A Disease Called Poverty: The Sickness Dismantling Global Health Equity

Author(s):  
Leigh Foran ◽  

HIV/AIDS, tuberculosis (TB), and malaria are considered the “big three” infectious diseases in global health. These illnesses alone account for nearly 3 million deaths every year, ravaging communities and countries around the world (National Center for Biotechnology Information, 2021). While this number alone is staggering, it is even more notable to observe exactly who is getting sick from these diseases. 95% of all AIDS victims, 98% of the world’s TB cases, and over 90% of the deaths from Malaria occurred in developing countries (National Center for Biotechnology Information, 2021).


2020 ◽  
Vol 17 (4) ◽  
pp. 703-707 ◽  
Author(s):  
Stephanie B. Johnson

AbstractIn the coming weeks and months SARS-CoV-2 may ravage countries with weak health systems and populations disproportionately affected by HIV, tuberculosis (TB), and other infectious diseases. Without safeguards and proper attention to global health equity and justice, the effects of this pandemic are likely to exacerbate existing health and socio-economic inequalities. This paper argues that achieving global health equity in the context of COVID-19 will require that notions of reciprocity and relational equity are introduced to the response.



2018 ◽  
Vol 10 (5) ◽  
pp. 509-516 ◽  
Author(s):  
Daniel Palazuelos ◽  
Ranu Dhillon ◽  
Adrianne Katrina Nelson ◽  
Kevin P. Savage ◽  
Rosabelle Conover ◽  
...  

ABSTRACT Background  The Doris and Howard Hiatt Residency in Global Health Equity and Internal Medicine at Brigham and Women's Hospital provides global health training during residency, but little is known about its effect on participants' selection of a global health career. Objective  We assessed the perceptions of residency graduates from the first 7 classes to better understand the outcomes of this education program, and the challenges faced by participants. Methods  We interviewed 27 of 31 physicians (87%) who graduated from the program between 2003 and 2013 using a convergent mixed-methods design and a structured interview tool that included both open-ended and forced-choice questions. We independently coded and analyzed qualitative data using a case study design, and then wove together the qualitative and quantitative data at the interpretation phase using a parallel convergent mixed-methods design. Results  Entering a career focused on social justice was cited as the most common motivator for selecting to train in global health. Most respondents (83%, 20 of 24) reported they were able to achieve this goal despite structural barriers, such as lower salaries compared with peers, a lack of mentors in the field, poorly structured and undersupported career pathways at their institutions, and unique work-life challenges. Conclusions  A majority of graduates from 1 dedicated residency program in global health and internal medicine reported they were able to continue to engage in global health activities after graduation and, despite identified challenges, reported that they planned long-term careers in global health.



Author(s):  
Abdallah S. Daar ◽  
Tara Acharya ◽  
Isaac Filate ◽  
Halla Thorsteinsdottir ◽  
Peter Singer


2016 ◽  
Vol 3 (2) ◽  
pp. 95
Author(s):  
Maria L. Nathan

GBCHealth (formerly the Global Business Coalition) has sought to apply the unique skills and expertise of the for profit world in the fight against HIV/AIDS, Malaria, TB, and other global health problems. Founded in 2001, GBCHealth is dedicated to “mobilizing business for a healthier world.” The alliance has rapidly grown from 17 to 220-plus international companies headquartered in over 30 different countries and representing all parts of the world; different workforces, industries, and geographical regions. A sharper focus is given to this analysis of GBCHealth’s within and cross-sector initiatives and accomplishments with use of an inter-organizational theory-based framework. This commitment by GBCHealth and alliance partners is a hopeful act of social responsibility that represents awareness of correlated fates as well as good business sense.





BMJ ◽  
2005 ◽  
Vol 330 (7490) ◽  
pp. 533-536 ◽  
Author(s):  
Ronald Labonte ◽  
Ted Schrecker ◽  
Amit Sen Gupta


Author(s):  
Claudia Chamas ◽  
Ben Prickril ◽  
Joshua D. Sarnoff


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Rose L. Molina ◽  
Jennifer Kasper

Abstract We live in a world of incredible linguistic diversity; nearly 7000 languages are spoken globally and at least 350 are spoken in the United States. Language-concordant care enhances trust between patients and physicians, optimizes health outcomes, and advances health equity for diverse populations. However, historical and contemporary trauma have impaired trust between communities of color, including immigrants with limited English proficiency, and physicians in the U.S. Threats to informed consent among patients with limited English proficiency persist today. Language concordance has been shown to improve care and serves as a window to broader social determinants of health that disproportionately yield worse health outcomes among patients with limited English proficiency. Language concordance is also relevant for medical students engaged in health care around the world. Global health experiences among medical and dental students have quadrupled in the last 30 years. Yet, language proficiency and skills to address cultural aspects of clinical care, research and education are lacking in pre-departure trainings. We call on medical schools to increase opportunities for medical language courses and integrate them into the curriculum with evidence-based teaching strategies, content about health equity, and standardized language assessments. The languages offered should reflect the needs of the patient population both where the medical school is located and where the school is engaged globally. Key content areas should include how to conduct a history and physical exam; relevant health inequities that commonly affect patients who speak different languages; cultural sensitivity and humility, particularly around beliefs and practices that affect health and wellbeing; and how to work in language-discordant encounters with interpreters and other modalities. Rigorous language assessment is necessary to ensure equity in communication before allowing students or physicians to use their language skills in clinical encounters. Lastly, global health activities in medical schools should assess for language needs and competency prior to departure. By professionalizing language competency in medical schools, we can improve patients’ trust in individual physicians and the profession as a whole; improve patient safety and health outcomes; and advance health equity for those we care for and collaborate with in the U.S. and around the world.



Sign in / Sign up

Export Citation Format

Share Document