scholarly journals Building Capacity and Training for Digital Health: Challenges and Opportunities in Latin America (Preprint)

2019 ◽  
Author(s):  
Walter H Curioso
Keyword(s):  
Latin America ◽  
Rural Areas ◽  
Training Programs ◽  
Digital Health ◽  
Unmet Need ◽  
Developed Countries ◽  
Lessons Learned ◽  
Resource Constrained ◽  
Challenges And Opportunities ◽  
And Training

UNSTRUCTURED Tackling global health challenges demands the appropriate use of available technologies. Although digital health could significantly improve health care access, use, quality, and outcomes, realizing this possibility requires personnel trained in digital health. There is growing evidence of the benefits of digital health for improving the performance of health systems and outcomes in developed countries. However, significant gaps remain in resource-constrained settings. Technological and socio-cultural disparities between different regions or between provinces within the same country are prevalent. Rural areas, where the promise and need are highest, are particularly deprived. In Latin America, there is an unmet need for training and building the capacity of professionals in digital health. This viewpoint paper aims to present a selection of experiences in building digital health capacity in Latin America to illustrate a series of challenges and opportunities for strengthening digital health training programs in resource-constrained environments. These describe how a successful digital health ecosystem for Latin America requires culturally relevant and collaborative research and training programs in digital health. These programs should be responsive to the needs of all relevant regional stakeholders, including government agencies, non–governmental organizations, industry, academic or research entities, professional societies, and communities. This paper highlights the role that collaborative partnerships can play in sharing resources, experiences, and lessons learned between countries to optimize training and research opportunities in Latin America.

scholarly journals Building Capacity and Training for Digital Health: Challenges and Opportunities in Latin America

10.2196/16513 ◽  
2019 ◽  
Vol 21 (12) ◽  
pp. e16513 ◽  
Author(s):  
Walter H Curioso
Keyword(s):  
Latin America ◽  
Rural Areas ◽  
Training Programs ◽  
Digital Health ◽  
Unmet Need ◽  
Developed Countries ◽  
Lessons Learned ◽  
Resource Constrained ◽  
Challenges And Opportunities ◽  
And Training

Tackling global health challenges demands the appropriate use of available technologies. Although digital health could significantly improve health care access, use, quality, and outcomes, realizing this possibility requires personnel trained in digital health. There is growing evidence of the benefits of digital health for improving the performance of health systems and outcomes in developed countries. However, significant gaps remain in resource-constrained settings. Technological and socio-cultural disparities between different regions or between provinces within the same country are prevalent. Rural areas, where the promise and need are highest, are particularly deprived. In Latin America, there is an unmet need for training and building the capacity of professionals in digital health. This viewpoint paper aims to present a selection of experiences in building digital health capacity in Latin America to illustrate a series of challenges and opportunities for strengthening digital health training programs in resource-constrained environments. These describe how a successful digital health ecosystem for Latin America requires culturally relevant and collaborative research and training programs in digital health. These programs should be responsive to the needs of all relevant regional stakeholders, including government agencies, non–governmental organizations, industry, academic or research entities, professional societies, and communities. This paper highlights the role that collaborative partnerships can play in sharing resources, experiences, and lessons learned between countries to optimize training and research opportunities in Latin America.

scholarly journals Free Flaps in a Resource Constrained Environment: A Five-Year Experience—Outcomes and Lessons Learned

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Wanjala F. Nangole ◽  
Stanley Khainga ◽  
Joyce Aswani ◽  
Loise Kahoro ◽  
Adelaine Vilembwa
Keyword(s):  
Free Flaps ◽  
Developed Countries ◽  
Tertiary Hospital ◽  
Lessons Learned ◽  
Resource Constrained ◽  
Free Flap Surgery ◽  
Flap Monitoring ◽  
The Many ◽  
A Prospective Study ◽  
Age Range

Introduction. Free flap surgery is a routine procedure in many developed countries with good surgical outcomes. In many developing countries, however, these services are not available. In this paper, we audit free flaps done in a resource constrained hospital in Kenya. Objective. This is a five-year audit of free flaps done in a tertiary hospital in Kenya, between 2009 and 2014. Materials and Methods. This was a prospective study of patients operated on with free flaps between 2009 and 2014. Results. A total of one hundred and thirty-two free flaps in one hundred and twenty patients were performed during the five-year duration. The age range was eight to seventy-two years with a mean of 47.2. All the flaps were done under loupe magnification. The overall flap success rate was eighty-nine percent. Conclusion. Despite the many limitations, free flaps in our setup were successful in the majority of patients operated on. Flap salvage was noted to be low due to infrequent flap monitoring as well as unavailability of theatre space. One therefore has to be meticulous during surgery to reduce any possibilities of reexploration.

scholarly journals Lessons Learned from Rural Electrification Experiences with Third Generation Solar Home Systems in Latin America: Case Studies in Peru, Mexico, and Bolivia

2019 ◽  
Vol 11 (24) ◽  
pp. 7139 ◽  
Author(s):  
Andrea A. Eras-Almeida ◽  
Miguel Fernández ◽  
Julio Eisman ◽  
José G. Martín ◽  
Estefanía Caamaño ◽  
...  
Keyword(s):  
Latin America ◽  
Rural Areas ◽  
Business Models ◽  
Field Research ◽  
Lessons Learned ◽  
Comparative Case Study ◽  
Rural Electrification ◽  
Extensive Literature ◽  
Fee For Service ◽  
Home Systems

There are 17 million people without access to electricity services in Latin America. This population lives in small isolated and scattered communities with low incomes where it is difficult to achieve 100% access to electricity by the grid extension. Therefore, it is necessary to create market mechanisms and promote off-grid electrification in which photovoltaic (PV) technology plays a fundamental role. This research assesses successful projects developed in Peru, Mexico, and Bolivia, where 3rd Generation Solar Home Systems (3G-SHSs) are being introduced to support off-grid initiatives. To do so, we applied a mixed-methods approach including a comparative case study analysis, an extensive literature review, focus group discussions, and field research. Thereby, the lessons learned reveal that confidence, commitment, and flexibility are the main pillars of rural electrification. Additionally, it is demonstrated that the combination of various business models—an energy service company, fee-for-service, pay-as-you-go, and a microfranchising—with 3G-SHSs is powerfully effective in terms of sustainability. Our findings are useful to policy makers, researchers, promoters, and other stakeholders to rethink intervention strategies in rural areas. Access to electricity must be a state policy to facilitate the participation of new actors, especially of the private sector and communities, and the introduction of innovative business models and high-quality technology.

scholarly journals The Current State of Rural Neurosurgical Practice: An International Perspective

2018 ◽  
Vol 09 (01) ◽  
pp. 123-131 ◽  
Author(s):  
Pavan S. Upadhyayula ◽  
John K. Yue ◽  
Jason Yang ◽  
Harjus S. Birk ◽  
Joseph D. Ciacci
Keyword(s):  
Rural Areas ◽  
English Language ◽  
Training Programs ◽  
Medical Personnel ◽  
International Perspective ◽  
Neurosurgical Procedures ◽  
Operative Techniques ◽  
Pubmed Database ◽  
Neurosurgical Patients ◽  
And Training

ABSTRACT Introduction: Rural and low-resource areas have diminished capacity to care for neurosurgical patients due to lack of infrastructure, healthcare investment, and training programs. This review summarizes the range of rural neurosurgical procedures, novel mechanisms for delivering care, rapid training programs, and outcome differences across international rural neurosurgical practice. Methods: A comprehensive literature search was performed for English language manuscripts with keywords “rural” and “neurosurgery” using the National Library of Medicine PubMed database (01/1971–06/2017). Twenty-four articles focusing on rural non-neurosurgical practice were included. Results: Time to care and/or surgery and shortage of trained personnel remain the strongest risk factors for mortality and poor outcome. Telemedicine consults to regional centers with neurosurgery housestaff have potential for increased timeliness of diagnosis/triage, improved time to surgery, and reductions in unnecessary transfers in remote areas. Mobile neurosurgery teams have been deployed with success in nations with large transport distances precluding initial transfers. Common neurosurgical procedures involve trauma mechanisms; accordingly, training programs for nonneurosurgery medical personnel on basic assessment and operative techniques have been successful in resource-deficient settings where neurosurgeons are unavailable. Conclusions: Protracted transport times, lack of resources/training, and difficulty retaining specialists are barriers to successful outcomes. Advances in telemedicine, mobile neurosurgery, and training programs for urgent operative techniques have been implemented efficaciously. Development of guidelines for paired partnerships between rural centers and academic hospitals, supplying surplus technology to rural areas, and rapid training of qualified local surgical personnel can create sustainable feed-forward programs for trainees and infrastructural solutions to address challenges in rural neurosurgery.

scholarly journals Managing Stakeholders in A Housing Renovation Project

2020 ◽  
Vol 5 ◽  
pp. 49-64
Author(s):  
Ju Liu ◽  
Karin Staffansson Pauli ◽  
Marcus Johansson
Keyword(s):  
Training Programs ◽  
Stakeholder Management ◽  
Project Managers ◽  
Project Manager ◽  
Lessons Learned ◽  
New Construction ◽  
To Come ◽  
Real Estate Company ◽  
And Training ◽  
Case Based

Stakeholder management is an important task of project managers in housing renovation. Compared with new construction project, a great challenge that a housing renovation project manager faces, is managing the tenants that living before or during the renovation. This paper is a teaching case based on a real housing renovation project, which confronted difficult stakeholder management problems, of a Swedish real estate company between 2009 to 2016. It provides teaching materials that can be used by instructors for helping students to analyse and summarise the lessons learned from a troublesome stakeholder management process and to come up with suggestions that will ensure a smooth implementation of the housing renovation project. The case contains two main parts, namely the case description and teaching notes. It can be used by teachers and trainers, as well as university bachelor students and industrial practitioners in courses and training programs about housing renovation project management.

Digital Badges in Latin America and the Caribbean

2022 ◽  
pp. 111-138
Author(s):  
Stella Porto ◽  
Andrea Leonelli ◽  
Xenia Coton ◽  
Claudia Useche ◽  
Pablo Olguin ◽  
...  
Keyword(s):  
Latin America ◽  
Latin American ◽  
Organizational Level ◽  
Digital Badges ◽  
The Public ◽  
Challenges And Opportunities ◽  
The Caribbean ◽  
Multilateral Organization ◽  
Learning Institutions ◽  
And Training

This chapter provides an overview of digital badge adoption by the Inter-American Development Bank both at the organizational level as well as for an external audience in Latin America and the Caribbean (LAC). It describes the value and impact of digital badges for an international multilateral organization, for its employees, and for its regional stakeholders. It discusses the challenges and opportunities of expanding the adoption of digital badges for the public sector in the LAC region. The authors believe the chapter will be of interest to policymakers in LAC, other international organizations with interest in areas of knowledge and learning, institutions of higher education interested in Latin American issues in education and training sectors, and other professionals in a variety of international settings.

Assessment of Teaching and Training Programs in the Universities of Latin America

1964 ◽  
Vol 42 (2) ◽  
pp. 236
Author(s):  
Nathan Keyfitz ◽  
J. Amador-Guevara ◽  
G. Llanos ◽  
G. A. Silver ◽  
G. Rosen ◽  
...  
Keyword(s):  
Latin America ◽  
Training Programs ◽  
And Training

Lessons Learned From the COVID-19 Pandemic and the Implications for Pharmaceutical Graduate Education and Research

2022 ◽  
pp. 324-345
Author(s):  
Alok Bhushan ◽  
Kimberly B. Garza ◽  
Omathanu Perumal ◽  
Sudip K. Das ◽  
David J. Feola ◽  
...  
Keyword(s):  
Graduate Education ◽  
Unmet Need ◽  
Well Being ◽  
The United States ◽  
Lessons Learned ◽  
Pharmaceutical Sciences ◽  
Research Mentoring ◽  
Challenges And Opportunities ◽  
The Impact

The COVID-19 pandemic has resulted in changes in the way we teach at all levels of education globally. This chapter specifically focusses on the impact of COVID-19 pandemic on MS and PhD programs in pharmaceutical sciences in schools/colleges of pharmacy in the United States. Potential expectations to bring the pandemic in control by rolling out the vaccine gives us hope, but there is an unmet need of medicines to treat patients affected by the disease. The impact of the pandemic on pharmaceutical sciences education has been on the pedagogy of teaching, research, mentoring, writing, and enrollment. This has also affected the progression of students in their programs as well as their stress levels and well-being. The role of administrators and accreditation agencies is critical in supporting graduate education by providing leadership and directions for the successful outcomes of these programs. Challenges and opportunities for these graduate programs are discussed in this chapter.

scholarly journals Development of Trauma and Disaster Response in Togo, Africa

2019 ◽  
Vol 34 (s1) ◽  
pp. s120-s120
Author(s):  
Odeda Benin-Goren ◽  
Nimrod Aviran ◽  
Iris Adler ◽  
Oran Zlotnik ◽  
Yossi Baratz
Keyword(s):  
International Development ◽  
Trauma Care ◽  
Rural Areas ◽  
Disaster Response ◽  
Developed Countries ◽  
Lessons Learned ◽  
Development Cooperation ◽  
Least Developed Countries ◽  
African Countries ◽  
Trauma Unit

Introduction:The project was provided under the auspice and support of the Israel Agency for International Development Cooperation (MASHAV) at the Ministry of Foreign Affairs (MFA). Togo, one of the smallest and least developed countries in West Africa, has a population of ~7.9 million. About 65% of its population lives in rural areas. Due to the lack of medical resources, Togo suffers from health problems including those related to trauma and mass events. In May 2017, a trauma and disaster team came to Togo to train the medical team in the new trauma unit, donated and built by the MFA. The unit was built in the Atakpame Regional Hospital (ARH), located 160km north of the capital, Lomé. ARH serves one million inhabitants, mostly from rural areas.Methods:The training included lectures, simulations, drills, case studies, bedside teaching, and operation of medical technologies.Results:Following the training, it was recommended to continue the program and to move forward with advanced training. Following the team’s recommendations, MASHAV decided to expand the program and to provide a multilateral project to Togo and ten other West African countries within five months after the first training ended. Twenty participants (mostly senior doctors) were chosen from ten Western African countries and brought to Lomé. The participants joined a two-day Trauma and Disaster Preparedness seminar. Following the seminar, they were moved to Atakpame to join the local team and the facilitators, to visit the trauma unit, and to learn about it as a model for trauma care that can be modified to the capabilities of the local facility.Discussion:Lessons learned and recommendations from those two projects were brought to the MFA that will try to develop more training and cooperation models to help and establish better trauma care and disaster response, supported by the Israeli team.

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