsOf 53 participants, 43 were LMIC-based or UK-based global health researchers and/or CEI professionals, and 10 worked for the National Institute for Health Research or UK Government’s Department of Health and Social Care.Outcome measuresThis study aimed to capture data on: the number of CEI activities halted and adapted because of the COVID-19 pandemic; where CEI is possible; how it has been adapted; what the challenges and successes were; and the potential impact of adapted or halted CEI on global health research.ResultsPandemic control measures forced the majority of researchers to stop or amend their planned CEI activities. Most face-to-face CEI activities were replaced with remote methods, such as online communication. Virtual engagement enabled researchers to maintain already established relationships with community members, but was less effective when developing new relationships or addressing challenges around the inclusion of marginalised community groups.ConclusionsCOVID-19 has highlighted the need for contingency planning and flexibility in CEI. The redesigning and adopting of remote methods has come with both advantages and disadvantages, and required new skills, access to technology, funding, reliable services and enthusiasm from stakeholders. The methods suggested have the potential to augment or substitute previously preferred CEI activities. The effectiveness and impact of these remote CEI activities need to be assessed.

Resource Mobilization for Global Surgery: Lessons Learned From US Government Appropriations Advocacy

2021 ◽  
pp. 000313482110474
Author(s):  
Megan E. Bouchard ◽  
Natalie Sheneman ◽  
Lismore Nebeker ◽  
Michael Nebeker ◽  
Matthew T. Hey ◽  
...  
Keyword(s):  
Global Health ◽  
International Development ◽  
Surgical Care ◽  
Global Surgery ◽  
Lessons Learned ◽  
Resource Mobilization ◽  
Economic Resources ◽  
Agency For International Development ◽  
The Us ◽  
Us Government

The US Agency for International Development (USAID) receives directives and funding through the appropriation process, though until recently, global surgery was not included in its mission. Nevertheless, an estimated five billion people lack access to safe, timely, and affordable surgical care, in large part due to lack of economic resources. Using coalition-based advocacy, the G4 Alliance successfully developed and submitted language that was incorporated into the 2020 Appropriations report language, directing USAID to financially support global surgery. This has significant implications for global surgical investment, yet few advocates are aware of the 2020 Appropriations language, let alone how they can utilize it now to advance global surgery in their respective countries. Here, we describe how advocates navigate the US appropriations process and the ways USAID funds are obtained for the purposes of global health. We also highlight the importance of coalition-based advocacy and provide guidance in how to increase success.

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