Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis
Background: Thousands of students travel yearly from high-income countries (HICs) to low-income and middle-income countries (LMICs) for short-term experiences in global health, with much less travel by LMIC students to HICs. Little structured research has been done to seek host perspectives, particu...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-03-01
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| Series: | The Lancet Global Health |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214109X18301694 |
| _version_ | 1818177316907384832 |
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| author | Catherine Myser Barbara Astle W Cherniak Emily Latham Geoffrey Anguyo Tessa Beaunoir Joel H Buenaventura Matthew DeCamp Karla Diaz Quentin Eichbaum Marius Hedimbi Charles Nwobu Kate Standish Jessica Evert |
| author_facet | Catherine Myser Barbara Astle W Cherniak Emily Latham Geoffrey Anguyo Tessa Beaunoir Joel H Buenaventura Matthew DeCamp Karla Diaz Quentin Eichbaum Marius Hedimbi Charles Nwobu Kate Standish Jessica Evert |
| author_sort | Catherine Myser |
| collection | DOAJ |
| description | Background: Thousands of students travel yearly from high-income countries (HICs) to low-income and middle-income countries (LMICs) for short-term experiences in global health, with much less travel by LMIC students to HICs. Little structured research has been done to seek host perspectives, particularly from LMICs, on what they would like to teach learners. By seeking LMIC host perspectives, we aimed to improve global health pedagogy, curriculum design, assessment, and experiential learning, better meeting host goals and expectations. Our additional aim was to improve mutual respect and trust, share power honestly and ethically, and facilitate more genuinely collaborative agenda setting between LMIC and HIC partners.
Methods: We previously did a hybrid quantitative and qualitative web-based survey from Sept 1, 2015, to Dec 31, 2015, exploring global health competencies with particular attention to LMIC hosts supervising and housing trainees in short-term experiences in global health. 274 host perspectives were gleaned from 38 countries speaking 22 languages. In this qualitative study, we analysed open-ended questions and responses not previously covered from the same survey data. 97 of 274 responses were selected for qualitative analysis, conducted via content analysis and coding, ensuring inter-rater reliability, and comparing HIC and LMIC responses.
Findings: Four core themes emerged in our content analysis regarding desired global health core competencies: most important global health core competencies; biggest mistakes students make; biggest challenges students face; and what students should remember most in experiential global health education.
Interpretation: Our qualitative study revealed intriguing comparative results addressing core controversies in global health, such as who “does global health” and where one must be to “do global health”. Moving forward we hope this initial survey research will facilitate more genuinely collaborative agenda setting between North–South and East–West partners.
Funding: Child Family Health International. |
| first_indexed | 2024-12-11T20:30:09Z |
| format | Article |
| id | doaj.art-6e6732c352cd494a9f9d1f370786f59d |
| institution | Directory Open Access Journal |
| issn | 2214-109X |
| language | English |
| last_indexed | 2024-12-11T20:30:09Z |
| publishDate | 2018-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | The Lancet Global Health |
| spelling | doaj.art-6e6732c352cd494a9f9d1f370786f59d2022-12-22T00:51:51ZengElsevierThe Lancet Global Health2214-109X2018-03-016S2S4010.1016/S2214-109X(18)30169-4Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysisCatherine Myser0Barbara Astle1W Cherniak2Emily Latham3Geoffrey Anguyo4Tessa Beaunoir5Joel H Buenaventura6Matthew DeCamp7Karla Diaz8Quentin Eichbaum9Marius Hedimbi10Charles Nwobu11Kate Standish12Jessica Evert13Rosalind Franklin University of Medicine and Science, Chicago, IL, USATrinity Western University, Langley, BC, CanadaUniversity of Toronto, Toronto, ON, CanadaUniversity of California, Berkeley, CA, USAMbarara University of Science and Technology, Mbarara, UgandaChild Family Health International, Durban, South AfricaChild Family Health International, Manila, PhilippinesJohns Hopkins University, Baltimore, MD, USAUniversidad San Francisco de Quito, Quito, EcuadorVanderbilt University School of Medicine, Nashville, TN, USAUniversity of Namibia, Windhoek, NamibiaLondon School of Hygiene & Tropical Medicine, London, EnglandBoston University, Boston, MA, USAChild Family Health International, San Francisco, CA, USABackground: Thousands of students travel yearly from high-income countries (HICs) to low-income and middle-income countries (LMICs) for short-term experiences in global health, with much less travel by LMIC students to HICs. Little structured research has been done to seek host perspectives, particularly from LMICs, on what they would like to teach learners. By seeking LMIC host perspectives, we aimed to improve global health pedagogy, curriculum design, assessment, and experiential learning, better meeting host goals and expectations. Our additional aim was to improve mutual respect and trust, share power honestly and ethically, and facilitate more genuinely collaborative agenda setting between LMIC and HIC partners. Methods: We previously did a hybrid quantitative and qualitative web-based survey from Sept 1, 2015, to Dec 31, 2015, exploring global health competencies with particular attention to LMIC hosts supervising and housing trainees in short-term experiences in global health. 274 host perspectives were gleaned from 38 countries speaking 22 languages. In this qualitative study, we analysed open-ended questions and responses not previously covered from the same survey data. 97 of 274 responses were selected for qualitative analysis, conducted via content analysis and coding, ensuring inter-rater reliability, and comparing HIC and LMIC responses. Findings: Four core themes emerged in our content analysis regarding desired global health core competencies: most important global health core competencies; biggest mistakes students make; biggest challenges students face; and what students should remember most in experiential global health education. Interpretation: Our qualitative study revealed intriguing comparative results addressing core controversies in global health, such as who “does global health” and where one must be to “do global health”. Moving forward we hope this initial survey research will facilitate more genuinely collaborative agenda setting between North–South and East–West partners. Funding: Child Family Health International.http://www.sciencedirect.com/science/article/pii/S2214109X18301694 |
| spellingShingle | Catherine Myser Barbara Astle W Cherniak Emily Latham Geoffrey Anguyo Tessa Beaunoir Joel H Buenaventura Matthew DeCamp Karla Diaz Quentin Eichbaum Marius Hedimbi Charles Nwobu Kate Standish Jessica Evert Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis The Lancet Global Health |
| title | Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis |
| title_full | Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis |
| title_fullStr | Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis |
| title_full_unstemmed | Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis |
| title_short | Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: a qualitative analysis |
| title_sort | comparing high income and low and middle income country host perspectives on students short term experiences in global health a qualitative analysis |
| url | http://www.sciencedirect.com/science/article/pii/S2214109X18301694 |
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