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Viewing 15 posts - 1 through 15 (of 23 total)
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  • in reply to: Public Health Week 5 Discussion Forum #40079
    Victoria Pierce
    Participant

    In response to Jasleen, yes! Talking out loud is the best and one of the number one ways I like to learn and teach. I am so glad you have found it so useful as well.

    in reply to: Public Health Week 5 Discussion Forum #40078
    Victoria Pierce
    Participant

    Question #2: Which habit of exemplary clinical teaching is translatable to education in LMIC (low and middle income) settings? Can you provide an example of effective implementation from your own experience?
    Like many others have already said, thinking out loud is one of the best educational tools! Esp when used in an environment where the learners have the opportunity to be wrong and work through misunderstandings. Thinking out loud also solidifies the information in the student’s mind.

    in reply to: Public Health Week 5 Discussion Forum #40077
    Victoria Pierce
    Participant

    Question #1: Dr. Burdick describes qualities of effective programming and global collaboration. What barriers exist to expansion of faculty development programming in LMIC (low and middle income) settings?
    Some of the barriers include lack of resources to the wider academic discussion, lack of incentives in academia. There may not be a mentorship or professional opportunity for learners to see people like them in it. The time required to meet the needs of the effective programming may be too much of an ask for the community where the need it.

    in reply to: Public Health Week 4 Discussion Forum #39845
    Victoria Pierce
    Participant

    Jennifer, I think you said it nicely – Universal health coverage and even increasing affordability and access, will do little to achieve the goals of improving population health, if the standard of care and quality of care is neglected. That is a succinct way to state it. I also like the idea of measurable outcomes to be able to guide the system to see what is effective and what is not. That is also in line with what leadership in HC can and should look like.

    in reply to: Public Health Week 4 Discussion Forum #39844
    Victoria Pierce
    Participant

    Question 2: What is the most appropriate role for community health workers in your particular community of interest?
    One of the communities I hope to work with in the future are displaced women and children, whether it be due to a civil unrest event or natural disaster. Some of the important things that CHW can do as a part of their training that are particularly important to this group are to work to reduce health inequities and gender inequalities, ensure that they receive essential health care at a community level, and employ learning and research to identify, sustain and scale up interventions. CHW are one of the more interesting groups to work to increase technology interventions and aid in gaps of care. They are usually highly motivated and have an investment in the community themselves.

    in reply to: Public Health Week 4 Discussion Forum #39843
    Victoria Pierce
    Participant

    Question 1: What additional elements would be necessary for universal health coverage to be effective?
    As the article says, increased access to staff does not automatically mean increased access to UHC. Some of the biggest areas that are necessary for UHC to be effective include more effective training with real world application and bundling diagnostics with treatment. Using midlevels and bringing patients from rural areas to urban areas is also an effective way to utilize fewer resources and make the system more effective.

    in reply to: Public Health Week 3 Discussion Forum #39628
    Victoria Pierce
    Participant

    Dr. Aparicio brings up a good point. Humans are far better at damage control when they see the entire picture as opposed to preparation or daily interventions. Prevention on the individual level is a discipline. It is even more difficult to develop that discipline on an organizational or national level.

    in reply to: Public Health Week 3 Discussion Forum #39627
    Victoria Pierce
    Participant

    Question 2: Why, in your opinion, is disaster prevention minimized in comparison with disaster response?
    Prevention is more challenging than response. With response, the needs are obvious, but prevention requires more research and dedication to find the gaps to prevent disaster or mitigate risk. It is easier, ideologically, and non-political to respond to humans in need, but the peace building and root causes of violence often are more complicated because they require commitment and negotiation from outside nations or organizations on a sovereign or unorganized group of people. That being said, it is certainly the next step to lessen the risks and consequences of disaster, but it is not for institutions that are not willing to commit to the hard work of prevention.

    in reply to: Public Health Week 3 Discussion Forum #39622
    Victoria Pierce
    Participant

    Question 1: What prevention interventions could best help reduce consequences of complex humanitarian emergencies?
    The continued effort to vaccinate from a global level through humanitarian organizations as well as implementing a program that targets multiple avenues of prevention (per previous group discussions) is important to prevent disease outbreak in CEs. Also per the course material, it is worth the time to create disaster plans and assessment tools for anticipated disasters or circumstances however unlikely they seem (like a global pandemic).

    in reply to: Public Health Week 2 Discussion Forum #39617
    Victoria Pierce
    Participant

    I thought Elijahs idea for question 1 was an interesting point as well. I think that you can teach all day about the actions people can take to better the healthcare system, but the best way to get experience is to serve people of different cultures and backgrounds. Always making sure to take the time to educated yourself first and then humbly receive any criticism or correction.

    in reply to: Public Health Week 2 Discussion Forum #39616
    Victoria Pierce
    Participant

    1. What actions can healthcare providers take to decrease cross-cultural barriers?
    Using a translator or learning the language of the population you are trying to serve. As pts without an advocate or translator can be over looked. Like the article said, it is also important to be alert against any mental health challenges that different populations face from their life experiences and to be aware of stereotypes as they may affect the care you are trying to give.

    in reply to: Public Health Week 2 Discussion Forum #39615
    Victoria Pierce
    Participant

    Question 2: Describe how short-term healthcare trips came become more effective.
    The difference between a successful and unsuccessful short term trip can be as simple as partnering with the local people the trip is trying to serve. Like the article says, the health of the people of the home country is of the utmost importance. Deciding an objective for the trip in partnership with the people as well as asking what kind of services should be provided to the people is an often overlooked item. It is important to make sure that the services needed are actually being provided in a culturally sensitive manner. Also, a pre-trip course on the culture and city the people are going to is imperative to avoid offending and setting the goals of the trip back. Partnering with a local organization that is working with the locals year around is a good way to ensure that the services being provided are the ones that are needed. The local organization can also act as a way to educate the short term trip goers.

    in reply to: Public Health Week 1 Discussion Forum #39213
    Victoria Pierce
    Participant

    Nilda, I think the national buy in for countries is a really good and important intervention. It is important for there to be public health education about food safety, food security, and global warming all with the intention of improving global nutrition like you said.

    in reply to: Public Health Week 1 Discussion Forum #39212
    Victoria Pierce
    Participant

    Question 1: What actions are most important to improve global nutrition?
    I think one of the more important actions to improve global nutrition (as opposed to one regions/country’s nutrition) is to one recognize that it is a global effort and will not be accomplished in isolation. There are many programs already addressing food safety and nutrition, but one of the more concerning developments is food security and global warming. One of the ways we help global nutrition long term is to address the concerns of food security as our climate is changing, economic systems are unstable, and there is lack of stability for agricultural products due to any of these things or war. A view of food security and global warming being everyone’s problem would be expected to help everyone, starting with those that have smallest influence and voice.

    Question 2: In your opinion, what are today’s greatest obstacles to progress in global health?
    One of the greatest obstacles is a concentration on disease control instead of the culturally appropriate intervention. It is obviously important to address difficulties in women/child health, but the same interventions do not work all over the world. It is necessary to make adjustments when interventions fail and stay the course when they take longer than expected, but that’s not something the global community is very good at doing.

    in reply to: Clinical Health Week 5 Discussion Forum #39065
    Victoria Pierce
    Participant

    Jasleen, your comment is a succinct understanding of the synergistic effect of WASH and a promotion of nutrition. I do think that the interesting part of the WASH and nutrition combo is the change of efficacy by cultural context. I would be interested to see it applied in other contexts as well.

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