Global Health Electives: Ethical Engagement in Building Global Health Capacity

De Visser, Adriena

Global Health Electives: Ethical Engagement in Building Global Health Capacity

dc.contributor.advisor	Hollaar, Gwen L.
dc.contributor.advisor	Hatfield, Jennifer M.
dc.contributor.author	De Visser, Adriena
dc.contributor.committeemember	Ellaway, Rachel H.
dc.contributor.committeemember	Buchner, Denise L.
dc.date	2018-11
dc.date.accessioned	2018-09-27T18:27:19Z
dc.date.available	2018-09-27T18:27:19Z
dc.date.issued	2018-09-19
dc.description.abstract	Increasingly, medical trainees are seeking global health electives (GHEs) as part of their medical education. However, little is known about the impact medical trainees undertaking global health electives have on host institutions, staff, local trainees, patients or communities in low-and middle-income countries. The goal of this study was to explore the relationship dynamics associated with global health electives as perceived by stakeholders at three sites in sub-Saharan Africa. More specifically, I examined stakeholder perspectives in Mwanza, Tanzania and Mbarara and Rugazi, Uganda where the University of Calgary Cumming School of Medicine (CSM) has long-standing institutional collaborations. In this case-based interpretive phenomenological study, thirty-four host stakeholders (health facility administrators, physicians, clinical officers, registrars, nurses, and community liaison members) participated in semi-structured interviews and twenty-eight host stakeholders (medical students, residents, interns, and patients) participated in focus groups. Participant experiences were described using interpretive phenomenological analysis techniques. The findings revealed that although GHEs are well-established and a common experience for host stakeholders there are many indistinct aspects which are poorly understood by host stakeholders. Participants acknowledged that there are a variety of benefits they gain because of GHEs, but overall visiting medical trainees benefit the most from this unique learning opportunity. Despite reluctance to directly admit to harms, host stakeholders described significant challenges and burdens of GHEs and recommended ways in which GHEs could be improved to ensure that the relationships they depend on are mutually beneficial and equitable. One of the main recommendations from this study is that to work towards an equitable, effective, and ethical elective, GHEs should occur between collaborating institutions with a bidirectional focus.	en_US
dc.identifier.citation	De Visser, A. (2018). Global Health Electives: Ethical Engagement in Building Global Health Capacity (Master's thesis, University of Calgary, Calgary, Canada). Retrieved from https://prism.ucalgary.ca. doi:10.11575/PRISM/33049	en_US
dc.identifier.doi	http://dx.doi.org/10.11575/PRISM/33049
dc.identifier.uri	http://hdl.handle.net/1880/108696
dc.language.iso	eng
dc.publisher.faculty	Cumming School of Medicine
dc.publisher.faculty	Graduate Studies
dc.publisher.institution	University of Calgary	en
dc.publisher.place	Calgary	en
dc.rights	University of Calgary graduate students retain copyright ownership and moral rights for their thesis. You may use this material in any way that is permitted by the Copyright Act or through licensing that has been assigned to the document. For uses that are not allowable under copyright legislation or licensing, you are required to seek permission.
dc.subject	Global Health
dc.subject	Medical Education
dc.subject	Tanzania
dc.subject	Uganda
dc.subject	electives
dc.subject.classification	Education--Health	en_US
dc.subject.classification	Medicine and Surgery	en_US
dc.title	Global Health Electives: Ethical Engagement in Building Global Health Capacity
dc.type	master thesis
thesis.degree.discipline	Community Health Sciences
thesis.degree.grantor	University of Calgary
thesis.degree.name	Master of Science (MSc)
ucalgary.item.requestcopy	true