Global Health Clinical Education
Conducting a Community Needs Assessment for Evidence Based Intervention
DOI:
https://doi.org/10.31686/ijier.vol2.iss10.259Keywords:
Global health, medical volunteering, community needs assessment, evidence based practice interventionAbstract
Global health is the study and practice of improving health and health equity for all people worldwide through international and interdisciplinary collaboration. Studies suggest that health professions students benefit significantly through participating in global health clinical courses. This exploratory qualitative study conducted a community needs assessment as part of a global health clinical course for health professional students. The clinical course allowed students to plan and implement a week-long clinic providing primary health care to families in remote villages in Central America. Students engaged with the researcher to conduct a community assessment.
As part of the community assessment we interviewed Kuna to identify from within the community the needs of families to improve health outcomes. This assessment was designed to provide empirical evidence to support future long-term, sustainable improvements in the health of communities. Findings indicate a chasm between what providers see as problems and villagers’ identified priorities. Despite many unanticipated challenges, this research produced some modest and tentative recommendations proposed both for the community and global health clinical education.
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References
Godkin MA, Savageau JA. (2003) The effect of medical students’ international experiences on attitudes toward serving underserved multicultural populations. Family Medicine. 35:273-278.
Federico SG, Zachar PA, Oravec CM, Mandler T, Goldson E, Brown J. (2006) A successful international child health elective: the University of Colorado Department of Pediatrics' experience. Archives of Pediatric Adolescent Medicine. 160(2):191–196 DOI: https://doi.org/10.1001/archpedi.160.2.191
Stys, D., Hopman, W., & Carpenter, J. (2013). What is the value of global health electives during medical school? .Medical Teacher,35, 35(3), 209-218. DOI: https://doi.org/10.3109/0142159X.2012.731107
Nelson, B. D., Saltzman, A., & Lee, P. T. (2012). Bridging the global health training gap: Design and evaluation of a new clinical global health course at Harvard Medical School. Medical Teacher, 34(1), 45-51. DOI: https://doi.org/10.3109/0142159X.2011.577122
Racine, L., & Perron, A. (2012). Unmasking the predicament of cultural voyeurism: a postcolonial analysis of international nursing placements. Nursing Inquiry, 19(3), 190-201. DOI: https://doi.org/10.1111/j.1440-1800.2011.00555.x
Krumeich, A., & Meershoek, A. (2014). Health in global context; beyond the social determinants of health? Global Health Action, 71-78. DOI: https://doi.org/10.3402/gha.v7.23506
Pan American Health Organization. (2009). Health Information and Analysis Project. Health Situation in the Americas: Basic Indicators 2009. Washington D.C.: PAHO.
Winner, D. (2012) Panama Guide At Least 15 Children Dead in Ipetí Kuna, Madungandí Region Panama Guide March 29 2012.
Pan American Health Organization (2007) Health in the Americas: Panama Volume II– Washington, D.C.: PAHO.
Kristoff, N., & WuDunn, S. (2009). Half the Sky: Turning oppression into opportunities for women worldwide. New York, NY: Knopf.
Finijter, D.H., Jensen, C.J., Wilson, C.E., & Koenig, B. L.. L. (2005). A Comprehensive, Multitiered, Targeted Community Needs Assessment Model Methodology, Dissemination, and Implementation. Family and Community Health, 2(4), 293-3O6. DOI: https://doi.org/10.1097/00003727-200510000-00003
Swanson, J., Durham, R., & Albright, J. (1997). Clinical utilization/application of qualitative research. In J. Morse (Ed.), Completing a Qualitative Project: Details and Dialogue, pp 253-282, Thousand Oaks, CA: Sage.[13] Durham, R. (2002) Women, work and midwifery. In Mander, R., & Flemming, V. (Eds). Failure to Progress. London: Routledge.
Sandelowski, M. (2000). Focus on Research Methods: Whatever Happened to Qualitative Description? Research in Nursing Health, 23(4), 334-40. DOI: https://doi.org/10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G
Boyatzis, R.E. (1998). Transforming qualitative information: Thematic analysis and code development. Thousand Oaks, London,& New Delhi: SAGE Publications.
Braun V., & Clarke, V. (2006). Using Thematic Analysis in Psychology. Qualitative Research in Psychology, 3, 77-101. DOI: https://doi.org/10.1191/1478088706qp063oa
DeSantis, L., & Ugarriza, D.N. (2000). The Concept of Theme as Used in Qualitative Nursing Research. Western Journal of Nursing Research. 22(3), 351-372. DOI: https://doi.org/10.1177/019394590002200308
Morse, J.M., & Field, P.A. (1995).F Qualitative Research Methods for Health Professionals 2 SAGE Publications.
Cultural Survival, Partnering with Indigenous Peoples to Defend their Lands, Language, and Cultures. In Eastern Panama, Land is Key to Survival. Retrieved on August 27, 2014. https://www.culturalsurvival.org/ourpublications/csq/article/in-eastern-panama-land-is-key-survival
Frenk, J., Chen, L., Bhutta, Z. A., Cohen, J., Crisp, N., Evans, T.; Zurayk, H. (2010). Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. The Lancet, 376, 1923-1958. DOI: https://doi.org/10.1016/S0140-6736(10)61854-5
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Copyright (c) 2014 Roberta Durham, Lynn A. Van Hofwegen, Megan E Levy
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