Abstract:
BACKGROUND:Haiti has a chronic physician shortage, and the country has been facing an increased disease burden since the 2010 earthquake and the subsequent introduction of cholera. In such resource-challenged settings, access to postgraduate medical education often is limited due to inadequate financial, structural, and academic resources. A crucial component to improved health in Haiti is the expansion of continuing medical education (CME). To our knowledge there have been no previous studies investigating the continuing professional development needs of Haitian physicians working in this context. OBJECTIVE:The objectives of this study are to describe the educational resources available to Haitian physicians and to understand their continuing professional development needs. METHODS:We performed a needs and resource assessment of CME available to Haitian physicians using surveys and focus groups. We surveyed 62 physicians and led 3 focus groups. Questions gathered data on physicians' access to educational resources. Descriptive statistics were calculated from surveys, and focus group transcripts were manually reviewed for themes. FINDINGS:In all, 82 conference attendees were invited to participate. Of these, 62 physicians completed the needs and resource assessment survey. Of the participants, 16% had a medical library at work and 31% had access to a computer at work. Educational conferences were available at work for 27% of participants, and 50% attended conferences outside of work. Less than half (45%) identified a clinical mentor. Focus group participants described inadequate tangible and reference resources, lack of colleague support, and lack of avenues for specialty training and employment. CONCLUSIONS:In this needs assessment, Haitian physicians identified lack of support for clinical decision making, poor access to CME activities, limited professional development, and absence of employment opportunities as key areas of need in support of their clinical and professional work.
journal_name
Ann Glob Healthjournal_title
Annals of global healthauthors
Nádas M,Bedenbaugh R,Morse M,McMahon GT,Curry CLdoi
10.1016/j.aogh.2015.03.003subject
Has Abstractpub_date
2015-03-01 00:00:00pages
248-54issue
2issn
2214-9996pii
S2214-9996(15)01153-4journal_volume
81pub_type
杂志文章abstract:BACKGROUND:Hands-only bystander CPR increases survival from out-of-hospital cardiac arrest. Video-based CPR instruction in schools has been proposed as a means to mass-educate laypersons in Hands-only CPR™ (HOCPR), in developed as well as developing countries. OBJECTIVES:The purpose of this study is to determine wheth...
journal_title:Annals of global health
pub_type: 杂志文章,多中心研究
doi:10.9204/aogh.2367
更新日期:2018-11-05 00:00:00
abstract::Asians have specific characteristics of hypertension (HTN) and its relationship with cardiovascular disease. The morning surge in blood pressure (BP) in Asians is more extended, and the association slope between higher BP and the risk for cardiovascular events is steeper in this population than in whites. Thus, 24-hou...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.1016/j.aogh.2016.02.004
更新日期:2016-03-01 00:00:00
abstract:Background:New education programs are developing to improve global health awareness. Dental students have demonstrated interest in international settings but are largely unaware of global health topics. The Timothy A. DeRouen Center for Global Oral Health of the University of Washington (UW) and Harvard School of Denta...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.3024
更新日期:2020-09-03 00:00:00
abstract:Background:As neonatal care improves in low-resource settings, more preterm or low birth weight (LBW) babies are surviving, but little is known about their long-term outcomes. Globally, preterm and/or LBW babies are at increased risk of mortality, malnutrition, and developmental delay. Objectives:We aim to describe th...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2629
更新日期:2019-12-17 00:00:00
abstract:BACKGROUND:Exposure to heavy metals at contaminated industrial and mining sites, known also as hot spots, is a significant source of toxic exposure and adverse health outcomes in countries around the world. The Toxic Sites Identification Program (TSIP) developed by Pure Earth, a New York-based nongovernmental organizat...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2016.07.008
更新日期:2016-01-01 00:00:00
abstract:Background:Ultrasound education has been provided to students in medical schools within and beyond the United States. A formal experiment with use of personal handheld ultrasound equipment by all first-year medical students has not been reported. Employing insonation (an application of ultrasound) at the personal leisu...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2565
更新日期:2019-10-15 00:00:00
abstract:BACKGROUND:The child labor situation has been associated with precarious job conditions and poor health conditions because children are often exposed to unsafe work environments, stressful psycho-social work conditions, scarce or no access to protective services, and heavy work burdens. OBJECTIVE:The aim of the study ...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2482
更新日期:2019-07-03 00:00:00
abstract:Background:Until recently, Colombia has been a country actively using asbestos. A major factory in Bogota manufactures friction products. Objective:To determine if the use of chrysotile asbestos in a friction products facility leads to workers developing disease. Methods:One hundred forty-eight factory workers, forme...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2634
更新日期:2020-01-03 00:00:00
abstract:BACKGROUND:Waste from end-of-life electrical and electronic equipment, known as e-waste, is a rapidly growing global problem. E-waste contains valuable materials that have an economic value when recycled. Unfortunately, the majority of e-waste is recycled in the unregulated informal sector and results in significant ri...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.1016/j.aogh.2014.10.001
更新日期:2014-07-01 00:00:00
abstract::Tobacco smoking is recognized as a major preventable cause of disease worldwide and is linked to 6 million deaths annually, 30% of which are due to cancer. The negative health consequences of smoking currently represent one of the greatest global public health challenges. Additionally, secondhand smoke, which was decl...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.5334/aogh.2417
更新日期:2019-01-22 00:00:00
abstract::Evidence has accumulated that exposure to widespread environmental toxicants, such as heavy metals, persistent organic pollutants, and tobacco smoke adversely affect fetal development and organ maturation, even after birth. The developing immune and respiratory systems are more sensitive to environmental toxicants due...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.1016/j.aogh.2016.01.023
更新日期:2016-01-01 00:00:00
abstract:BACKGROUND:Health professionals must be academically and experientially prepared regarding the social determinants of health to reduce health disparities at the global level. The emerging literature reflects a trend for incorporating global health competencies for health care. Specifically, recommendations from the Con...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2456
更新日期:2019-03-19 00:00:00
abstract:Background:Workers in the informal economy often incur exposure to well-documented occupational health hazards. Insufficient attention has been afforded to rigorously evaluating intervention programs to reduce the risks, especially in artisanal and small-scale gold mining (ASGM). Objectives:This systematic review, con...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2592
更新日期:2019-10-23 00:00:00
abstract:BACKGROUND:The Lancet Commission on Global Surgery includes obstetrics and gynecology as an area needing international strengthening in low- and middle-income countries. Despite interest, a majority of participants in US residency programs graduate with little exposure to global health or preparation to work abroad. O...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2016.09.004
更新日期:2016-01-01 00:00:00
abstract:Objective:To identify and to measure entry level competencies (knowledge, skills, attitudes, judgements) for nurses to practice safely and effectively in the Kingdom of Eswatini. Introduction:Eswatini, formerly known as Swaziland, is a small sub-Saharan country between South Africa and Mozambique. There are four nursi...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2800
更新日期:2020-04-28 00:00:00
abstract:BACKGROUND:Mozambique is an emerging lower income country (LIC) on the southeast coast of Africa. There are significant workforce shortages in medical and health professions in the country. Mozambique was one of 12 countries in Africa that was awarded a grant through the Medical Education Partnership Initiative (MEPI) ...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.29024/aogh.14
更新日期:2018-04-30 00:00:00
abstract:BACKGROUND:Racial or ethnic health disparities have been evidently apparent during the apartheid era in South Africa. This study aims to assess ethnic health disparities in four elderly population groups. METHODS:Data for this study emanated from the 2008 study of "Global AGEing and adult health (SAGE) wave 1" (N = 32...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.29024/aogh.13
更新日期:2018-04-30 00:00:00
abstract:BACKGROUND:Approximately 80% of individuals with disability reside in low- and middle-income countries where community-based rehabilitation (CBR) has been used as a strategy to improve disability. However, data relating to disability severity among CBR beneficiaries in low-income countries like Uganda remain scarce, pa...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2017.10.006
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:European asbestos manufacturers and their expert witnesses have advanced the claim that recent exposures to asbestos are not of significance in the causation of malignant mesothelioma. They argue that in cases of prolonged exposure to asbestos only the earliest exposures contribute to mesothelioma induction....
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2016.01.017
更新日期:2016-01-01 00:00:00
abstract::There is a high demand for global health experiences among medical students. However, creating and engaging successful global health experiences for students is not without significant challenges for faculty. Lack of broad global health knowledge, first hand experiences in a variety of global health settings, and limi...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.724
更新日期:2019-05-09 00:00:00
abstract:BACKGROUND:Peers are people with lived experience of mental illness. Peer support is an established intervention in which peers offer support to others with mental illness. A large proportion of people living with severe mental illness receive no care. The care gap is largest in low- and middle-income countries, with d...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2435
更新日期:2019-04-05 00:00:00
abstract:Background:Healthcare equipment funded by international partners is often not properly utilized in many developing countries due to low levels of awareness and a lack of expertise. A long-term on-site training program for laparoscopic surgery was established at a regional hospital in Ghana upon request of the Ghana Hea...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2957
更新日期:2020-07-30 00:00:00
abstract:BACKGROUND:Meeting health security capacity in sub-Saharan Africa will require strengthening existing health systems to prevent, detect, and respond to any threats to health. The purpose of this review was to examine the literature on health workforce, surveillance, and health governance issues for health systemsstreng...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2514
更新日期:2019-08-16 00:00:00
abstract:BACKGROUND:There is increasing evidence of a link between environmental pollution and preventable diseases in developing countries, including Thailand. Economic development has generated several types of pollution that can affect population health. While these environmental health effects can be observed throughout lif...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.29024/aogh.2301
更新日期:2018-08-31 00:00:00
abstract::Heavy metal contamination of food crops is an issue of global concern that ultimately results in toxicity and diseases in humans and animals through consumption of contaminated soils and food crops. With a population of 182 million people, Nigeria is regarded as the most populous country in Africa. The people suffer e...
journal_title:Annals of global health
pub_type: 杂志文章,评审
doi:10.29024/aogh.2314
更新日期:2018-08-31 00:00:00
abstract:Background:Researchers across the world are emphasising the importance of hand-washing and limited touching of face to curb the spread of COVID-19. However, access to safe water and hygiene is inadequate in many places around the globe; hence T-zone touching restriction is considered more worthwhile compared to other p...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2956
更新日期:2020-07-06 00:00:00
abstract:Background:More than one billion people worldwide live with a disability, yet rehabilitation professionals are scarce in low- and middle-income countries. Attempts to expand access to rehabilitation services have encountered barriers on multiple levels: limited resources on the systemic level, hierarchies on the profes...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2876
更新日期:2020-07-01 00:00:00
abstract:BACKGROUND:The civil war between the indigenous Mayans and other Guatemalans lasted for 36 years, killed civilians, decimated villages, and resulted in many refugees. The Guatemalan Peace Agreement of 1996 aimed to alleviate the ongoing conflict. Studies of peace agreements more typically evaluate local political outco...
journal_title:Annals of global health
pub_type: 杂志文章,多中心研究
doi:10.9204/aogh.2380
更新日期:2018-11-05 00:00:00
abstract:Background:Communication about climate change is critical in addressing the greatest public health challenge of our time. Public health professionals must convey the human implications of climate change and educating populations regarding climate change as a threat to the health and wellbeing of people globally. Effect...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.5334/aogh.2900
更新日期:2020-05-22 00:00:00
abstract:BACKGROUND:Little is known of mental health outcomes among vertically HIV-infected or HIV-affected adolescents in Africa. OBJECTIVES:The current study set out to describe depressive symptoms and their correlates among vertically HIV-infected and HIV-affected adolescents at the Kenyan Coast. METHODS:130 adolescents (v...
journal_title:Annals of global health
pub_type: 杂志文章
doi:10.1016/j.aogh.2017.10.024
更新日期:2017-01-01 00:00:00