scholarly journals Medical Electives in Sub-saharan Africa: A 14-years Student/NGO-driven Initiative

2020 ◽  
Author(s):  
Gianluca Quaglio ◽  
Marta Bortolozzo ◽  
Chiara Di Benedetto ◽  
Alice Lupato ◽  
Chiara Cavagna ◽  
...  

Abstract Background: This article sets out the medical experience on clinical electives in Sub-Saharan Africa driven by a collaboration between a student organisation and a Nongovernmental Organization (NGO). Preclinical medical students spent 4 weeks as part of a multidisciplinary medical team in Africa. Post-elective questionnaires were administered.Results: Of all, 141 students responded to the questionnaire. The participants came from 30 Italian universities. The main difficulties reported are due to the lack of resources for the exercise of the medical activity, and difficulties related to language and communication. The African experience had a positive impact on the progress of the studies upon return, with an increase in determination and motivation. The experience had also positive influences on the future professional choices and carriers. The experience seems to contribute not only to the professional growth, but also to the personal development.Conclusions: A well-structured, mentored experience in international health can have a positive impact on preclinical students’ attitudes, including their compassion, volunteerism, and interest in serving underserved populations. Italian medical schools should incorporate changes in their curricula to train socially responsible physicians.

BMJ Open ◽  
2017 ◽  
Vol 7 (10) ◽  
pp. e017517 ◽  
Author(s):  
Daniel Yeomans ◽  
Grace Le ◽  
Hemant Pandit ◽  
Chris Lavy

IntroductionLocally requested and planned overseas volunteering in low-income and middle-income countries by National Health Service (NHS) staff can have benefits for the host or receiving nation, but its impact on the professional development of NHS staff is not proven. The Knowledge and Skills Framework (KSF) and Leadership Framework (LF) are two tools used by employers as a measure of individuals' development. We have used dimensions from both tools as a method of evaluating the benefit to NHS doctors who volunteer overseas.Methods88 NHS volunteers participating with local colleagues in Primary Trauma Care and orthopaedic surgical training courses in sub-Saharan Africa were asked to complete an online self-assessment questionnaire 6 months following their return to the UK. The survey consisted of questions based on qualities outlined in both the KSF and LF.Results85 completed responses to the questionnaire were received. In every KSF domain assessed, the majority of volunteers agreed that their overseas volunteering experience improved their practice within the NHS. Self-assessed pre-course and post-course scores evaluating the LF also saw a universal increase, notably in the ‘working with others’ domain.DiscussionThere is a growing body of literature outlining the positive impact of overseas volunteering on NHS staff. Despite increasing evidence that such experiences can develop volunteers’ essential skills, individuals often find it difficult to gain support of their employers. Our study, in line with the current literature, shows that overseas volunteering by NHS staff can provide an opportunity to enhance professional and personal development. Skills gained from volunteering within international links match many of the qualities outlined in both KSF and LF, directly contributing to volunteers’ continued professional development.


Author(s):  
Adegoke Olusegun Adefolalu

Health disparities persist among several populations globally and doctors are well-placed to advocate for better health outcomes among the population they serve thereby promoting health equity. According to the literature, medical educators have the capacity to produce socially responsible medical doctors who have competency in health advocacy in addition to their clinical knowledge. However, apart from being taught the determinants of health, little, or no real-live experience is given to medical students in social medicine and health advocacy to enable them to develop the necessary skills in this area. At the Sefako Makgatho Health Sciences University in Pretoria, South Africa, Medical Volunteerism was offered as a selective course during the 2016 academic year. It entails engagement of the medical students in activities that tied them with the primary burden of providing service to an identified community, where they plan and participate in an organized activity that meets the identified needs of such community. This article describes the structure, content, and outcomes of this curriculum. The feedback from students and other stakeholders were strongly positive, the students rated the course highly in a variety of instances, including appropriateness of lecture topics, presentation of the course contents, course materials, effectiveness of teaching and level of students' participation. The average overall rating for the course was 8.4 based on a ten-point scale. Furthermore, the students acknowledged that it contributed to their personal development in terms of social activism in health. In conclusion, medical volunteerism selective has positive impact that is measurable, support should be given to students and facilitators who are interested in implementing similar selective as it has the potential of reinforcing certain values in medical students that could motivate them to have increased desire to work with underserved communities after graduation.


Author(s):  
Biale Zua

The importance of literacy to the personal development of an individual and existence of any nation cannot be overemphasized. Literacy is the foundation for meaningful development of any nation. It is not a single entity but an interconnection of several fields―education, health, agriculture, and more. For example, a literate individual can have access to information relating to her career or business. However, not every individual in the society is literate enough to contribute to national development. Thus, strong literacy skills are necessary to function in today’s contemporary society. This research examines literacy across African countries with a view of determining countries with high literacy rates. Countries in sub-Saharan Africa have low literacy rates with gender and regional disparity. Therefore, sub-Saharan Africa national governments need to develop strong literacy skills in their countries to participate effectively in the globalized society.


Author(s):  
Alice S. Etim

In the United States, Organization for Economic Co-operation and Development (OECD) countries and several emerging economies in Asia, mobile technologies have become ubiquitous and core to everyday lives. The same cannot be said for many countries in Sub Saharan Africa (SSA). The availability, affordability and use of information and communication technology (ICT) continue to pose a major challenge to the progress of this important emerging economy and their participation in a networked and “flat world.” Writers (Bishop et al., 1999; ADB, 2003; Fisher et al., 2004; Elijah & Ogunlade, 2006; Etim, 2009; Ssewanyana, 2007) argue for the use of ICT to enable the SSA population in the area of economic and personal development. This paper examines the emerging economy of SSA adoption of mobile technologies in comparison to the U.S.A and reports a study on the features that SSA students desire in mobile phones. The key finding was that study participants desired Internet access via mobile phones.


Author(s):  
Nwachukwu Prince Ololube

Blended learning requirements are increasing, in part because of the population explosion and policies pertaining to the democratization of education. Yet, thousands of students and faculty remain deficient in the use of blended learning to advance technology in developing countries, especially sub-Saharan Africa. This research employed a quantitative assessment design aimed at improving best available practices, processes, and performance in terms of the blended learning offered in a university setting. A six-point Likert-type questionnaire was used to gather data. Multiple statistical procedures were employed in the subsequent analysis—percentage, mean point values, chi-square, and ANOVA. Majority of the respondents to the questionnaire agreed that the teaching of MIS to students is effective and has a positive impact on their academic achievements. This groundbreaking research presents a realistic resource for the practical application of blended learning in university education in Nigeria, as well as a comprehensive view of the benefits and problems of the applicability of blended learning.


2018 ◽  
Vol 3 (2) ◽  
pp. e000611 ◽  
Author(s):  
C Edson Utazi ◽  
Sujit K Sahu ◽  
Peter M Atkinson ◽  
Natalia Tejedor-Garavito ◽  
Christopher T Lloyd ◽  
...  

A major focus of international health and development goals is the reduction of mortality rates in children under 5 years of age. Achieving this requires understanding the drivers of mortality and how they vary geographically to facilitate the targeting and prioritisation of appropriate interventions. Much of our knowledge on the causes of, and trends in, childhood mortality come from longitudinal demographic surveillance sites, with a renewed focus recently on the establishment and growth of networks of sites from which standardised outputs can facilitate broader understanding of processes. To ensure that the collective outputs from surveillance sites can be used to derive a comprehensive understanding and monitoring system for driving policy on tackling childhood mortality, confidence is needed that existing and planned networks of sites are providing a reliable and representative picture of the geographical variation in factors associated with mortality. Here, we assembled subnational data on childhood mortality as well as key factors known to be associated with it from household surveys in 27 sub-Saharan African countries. We then mapped the locations of existing longitudinal demographic surveillance sites to assess the extent of current coverage of the range of factors, identifying where gaps exist. The results highlight regions with unique combinations of factors associated with childhood mortality that are poorly represented by the current distribution of sites, such as southern Mali, central Nigeria and southern Zambia. Finally, we determined where the establishment of new surveillance systems could improve coverage.


2020 ◽  
Vol 47 (12) ◽  
pp. 1453-1480
Author(s):  
Aman Takiyar ◽  
N.V.M. Rao

PurposeThe purpose of this study is to examine the impact of globalization and its multiple dimensions on human rights in Sub-Saharan Africa.Design/methodology/approachThe study extends the Poe and Tate (1994) model, which enumerates the various determinants of human rights. Ordered probit estimation is used to estimate the impact of globalization and its dimensions. For the purpose of empirical analysis, the period has been divided into three phases: short, medium and long term. This helps in understanding how the impact of the different dimensions of globalization has evolved over a period of time. Furthermore, analysis has been carried out to detect causality between human rights and globalization.FindingsAs per the results, overall globalization and social dimension of globalization do have a positive impact on human rights in long and medium term and, also, Granger-cause human rights. The political dimension of globalization has a positive relation with human rights, though there exists no causality between the two. On the other hand, the economic dimension of globalization fails to have a statistically significant impact on human rights. Impact of the social dimension of globalization dominates that of other dimensions of globalization.Originality/valueThis is one of the few studies that examine, in an empirical fashion, the impact of globalization on human rights in Sub-Saharan Africa.


2019 ◽  
Vol 3 ◽  
pp. 1540
Author(s):  
Ross M. Boyce ◽  
Paul Delamater ◽  
Rabbison Muhindo ◽  
Michael Matte ◽  
Moses Ntaro ◽  
...  

Immunization rates in most sub-Saharan African countries fall far below stated targets. Measuring access in resource-limited settings, however, is challenging, especially with the data available at the district level, which is the primary administrative division for most immunization programs. Despite calls to improve routine data collection and use, there remains a lack of structured methods and practical tools to target underserved populations. Herein, we describe a prospective study that aims to develop, pilot, and validate a set of user-friendly tools to identify geographic areas with limited access to immunization services and by extension, low immunization coverage. The approach will leverage routinely-collected data from public health facilities combined with novel methods of household mapping to perform spatial analyses using open-access platforms. In addition, we will triangulate the analyses across datasets representing common reasons for care seeking – namely, visits for vaccination, antenatal care, and malaria – to improve the accuracy of our estimates. The ultimate goal of this project is to equip front-line providers and district level program managers with novel tools that facilitate timely and accurate analysis of routinely-collected data to guide immunization efforts.


2020 ◽  
Author(s):  
Ekpomebe Elozino ◽  
Leonard E. Ananomo ◽  
Andrew Abanum Onome Vivian

The significance of health to national development and poverty eradication over the centuries, in that improving health status and increasing life expectancy adds to long term economic growth. This article examined the condition of health education and community mobilization in Nigeria's health care delivery. Health literacy is imperative to power and sustains government efforts in fostering health for all. Many developing countries, particularly those in Sub-Saharan Africa, in the 1970s witnessed remarkable and improper inequalities in the provision and delivery of health services. This contributed to and explained the exploration of diverse approaches to enhance health care delivery by international health organizations.


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