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8/26/2013

Annual Report Global Health Initiative

2012-2013

2012-2013

1

Annual Report

Global Health Initiative

Mission The Global Health Initiative promotes improved preventive and primary care, community based healthcare and research, locally and worldwide, by expanding collaborative opportunities to view health from a global perspective. By engaging OHIO Faculty and students in multi-disciplinary global health education, research and outreach, GHI strives to build awareness of global health issues, prepare students to work with diverse and underserved populations and foster an understanding of the connections among health policy, sociocultural, political and environmental factors.

Strategic Objectives

SO1 - Financial: Grow overall budget through curriculum and specific programs through grants and donations.

Short-Term • Double the GHI budget through the GH certificate program and online courses. • Obtain grants to fund specific programs

Long Term • Solicit donations from Alumni for specific programs, supplies and scholarships

SO2 - People: Build Global Health knowledge, capacity and capability of faculty and students.

Short-Term • Develop the GH knowledge and research skills of existing faculty and students. • Build skills and supports (incentives) for faculty to create and participate in global health programs

and global health research.

Long Term • Identify areas of need in different disciplines and hire new GH faculty. • Hire faculty with strong global health research background.

Botswana Healthcare Team 2013

2012-2013

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SO3 - Programs/Services: Focus depth of programs on building existing connections, inter-professional teams and collaboration and breadth of programs on use of third party providers. Focus areas are: primary care education, research and prevention that consider multiple environmental, socio-economic factors.

Short-Term

• Build Global Health community and presence at OU including engagement of international students, and facilitate transfer of credits from other universities.

• Develop criteria and targeted approach for selection of programs - starting with nursing, public health and existing connections such as those in Ecuador, Eastern & Southern Africa, Ghana.

• Implement an online Global Health Certificate program to integrate educational, research and service components of mission that serves both local and international student markets.

Long Term

• Identify champions to develop other historical connections such as SE Asia and Leipzig, Germany. • Build comparative health system programs, UITM, London, Botswana, Leipzig, S. Africa, Japan.

SO4 - Growth: Build programs slowly with a focus on not competing with each other for students.

Short-Term

• Increase number of program directors. • Build programs in targeted areas.

Long Term

• Independent Rotations at new locations are an exception - Students will either participate in faculty led programs or complete rotations with vetted Third Party Providers.

SO5 - Operations/Quality: Develop systems and measures focused on customer service, program effectiveness, improving effectiveness of primary care and serving underserved populations.

Short-Term

• Develop measures of program effectiveness: GH Correlation/ Improvement of students' primary care skills; increase in students/graduates working with underserved populations

• Develop systems for applications, program and curriculum development, faculty support & development, and evaluation

Long Term

• Improve programs based on measurement system outcomes.

SO6 - Community: Create sustainable global health programs through collaboration and long-term relationships.

Short-Term

• Build collaborations and international relationships • Develop sustainable education programs

Long Term

• Build research capabilities - hire to build on Tropical Disease, HIV, Diabetes specialties

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Summary The first year (2012-13) of the Health Sciences Center Global Health Initiative as a combined program of the Heritage College of Osteopathic Medicine and the College of Health Sciences and Professions has been one of redefinition, building and growth. The Global Health Task Force, made up of faculty and staff from multiple disciplines, actively participated in developing the mission, a strategic and operating plan and new/expanded programs. The Study Abroad Committee surveyed students to learn more about their requirements for global health programs, developed evaluation criteria and awarded student travel awards. The Curriculum Committee outlined the program and course offerings for both an undergraduate and graduate level Global Health Certificate that will be offered mostly online.

Some key highlights include:

• Program Staff doubled as the result of adding the position of Coordinator of Global Health Programs • Faculty led program offerings increased from 1 program in 2011-12 (TDI Research) to 5 in 2012-13:

o Nursing In London – December 18, 2012 – January 7, 2013 o Ecuador Primary Care Clinical Elective – June 1 – 15, 2013 o Healthcare in Botswana – June 1 – 15, 2013 o Tropical Disease Institute Research Program in Ecuador – June 9 – July 27, 2013 o South Africa – Child Life – June 29 – July 27, 2013

• Six HCOM Students completed Independent International Rotations • Travel awards in the amount of $14,500 were provided to 15 HCOM and CHSP students to participate

in 5 different programs • Total GH Study Abroad program participation increased from 18 in 2011-12 to 75 in 2012-13 • Total HCOM participants doubled from 10 in 2011-12 to 20 in 2012-13

• 4 HCOM Alumni were recruited as preceptors on the Ecuador Primary Care Clinical Elective • Participants travelled to 8 different countries: Angola, Belize, Botswana, Ecuador, India, South Africa,

South Korea, United Kingdom • The Global Health 101 (HSP 2210) online course launched with 657 participants in the 3 sections

offered during spring and summer 2013

4030 34 31

18

75

01020304050607080

2008 2009 2010 2011 2012 2013

All Participants (Unique) (2008-2013)

9

64

2 1

14

5 4

9

2

9

6

0

5

10

15

2008 2009 2010 2011 2012 2013

HCOM Participants Programs & IR

(2008-2013)

Programs Independent Rotations

2012-2013

4

2012-13 Accomplishments Strategic Objective Activities Accomplishments

SO1 – Financial • Offered HSP 2210 Global Health 101 twice Spring Semester and once Summer term

• Program income from course TBD

• Developed undergraduate certificate program funding plan

• Submitted 1804 grant requesting $34,300 for online course adaptation for GH Certificate

• Sought funding for HCOM/CHSP faculty/staff to develop programs in Botswana & South Africa

• Received $10,000 in SIMT Funds, and $2,250 in CIS funds for travel

SO2 – People • Created curriculum for GH 101 (HSP 2210) Course and launched spring 2013

• 657 students enrolled in three 5-week sections

• Recruited and trained facilitators for the HSP 2210 Course

• 14 Facilitators recruited and trained

• Recruit faculty to develop existing courses into online courses as electives for the undergraduate Global Health Certificate program

• Developed job description for GH Certificate Faculty Director for approval by Provost

• 6 potential faculty members from multiple disciplines expressed interest in converting existing courses to an online version as electives for the UG certificate

SO3 – Programs/Services SO4 – Growth SO6 - Community

• Co-Sponsored and co-organized the Women & Children’s Health in Africa Symposium on March 29 & 30, 2013

• 127 attendees, 22 posters presentations

• Conducted site development trips to London, South Africa, Botswana and Guyana, and meetings to establish and develop new faculty programs for future and new independent rotation opportunities.

• Received approval from SAC for Botswana Healthcare and Ecuador Primary Care Clinical Elective programs

• Vetted ISL and CFHI for independent rotation sites

• Identified potential partners for London Comparative Health System

• Documented interests of partners in Guyana

• Established Angola and Dr. Tim Kubacki as a rotation site and preceptor

• Solicited & reviewed Travel Award Essays for funding of student participation in programs

• Provided $14,500 in funding to 15 HCOM & CHSP students

• Created UG and G Global Health Certificate program outlines and UG course proposals and established Spring 2014 launch date for UG certificate and Spring 2015 launch date for G Certificate

• Submitted undergraduate certificate and course proposals to UIC for approval

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• Conducted Nursing in London, Healthcare in Botswana, Ecuador Primary Care Clinical Elective, Child Life in South Africa and TDI Research Program

• Doubled participation of HCOM students in all programs from 10 in 2011-12 to 20 in 2012-13

• 12 nursing students + 2 faculty - Nursing in London

• 3 HCOM, 7 Nursing, 1 Non-OU student + 2 faculty - Botswana Healthcare

• 7 HCOM, 2 nursing students + 4 preceptors and 1 faculty - Ecuador Primary Care Clinical Elective

• 2 HCOM, 11 Child Life students + 1 Faculty - Child Life in South Africa

• 13 OU Undergrad, 14 OU Grad, 7 Non-OU students + 4 faculty – TDI Research Program Ecuador

• Conducted Study Abroad Survey to determine program interest and student requirements for programs

• 558 respondents • 73% have considered study

abroad • 30% planning to participate

in study abroad • Availability of course

credits, location of the program and travel costs were the most important considerations

• Hands on professional experience, outreach and humanitarianism identified as most important activities

• Catalog faculty interests • Identified Peru and Dr. Leonard Presutti as an IR test site

SO5 – Operations/Quality

• Analyzed existing HCOM data on students who have participated in GH experiences versus those who have not to explore impact of GH experiences

• Dashboard established for HCOM data to compare practice specialties, practice community size, practice location and practice in HPSA/MUA of HCOM

• Measure and improve programs • Established databases to track participants by program; evaluations by program and year and HSP 2210 course evaluations.

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Events

Women & Children’s Health in Africa Conference - March 29 & 30, 2013 African women and children's health issues discussed at conference Staff Reports (2013, April 3 3:19 pm). Ohio University Compass. Retrieved from http://www.ohio.edu/compass/stories/12-13/4/african-health-recap-2013.cfm. Edna Adan Ismail and several other well-known scholar-activists in fields promoting women and children's health across the African continent participated in the "Women and Children's Health in Africa: clinical and social perspectives" March, 2013. Ismail, who was featured in the recent PBS documentary on women's global health, "Half the Sky," served as the

keynote speaker. She is a former first lady of Somalia and also served as the first minister of foreign affairs, minister of health of the Republic of Somaliland. She is a nurse dedicated to eliminating the custom of female circumcision in her Horn of Africa region, which contributes to many maternal health problems.

"We sent word out to a number of prominent activists and scholars in the fields of women and children's health and were excited to learn that so many of them could come to our campus at once. This was a great opportunity for our students and the public to hear from people who are working to change Africa's health challenges and to have them talk to each other," said African Studies director and conference co-convenor Steve Howard. Conference participants included Dr. Nafisa Bedri of Afhad University for Women in Sudan, who also works on eradicating female circumcision and on community health in Sudan. Other speakers were recent Rolex Award winner and OHIO alumnus, Aggrey Otieno, who has founded a maternal health telemedicine center in one of Nairobi's most notorious slums, and Dr. Marape Marape, a physician and leading AIDS researcher who heads the Research Division at the Botswana Baylor Children's AIDS clinic in Gaborone, Botswana. U.S. scholars who participated included Dr. Crystal Patil, University of Illinois, Dr. Ivy Pike, University of Arizona and Dr. Alyson Young, University of Florida. They also hosted discussions African women and children's public health issues during the conference. "Women and children in Africa suffer a disproportionate amount of the global burden of disease. This conference was particularly exciting because it brought together both researchers and change leaders in the field of women and children's health. Through this interaction, we stimulated evidence based and creative solutions for improving health for women and children in Africa," said conference co-convenor Gillian Ice, director of Global Health for the Health Sciences Center. The conference was sponsored by OHIO's College of Health Sciences and Professions, the Institute for the African Child and the Heritage College of Osteopathic Medicine.

Edan Adan Ismail and Nafisa Bedri, Ph.D., of Ahfad University for Women in Sudan

http://www.ohio.edu/compass/stories/12-13/4/african-health-recap-2013.cfm

http://www.ohio.edu/compass/stories/12-13/4/african-health-recap-2013.cfm

http://www.african.ohio.edu/

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Marketing/Awareness Events • Study Abroad Fair, September 17, 2012 • Off the Beaten Path Fair, February 27, 2013 • A Taste of Study Abroad, April 27, 2013 • HCOM, International Programs Presentation, October 24, 2012 • Primary Care Clinical Elective, January 10, 2013 • Healthcare in Botswana, February 12, 2013 • Diane Lui, Independent Rotation in Angola, April 30, 2013 • CFHI & Jessica Evert, MD, May 6, 2013 • Marape Marape, Botswana Baylor Children’s Center of Excellence, May 7, 2013

International Education Programs

Healthcare in Botswana – June 1-15, 2013

Students participating in the Healthcare in Botswana program learned about HIV/AIDS, healthcare and culture in Botswana through lecture, clinical shadowing, service learning and planned excursions. Several Batswana experts provided an introduction to HIV/AIDS and other topics on the first day of the program. Students had the opportunity twice to visit Camphill, a home and school for children with disabilities. The first visit, the students learned about the programs at Camphill and at the second visit students planned activities for the kids.

Students were able to compare and contrast healthcare in Botswana by shadowing clinicians at both a public hospital and a private hospital. At the public hospital,

Princess Marina, medical students learned firsthand about the rate of TB in Botswana by working on the medical ward at Princess Marina, while the nursing students worked on the orthopedic and surgery wards. All learned how staff in the public hospital were able to do a good work with limited resources. Gloves for staff were never easy to find and wheelchairs were put together out of lawn chairs and bike tires. Patients had no privacy, windows were left open to allow for circulation due to the rate of TB and flies hovered over patients. Doctors used cell phone flashlights to see. The wards were dark and hot. They used disposable razor blades instead of scissors to cut dressings. In contrast, the private hospital, Bokomoso, was in many no different than hospitals at home. Students worked in several different services including surgery, NICU and maternity.

The students also spent 2 days at the Baylor Botswana Children’s Center of Excellence, a local clinic for children infected with HIV and their families. The facility is state of the art and they decorate it with art work from children and caregivers. They have a comprehensive service for children, including well visits, pill counting/pharmacy, psychological services, art therapy, social work and a new adolescent center for kids to just have fun and support. They provide services for the caregivers as well. They are also leaders in the best care for HIV patients in the world and have the research to back it up.

Ashley Coleman and ? with children at Camphill

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Cultural excursions included a stop at a pottery, an area with rock paintings, a visit to Dr. Livingstone’s tree and the Mokolodi game reserve. Students also visited a cultural village where they were treated to song and dance. A couple of the students tried their hand at grinding sorghum and the women were taken to participate in some of the dances. The men learned how to play a local game. Gillian Ice and Terri Hood-Brown met with Institutes for Health Sciences to initiate projects to assist them in upgrading their curriculum. Dr. Ice also met with the University of Botswana faculty and administrators to discuss possibilities for expansion with respect to student and faculty exchanges with nursing, medicine, Physical Therapy, Speech Therapy and public health. Camphill was identified as a possible site to host speech therapy students.

Selected Evaluation Results Question Mean

The program helped me to improve my clinical and/or research skills. 4.6 I would recommend this program to others. 4.8

*Scale: 1 = Scale: 1 = Strongly Disagree to 5 = Strongly Agree

Student Responses to: How has your participation in this program affected your future career plans or interests?

• Definitely increased my desire to continue work abroad! My eyes were really opened to the culture and I really enjoyed myself.

• my participation helps me be more culturally-aware during my practice, keeps me open-minded and humble

• This program showed me that I should go to medical school. Everyone in the program made a major impact on my life in many good ways.

• It has affected my future goals in a positive way. I would love to travel to this country again.

• made me realize the emotional toll of certain fields

• It showed me that I am pursuing a great and diverse career

• Participating in the program hasn't affected my future plans. I still want to continue in the nursing program and ultimately be a licensed nurse.

Ecuador Primary Care Clinical Elective – June 1–15, 2013

The Primary Care Clinical Elective in Ecuador provided medical and nursing students with hands on clinical experience through field clinics and home site visits in five communities near Cariamanga, Ecuador from June 5 – 13, 2013. In the clinics there were 5 physician stations, an eye glass clinic, lab, vitals, and a station for OMM/acupuncture. Dr. Daniel Black, an HCOM alumni, and preceptor on the trip, staffed the OMM/acupuncture area while Dr. John Willer, also an alumnus, led the eye clinic. Resident Jennifer Lazor and Dore Shafransky, DO also participated as preceptors for the trip. The group saw a total of 452 patients in Chaquizca (96), Bella María (75), Taparuca (180), San Jorge Malouf & Andrew Jurovcik in the eye

glass clinic in Ecuador.

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Antonia De Taparuca (65) and San José de Taparuca (36).

The eye glass clinic screened 355 patients and gave out 183 pairs of glasses. Faculty Director, Katy Kropf, DO, brought several hundred toothbrushes that were donated and these and bars of soap were distributed at the clinics. Students brought stickers, bubbles, a soccer ball, a foam baseball bat/ball, and a few other toys for kids. Students were asked to de-brief and reflect at the end of each day through journaling, group discussion, writing six-word memories, sharing favorite clinical scenarios, and reading about health issues in Ecuador.



* Scale: 1 = Strongly Disagree to 5 = Strongly Agree


This trip has made want to learn a foreign language so that I can communicate with patients that are not able to speak English. This trip showed me how difficult it is to communicate when being the foreign one and even with an interpreter I was still upset. You lose that close relationship you have with your patients when there is a language barrier. I plan to return to Ecuador and continue to do community service as an elective during my residency. I would VERY MUCH like to attend another international medicine program. This trip had made me even more confident that I want to incorporate global health into my practice.

Child Life in South Africa – June 29 – July 27, 2013 The Child Life in South Africa program provides students in Child and Family Studies with a concentration in Child Life with the opportunity to do intense volunteer work in a variety of settings working with pain management teams and Child Life staff at Red Cross Children’s and other hospitals in Cape Town, South Africa. In 2013, the program was opened to a limited number of HCOM students to provide additional international clinical shadowing opportunities for medical students and explore Cape Town as a sight for future Global Health programs. From June 29 to July 27, eleven Child Life students and

two first year medical students participated in the program. While the two teams worked in separate clinical settings, they participated together on service learning opportunities and often debriefed together to share their varying perspectives on the daily activities. Evaluation results are not yet available for this program.

A child life student with a young patient at the Red Cross Children’s Hospital.

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* Scale: 1 = Strongly Disagree to 5 = Strongly Agree

Student Responses to: How has your participation in this program affected your future career plans or interests? I think my participation has enhanced my desire to work with children and families in the health care setting and opened my mind to different cultures and ways of living. The trip has affirmed my career plans and hopefully increases my chances of getting an internship and future job. Because of this I was able to get an internship after I returned and it will help me get better jobs. It has made me more competitive in the field and I feel more confident working with other cultures. It has helped me understand what exactly I will be doing with my future. Traveling to South Africa confirmed even more that I want to become a certified child life specialist. I learned so much about the culture, the hospital settings, and traditions. It showed me that I can broaden my job placements and be just as happy working in areas others than a hospital.

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TDI Research Program – June 9 - July 27, 2013

The Tropical Disease Research Program in Ecuador provides students with the opportunity to learn research techniques through the International Research Training Workshop and implement these skills through field work on a variety of projects. This year the students conducted multidisciplinary surveys, participated in clinical research at hospitals, worked with the Healthy Living Team in implementing programs to combat Chagas disease and participated in lab activities at the Center for Infectious Disease Research in Quito.

Over the summer, 36 students and 4 faculty participated in the program including two HCOM students and 4 students from the College of Health Sciences and Professions. Summer activities culminated in the ribbon cutting for the

Bellamaria Community House built by participants using Chagas free building techniques and the continued construction of the TDI Center for Infectious and Chronic Disease Research, a joint OU and Catholic University of Ecuador project.



*Scale: 1 = Strongly Disagree to 5 = Strongly Agree


This trip has made want to learn a foreign language so that I can communicate with patients that are not able to speak English. This trip showed me how difficult it is to communicate when being the foreign one and even with an interpreter I was still upset. You lose that close relationship you have with your patients when there is a language barrier It has confirmed my career aspiration- to work on the field I do plan to travel internationally, hopefully to Latin America, doing medical missions work in my future career. I hope to incorporate research into that career, and I feel this has equipped me to know what I need to go towards that. The program has affirmed my interests in medicine and future medical school plans. It has shown me that I love helping people, and I love going on adventures. I want to go to med school, and this project has encouraged me to continue looking into clinical/research international travel. Yes, it made me realize that a career in medicine may not be exactly what I want. It's given me more of a reason to get into medicine and that is to serve impoverished communities that need more help than others Before coming on this trip, I wasn't sure if I wanted to work in international social development. Now, working for an NGO (domestic or international) is my main career goal. It has not affected my career plans; however, it did give me more flexibility about and new insights on how to approach a research issue.

TDI Participants who participated in building a Chagas free community center.

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I want to help internationally for sure. The program has shown me that I really do love science, and can do well in that work environment. Has opened my eyes to health issues and project design and implementation realities. This program provided me with key training and observations that I will use to shape my dissertation research. In a great way. They are getting clearer and more defined This program changed my life and my outlook on the world. I now know that I want to work with non-profits that focus on the health of people and the environment, and I know that I can successfully work in the field for 6 weeks at a time, which I didn't know I could do before. For a photojournalist, it is essential to form relationships with the people whose stories I am trying to tell, and I now know that I can do that successfully, as well. The program helped to completely reassure me that photojournalism is indeed that to which I want to dedicate my life and my career. I now want to live abroad in the future. I now know where I want to go to graduate school and also that I want a career in international research. I definitely want to travel more and experience other cultures. I also want to continue research. This program reinforced my future plans I always knew I wanted to do work in an area that suffers from infectious diseases related to poverty - a program that takes a holistic approach in progress and improvement. Participating in this program not only confirmed my interest but really sparked something in me- wanting to do more and really look into working for programs like this whether that be as a nurse practitioner or on the public health side. This program has only enhanced my interest in international research and I plan to continue my studies abroad. I still have the same career aspirations; the program as only enforced my desire to achieve my goals. It has made my dreams come alive. It has fueled my passion to pursue what I really want to do and has provided clarity into what that realistically looks like. It has allowed me to gain a more in depth idea for my Master's Capstone project. This program has even deepened my desire to go into the medical field and help those who may not speak English or have a disability in the United States. I love helping those who have trouble seeking medical need, and seeing people in Ecuador who need medical attention more than ever makes me want to help others even more than I already did. I want to include international development studies into my PhD program of study.

Nursing in London – December 27, 2012 – January 7, 2013 Twelve nursing students participated in this winter break program organized by International Education Programs and lead by faculty member Terri Hood-Brown. The program offered the opportunity for students to explore nursing history and shadow nurses in London hospitals. The program offered an opportunity for HCOM and HSP faculty and staff to explore the development of a comparative Healthcare systems program in London which is planned to launch in the summer of 2014. Evaluations of this program are available through the IEP OU Campus based representative.

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Independent International Rotations (HCOM) A total of six 4th year medical students completed independent rotations in five locations, including Quito, Ecuador; Lubango, Angola; Seoul, Korea; Andra Pradesh, India; and Belize.

Lubango, Angola has been established as a new IR opportunity through a partnership with OU HCOM Alumnus, Dr. Tim Kubacki. Regular IR sites are being established in other locations and are offered through partnerships with third party providers Child Family Health International and International Service Learning.

AMSA/IMFSA Exchange Program

The student run AMSA-IMFSA Clinical Exchange program hosted two incoming exchange students from June 1 to June 29, 2013. Tomás Neto de Silva from Portugal and is studying medicine in Lisboa, Portugal. He worked with his preceptor, Dr. Jennifer Gwilym, at the O’Bleness Family Medicine and Women’s Health Clinic. Charlotte Taderera, originally from Zimbabwe, is studying medicine in Istanbul, Turkey. She worked with Dr. James Sammons, in outpatient surgery.


It truly energized my passion for primary care. I am looking forward to and have had conversations with Dr. Smith about taking over leadership of this trip in the future if I end up back in the Dayton area. At the very least I expect avid participation for many years to come. I've always imagined myself working as a missionary doctor to the North Koreans and this experience highlighted the culture that I will face, as well as the sentiment that South Koreans hold towards their northern counterparts. While I thought their hearts desired unity, I found that it is not unanimously so, and that opposition to the North exists even in the South. Spend more time listening to patients and appreciate the importance of a thorough history and physical exam.

Welcome luncheon for Tomás Neto Da Silva and Charlotte Taderera

Student Doctor Diane Lui, with HCOM Alum, Dr. Tim Kubacki in Lubango, Angola

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Travel Awards The Global Health Travel Award process was updated and administered by the Study Abroad Committee of the Global Health Task Force. The Committee used a Criteria Rubric to score applicant’s essays and awarded $14,500 to help with travel and program costs for fifteen students. The distribution of awards is as follows:

By College/Major

9 HCOM, 2 Child Life, 3 OU Other, 1 Nursing

By Program 4 Child Life in South Africa, 4 Ecuador Primary Care, 3 Botswana, 3 TDI Research, 1 Global Public Health London

Global Health Task Force • Full committee

o Established strategies & goals for the next year o Vetted CAPA, ISL and CFHI as potential third-party program providers o Full committee reviewed potential program development in Botswana, Guyana, South Africa and

Ecuador • Curriculum Committee

o Developed and submitted the certificate and course proposals for an Undergraduate Global Health Certificate.

o Chaired by Deborah Meyer, submitted an 1804 grant to secure funding to develop 5-6 online courses for the Global Health Certificate

• Study Abroad Committee o Selected travel award recipients o Conducted a survey of student interests in health related study abroad programs.

Outcomes As the starting point to determine outcome measures for the program, the HCOM Institutional Assessment and Planning office analyzed data on HCOM students who had and had not participated in Global Health programs from 1999 through the 2012 to determine if participation in these programs had an effect on their choice of practice specialty, location, practice community size or whether they practiced in a disadvantaged areas. While results were mixed, the analysis provided an analysis process and dashboard that can be used as the basis for future outcome measurement. The results are included below:

3%5%

9% 11%

17%

14%

17%19%

22% 22%

15%

19%

6%

0%

5%

10%

15%

20%

25%

1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

GH Participants as Percentage of Admit Class

2012-2013

15

46%

36%

0%5%

10%15%20%25%30%35%40%45%50%

Community<100K

Program Participation and Practice Community Size

NonGH

GH

60%

51%

0%

10%

20%

30%

40%

50%

60%

70%

Ohio

GH Program Participation and Practice Location

NonGH

GH

48% 47%

0%5%

10%15%20%25%30%35%40%45%50%55%60%

Primary Care

GH Program Participation and Practice Specialty

NonGH

GH16%

21%

0%

5%

10%

15%

20%

25%

30%

35%

40%

HPSA

Program Participation and Practice in HPSA

NonGH

GH

29%

47%

0%5%

10%15%20%25%30%35%40%45%50%

MUA Yes

Program Participation and Practice in MUA

NonGH

GH

33%

53%

0%

10%

20%

30%

40%

50%

60%

HPSA/MUA

Program Participation and Practice in Either HPSA or

MUA

NonGH

GH

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Research & Presentations Presentations:

Farbman, A, Ice, GH, Williams, SR (2013) Big happy family? Using the SAGE dataset to explore the “demographic transition” in Ghana. Presented at the Human Biology Association meetings, April 2013.

Ice, GH, Sadruddin, AFA, Williams, SR (2012). How do you define a caregiver? Aligning etic and emic perspectives in biocultural research. Presented at the American Anthropological Association meetings November 2012.

Ongito, O., Ice, G. (2013) Household food insecurity, social relationships and mental health among women in western Kenya. Presented at Women and Children’s Health in Africa: Clinical and Social Perspectives, Ohio University, March 29-30, 2013.

2012-13 Financial Information

Revenue Grants: $10,000 OU Strategic International Management Team (SIMT). Travel award for program development in Botswana and South Africa.

$2,250 OU Center for International Studies (CIS). Travel award for program development in Botswana and South Africa.

Revenue

$72,836 HCOM – Budget

$2,482 HCOM – Women & Children’s Health in Africa

$62,000 CHSP – Budget

$10,000 CHSP – Women & Children’s Health in Africa

$949 Independent Rotation Fees & Student Malpractice Insurance Repayment

$160,517

Expenses

$82,519 Salaries & Benefits

$4,976 Office, Computer, Instructional & Medical Supplies

$40,804 Domestic & International Travel

$1345 Communication

$15,500 Travel Awards

$1,643 Malpractice Insurance (not reimbursed in same year) & Misc.

$12,482 Women & Children’s Health in Africa Conference

159,269

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2013-2014 Goals & Areas of Emphasis Strategic Objective

SO1 – Financial

Double the GHI budget through the GH Certificate and online courses.

• Projected income of $ from HSP2210, GH UG Certificate and HSP 3521 & 3930.

Obtain grants to fund specific programs

• Obtain external funding of $ For MOH training in Botswana

SO2 – People Develop the GH knowledge of existing faculty and students

• GH101 Course enrollment of 1000 Fall, 1000 Spring and 500 Summer

• GH UG Certificate Enrollment and HSP 3521 & 3930, minimum enrollment of 20.

Develop the GH research skills of existing faculty and students

• Support research partnership with existing partners (Ecuador, India)

• Establish research partnerships with new sites (London, Guyana, Botswana)

• Establish a GH research seminar series • Develop an online resource for faculty

and students conducting GH research

Build skills and supports (incentives) for faculty to create and participate in global health programs and global health research.

• Develop position description & hire faculty to oversee the GH Certificate

• Develop a Manual for faculty program directors

SO3 – Programs/Services

Build Global Health community and presence at OU including engagement of international students, and facilitating transfer of credits from other universities.

• Complete requirements to become an Institute

• Complete and make live the HSC Global Health Initiative website

• Complete branding elements: logo, standards

• Build Facebook community from 322 to 500

Develop criteria and targeted approach for selection of programs - starting with nursing, public health and existing connections in Ecuador, Eastern & Southern Africa, Ghana.

• Develop program selection criteria based on student survey results, evaluations of Summer 2013 programs; faculty interests; community need

• Develop London comparative health systems program for Summer 2014 implementation

• Finalize Angola as a regular site for IR - Affiliation Agreement with Hospital and faculty

• Complete MOU with ISL and CFHI • Start site development process with

Guyana - Target as 2015 site

Implement an online Global Health Certificate program to integrate educational, research and service

• Offer GH101 Course twice in Fall, twice in Spring and once in summer with FY Enrollment of 2500

2012-2013

18

components of mission and serve both local and international student markets

• Launch UG Certificate Program Spring 2014

• Develop Grad Certificate curriculum with Spring 2015 start date

• Develop GH Case Competition and marketing with target of Fall 2014 implementation

SO4 – Growth

Increase number of program directors.

• Develop program director materials/manual

• Develop faculty policy advocacy plan

Build programs in targeted areas • Develop program development criteria • Develop 1 program (London) for

Summer 2014 implementation

SO5 – Operations/Quality

Develop measures of program effectiveness: GH Correlation/ Improvement of students' primary care skills; increase in students/graduates working with underserved populations

• Determine what outcomes are critical for each program/service Identify measures, develop measurement processes

Develop systems for applications, program and curriculum development, faculty support & development, and evaluation

• Monitor and evaluate application & program management systems

SO6 - Community Build collaborations and international relationships

• Support research partnership with existing partners (Ecuador, India)

• Establish research partnerships with new sites (London, Guyana, Botswana)

• Establish a GH research seminar series • Develop an online resource for faculty

and students conducting GH research

Develop sustainable education programs

• Develop LT goals for faculty led programs aligned to community needs where programs exist

• Establish Angola as a regular site for IR - Affiliation Agreement with Hospital and faculty

• Complete MOU with ISL and CFHI

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