Community engagement in global health education supports equity and advances local priorities: an eight year Ecuador-Canada partnership

Misra, Shivali; Doucet, Alison; Morales, Juana; Andersson, Neil; Macaulay, Ann C.; Evans, Andrea

doi:10.36834/cmej.36837

Cited by 6 publications

(5 citation statements)

References 22 publications

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“…To be effective, future interventions at the level of policy, practice, and education need to consider how community networks can draw on and improve widespread structures of cultural beliefs and practices, and the organization of health services, for improved global health. Since this project was conducted, the research team's relationship with the community has continued to grow (Misra et al, 2018). At least two clinician teachers associated with McGill University have worked in partnership with the same community leader to develop a CHW Training Program and undertaken a 2-week-long series of workshops on 13 occasions.…”

Section: Concluding Discussionmentioning

confidence: 99%

Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador

Nugus

Désalliers²,

Morales

et al. 2018

Qual Health Res

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This participatory research study examines the tensions and opportunities in accessing allopathic medicine, or biomedicine, in the context of a cervical cancer screening program in a rural indigenous community of Northern Ecuador. Focusing on the influence of social networks, the article extends research on "re-appropriation" of biomedicine. It does so by recognizing two competing tensions expressed through social interactions: suspicion of allopathic medicine and the desire to maximize one's health. Semistructured individual interviews and focus groups were conducted with 28 women who had previously participated in a government-sponsored cervical screening program. From inductive thematic analysis, the article traces these women's active agency in navigating coherent paths of health. Despite drawing on social networks to overcome formidable challenges, the participants faced enduring system obstacles-the organizational effects of the networks of allopathic medicine. Such obstacles need to be understood to reconcile competing knowledge systems and improve health care access in underresourced communities.

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Section: Concluding Discussionmentioning

confidence: 99%

Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador

Nugus

Désalliers²,

Morales

et al. 2018

Qual Health Res

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“…Our goal was to obtain maximal educational value for pediatric trainees from the U.S. while allowing for benefit to the host country. Essential components of a successful structured global health rotation include predeparture orientation and simulation sessions focusing on local epidemiology and disease burden, early establishment of hostcountry needs and knowledge gaps, on-site mentorship with ongoing program evaluation, and a partnership with formalized longitudinal education and opportunities for professional development (6,7,10,11,20).…”

Section: Global Health Rotationmentioning

confidence: 99%

“…Finally, providers from the two institutions have collaborated on clinical and educational research projects that have permitted opportunities for bidirectional professional development. This concept of "participatory research, " whereby the host country identifies specific research needs, and is partnered with visiting trainees whose skills and interests fill those needs, can lead not only to sustainable community health and hospital initiatives, but also to further understanding of care delivery needs in RLS for both local governments and global health practitioners (20). Additionally, it provides an opportunity for providers from both countries to present together at conferences, co-write manuscripts, and share resources (10,11).…”

Section: Research/professional Developmentmentioning

confidence: 99%

Evolution of a Bidirectional Pediatric Critical Care Educational Partnership in a Resource-Limited Setting

et al. 2021

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Introduction: Children in resource-limited settings are disproportionately affected by common childhood illnesses, resulting in high rates of mortality. A major barrier to improving child health in such regions is limited pediatric-specific training, particularly in the care of children with critical illness. While global health rotations for trainees from North America and Europe have become commonplace, residency and fellowship programs struggle to ensure that these rotations are mutually beneficial and do not place an undue burden on host countries. We created a bidirectional, multimodal educational program between trainees in Manila, Philippines, and Baltimore, Maryland, United States, to improve the longitudinal educational experience for all participants.Program Components: Based on stakeholder input and a needs assessment, we established a global health training program in which pediatricians from the Philippines traveled to the United States for observerships, and pediatric residents from a tertiary care center in Baltimore traveled to Manila. Additionally, we created and implemented a contextualized simulation-based shock curriculum for pediatric trainees in Manila that can be disseminated locally. This bidirectional program was adapted to include telemedicine and regularly scheduled “virtual rounds” and educational case conferences during the COVID-19 pandemic. Providers from the two institutions have collaborated on educational and clinical research projects, offering opportunities for resource sharing, bidirectional professional development, and institutional improvements.Conclusion: Although creating a mutually beneficial global health partnership requires careful planning and investment over time, establishment of a successful bidirectional educational and professional development program in a limited-resource setting is feasible and benefits learners in both countries.

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“…The project used a participatory approach where the community and the researchers are in partnership throughout the research: finalizing the research questions, undertaking data collection, interpreting the findings and joint dissemination of the results (Allen 2016;Cargo & Mercer, 2008;Macaulay et al, 1999;Salsberg 2018). Since 2008, the Department of Family Medicine at our institution has engaged in a participatory research partnership with the rural indigenous community of Chilcapamba, Province of Imbabura, Canton of Cotacachi, Ecuador where the research topic is chosen by the community and each summer a Spanish-speaking medical student travels to the community (Dube, 2015;Evans, 2010;Misra et al, 2018). The partnership is supported through the medical faculty's Medical Student's Research Bursary Program.…”

Section: Methodsmentioning

confidence: 99%

Planned Parenthood as a Public Health Imperative: A Participatory Research Exploring the Use of Contraception by Indigenous Women of Chilcapamba, Ecuador

Roy

Bartlett

Cushcagua³

et al. 2020

Collaborations: A Journal of Community-Based Research and Practice

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Background: Government policies have led to an increase in modern contraception use. Rural indigenous populations in countries like Ecuador, however, have relatively lower rates of utilization. Our objectives were to work with the community to identify perceived barriers for contraception use and determine solutions for an indigenous Ecuadorian community. Methods: Using a qualitative descriptive study design based on participatory research principles, focus groups and individual semi-structured interviews were conducted with women in the community as well as semi-structured interviews with physicians working at the regional hospital. All sessions were taped, transcribed, translated and analyzed using descriptive thematic analysis. Results: Women had basic knowledge about contraception, but also had many fears related to false beliefs about side effects. Women using modern contraception spoke of difficulties getting to a doctor to get a prescription. They had a relationship of trust with their partners although men were perceived to have preponderant decisional powers. Physicians suggested creating a mobile team to provide information about maternal health and to distribute contraceptives directly in the communities. Conclusions: There is need for rural communities to have better information and access to contraception. While the Ecuador national contraception policy has made an impact, several practical barriers prevented optimal implementation.

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Community engagement in global health education supports equity and advances local priorities: an eight year Ecuador-Canada partnership

Cited by 6 publications

References 22 publications

Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador

Localizing Global Medicine: Challenges and Opportunities in Cervical Screening in an Indigenous Community in Ecuador

Evolution of a Bidirectional Pediatric Critical Care Educational Partnership in a Resource-Limited Setting

Planned Parenthood as a Public Health Imperative: A Participatory Research Exploring the Use of Contraception by Indigenous Women of Chilcapamba, Ecuador

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