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Obstacles For The Implementation Of Fertility And Family Planning Initiatives In Post Conflict Rwanda, Elizabeth Cave, Dakota Wayne 2017 University of Wyoming

Obstacles For The Implementation Of Fertility And Family Planning Initiatives In Post Conflict Rwanda, Elizabeth Cave, Dakota Wayne

Honors Theses AY 16/17

Increased measures by the State government to educate people on Family Planning and to provide access to contraceptives has had promising results in many countries in reducing poverty and raising the standard of living. However, it remains unclear whether these measures can have similar results in a post-conflict setting. Rwanda is the ideal setting to study these questions. The horrible genocide that occurred in Rwanda had a dramatic effect on the population in terms of infrastructure, fertility rates, and trust in the government. As the country is the most populous in the African continent as well as the site of ...


Brain Drain To Brain Gain: Ireland's Two-Way Flow Of Doctors, Aisling M. Walsh, Ruairi F. Brugha 2017 Royal College of Surgeons in Ireland

Brain Drain To Brain Gain: Ireland's Two-Way Flow Of Doctors, Aisling M. Walsh, Ruairi F. Brugha

Epidemiology and Public Health Medicine Reports

Medical workforce stressors continue to undermine Ireland’s ability to achieve medical workforce sustainability and compliance with the WHO Global Code on the International Recruitment of health personnel. These include: i) high rates of emigration among graduates of Irish medical schools, attracted by working conditions, training and career opportunities in other English speaking countries; ii) the need to be compliant with the European Working Time Directive, which restricts hospital doctors’ working week; and iii) increasing demand.

The result is that the increased domestic supply of doctors is not sufficient to keep Irish hospitals staffed, which recruit or employ doctors from ...


Programming Maternal And Child Overweight And Obesity In The Context Of Undernutrition: Current Evidence And Key Considerations For Low- And Middle-Income Countries., Lindsay M Jaacks, Justine Kavle, Abigail Perry, Albertha Nyaku 2017 George Washington University

Programming Maternal And Child Overweight And Obesity In The Context Of Undernutrition: Current Evidence And Key Considerations For Low- And Middle-Income Countries., Lindsay M Jaacks, Justine Kavle, Abigail Perry, Albertha Nyaku

Prevention and Community Health Faculty Publications

The goals of the present targeted review on maternal and child overweight and obesity were to: (i) understand the current situation in low- and middle-income countries (LMIC) with regard to recent trends and context-specific risk factors; and (ii) building off this, identify entry points for leveraging existing undernutrition programmes to address overweight and obesity in LMIC. Trends reveal that overweight and obesity are a growing problem among women and children in LMIC; as in Ghana, Kenya, Niger, Sierra Leone, Tanzania and Zimbabwe, where the prevalence among urban women is approaching 50 %. Four promising entry points were identified: (i) the integration ...


Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam: A Cluster-Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Jeroan J. Allison, Duc A. Ha, German Chiriboga, Ha N. Ly, Hanh T. Tran, Cuong K. Nguyen, Diem M. Dang, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Robert J. Goldberg 2017 University of Massachusetts Medical School

Culturally Adaptive Storytelling Intervention Versus Didactic Intervention To Improve Hypertension Control In Vietnam: A Cluster-Randomized Controlled Feasibility Trial, Hoa L. Nguyen, Jeroan J. Allison, Duc A. Ha, German Chiriboga, Ha N. Ly, Hanh T. Tran, Cuong K. Nguyen, Diem M. Dang, Ngoc T. Phan, Nguyen C. Vu, Quang P. Nguyen, Robert J. Goldberg

Open Access Articles

BACKGROUND: Vietnam is experiencing an epidemiologic transition with an increased prevalence of non-communicable diseases. Novel, large-scale, effective, and sustainable interventions to control hypertension in Vietnam are needed. We report the results of a cluster-randomized feasibility trial at 3 months follow-up conducted in Hung Yen province, Vietnam, designed to evaluate the feasibility and acceptability of two community-based interventions to improve hypertension control: a "storytelling" intervention, "We Talk about Our Hypertension," and a didactic intervention.

METHODS: The storytelling intervention included stories about strategies for coping with hypertension, with patients speaking in their own words, and didactic content about the importance of healthy ...


Where The Sidewalk Ends: Reimagining Urban Place And Governance In Semarang, Indonesia, Emmaleah K. Jones 2017 College of William and Mary

Where The Sidewalk Ends: Reimagining Urban Place And Governance In Semarang, Indonesia, Emmaleah K. Jones

Undergraduate Honors Theses

Purpose: This project analyzes the uses of space and geography up the scales of political organization – from the village to the municipal – attempting to find the intersections where physical space meets governance using Semarang, Indonesia as my strategic case. This research employs a biocultural lens, addressing the existing gaps in literature by advancing a framework to function across disciplines and ultimately reconnecting to its practical application in urban planning and design. Such a framework is important in providing a blueprint for building a coherent and supportive structure on which to assess the human impact of design and contribute new “human-centered ...


Rahi-Sathi Indo-U.S. Collaboration: The Evolution Of A Trainee-Led Twinning Model In Global Health Into A Multidisciplinary Collaborative Program, Apurv Soni, Nisha Fahey, Abraham Jaffe, Tiffany A. Moore Simas, Nancy Byatt, Michael Chin, David D. McManus, Michaela Tracey, Jasmine A. Khubchandani, Haley Newman, Allison Earon, Hannah Rosenfield, Anna Handorf, Brittany Novak, John Bostrom, Anindita Deb, Milagros C. Rosal, Patricia A. McQuilkin, Heena Santry, Melissa A. Fischer, Jeroan J. Allison 2017 University of Massachusetts Medical School

Rahi-Sathi Indo-U.S. Collaboration: The Evolution Of A Trainee-Led Twinning Model In Global Health Into A Multidisciplinary Collaborative Program, Apurv Soni, Nisha Fahey, Abraham Jaffe, Tiffany A. Moore Simas, Nancy Byatt, Michael Chin, David D. Mcmanus, Michaela Tracey, Jasmine A. Khubchandani, Haley Newman, Allison Earon, Hannah Rosenfield, Anna Handorf, Brittany Novak, John Bostrom, Anindita Deb, Milagros C. Rosal, Patricia A. Mcquilkin, Heena Santry, Melissa A. Fischer, Jeroan J. Allison

Melissa A. Fischer

BACKGROUND: In recent years there has been a surge in the number of global health programs operated by academic institutions. However, most of the existing programs describe partnerships that are primarily faculty-driven and supported by extramural funding. PROGRAM DESCRIPTION: Research and Advocacy for Health in India (RAHI, or "pathfinder" in Hindi) and Support and Action Towards Health-Equity in India (SATHI, or "partnership" in Hindi) are 2 interconnected, collaborative efforts between the University of Massachusetts Medical School (UMMS) and Charutar Arogya Mandal (CAM), a medical college and a tertiary care center in rural western India. The RAHI-SATHI program is the culmination ...


Can Global Health Governance Contend With Transnational Corporate Activities? A Case Study On The Chinese Tobacco Industry, Xing Gao 2017 Macalester College

Can Global Health Governance Contend With Transnational Corporate Activities? A Case Study On The Chinese Tobacco Industry, Xing Gao

Geography Honors Projects

In the past two decades, China’s state-owned tobacco enterprise (CNTC) has expanded its operation and influence abroad under the “going global” strategy. These globalization activities directly and indirectly impact the Framework Convention on Tobacco Control (FCTC), the first international treaty signed under the WHO auspices. In this project, I explore how certain CNTC expansionary strategies undermine FCTC articles, as well as the ways in which FCTC articles have failed to curb the tobacco industry’s transnational growth. Using international political economy as an overarching framework for the analysis of global health governance, I argue that the FCTC fails to ...


Risk And Burden Of Adverse Intrapartum-Related Outcomes Associated With Non-Cephalic And Multiple Birth In Rural Nepal: A Prospective Cohort Study., Naoko Kozuki, Joanne Katz, Subarna K Khatry, James M Tielsch, Steven C LeClerq, Luke C Mullany 2017 George Washington University

Risk And Burden Of Adverse Intrapartum-Related Outcomes Associated With Non-Cephalic And Multiple Birth In Rural Nepal: A Prospective Cohort Study., Naoko Kozuki, Joanne Katz, Subarna K Khatry, James M Tielsch, Steven C Leclerq, Luke C Mullany

Global Health Faculty Publications

OBJECTIVES: Intrapartum-related complications are the second leading cause of neonatal death worldwide. We estimate the community-level risk and burden of intrapartum-related fetal/neonatal mortality and morbidity associated with non-cephalic and multiple birth in rural Sarlahi District, Nepal.

DESIGN: Community-based prospective cohort study.

SETTING: Rural Sarlahi District, Nepal.

PARTICIPANTS: Pregnant women residing in the study area.

METHODS: We collected data on maternal background characteristics, conditions during labour and delivery, fetal presentation and multiple birth during home visits. We ran log-binomial regression models to estimate the associations between non-cephalic/multiple births and fresh stillbirth, early neonatal mortality and signs of neonatal encephalopathy ...


Building Interprofessional Global Health Infrastructure At A University And Health System: Navigating Challenges And Scaling Successes, Lucille B. Pilling, EdD,MPH, BSN, RN, Janice Bogen, MA, Louis N. Hunter, PT, DPT, Robert Simmons, DrPH, MPH, MCHES, CPH, Nicholas Leon, PharmD, BCPS, BCACP, James D. Plumb, MD, MPH, Richard J. Derman, MD, MPH, FACOG 2017 Jefferson College of Population Health; University of Pennsylvania School of Nursing

Building Interprofessional Global Health Infrastructure At A University And Health System: Navigating Challenges And Scaling Successes, Lucille B. Pilling, Edd,Mph, Bsn, Rn, Janice Bogen, Ma, Louis N. Hunter, Pt, Dpt, Robert Simmons, Drph, Mph, Mches, Cph, Nicholas Leon, Pharmd, Bcps, Bcacp, James D. Plumb, Md, Mph, Richard J. Derman, Md, Mph, Facog

Global Health Posters

Mission:

Global Jefferson will create sustainable programs of global distinction through collaboration that position Jefferson as a local and international destination and resource for education, research, and clinical activities.

Global Jefferson is supported by the Associate Provost for Global Affairs, part of the Office of the Provost.

Global activity at Jefferson includes:

  • Global Health Initiatives Committee (GHIC)
  • Service Learning
  • Global Research & Exchange between institutions
  • Pre-clinical, translational, clinical, and applied research

Poster presented at: 8th Annual Global Health Conference of the Consortium of Universities for Global Health (CUGH)


Urine Electrolyte Excretion In A Hypertensive Population Of East Africans, Aiste Dobrovolskaite 2017 Western Kentucky University

Urine Electrolyte Excretion In A Hypertensive Population Of East Africans, Aiste Dobrovolskaite

Masters Theses & Specialist Projects

Chronic noncommunicable diseases (NCDs) are the largest contributor to mortality rates worldwide including in low- and middle- income countries (LMICs) which already suffer from high rates of infectious disease. Among the four major NCDs that cause 38 million deaths annually, cardiovascular disease (CVD) causes 17.5 million of these annual deaths. The primary risk factor of CVD is hypertension. Kenya, a developing country in Sub-Saharan Africa, has a high rate of hypertension with low (2.6%) management rates. Prior research from our lab has identified a population of Kenyans with a high prevalence of hypertension that is not statistically correlated ...


Victims Or Heroes? How Did Journalists Frame The Ebola Crisis In Liberia?, Tamah Kamlem, Nwanneamaka Ume, Skylar Lisse, Eme Udoh, Jialin Meng 2017 George Washington University

Victims Or Heroes? How Did Journalists Frame The Ebola Crisis In Liberia?, Tamah Kamlem, Nwanneamaka Ume, Skylar Lisse, Eme Udoh, Jialin Meng

GW Research Days 2016 - Present

The Ebola Virus Disease epidemic in West Africa in 2014 with over 11,000 deaths made headlines worldwide, causing fear and posing a challenge to traditional media, entrusted with the task of reporting about the spread of the disease. Individuals and communities rely on media to obtain health information, including decisions related to disease prevention and behavior to protect their health. Therefore, frames used by the media to report about health emergencies impact public perceptions. Mass media framing during crises has been associated with emotional and behavioral responses that are consistent with the thematic depiction of unfolding events. Moreover, message ...


Secondary Prevention At The Aswan Heart Centre, Amira Athanasios 2017 George Washington University

Secondary Prevention At The Aswan Heart Centre, Amira Athanasios

GW Research Days 2016 - Present

Cardiovascular disease remains the leading cause of death globally, taking the lives of almost 18 million patients around the world each year. The overwhelming majority of cardiovascular deaths take place in low- to mid-income counties, suggesting that most cardiovascular deaths are preventable. In this study, current literature on secondary prevention of coronary artery disease was analyzed. Specific emphasis was given to preventative measures and successes in low income countries. Based on a literature review, a patient questionnaire to better understand patient adherence to preventative measures was created. This questionnaire focuses on patients receiving dual antiplatelet therapy post acute myocardial infarct ...


Needs Assessment Of Pediatric Radiological Equipment And Cross-Cultural Investigation Into Parental Empowerment In Pediatric Radiology Program Development In The Kingdom Of Bhutan, Danielle Canter 2017 George Washington University

Needs Assessment Of Pediatric Radiological Equipment And Cross-Cultural Investigation Into Parental Empowerment In Pediatric Radiology Program Development In The Kingdom Of Bhutan, Danielle Canter

GW Research Days 2016 - Present

Background:

Bhutan is a magnificent mountainous country hugged by India to the east and west and by China to the North and South. This peaceful nestled country faces challenges in combating non-communicable diseases due to the lack of radiological equipment necessary for early diagnosis. Prior to implementation of these medical devices, it is imperative to investigate the cultural attitudes, beliefs, and infrastructure, to ensure successful integration. Bhutan is beginning to implement a pediatric radiology program for the nation with the assistance of ABAH Foundation and RAD-AID International, both of whom partnered with graduate students at George Washington University School of ...


A Comparative Study On The Impact Evaluation Of World Vision’S Water, Sanitation And Hygiene Program In Malawi, Mozambique, And Zambia: Analyses Using Lives Saved Tool, Chulwoo Park, Armen Martirosyan, Erin A. Jones, Ashley Labat, Yvonne Tam, Emmanuel Opong 2017 George Washington University

A Comparative Study On The Impact Evaluation Of World Vision’S Water, Sanitation And Hygiene Program In Malawi, Mozambique, And Zambia: Analyses Using Lives Saved Tool, Chulwoo Park, Armen Martirosyan, Erin A. Jones, Ashley Labat, Yvonne Tam, Emmanuel Opong

GW Research Days 2016 - Present

Background

According to the World Health Organization, diarrheal disease is the second top killer of children under five years of age (U5), claiming around 760,000 young children’s lives every year, and 88% of diarrheal disease is attributed to unsafe water supply, inadequate sanitation and hygiene. The humanitarian aid organization, World Vision, launched community-based water, sanitation and hygiene (WASH) project in 76 Area Development Programs (ADPs) for 506,019 target U5 population across Southern Africa Region (SAR): Malawi, Mozambique and Zambia in 2010.

Objective

This study estimated the retrospective health impact of the project between 2010 and 2014 to ...


Stakeholders' Perceptions Of A Hospital Based Emergency Medicine Education & Training Program: A System Change, Kate Douglass, Jay Pandya, Michael Brennan, Kyle Yoder, Janice Blanchard, Natasha Powell, Zohray Talib 2017 George Washington University

Stakeholders' Perceptions Of A Hospital Based Emergency Medicine Education & Training Program: A System Change, Kate Douglass, Jay Pandya, Michael Brennan, Kyle Yoder, Janice Blanchard, Natasha Powell, Zohray Talib

GW Research Days 2016 - Present

Background: Emergency Medicine (EM) is a new and developing specialty around the world. In India, one model for capacity building has been the development of partnerships between US academic institutions and private healthcare institutions for implementing post-graduate education and training in EM. Initiated in 2007, programs have grown both in number and scope and have continued to attract new students and partner institutions. This study was undertaken to better understand the impact of EM training programs on hospital systems.

Methods: A mixed-methods evaluation was undertaken at 5 program sites across India in the summer of 2016. Two researchers conducted onsite ...


Cuba’S Use Of Medical Diplomacy: Establishing Global Significance And Influence, Juan Herzberg 2017 SIT Study Abroad

Cuba’S Use Of Medical Diplomacy: Establishing Global Significance And Influence, Juan Herzberg

Independent Study Project (ISP) Collection

This research project aims to assess the importance of medical diplomacy as a foreign policy strategy for Cuba, as well as a means by which the small island nation has managed to gain geopolitical prominence in the current international political sphere. Through the analysis of Cuba’s medical internationalism, its impact on the health of populations across the world, its oil-for-doctors trade agreements with Venezuela, and its involvement in initiatives like the Bolivarian Alternative for the Americas (ALBA), it becomes easier to see the link between medical diplomacy and geopolitical power, which Cuba has been successfully garnering since its 1959 ...


Equity And Community-Based Health Insurance: How Does Insurance Coverage Affect Health Seeking Behavior Among Disadvantaged Groups In India?, Hazel Hering 2017 SIT Study Abroad

Equity And Community-Based Health Insurance: How Does Insurance Coverage Affect Health Seeking Behavior Among Disadvantaged Groups In India?, Hazel Hering

Independent Study Project (ISP) Collection

The objective of this study is to examine how Community-Based Health Insurance (CBHI) can promote equity by improving health seeking behavior across gender and geography. Using a CBHI scheme from the Self-Employed Women’s Association (SEWA) as a case study, trends in claims filed between October 2016 and March 2017 are compared to the distribution of memberships in order to investigate whether health insurance coverage positively impacts health seeking behavior among disadvantaged groups, and what barriers to access exist when the burden of medical costs are reduced. This study concludes that the number of male and female claims in the ...


Improving Health Outcomes In Trafficking Survivors Through Core Skills Development In The Workplace: Experience From The Philippines, Melinda A. Gill 2017 Renewsiya Foundation

Improving Health Outcomes In Trafficking Survivors Through Core Skills Development In The Workplace: Experience From The Philippines, Melinda A. Gill

Dignity: A Journal on Sexual Exploitation and Violence

Whilst an emerging body of research documents the adverse physical and mental health outcomes of victims of trafficking following rescue, there is little research or guidance regarding interventions which improve these outcomes. In this article, I describe my experience as physician involved in a computer-based social enterprise for survivors of trafficking and slavery in the Philippines, and outline my evolving understanding of the requirements for health behavior change and improved outcomes. I conclude that while meaningful vocational skills, economic security, and adequate health-related knowledge are foundational, it is necessary to develop core skills to achieve improved health outcomes and that ...


Rahi-Sathi Indo-U.S. Collaboration: The Evolution Of A Trainee-Led Twinning Model In Global Health Into A Multidisciplinary Collaborative Program, Apurv Soni, Nisha Fahey, Abraham Jaffe, Tiffany A. Moore Simas, Nancy Byatt, Michael Chin, David D. McManus, Michaela Tracey, Jasmine A. Khubchandani, Haley Newman, Allison Earon, Hannah Rosenfield, Anna Handorf, Brittany Novak, John Bostrom, Anindita Deb, Milagros C. Rosal, Patricia A. McQuilkin, Heena Santry, Melissa A. Fischer, Jeroan J. Allison 2017 University of Massachusetts Medical School

Rahi-Sathi Indo-U.S. Collaboration: The Evolution Of A Trainee-Led Twinning Model In Global Health Into A Multidisciplinary Collaborative Program, Apurv Soni, Nisha Fahey, Abraham Jaffe, Tiffany A. Moore Simas, Nancy Byatt, Michael Chin, David D. Mcmanus, Michaela Tracey, Jasmine A. Khubchandani, Haley Newman, Allison Earon, Hannah Rosenfield, Anna Handorf, Brittany Novak, John Bostrom, Anindita Deb, Milagros C. Rosal, Patricia A. Mcquilkin, Heena Santry, Melissa A. Fischer, Jeroan J. Allison

University of Massachusetts Medical School Faculty Publications

BACKGROUND: In recent years there has been a surge in the number of global health programs operated by academic institutions. However, most of the existing programs describe partnerships that are primarily faculty-driven and supported by extramural funding.

PROGRAM DESCRIPTION: Research and Advocacy for Health in India (RAHI, or "pathfinder" in Hindi) and Support and Action Towards Health-Equity in India (SATHI, or "partnership" in Hindi) are 2 interconnected, collaborative efforts between the University of Massachusetts Medical School (UMMS) and Charutar Arogya Mandal (CAM), a medical college and a tertiary care center in rural western India. The RAHI-SATHI program is the culmination ...


Exploring The Nutrition And Physical Activity Knowledge, Attitudes, And Behaviors Of Low-Income Parents Of Peruvian Preschool Children, Kathleen McInvale 2017 Florida International University

Exploring The Nutrition And Physical Activity Knowledge, Attitudes, And Behaviors Of Low-Income Parents Of Peruvian Preschool Children, Kathleen Mcinvale

FIU Electronic Theses and Dissertations

Obesity and related chronic diseases are emerging public health issues among children in Peru, where more than 13 percent of children five years and younger are overweight or obese. Although parents have been identified as one of the most important determinants of healthy weight in young children, there are no known studies that have explored the perceptions of Peruvian parents regarding obesity prevention. This study assessed the nutrition and physical activity knowledge, attitudes and behaviors of Peruvian parents, and sought to determine if there is a relationship between their knowledge, attitudes and behaviors. The cross-sectional survey study sampled 204 parents ...


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