Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs

Many global health volunteer experiences and research projects are focused on the needs of the host country participants, which perpetuates a sovereign or superior relationship towards low- or middle-income countries (LMIC). The purpose of this paper is to discuss ethical and culturally sensitive pr...

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Main Author: Pamela Avila
Format: Article
Language:English
Published: Ubiquity Press 2023-12-01
Series:Annals of Global Health
Subjects:
Online Access:https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4325
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author Pamela Avila
author_facet Pamela Avila
author_sort Pamela Avila
collection DOAJ
description Many global health volunteer experiences and research projects are focused on the needs of the host country participants, which perpetuates a sovereign or superior relationship towards low- or middle-income countries (LMIC). The purpose of this paper is to discuss ethical and culturally sensitive practices in LMIC when providing health care as a volunteer or researcher. International ethical standards for providing global health care are discussed. The author participated in a volunteer global health experience for three months in Kenya. An evaluation of a nongovernmental organization (NGO)-sponsored community health worker (CHW) program was conducted and is presented here. Health indicators such as prenatal care visits, birth attendance by skilled personnel, and full vaccination of children improved by 34%, 36%, and 24%, respectively, following 5 years of implementation of the CHW program. Global health care can be provided in a more socially responsible and sustainable manner by supporting NGO-sponsored CHW programs affiliated with local ministries of health in LMICs.
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spelling doaj.art-3e06ca2c9ee34425950872fbf6a8e2252024-01-17T07:56:36ZengUbiquity PressAnnals of Global Health2214-99962023-12-01891909010.5334/aogh.43254325Decolonizing Global Health: Increasing Capacity of Community Health Worker ProgramsPamela Avila0https://orcid.org/0000-0002-4838-4520Legacy Health System/Oregon Health & Science UniversityMany global health volunteer experiences and research projects are focused on the needs of the host country participants, which perpetuates a sovereign or superior relationship towards low- or middle-income countries (LMIC). The purpose of this paper is to discuss ethical and culturally sensitive practices in LMIC when providing health care as a volunteer or researcher. International ethical standards for providing global health care are discussed. The author participated in a volunteer global health experience for three months in Kenya. An evaluation of a nongovernmental organization (NGO)-sponsored community health worker (CHW) program was conducted and is presented here. Health indicators such as prenatal care visits, birth attendance by skilled personnel, and full vaccination of children improved by 34%, 36%, and 24%, respectively, following 5 years of implementation of the CHW program. Global health care can be provided in a more socially responsible and sustainable manner by supporting NGO-sponsored CHW programs affiliated with local ministries of health in LMICs.https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4325community health workersdecolonization of global healthglobal medical volunteers
spellingShingle Pamela Avila
Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
Annals of Global Health
community health workers
decolonization of global health
global medical volunteers
title Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
title_full Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
title_fullStr Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
title_full_unstemmed Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
title_short Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
title_sort decolonizing global health increasing capacity of community health worker programs
topic community health workers
decolonization of global health
global medical volunteers
url https://account.annalsofglobalhealth.org/index.php/up-j-agh/article/view/4325
work_keys_str_mv AT pamelaavila decolonizingglobalhealthincreasingcapacityofcommunityhealthworkerprograms