Annals of Global Health最新文献

{"title":"Epidemic Dynamics Post-Cyclone and Tidal Surge Events in the Bay of Bengal Region.","authors":"Sajda Khatoon, Paramita Bhattacharya, Nirmalya Mukherjee, Pranay Lal, Martin W Bloem","doi":"10.5334/aogh.4751","DOIUrl":"10.5334/aogh.4751","url":null,"abstract":"<p><p><i>Background:</i> The Sundarbans, prone to cyclones and tidal surges, witnessed 13 cyclones (1961-2020), causing widespread water and vector-borne diseases, injuries, deaths, crop and livestock loss, and long-term health issues. <i>Objectives:</i> This study investigates the impact of multi-purpose cyclone shelters on the health outcomes of the Sundarbans population, focusing on epidemic-prone diseases caused by these natural disasters. <i>Methods:</i> The study used secondary data from the Health Management Information System (HMIS) portal, Census of India, International Best Track Archive for Climate Stewardship (IBTracs), Department of Disaster Management, and Environmental Systems Research Institute, Inc (ESRI) India, to understand the association of environmental, social, demographic, geographic, and economic factors on water and vector-borne diseases and cyclonic events for 19 census development (CD) blocks. Maps were prepared using ArcGIS Pro v.2.8. A literature review was undertaken to assess the effectiveness of cyclone shelters and potential shortcomings in addressing and mitigating these unintended health outcomes post-disaster. Data analysis in SPSS used the chi-square test and Student's t-test. <i>Findings:</i> The study found that the prevalence of waterborne diseases across the CD blocks in Sundarbans was significantly higher in the cyclonic years compared to the non-cyclonic years (t = 6.69), regardless of the seasons. Prevalence of vector-borne diseases was also significantly higher in the cyclonic years compared to the non-cyclonic years (t = 2.55). It was also found that the existing literature lacks detailed accounts of shelter residents' experiences, illnesses, and pre-existing health issues, particularly addressing the needs of vulnerable populations like women, children, and the elderly. <i>Conclusion:</i> The study highlights gaps in India's research on evacuee experiences in cyclone shelters, particularly for vulnerable populations like women, children, and the elderly and sick. Future research should focus on primary studies focusing on evacuee experiences, material innovation, and climate-resilient design of cyclone shelters.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"39"},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12292050/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing and Evaluating a Health System Resilient to Extreme Weather Events in Rural Madagascar.","authors":"Michelle V Evans, Elinambinina Rajaonarifara, Andres Garchitorena, Fianamirindra A Ralaivavikoa, Paulea Eugenie Rahajatiana, Karen E Finnegan, Laura Cordier, Luc Rakotonirina, Bénédicte Razafinjato, Tokiniaina M Randrianjatovo, Christophe Révillion, Malazafeno Jocelyn Mbimbisoa, Matthew H Bonds","doi":"10.5334/aogh.4759","DOIUrl":"10.5334/aogh.4759","url":null,"abstract":"<p><p><i>Background:</i> Adapting health systems for climate change can lessen the negative impact of climate change on human health. Even when not targeting climate-health links explicitly, broad health system strengthening interventions (HSSis) can ensure that the health workforce, infrastructure, and networks are robust enough to respond to and recover from climate-driven shocks. <i>Objective:</i> We explored the ability of an HSSi in a rural health district of southeastern Madagascar to serve as a climate change adaptation in response to Cyclone Batsirai in 2022. <i>Method:</i> We conducted interrupted time series analyses of eight indicators of infectious disease and health system performance to assess the impact of Batsirai on two zones of the HSSi. We then examined how traditional domains of HSS, such as physical and human resources, combined with less formal domains, such as collective values, influenced health system resilience during this time. <i>Findings:</i> We found that the majority of indicators were resilient to Cyclone Batsirai, with only vaccination rates affected in the two months following the cyclone, particularly in the zone where the HSSi had only begun eight months prior. Changes in long-term trends were rare, and, when observed, revealed a slight slowing of progress, but not a regression to historical levels. After re-establishing the road network and providing additional supplies through an emergency response, the health system was able to resume routine service delivery without further external input, and health system indicators continued to improve. The agility and responsiveness of the health workforce were enabled by formalized protocols, a culture of flexibility, open communication, and data-informed action. <i>Conclusions:</i> HSSis that are designed to encourage local adaptation may increase health systems' resilience to extreme weather events, resulting in health systems better adapted to climate change overall.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"40"},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12292047/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Water, Health, and Social Technologies: One Million Cisterns Programme Case Study.","authors":"José Firmino de Sousa Filho, Walisson Angélico de Araújo, Mariana Sebastião, Adalton Fonseca, Raíza Tourinho, Denise Pimenta, Gervásio Santos, Lucas Emanuel, Roberto F S Andrade, Gustavo Casais, Gisele Paixão, Andrea Ferreira, Rachel Coelho, Maria Yuri Ichihara, Júlia Pescarini, Joanna M N Guimarães, Paulo Victor da Costa, Ismael Silveira, Rafael Silva, Rita Ribeiro, Maurício L Barreto","doi":"10.5334/aogh.4754","DOIUrl":"10.5334/aogh.4754","url":null,"abstract":"<p><p><i>Background:</i> This paper focuses on the impacts of climate change on vulnerable ecosystems and its implications for the health and well-being of populations. It specifically examines the semi-arid region of Brazil, where the introduction of a social climate adaptation tool, cisterns, has brought about significant positive changes. Cisterns, a low-cost climate adaptation technology, can be replicated globally, reducing the negative health impacts of frequent droughts, especially for vulnerable groups in remote rural areas. <i>Objective:</i> We analyze the impact of the \"One Million Cisterns Program\" (P1MC) on health by synthesizing the literature and modeling its interactions with climatic and environmental factors with the <i>Driving Force-Pressure-State-Exposure-Effect-Action</i> (DPSEEA) framework. <i>Methods:</i> Our case study employs a multidisciplinary approach, focusing on two key objectives: (i) synthesizing the literature on the implementation of the P1MC and its association with health outcomes, using search criteria that specifically target articles linking the program to health impacts; and (ii) developing a conceptual framework to model the relationship between climatic and environmental factors, adaptive ecosystems, and health outcomes. The DPSEEA framework evaluates the structural connections between climate change and human health. <i>Findings:</i> The study found a significant gap in the literature concerning the relationship between P1MC and health outcomes. Cisterns target the pressure/state linkages related to contextual factors and health effects, addressing the root causes of drought-related health issues. This framework also provides a foundation for collaboration among health, environmental, and policy sectors to address shared challenges, such as water security and health outcomes. <i>Conclusion:</i> We offer a multidisciplinary analytical framework that can be used to explore various perspectives-environmental, social, and health-related-with experts and stakeholders to develop and improve adaptive social technology strategies for living in the era of climate change. This framework also facilitates the implementation of qualitative and quantitative well-being and health assessments.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"38"},"PeriodicalIF":3.2,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12292057/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734505","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Global Health Immersion Program for Nursing and Public Health Students.","authors":"Taryn Vian, Sebaka Malope, Elizabeth Nkabane-Nkholongo, Jill E Sanders, Brian W Jack, Laura Chyu","doi":"10.5334/aogh.4746","DOIUrl":"10.5334/aogh.4746","url":null,"abstract":"<p><p><i>Background:</i> The University of San Francisco, California (USFCA) and the Lesotho-Boston Health Alliance (LeBoHA) collaborated in designing and implementing an intensive, interprofessional global health immersion program for nursing and public health students from the United States. The program focused on health systems strengthening in Lesotho. This article reports on the curriculum development process, learning outcomes, and lessons learned from implementing the program. <i>Methods:</i> USFCA and LeBoHA began collaborating in March 2023. The partners codeveloped curriculum with the goal of introducing US students to global health systems challenges and ways to address them in a resource-constrained setting. The program sought to facilitate interprofessional collaboration between undergraduate nursing and graduate public health students, promote cross-cultural awareness and humility, and foster global perspectives and relationships to create a healthier and more humane world. The activity prioritized mutual respect in how the partner institutions worked together. <i>Results:</i> Three nursing and five public health students participated in the program held in January 2024 in Hlotse, Leribe District, Lesotho. The program included classroom learning sessions, health facility site visits, and extracurricular activities. Evaluation data suggested that students achieved course objectives and appreciated the active, experiential learning format. Lessons learned include planning for additional field visits and expanding the experience, possibly through Sesotho language instruction and interaction between students and LeBoHA faculty/staff before arrival and after the program ends. <i>Conclusion:</i> Short-term global health immersions can help to prepare nursing and public health students for careers in global health or working with underserved communities in the United States and strengthen interprofessionalism. Immersion programs should be developed in partnership and provide reciprocal benefits to the institutions involved.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"37"},"PeriodicalIF":3.2,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12292055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144734502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating Congenital Cardiac Surgical Need in Africa Using Geographic Distribution of Surgeons.","authors":"Jordan Leith, Lamia Harik, Kevin R An, Taylor Brashear, Robert N Peck, Castigliano M Bhamidipati","doi":"10.5334/aogh.4692","DOIUrl":"10.5334/aogh.4692","url":null,"abstract":"<p><p><i>Background:</i> Access to congenital cardiac surgical care in Africa is limited and poorly characterized, with current assessments examining only the number of surgeons in individual countries compared to their respective national population. <i>Objective:</i> To characterize geographic catchment areas in Africa served by the nearest congenital cardiac surgeon(s), estimate patient travel distance, and map both the incidence and unmet surgical need due to congenital heart disease (CHD). <i>Methods:</i> Subnational population, CHD incidence, surgeon, and geographic data were collected from credible, publicly accessible sources. Quantum Geographic Information System was used to create a subnational map of Africa and conduct nearest neighbor analyses to determine the location and distance of each subnational region's nearest cardiac surgeon. Catchment areas were defined and characterized. Incident CHD cases and surgical needs due to CHD were calculated and mapped at the subnational level across Africa. <i>Findings:</i> There were 779 subnational regions from 54 countries included in this analysis. Africa was estimated to have 290 congenital cardiac surgeons located in 63 subnational regions corresponding to 63 catchment areas and 1,097,388 incident CHD cases annually. The average travel distance to a congenital cardiac surgeon was 324.40 km (201.57 miles). The ratio of incident CHD to total surgical case capacity was 20.79. Congenital cardiac surgical need was not limited to areas of high incidence and was compounded by distance to the nearest surgeon, with the greatest need occurring in the Congo Basin and Horn of Africa. <i>Conclusions:</i> Access to congenital cardiac surgery is limited in Africa with the capacity to surgically treat less than 5% of annual CHD cases. Surgical need is exacerbated by the geographic distribution of surgeons, which requires patients to travel great distances.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"36"},"PeriodicalIF":2.6,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12227093/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Private Sector Delivery of Quality Care on Maternal, Newborn, and Child Health Outcomes in Low- and Middle-Income Countries: A Systematic Review.","authors":"Samantha R Lattof, Joe Strong, Blerta Maliqi, Nuhu Yaqub","doi":"10.5334/aogh.4596","DOIUrl":"10.5334/aogh.4596","url":null,"abstract":"<p><p>Evidence regarding the impact of the private health sector on healthcare outcomes is often fragmented. Knowledge gaps remain around the impact of private sector care on health outcomes. This systematic review examines the quality of maternal, newborn, and child health (MNCH) care delivery by private sector providers. The review aims to systematically assess the evidence from studies reporting outcome data on morbidity and mortality among mothers, newborns, and children. Searches were conducted in eight electronic databases (Cumulative Index to Nursing and Allied Health, EconLit, Excerpta Medica Database, International Bibliography of the Social Science, Popline, PubMed, ScienceDirect, and Web of Science) and two websites and supplemented with hand-searches and expert recommendations. We conducted the searches and application of inclusion/exclusion criteria using the PRISMA method. For inclusion, studies in low- and middle-income countries must have examined at least one of the following primary outcomes: maternal morbidity, maternal mortality, newborn morbidity, newborn mortality, child morbidity, or child mortality. Quantitative and qualitative data were extracted for descriptive statistics and thematic analysis. Of the 46 studies included, most studies were conducted in India, Bangladesh, Uganda, and Kenya. Thirty-six studies were quantitative, and over one-third implemented a specific intervention that went beyond the broad delivery of quality care in the private sector. Studies indicated that the outcomes of private sector delivery of MNCH care across health systems were mixed. Studies frequently reported on the utilization of health facilities for the treatment of morbidities. Interventions to improve MNCH care included improved coverage and contracting services, community-based training, and public-private partnerships. Studies often did not provide greater contextual detail, including the complexities and realities of people seeking care across provider types. Future research should disaggregate data on quality of care, as well as describe the methods and specific facility details in their sample.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"35"},"PeriodicalIF":2.6,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180434/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhancing Health Policy Administration in LMICs: Dr. LJW Fellowship Program Insights (2021-2023).","authors":"Bomgyeol Kim, Yejin Kim, Jun Su Park, Soo Hyeok Choi, Su Hyun Kim, Vasuki Rajaguru, Hyejin Jung, Tae Hyun Kim","doi":"10.5334/aogh.4648","DOIUrl":"10.5334/aogh.4648","url":null,"abstract":"<p><p><i>Background:</i> The Dr. LEE Jong-wook (LJW) Fellowship Program aims to enhance the capabilities of healthcare personnel in low- and middle-income countries (LMICs) through comprehensive training and education. This study evaluates the satisfaction and effectiveness of the Health Policy Administrator course within the program, focusing on participants from 2021 to 2023. <i>Objective:</i> This study aims to assess the impact of the Dr. LJW Fellowship Program, specifically evaluating participants' satisfaction, knowledge and competency improvement, and the adoption of learned knowledge in the workplace. <i>Methods:</i> A mixed- methods study design was adopted, utilizing Kirkpatrick's four-level evaluation framework to assess the program's impact. A total of 39 public health policymakers from 19 LMICs participated in the training course at an affiliated university. The evaluation focused on training satisfaction, knowledge and competency improvement, competence achievement, and the practical adoption of learned knowledge. Descriptive statistics were used to analyze participant characteristics, while paired t-tests were employed to assess knowledge and competency improvement before and after the program. <i>Results:</i> The program demonstrated high levels of participant satisfaction, with an overall satisfaction score of 92.9. Knowledge scores improved significantly, with an average increase of 61%, particularly in health statistics (77% improvement) and healthcare systems (56.3% improvement). Competency achievement was also high, with an average score of 92.5. However, the job adoption of learned knowledge scored lower, with supervisors and coworkers rating it at 70.9 and 72.1, respectively, indicating challenges in translating training into practical workplace applications. <i>Conclusions:</i> The Dr. LJW Fellowship Program effectively enhanced participants' knowledge and competencies in health policy administration. However, the lower scores in job adoption suggest a need for improved follow-up support and practical application strategies to ensure that the training's benefits are fully realized in participants' work environments.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"34"},"PeriodicalIF":2.6,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12180440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477522","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Emergency Research Preparedness: An Analysis of National Pre‑COVID Research Activity and COVID Research Output.","authors":"Peter H Kilmarx, Shirley Kyere","doi":"10.5334/aogh.4764","DOIUrl":"10.5334/aogh.4764","url":null,"abstract":"<p><p><i>Background:</i> Research capacity is a critical element of health emergency preparedness, but metrics are not readily available for many countries. The COVID‑19 pandemic provided an opportunity to use publicly available data to assess correlations between national pre‑pandemic research activity, pandemic research response, and other national socioeconomic characteristics. <i>Methods:</i> National pre‑pandemic (2018-19) research activity was defined as the average of percentile rankings of (1) the average annual number of health science publications in Scopus and (2) the average annual number of clinical trials in the International Clinical Trials Research Platform (ICTRP). National pandemic research response (2020-21) was defined as the average of percentile rankings of (1) average annual number of COVID‑19‑related publications in Scopus and (2) average annual number of COVID‑19‑related clinical trials in ICTRP. <i>Findings:</i> During 2018-19, the median (interquartile range [IQR]) of national annual average health science publications was 415 (108-3,398) and of clinical trials was 21 (4-273). During 2020-21, the median (IQR) of national annual average COVID‑19‑related publications was 85 (18-798) and that of COVID‑19‑related clinical trials was 1.5 (0-11). National COVID‑19‑related research output was strongly correlated with pre‑pandemic research activity (R‑squared 0.89) and much less correlated with Human Development Index (0.26), COVID‑19 case number (0.16), case rate (0.14), gross domestic product (0.11), or population (0.10). In a multivariable linear regression analysis, national pre‑COVID‑19 research activity was the only factor with substantial or statistically significant contribution to explaining variations in COVID‑19‑related research output. <i>Interpretation:</i> National pandemic research responses were most strongly correlated with pre‑pandemic research activity, much more so than with other country characteristics. These findings strongly support global efforts to strengthen research capacity as a critical element of preparedness for health emergencies.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"33"},"PeriodicalIF":2.6,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12171802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Work‑Related Migration to the Alang Ship‑Breaking Industry from Other Parts of India: An Overview of Health‑Related Issues.","authors":"Raja Singh, Arthur L Frank","doi":"10.5334/aogh.4735","DOIUrl":"10.5334/aogh.4735","url":null,"abstract":"<p><p><i>Background:</i> India has a ship‑breaking yard at Alang in Gujarat. The workers are prone to being exposed to various hazardous chemicals, including asbestos. These workers are often interstate migrants, and there is a chance of them developing diseases caused by asbestos, manifesting decades after exposure. This includes mesothelioma, which is a malignancy caused by asbestos exposure and can manifest much after the cessation of their employment. <i>Objective:</i> In the absence of an operational national database of migrants, it is important to understand the source of migrants to trace future disease occurrence, especially after retiring to their home states. This study aims to find the Indian districts from which workers migrate to work at Alang‑Sosiya ship‑breaking yards. <i>Methods:</i> The current study uses the Right to Information Act, 2005, to find out the districts of residents of migrant workers that came to Alang in 2019 as a representative year. <i>Findings and conclusion:</i> The data point to districts in three states: Uttar Pradesh, Jharkhand and Bihar, and have important policy consequences and epidemiological importance as these can be used to understand the aetiology of asbestos‑related diseases.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"32"},"PeriodicalIF":2.6,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164759/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting More Equitable Global Health Research, Education, and Community Partnerships: The Efforts of One US‑Based Academic Institution.","authors":"Sarah Emoto, Laura Ferguson, Lourdes Baezconde-Garbanati, Howard Hu, Goleen Samari, Sofia Gruskin","doi":"10.5334/aogh.4772","DOIUrl":"10.5334/aogh.4772","url":null,"abstract":"<p><p><i>Objectives:</i> Equitable global health partnerships are recognized as critical for health equity; however, power imbalances and structural inequities continue to undermine these partnerships and ultimately their ability to achieve equitable health outcomes. As individuals within a US‑based academic institution engaged in global health partnerships during the current, complicated political moment, we recognize our responsibility to critically examine what it means for us to seek to engage equitably, both locally and globally. We therefore undertook an initiative to develop and adopt a set of principles to serve as internal guidance for how individuals within our institution engage in partnerships. We present our approach to promoting equity within our local and global research, education, and community partnerships, informed by existing literature, as an example of how academic institutions based in the Global North might seek to address power imbalances and to engage with others involved in similar efforts. <i>Methods:</i> We reviewed similar initiatives and existing principles. An internal, departmental committee coalesced around eight principles and drafted and iteratively refined their components. As part of ongoing, broader conversations with our partners, during this process, we engaged and sought the perspectives of our external partners, including from Brazil, India, and Kenya, to ensure the guidance was both informed by and resonated with their concerns about engaging with a US‑based institution. <i>Findings:</i> The principles of sustainability, mutual benefit and reciprocity, equitable governance, do no harm, locally identified priorities, compliance with ethical reviews and legal standards, information sharing, and accountability were elaborated and ultimately adopted by the full department faculty. <i>Conclusions:</i> Despite the best of intentions, we foresee challenges that may impact both implementation and outcomes. Continued reflection and dialogue with our partners and others engaged in similar initiatives is needed to address these challenges and the broader structural inequities embedded in global health.</p>","PeriodicalId":48857,"journal":{"name":"Annals of Global Health","volume":"91 1","pages":"31"},"PeriodicalIF":2.6,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12164738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}