‘Don't make my people beggars’: a developing world house of cards

Loiseau, Bethina; Sibbald, Rebekah; Raman, Salem A.; Darren, Benedict; Dimaras, Helen; Loh, Lawrence C.

doi:10.1093/cdj/bsv047

Cited by 9 publications

(4 citation statements)

References 21 publications

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“…28 Although some organizations work ethically with local health care systems and communities to provide needed medical services, many others comprise an industry built around providing STEGH opportunities while disregarding or ignoring LMIC health care systems, populations, and laws. 29 Taken in sum, the various costs and burdens of poorly-thought-out STEGHs to host communities is considerable.…”

Section: Background On Stegh Activities and Supervisionmentioning

confidence: 99%

Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health

Rowthorn

Loh

Evert

et al. 2019

Annals of Global Health

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Section: Background On Stegh Activities and Supervisionmentioning

confidence: 99%

Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health

Rowthorn

Loh

Evert

et al. 2019

Annals of Global Health

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“…Underlying these critiques is the argument that voluntourism is a form of neocolonial paternalism that essentially contributes to a normalisation of unequal power structures between voluntourist and host (Burrai & Hannam, ; McGloin & Georgeou, ). As a result of these critiques, consensus among development scholars is that voluntourism contributes little to meaningful local development, and can be harmful to communities (Guttentag, ; Loiseau et al, ). Claims that voluntourism contributes to development have therefore been called “spurious” (Butcher & Smith, , p. 133), and it is often dismissed by scholars concerned with development and volunteering (Tiessen, ).…”

Section: Voluntourism Development and Global Citizenshipmentioning

confidence: 99%

Global encounters: Voluntourism, development and global citizenship in Fiji

McLennan

2019

Geographical Journal

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This paper explores the rise of voluntourism in Fiji, a country reliant on tourism but which is a relatively new market for voluntourism. It draws from research examining the role of voluntourism in development through a case study of the experiences and discourse of voluntourists, a host community, and the staff of a commercial voluntourism organisation in Fiji. While voluntourism is the focus of significant and necessary critique, this research showed that narrow conceptions of what the outcomes of voluntourism should be – usually articulated as development or global citizenship – do not adequately account for the complex web of relationships and impacts that result from the voluntourism encounter. Instead, in this research a more complex picture emerged of the encounters facilitated by the voluntourism experience; the multiple relationships formed between volunteers and hosts; and the learning that took place, particularly within home stays. In this paper these encounters are explored using a wide‐angled view of development, drawing on Hart's (2001; Progress in Human Geography, 25, 649–658) conception of d/Development, to explore the relationship between development and global citizenship and how these are shaped by, and interact with, historical and contemporary global processes; from colonialism to commercialised volunteering. As such, this paper argues for a more nuanced and reflective approach to voluntourism and voluntourists, one which does not overlook the critiques, but which acknowledges the ways in which voluntourism encounters are shaping broader development trajectories within the contexts in which they occur; and for more attention to be paid to the way in which the discourses of global citizenship and development are co‐articulated and expressed in voluntourism practices.

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“…Some question the ethics of these engagements as forms of ‘medical tourism’, considering the population health status in the USA pales in comparison to other high-income nations12 13 and because a growing number of foreign-born and foreign-trained physicians immigrate to the USA to practice medicine in underserved communities 14. This healthcare workforce exchange may harm healthcare systems15 16 and displace financial resources 17…”

Section: Introductionmentioning

confidence: 99%

Understanding perceptions of global healthcare experiences on provider values and practices in the USA: a qualitative study among global health physicians and program directors

Matthews-Trigg

Citrin²,

Halliday³

et al. 2019

BMJ Open

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ObjectivesThe study aimed to qualitatively examine the perspectives of US-based physicians and academic global health programme leaders on how global health work shapes their viewpoints, values and healthcare practices back in the USA.DesignA prospective, qualitative exploratory study that employed online questionnaires and open-ended, semi-structured interviews with two participant groups: (1) global health physicians and (2) global health programme leaders affiliated with USA-based academic medical centres. Open coding procedures and thematic content analysis were used to analyse data and derive themes for discussion.Participants159 global health physicians and global health programme leaders at 25 academic medical institutions were invited via email to take a survey and participate in a follow-up interview. Twelve participants completed online questionnaires (7.5% response rate) and eight participants (four survey participants and four additionally recruited participants) participated in in-depth, in-person or phone semi-structured interviews.ResultsFive themes emerged that highlight how global health physicians and academic global health programme leaders perceive global health work abroad in shaping USA-based medical practices: (1) a sense of improved patient rapport, particularly with low-income, refugee and immigrant patients, and improved and more engaged patient care; (2) reduced spending on healthcare services; (3) greater awareness of the social determinants of health; (4) deeper understanding of the USA’s healthcare system compared with systems in other countries; and (5) a reinforcement of values that initially motivated physicians to pursue work in global health.ConclusionsA majority of participating global health physicians and programme leaders believed that international engagements improved patient care back in the USA. Participant responses relating to the five themes were contextualised by highlighting factors that simultaneously impinge on their ability to provide improved patient care, such as the social determinants of health, and the challenges of changing USA healthcare policy.

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‘Don't make my people beggars’: a developing world house of cards

Cited by 9 publications

References 21 publications

Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health

Not Above the Law: A Legal and Ethical Analysis of Short-Term Experiences in Global Health

Global encounters: Voluntourism, development and global citizenship in Fiji

Understanding perceptions of global healthcare experiences on provider values and practices in the USA: a qualitative study among global health physicians and program directors

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