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...

Full description

Saved in:
Bibliographic Details
Published in:Annals of global health 2023, Vol.89 (1), p.90-90
Main Author: Avila, Pamela
Format: Article
Language:English
Subjects:
Attended births
Child
Community health care
Community Health Workers
decolonization of global health
Delivery of Health Care
Developing Countries
Education
Ethical standards
Ethics
Global Health
global medical volunteers
Health care
Health services
Host country
Humanitarian aid
Humanitarianism
Humans
Medical personnel
NGOs
Nongovernmental organizations
Organizations
Pneumonia
Postpartum period
Primary care
Public health
Research projects
Sensitivity analysis
Supervision
Supply chains
Vaccination
Womens health
Workers
Citations: Items that this one cites
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by
cites cdi_FETCH-LOGICAL-c2565-15d71815042ce7254c2bfa4021c503ce7fd040b89a4fa2178a5d327f2237cbb53
container_end_page 90
container_issue 1
container_start_page 90
container_title Annals of global health
container_volume 89
creator Avila, Pamela
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.
doi_str_mv 10.5334/aogh.4325
format article
fullrecord <record><control><sourceid>proquest_doaj_</sourceid><recordid>TN_cdi_doaj_primary_oai_doaj_org_article_3e06ca2c9ee34425950872fbf6a8e225</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><doaj_id>oai_doaj_org_article_3e06ca2c9ee34425950872fbf6a8e225</doaj_id><sourcerecordid>3093631397</sourcerecordid><originalsourceid>FETCH-LOGICAL-c2565-15d71815042ce7254c2bfa4021c503ce7fd040b89a4fa2178a5d327f2237cbb53</originalsourceid><addsrcrecordid>eNpNkU1PAjEQhhujEYIc_ANmE08ewHba7m69GVQgIdFEjcdmttvC4u4Wu3DAXy8rSDzN15N3JvMScsnoUHIubtHPF0PBQZ6QLgATA6VUfPov75B-0ywppQykVJydkw5PmZAsZl3y-mCNL31dfBf1PBqXPsMymlgs14u7aFqbYLFpJyNcoSnW28i7aOSralO3xR6MPnz4tCF6CX4esGouyJnDsrH9Q-yR96fHt9FkMHseT0f3s4EBGcsBk3nCUiapAGMTkMJA5lBQYEZSvmu5nAqapQqFQ2BJijLnkDgAnpgsk7xHpnvd3ONSr0JRYdhqj4X-bfgw1xjWhSmt5pbGBsEoa7kQIJWkaQIuczGmFqDVut5rrYL_2thmrZd-E-rd-ZpTxWPOuEp21M2eMsE3TbDuuJVR3bqhWzd068aOvToobrLK5kfy7_f8B8bAgxo</addsrcrecordid><sourcetype>Open Website</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3093631397</pqid></control><display><type>article</type><title>Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs</title><source>Open Access: PubMed Central</source><source>Publicly Available Content Database</source><creator>Avila, Pamela</creator><creatorcontrib>Avila, Pamela</creatorcontrib><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.</description><identifier>ISSN: 2214-9996</identifier><identifier>EISSN: 2214-9996</identifier><identifier>DOI: 10.5334/aogh.4325</identifier><identifier>PMID: 38145161</identifier><language>eng</language><publisher>United States: Ubiquity Press</publisher><subject>Attended births ; Child ; Community health care ; Community Health Workers ; decolonization of global health ; Delivery of Health Care ; Developing Countries ; Education ; Ethical standards ; Ethics ; Global Health ; global medical volunteers ; Health care ; Health services ; Host country ; Humanitarian aid ; Humanitarianism ; Humans ; Medical personnel ; NGOs ; Nongovernmental organizations ; Organizations ; Pneumonia ; Postpartum period ; Primary care ; Public health ; Research projects ; Sensitivity analysis ; Supervision ; Supply chains ; Vaccination ; Womens health ; Workers</subject><ispartof>Annals of global health, 2023, Vol.89 (1), p.90-90</ispartof><rights>Copyright: © 2023 The Author(s).</rights><rights>2023. This work is published under https://creativecommons.org/licenses/by/4.0 (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2565-15d71815042ce7254c2bfa4021c503ce7fd040b89a4fa2178a5d327f2237cbb53</cites><orcidid>0000-0002-4838-4520</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/3093631397?pq-origsite=primo$$EHTML$$P50$$Gproquest$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,4023,25752,27922,27923,27924,37011,44589</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38145161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Avila, Pamela</creatorcontrib><title>Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs</title><title>Annals of global health</title><addtitle>Ann Glob Health</addtitle><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.</description><subject>Attended births</subject><subject>Child</subject><subject>Community health care</subject><subject>Community Health Workers</subject><subject>decolonization of global health</subject><subject>Delivery of Health Care</subject><subject>Developing Countries</subject><subject>Education</subject><subject>Ethical standards</subject><subject>Ethics</subject><subject>Global Health</subject><subject>global medical volunteers</subject><subject>Health care</subject><subject>Health services</subject><subject>Host country</subject><subject>Humanitarian aid</subject><subject>Humanitarianism</subject><subject>Humans</subject><subject>Medical personnel</subject><subject>NGOs</subject><subject>Nongovernmental organizations</subject><subject>Organizations</subject><subject>Pneumonia</subject><subject>Postpartum period</subject><subject>Primary care</subject><subject>Public health</subject><subject>Research projects</subject><subject>Sensitivity analysis</subject><subject>Supervision</subject><subject>Supply chains</subject><subject>Vaccination</subject><subject>Womens health</subject><subject>Workers</subject><issn>2214-9996</issn><issn>2214-9996</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>PIMPY</sourceid><sourceid>DOA</sourceid><recordid>eNpNkU1PAjEQhhujEYIc_ANmE08ewHba7m69GVQgIdFEjcdmttvC4u4Wu3DAXy8rSDzN15N3JvMScsnoUHIubtHPF0PBQZ6QLgATA6VUfPov75B-0ywppQykVJydkw5PmZAsZl3y-mCNL31dfBf1PBqXPsMymlgs14u7aFqbYLFpJyNcoSnW28i7aOSralO3xR6MPnz4tCF6CX4esGouyJnDsrH9Q-yR96fHt9FkMHseT0f3s4EBGcsBk3nCUiapAGMTkMJA5lBQYEZSvmu5nAqapQqFQ2BJijLnkDgAnpgsk7xHpnvd3ONSr0JRYdhqj4X-bfgw1xjWhSmt5pbGBsEoa7kQIJWkaQIuczGmFqDVut5rrYL_2thmrZd-E-rd-ZpTxWPOuEp21M2eMsE3TbDuuJVR3bqhWzd068aOvToobrLK5kfy7_f8B8bAgxo</recordid><startdate>2023</startdate><enddate>2023</enddate><creator>Avila, Pamela</creator><general>Ubiquity Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8C1</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0002-4838-4520</orcidid></search><sort><creationdate>2023</creationdate><title>Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs</title><author>Avila, Pamela</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2565-15d71815042ce7254c2bfa4021c503ce7fd040b89a4fa2178a5d327f2237cbb53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Attended births</topic><topic>Child</topic><topic>Community health care</topic><topic>Community Health Workers</topic><topic>decolonization of global health</topic><topic>Delivery of Health Care</topic><topic>Developing Countries</topic><topic>Education</topic><topic>Ethical standards</topic><topic>Ethics</topic><topic>Global Health</topic><topic>global medical volunteers</topic><topic>Health care</topic><topic>Health services</topic><topic>Host country</topic><topic>Humanitarian aid</topic><topic>Humanitarianism</topic><topic>Humans</topic><topic>Medical personnel</topic><topic>NGOs</topic><topic>Nongovernmental organizations</topic><topic>Organizations</topic><topic>Pneumonia</topic><topic>Postpartum period</topic><topic>Primary care</topic><topic>Public health</topic><topic>Research projects</topic><topic>Sensitivity analysis</topic><topic>Supervision</topic><topic>Supply chains</topic><topic>Vaccination</topic><topic>Womens health</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Avila, Pamela</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Public Health Database</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Agricultural &amp; Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Environmental Science Database</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Environmental Science Collection</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Annals of global health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Avila, Pamela</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs</atitle><jtitle>Annals of global health</jtitle><addtitle>Ann Glob Health</addtitle><date>2023</date><risdate>2023</risdate><volume>89</volume><issue>1</issue><spage>90</spage><epage>90</epage><pages>90-90</pages><issn>2214-9996</issn><eissn>2214-9996</eissn><abstract>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.</abstract><cop>United States</cop><pub>Ubiquity Press</pub><pmid>38145161</pmid><doi>10.5334/aogh.4325</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0002-4838-4520</orcidid><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 2214-9996
ispartof Annals of global health, 2023, Vol.89 (1), p.90-90
issn 2214-9996
2214-9996
language eng
recordid cdi_doaj_primary_oai_doaj_org_article_3e06ca2c9ee34425950872fbf6a8e225
source Open Access: PubMed Central; Publicly Available Content Database
subjects Attended births
Child
Community health care
Community Health Workers
decolonization of global health
Delivery of Health Care
Developing Countries
Education
Ethical standards
Ethics
Global Health
global medical volunteers
Health care
Health services
Host country
Humanitarian aid
Humanitarianism
Humans
Medical personnel
NGOs
Nongovernmental organizations
Organizations
Pneumonia
Postpartum period
Primary care
Public health
Research projects
Sensitivity analysis
Supervision
Supply chains
Vaccination
Womens health
Workers
title Decolonizing Global Health: Increasing Capacity of Community Health Worker Programs
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-08T16%3A28%3A12IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_doaj_&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Decolonizing%20Global%20Health:%20Increasing%20Capacity%20of%20Community%20Health%20Worker%20Programs&rft.jtitle=Annals%20of%20global%20health&rft.au=Avila,%20Pamela&rft.date=2023&rft.volume=89&rft.issue=1&rft.spage=90&rft.epage=90&rft.pages=90-90&rft.issn=2214-9996&rft.eissn=2214-9996&rft_id=info:doi/10.5334/aogh.4325&rft_dat=%3Cproquest_doaj_%3E3093631397%3C/proquest_doaj_%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c2565-15d71815042ce7254c2bfa4021c503ce7fd040b89a4fa2178a5d327f2237cbb53%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=3093631397&rft_id=info:pmid/38145161&rfr_iscdi=true