DOCSLIB.ORG

Maximizing the Impact of Training Initiatives for Health Professionals in Low-Income Countries: Frameworks, Challenges, and Best Practices

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Maximizing the Impact of Training Initiatives for Health Professionals in Low-Income Countries: Frameworks, Challenges, and Best Practices Dartmouth College Dartmouth Digital Commons Dartmouth Scholarship Faculty Work 6-16-2015 Maximizing the Impact of Training Initiatives for Health Professionals in Low-Income Countries: Frameworks, Challenges, and Best Practices Corrado Cancedda Harvard University Paul E. Farmer Harvard University Vanessa Kerry Harvard University Tej Nuthulaganti Harvard University Kirstin W. Scott Harvard University FSeeollow next this page and for additional additional works authors at: https:/ /digitalcommons.dartmouth.edu/facoa Part of the Health Services Administration Commons, Health Services Research Commons, and the International Public Health Commons Dartmouth Digital Commons Citation Cancedda, Corrado; Farmer, Paul E.; Kerry, Vanessa; Nuthulaganti, Tej; Scott, Kirstin W.; Goosby, Eric; and Binagwaho, Agnes, "Maximizing the Impact of Training Initiatives for Health Professionals in Low-Income Countries: Frameworks, Challenges, and Best Practices" (2015). Dartmouth Scholarship. 1653. https://digitalcommons.dartmouth.edu/facoa/1653 This Article is brought to you for free and open access by the Faculty Work at Dartmouth Digital Commons. It has been accepted for inclusion in Dartmouth Scholarship by an authorized administrator of Dartmouth Digital Commons. For more information, please contact [email protected]. Authors Corrado Cancedda, Paul E. Farmer, Vanessa Kerry, Tej Nuthulaganti, Kirstin W. Scott, Eric Goosby, and Agnes Binagwaho This article is available at Dartmouth Digital Commons: https://digitalcommons.dartmouth.edu/facoa/1653 POLICY FORUM Maximizing the Impact of Training Initiatives for Health Professionals in Low-Income Countries: Frameworks, Challenges, and Best Practices Corrado Cancedda1,2,3*, Paul E. Farmer1,2,3, Vanessa Kerry2,4,5, Tej Nuthulaganti6,7, Kirstin W. Scott7, Eric Goosby8, Agnes Binagwaho2,9,10 1 Brigham and Women's Hospital, Boston, Massachusetts, United States of America, 2 Harvard Medical School, Boston, Massachusetts, United States of America, 3 Partners In Health, Boston, Massachusetts, United States of America, 4 Seed Global Health, Boston, Massachusetts, United States of America, 5 Massachusetts General Hospital, Boston, Massachusetts, United States of America, 6 Clinton Health Access Initiative, Boston, Massachusetts, United States of America, 7 Harvard University, Cambridge, Massachusetts, United States of America, 8 University of California San Francisco, San Francisco, California, United States of America, 9 Ministry of Health of Rwanda, Kigali, Rwanda, 10 Geisel School of Medicine—Dartmouth, Hanover, New Hampshire, United States of America * [email protected] OPEN ACCESS Citation: Cancedda C, Farmer PE, Kerry V, Summary Points Nuthulaganti T, Scott KW, Goosby E, et al. (2015) Maximizing the Impact of Training Initiatives for • Historically, the impact of many health professional training initiatives in low-income Health Professionals in Low-Income Countries: countries has been limited by narrow focus on a small set of diseases, inefficient utiliza- Frameworks, Challenges, and Best Practices. PLoS tion of donor funding, inadequate scale up, insufficient emphasis on the acquisition of Med 12(6): e1001840. doi:10.1371/journal. pmed.1001840 practical skills, poor alignment with local priorities, and lack of coordination. • Published: June 16, 2015 Fortunately, several innovative training initiatives have emerged over the past five years in sub-Saharan Africa. This articles focuses on four initiatives funded by the United Copyright: © 2015 Cancedda et al. This is an open States government: the Medical Education Training Partnership Initiative (MEPI), the access article distributed under the terms of the Creative Commons Attribution License, which permits Nursing Training Partnership Initiative (NEPI), the Rwanda Human Resources for unrestricted use, distribution, and reproduction in any Health Program (HRH Program), and the Global Health Service Partnership (GHSP). medium, provided the original author and source are • The best practices adopted by these initiatives are: alignment to local priorities, country credited. ownership, competency-based training, institutional capacity building, and the estab- Funding: No funding was received for this work. lishment of long-lasting partnerships with international stakeholders, Competing Interests: CC is Co-Principal • Based on these best practices, we outline a framework for health professional training ini- Investigator for Rwanda HRH Program at Brigham tiatives that can help better address the health workforce shortage in low-income countries. and Women's Hospital/Harvard Medical School. VK is CEO of Seed Global Health, which is discussed in this article. TN is CHAI Program Director of Rwanda’s HRH Program. EG is former US Global AIDS Coordinator that oversees PEPFAR program. AB is a member of the Editorial Board of PLOS Medicine. Introduction Abbreviations: CDC, Centers for Disease Control; GHSP, Global Health Service Partnership; HRH, The Global Shortage of Health Professionals Rwanda Human Resources for Health; MEPI, Medical Education Training Partnership Initiative; The immense suffering taking place in West Africa due to the Ebola epidemic is a tragic and NEPI, Nursing Training Partnership Initiative; NGO, powerful example of an “acute on chronic” problem facing many low-income countries: the non-governmental organization; PEPFAR, US health workforce shortage [1]. PLOS Medicine | DOI:10.1371/journal.pmed.1001840 June 16, 2015 1/11 President’s Emergency Plan for AIDS Relief; USAID, Insufficient training capacity and the “brain drain” of health professionals from Africa are US Agency for International Development. principal drivers of the current situation [1–3]. Health professional schools in low-income Provenance: Not commissioned; externally countries face notable limitations in physical space, equipment, curricula, training materials, peer reviewed faculty, administrative staff, and funding [4–7]. These limitations stifle efforts to expand the number and the diversity of training programs and to improve the quality of training. Simulta- neously, practicing health professionals are often overwhelmed by the grinding work of deliver- ing health services in under-supplied and over-crowded hospitals and clinics, inadequately compensated for their work, and demoralized by a lack of continuing professional development opportunities [1,3,8]. The health workforce shortage has negatively affected the response to the global HIV/AIDS epidemic, to the emerging threat of non-communicable diseases in sub-Saharan Africa, and most recently, to the Ebola epidemic in West Africa. To improve health outcomes globally, it is critical to increase the number and to diversify and strengthen the competencies of health pro- fessionals in low-income countries [1–4,9]. Past and Current Efforts to Address This Shortage The number of health professional training initiatives in low-income countries has significantly increased over the past ten years [4,7,10,11]. A diverse range of internal (e.g., local governments and academic institutions) as well as external stakeholders have been involved in developing and implementing these initiatives [4,7,12]. External stakeholders have included both develop- ment partners (which contribute funding) and training partners (which contribute expertise and assist with training implementation) (Table 1). Especially in earlier years, the framework adopted by many of these training initiatives has led to less-than-ideal outcomes (Fig 1) [2,4,5,7,8,10,11]. First, many of these initiatives have been primarily driven by the priorities of individual de- velopment and training partners and have often focused on a narrow set of diseases. Addition- ally, integration into national strategic plans (when they exist) or alignment with local priorities has often been marginal [2,4,5,10]. As a result, the same initiatives have rarely been brought to scale and have not addressed the health workforce shortage comprehensively [4,5,7,13,14]. Second, donor funding generally has come with many spending restrictions, which have prevented governments from utilizing the funds effectively, if at all [15,16]. In the past, many development partners have selected and directly funded training partners with limited input from local governments and local academic institutions [13]. These training partners often have spent a substantial proportion of funds on overhead rather than direct training costs [15,16]. Lastly, spending restrictions have often prevented training partners from investing in critical infrastructure and equipment within health professional schools and teaching hospitals that are necessary to create a strong teaching environment [13,14]. Third, many health professional training initiatives have prioritized mostly classroom teach- ing. Such ad hoc, short-term lectures and seminars have not been shown to effectively diversify the skills and strengthen the competencies of local health professionals [4,7,8,13,14]. Until re- cently, the competencies that allow different cadres of health professionals to work together as a team have been rarely addressed by curricula and training materials [9]. Furthermore, many initiatives have focused on training clinicians as opposed to other health professionals (e.g., health managers, community health workers, public health professionals, or researchers) [4,5]. The duration of these initiatives has been determined more by the arbitrary availability of fund- ing and training expertise than by the
Load more

Recommended publications
  • Pluralism in Peril: Challenges to an American Ideal
    PLURALISM IN PERIL: CHALLENGES TO AN AMERICAN IDEAL IDEAL AMERICAN AN TO CHALLENGES PERIL: IN PLURALISM PLURALISM IN PERIL: CHALLENGES TO AN AMERICAN IDEAL Report of the Inclusive America Project Report of the Inclusive America Project the Report Inclusive of January 2018 • Washington, D.C. Steven D. Martin – National Council of Churches THE ASPEN INSTITUTE JUSTICE AND SOCIETY PROGRAM 11-024 PLURALISM IN PERIL: CHALLENGES TO AN AMERICAN IDEAL Report of the Inclusive America Project January 2018 • Washington, D.C. Meryl Justin Chertoff Executive Editor Allison K. Ralph Editor The ideas and recommendations contained in this report should not be taken as representing the views or carrying the endorsement of the organization with which the author is affiliated. The organizations cited as examples in this report do not necessarily endorse the Inclusive America Project or its aims. For all inquiries related to the Inclusive America Project, please contact: Zeenat Rahman Project Director, Inclusive America Project [email protected] Copyright © 2018 by The Aspen Institute The Aspen Institute 2300 N Street, NW Suite 700 Washington, DC 20037 Published in the United States of America in 2018 by The Aspen Institute All rights reserved Printed in the United States of America 18/001 TABLE OF CONTENTS Acknowledgments ..............................................v Executive Editor’s Note .........................................vii Letter to the Reader . ix Introduction ...................................................1 PART 1: EMERGING
    [Show full text]
  • We Appreciate Your Support of WEST! Thank You for Your Partnership in Getting the Word out About Our Programs
    Having trouble viewing this email? Click here We appreciate your support of WEST! Thank you for your partnership in getting the word out about our programs. We ask that you continue to support us and post our upcoming programs on your calendars and spread the word about our very exciting upcoming events. If you have any events you would like us to include in our newsletter we would be happy to include them. Warmest regards, Ilene Fischer Executive Director WEST Advancing Women in the Business of Science and Technology office: 617.682.3702 cell: 603.566.0299 www.westorg.org WEST Announces Leadership for Societal Impact Awardees WEST is proud to announce today the three Leadership for Societal Impact Awardees: Toni Wolfman, the first women partner at Foley Hoag who supported WEST from its inception, supported the Boston Club and the Commonwealth Institute, currently is a leader at Bentley's center for Women and Business. Read her bio HERE Yvonne Spicer - VP at the Museum of Science she advocates for the Museum's K-12 curricula, Engineering is Elementary, Building Math, and Engineering the Future, and she directs the Gateway Project, which originated in Massachusetts and is being replicated across the U.S. as a model to build leadership capacity for technological literacy. Read her bio HERE Vanessa Kerry - Vanessa Kerry is the founder and CEO of Global Health Service Corps, a non-profit that partners with the Peace Corps to build capacity of developing country health systems by deploying health professionals as educators. She is also a physician at Massachusetts General Hospital.
    [Show full text]
  • & Population Orld Health
    ORLD HEALTH & POPULATION www.worldhealthandpopulation.com • Volume 16 • Number 1 THEME The Global Health Workforce: Striving for Equity ISSUE Tackling Challenges on the Ground Health Workforce Measurement: Seeking Global Governance and National Accountability Improving Access to Care among Underserved Populations: The Role of Health Workforce Data in Health Workforce Policy, Planning and Practice Global Perspectives on Nursing and Its Contribution to Healthcare and Health Policy: Thoughts on an Emerging Policy Model A LONGWOODS PUBLICATION W ORLD HEALTH & POPULATION IN THIS ISSUE Volume 16 • Number 1 FROM THE EDITOR-IN-CHIEF Judith Shamian 3 FROM THE GUEST EDITOR – Delivering on Equity Depends on Us Marilyn A. DeLuca 4 COMMENTARY – Time for a Copernican Revolution in Health Labour Markets Agnes Soucat 6 RESEARCH PAPERS Health Workforce Measurement: Seeking Global Governance and National Accountability Marilyn A. DeLuca and Sofia Castro Lopes 8 Global Health Service Partnership: First Year Findings Vanessa Kerry, Libby Cunningham, Pat Daoust and Sadath Sayeed 24 Improving Access to Care among Underserved Populations: The Role of Health Workforce Data in Health Workforce Policy, Planning and Practice Jennifer Wesson, Pamela McQuide, Claire Viadro, Maritza Titus, Norbert Forster, Daren Trudeau and Maureen Corbett 36 Health Human Resources: A Critical yet Challenging Pathway to Universal Health Coverage in Indonesia Rosalia Sciortino and Roy Tjong 51 Thai Health Promotion Foundation: Innovative Enabler for Health Promotion Sakol Sopitarchasak, Supreda Adulyanon and Tananart Lorthong 62 Findings from a Survey of an Uncategorized Cadre of Clinicians in 46 Countries Nadia Cobb, Marie Meckel, Jennifer Nyoni, Karen Mulitalo, Hoonani Cuadrado, Jeri Sumitani, Gerald Kayingo and David Fahringer 72 The Effect of the Conflict on Syria’s Health System and Human Resources for Health Aula Abbara, Karl Blanchet, Zaher Sahloul, Fouad Fouad, Adam Coutts and Wasim Maziak 87 REPRINT – Nursing Leadership.
    [Show full text]
  • The Cabinet and Independent Agencies
    [ABCDE] VOLUME 12, ISSUE 6 The Cabinet and Independent Agencies ■ Background: Federal Agencies ■ Resource: The President’s Cabinet ■ An Introduction: May I Introduce Independent Agencies? ■ Resource: What About the Money? ■ Focus: The Federal Reserve ■ Student Activity: Get Acquainted with Independent Agencies and Their Leaders ■ Think Like a Reporter: Know Who Does What February 12, 2013 © 2013 THE WASHINGTON POST COMPANY VOLUME 12, ISSUE 6 An Integrated Curriculum For The Washington Post Newspaper In Education Program he Founders and writers of the U.S. Constitution created a government where power is shared by three co-equal branches of government: the Legislative (Congress), Executive (President), and Judicial (the Supreme Court and lower federal courts).T For most of American history, things got done like this: Congress passed a law, the President enforced the law, and the federal courts interpreted the law. Today, this still happens. But, today, most of the decisions that affect WHITEHOUSE.GOV Americans’ day-to-day lives are made by entities known as federal agencies. The reason for their existence is simple. Congress’s job is to draft and pass legislation. Much of the legislation that they pass is broad in scope and affects millions of people. Because our country has become so populous and increasingly diverse, it would be impossible for Congress to be experts on every piece of legislation it passed. Likewise, the President, who is tasked with enforcing the laws that Congress passes, cannot by himself do everything that is necessary to make sure that all parts of a law are being followed correctly. Finally, the Supreme Court and federal courts are far too busy hearing and deciding cases to worry about such matters as how many judges are needed, how much the budget will be for the upcoming year, and how to supervise the thousands of federal court employees.
    [Show full text]
  • Faith Without Funding, Values Without Justice
    ABSTRACT Title of Document: FAITH WITHOUT FUNDING, VALUES WITHOUT JUSTICE: THE BUSH CAMPAIGN’S SUCCESSFUL TARGETING OF AFRICAN AMERICAN EVANGELICAL PASTORS AND CHURCHES IN THE 2004 PRESIDENTIAL ELECTION Tamara Wilds Lawson, Ph.D., 2009 Directed By: Professor Sheri Parks, American Studies This dissertation examines the impact of the Black church on electoral politics through an analysis of the role it played during the 2004 presidential election. By examining this particular election, I illustrate both the complexity and political import of the Black church and how neither can be taken for granted by presidential candidates or major political parties seeking to win elections. Paying particular attention to the strategies the Bush campaign and Republican Party used to target a certain segment of the Black church, I focus on faith-based initiatives and same-sex marriage as two specific issues that connected Black churches to the 2004 presidential election in critical ways. I collected data from historical and political texts as well as newspapers and published reports. My interviews with a cross-section of clergy, party operatives and political activists also provided critical information. This dissertation will examine the significance of the role faith-based initiatives and values centered wedge politics played in impacting Black pastors and churches during the countdown to the general election of 2004. The Bush campaign targeted and successfully reached evangelical Black pastors and congregations across the nation by appealing to their conservative moral values. This is significant for two reasons. First, because in expressing their support for President Bush, these Black churches represented a clear departure from the perception that all Black churches support Democratic candidates.
    [Show full text]
  • Shsvendsen.Pdf (647.1Kb)
    Paternal Presidentialism Gendered Rhetorical Strategies in the 2000 and 2004 U.S. Presidential Elections Stine Helena Svendsen Thesis in Partial Fulfilment of the M.A. Degree in European and American Area Studies Faculty of Humanities UNIVERSITY OF OSLO 8 May, 2007 2 Content CONTENT............................................................................................................................................ 2 ACKNOWLEDGEMENTS................................................................................................................. 5 1. INTRODUCTION: ANALYZING PRESIDENTIAL CAMPAIGN RHETORIC WITH GENDER AS THE FRAME OF UNDERSTANDING ....................................................................................... 6 1.1 QUESTIONS AND THEME .......................................................................................................... 6 1.2 SOURCES AND MATERIAL ......................................................................................................... 8 1.2.1 Selection....................................................................................................................... 8 1.2.2 Material...................................................................................................................... 10 1.2.3 Commentary and Secondary Sources......................................................................... 12 1.3 METHODOLOGICAL APPROACH .............................................................................................. 12 1.3.1 Text Analysis in American
    [Show full text]
  • David Roy Bangsberg, MD, MPH Founding Dean, OHSU-PSU School of Public Health
    David Roy Bangsberg, MD, MPH Founding Dean, OHSU-PSU School of Public Health Summary of Accomplishments Leadership to Build Enduring Institutions ● Started the UCSF Tenderloin Research Program which became the first NIH Clinical and Translational Science Initiative-funded bedside-to-community (“T-3 to T-4”) translational science program on urban domestic health disparities under Dr. Margot Kushel. ● Administrative lead for the first bone marrow transplant program in Bangladesh. ● Grew Mbarara University of Science and Technology’s (previously largely unknown outside of Uganda) research program from 4 publications in 2003 to 142 publications in 2016; now ranked 74th of 1497 African universities. ● Launched CAMTech, a global network which yielded 142 new technologies in low and middle income countries. http://www.globalhealthmgh.org/camtech/. ● Mentored Dr. Vanessa Kerry, CEO of SEED Global Health, which trained more than 13,700 doctors and nurses across 5 countries in sub-Saharan Africa. ● Administrative lead for MGH Disaster Response (one of the largest US hospital-based disaster response teams) deployments to: 2010 Haiti earthquake, 2013 Japan tsunami, 2013 Philippines Typhoon Haiyan, 2015 Nepal earthquake. ● Founding Dean of the OHSU-PSU SPH ranked #32 (top 20%) across OHSU, an academic medical center and PSU a comprehensive urban university ● Chair of the Oregon Health Policy Board Building a Research Program with Global Impact ● Top 25 mostly highly cited HIV/AIDS investigators; publications: >450; Citations per Google Scholar: >45,000; H-index per Google Scholar: 103 ● Contributed to an evidence base that made HIV treatment in the homeless standard medical care. ● Front page recognition by the New York Times as the first research to show that people living with HIV/AIDS in sub-Saharan Africa could succeed on treatment, http://www.nytimes.com/2003/09/03/.html.
    [Show full text]
  • Vanessa Kerry, MD, Msc Vanessa Kerry Is the Founder and CEO Of
    Vanessa Kerry, MD, MSc Vanessa Kerry is the founder and CEO of Global Health Service Corps, a non-profit that partners with the Peace Corps to build capacity of developing country health systems by deploying health professionals as educators. She is also a physician at Massachusetts General Hospital and serves as the Associate Director of Partnerships and Global Initiatives at the hospital’s Center for Global Health. Academically, she spearheads the program in Global Public Policy and Social Change in the Department of Global Health and Social Medicine at Harvard Medical School. Her interest focuses on investments in human resources for health and capacity-building to strengthen public sector health systems in resource poor settings. Her work has included the grassroots effort which lead to the Global Health Service Corps, as well as looking at novel ways for U.S. foreign assistance to fund health efforts, which improve efficiency of aid delivery, develop capacity, and enhance national sovereignty. Her publications include “An International Service Corps for Health: A New Prescription for Diplomacy” in the New England Journal of Medicine and “…One for Doctors Too,” a New York Times opinion piece published in 2010. She was recently invited by the State Department to write and speak on investments in global health. She graduated from Yale University summa cum laude and Harvard Medical School cum laude, completing her Internal Medicine residency at Massachusetts General Hospital. She earned her Master’s in Health Policy, Planning, and Financing from the London Schools of Economics and of Hygiene and Tropical Medicine. .
    [Show full text]
  • Local Solutions to Global Challenges: Building Resilient Communities
    PLURALISM IN PERIL: CHALLENGES TO AN AMERICAN IDEAL IDEAL AMERICAN AN TO CHALLENGES PERIL: IN PLURALISM PLURALISM IN PERIL: CHALLENGES TO AN AMERICAN IDEAL Report of the Inclusive America Project Report of the Inclusive America Project the Report Inclusive of January 2018 • Washington, D.C. Steven D. Martin – National Council of Churches THE ASPEN INSTITUTE JUSTICE AND SOCIETY PROGRAM 11-024 PLURALISM IN PERIL: CHALLENGES TO AN AMERICAN IDEAL Report of the Inclusive America Project January 2018 • Washington, D.C. Meryl Justin Chertoff Executive Editor Allison K. Ralph Editor The ideas and recommendations contained in this report should not be taken as representing the views or carrying the endorsement of the organization with which the author is affiliated. The organizations cited as examples in this report do not necessarily endorse the Inclusive America Project or its aims. For all inquiries related to the Inclusive America Project, please contact: Zeenat Rahman Project Director, Inclusive America Project [email protected] Copyright © 2018 by The Aspen Institute The Aspen Institute 2300 N Street, NW Suite 700 Washington, DC 20037 Published in the United States of America in 2018 by The Aspen Institute All rights reserved Printed in the United States of America 18/001 Local Solutions to Global Challenges: Building Resilient Communities Sarah E. Morgenthau1 Managing Director, Nardello & Co. Communities drive action and innovation. When a man-made or natu- ral disaster strikes, there are often community-driven approaches that can mitigate the threat and/or effects and speed recovery. As the world grapples with a seemingly endless cycle of natural disasters and the acceleration of barbaric acts of terrorism, policy discussions are turning more and more to community resilience as the necessary anti- dote to existential global threats.
    [Show full text]
  • Massachusetts General Hospital and Seed Global Health Partner To
    FOR IMMEDIATE RELEASE: November 26, 2014 CONTACT: Madison Louis, Seed Global Health, 617.643.6853, [email protected] Jason Harlow, Center for Global Health, 617.724.0344, [email protected] Massachusetts General Hospital and Seed Global Health Partner to Support Health Professionals Training the Next Generation of Physicians, Nurses and Midwives in Resource-Limited Settings in Africa GHSP Volunteers Eligible to be Massachusetts General Hospital Fellows in Global Clinical Education BOSTON, MA, November 26, 2014 – Massachusetts General Hospital (MGH) and Seed Global Health (Seed) announced today that all Global Health Service Partnership (GHSP) Volunteers will be eligible to become Massachusetts General Hospital Fellows in Global Clinical Education. The academic designation is being offered in recognition of GHSP Volunteers’ service, teaching, and clinical care through their year of service with the GHSP program in resource-limited countries abroad. This new designation highlights the joint commitment of MGH and Seed towards supporting health professionals who dedicate their time and talent to help train the next generation of doctors and nurses and increase health delivery capacity in countries where there is a critical need. The World Health Organization estimates that in 83 countries around the world there is a dire shortage of 7.2 million doctors, nurses, and midwives. Seed, a non-profit organization closely partnered with the MGH Center for Global Health, aims to help alleviate this global shortage through supporting medical and nursing education. Seed’s flagship initiative is the GHSP program, a unique public-private partnership with the Peace Corps and President's Emergency Plan for AIDS Relief (PEPFAR).
    [Show full text]
  • He Issues That Concern Young Voters Most Have Assumed a Prominent Role in the 2004 Presidential Election As Both John Kerry and George W
    --:---.---.~.--- -~------ STORY BY MADDIE HANNA AND JOE HETTLER he issues that concern young voters most have assumed a prominent role in the 2004 presidential election as both John Kerry and George W. Bush strive to secure the youth vote. _ T "Younger voters are particularly interested in what the future might hold," American Studies professor Robert Schmuhl said. "Whether the candidates have addressed these concerns in compelling ways is an open question. .. Historically, economic issues tend to assume dominant importance in a presidential campaign. This year is different, with the war in Iraq and the threat of terrorism vying for voter concern." Media organizations be especially interested in young people, such as the will directly affect us if cult to determine which such as Rock the Vote and the policy decisions that status of Social Security, either party doesn't do candidate is most closely Vote or Die emphasize the we're making right now," should be considered, said something about it," aligned with their own environment, gay rights, he said. Tom Guglielmo, an Rippinger said. views. health care, education and Particularly at Notre American Studies assis­ Health care also con­ "[For] younger voters, terrorism as the most Dame, with its Center for tant professor. cerns young voters, mostly occupied with col­ prominent issues facing Social Concerns and "You could make the Rippinger said, in light of lege and work - it's hard voters under 30. For many strong emphasis on case that Social Security is recent debates over creat­ to actually take the time to Notre Dame students, Catholic social teaching, for older people, but ing a government-based do the research and make national security is their issues of social welfare there's the question that health care system.
    [Show full text]
  • Women Leaders in Global Health Conference 2019 Proceeding Report
    KIGALI The University of Global Health Equity presents the; CONVENTION CENTRE RWANDA WOMEN LEADERS IN GLOBAL HEALTH CONFERENCE 2019 PROCEEDING REPORT In affiliation with conference participants, delegates, sponsors and academic partners 9-10TH NOVEMBER HOSTED BY THE UNIVERSITY OF GLOBAL HEALTH EQUITY 9-10TH INTRODUCTION NOVEMBER INTRODUCTION The University of Global Health Equity (UGHE) partnered with Women Leaders in Global Health Initiative, now renamed WomenLift Health, which is an initiative of Stanford University to address challenges to better health outcomes, and increase investment in health and education through promoting women’s representation in leadership globally. Through this initiative, two consecutive conferences were undertaken in 2017 (hosted by Stanford University) and 2018 (hosted by London School of Hygiene and Tropical Medicine). The WLGH conference series rotates every year in other regions. Building on the experiences from these Conferences, the 2019 Women Leaders in Global Health Conference (WLGH19) was hosted in Rwanda, Kigali Convention Center across November 9- 10, 2019, by the University of Global Health Equity (UGHE), to continue the global agenda for better gender equity in health research in academia and in clinical fields. The organization of this conference required identification and recruitment of relevant speakers, panelists and mentors to share leadership experiences, lessons, and best practices. As with previous WLGH Conferences, UGHE organized an international conference committee, a scientific committee, and a national conference committee to facilitate the preparation and implementation of the Conference. Organizers of the event included an operational team at UGHE, and external advisory groups below. a) International Conference Committee: This group was composed of highly esteemed professionals in Global Health who volunteered their time for activities including liaising with key contacts and developing the conference program.
    [Show full text]