Exploring the Corporate Social Responsibility Dimensions ...
EXPLORING GLOBAL PUBLIC HEALTH AND SOCIAL …
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Acknowledgements and Presentation CONCLUSION AND FUTURE DIRECTION INNOVATION EXPLORING GLOBAL PUBLIC HEALTH AND SOCIAL DETERMINANTS OF HEALTH THROUGH AN INTERDISCIPLINARY APPROACH Julie Gleason-Comstock, PhD, MCHES 1 ; Vijaya Arun Kumar, MD, MPH 2 ; Tsveti Markova, MD, FAAP 3 ; Juliann Binienda, PhD 4 FRAMEWORK Global health is acknowledged as an interdisciplinary approach in which addressing social determinants of health (SDOH) is increasingly critical for addressing global health equity (Abeuelezam, Amer J of Public Health, 2020). • The Wayne State University (WSU) Department of Family Medicine & Public Health Sciences (DFMPHS) offered a new didactic graduate course, FPH 7120: Global Public Health in SS2019. • Students from public and allied health examined application of SDOH to global health interventions and World Health Organization (WHO) 2030 Sustainable Development Goals (SDG). The class innovatively integrated exploration of SDOH with SDG. Mentored students from public and allied health expanded their global health perspectives by submitting abstracts on selected class topics and SDOH to a University peer-reviewed global research conference. A 13 week hybrid elective graduate course was available to public health, medical and allied health students. Online didactic components and knowledge content quizzes were provided through an online textbook and WHO website components. Global health expert guests participated in an online panel, led class groups and facilitated interactive cultural competency exercises. • Students were assigned a WHO global geographic area, with SDOH and SDG were chosen by mutual agreement with the Instructor. • WSU faculty and students participated in the class to provide cultural context and guidance for potential research informed consent (Figure 1). • Evaluation was conducted through the WSU Student Evaluation of Teaching and qualitative feedback from guest lecturers. • The culminating student project was a Symposium in which the Instructor assigned students to WHO global geographic areas. Five mentored students successfully submitted abstracts for peer-reviewed poster presentations at the inaugural WSU Division of Research 2019 Global Health Justice and the Environment Conference “ultimately bringing classroom learning into the real world.” • “Grace Mahasi’ s poster ‘Substance Abuse Treatment Along the Northern Mexico Border: A Survey Prospectus’ led her to reflect on the interdisciplinary nature of research and the growing globalization of transnational relationships. • Saher Yunus addressed the topic of ‘Canada and Road Injury: Young and Distracted Drivers’ because traffic deaths are a major contributor to unintentional deaths due to infrastructure issues. • Alymamah Mashrah ’s topic ‘Women in Ethiopia: A Proposal to Use Mobile Phone Apps to Reduce HIV Infection’ related to her strong interest in social determinants of women’s health and health education. • Sara Alosaimy approached ‘Improving Outcomes for Patients with Dual HIV and Neglected Tropical Diseases in Brazil by Enhancing Awareness of PreP’ as an exploration of health platforms for reducing infectious disease. • Priya Spencer explored ‘Promotion of a Patient-Centered Community- Driven Medical Model to Combat Multi-Drug Resistant TB in China’ addressing barriers to elimination of TB because of drug toxicity and disease burden.” MEDICAL EDUCATION TAKEAWAY: We EXPLORED global public health and World Health Organization 2030 Sustainable Development Goals to DETERMINE how Social Determinants of Health could be integrated into an inaugural course. We FOUND that WSU SOM Faculty and Graduate Students were our major resource in providing global expertise and cultural competency. This interdisciplinary problem-based approach holds potential for incorporation of Global Public Health and Social Determinants of Health components into medical and graduate curricula. FPH 7120 will again be offered in SS2021. Wayne State University School of Medicine Authors: 1 Assistant Professor, DFMPHS Contact: [email protected] 2 Associate Professor, Emergency Medicine; Associate Chair, Global & Urban Health 3 Professor & Chair, DFMPHS; Associate Dean Graduate Medical Education 4 Professor, DFMPHS Thank you: • Ghadir Mohamed Mozeb, BS, Public Health Honors, Poster Development Medical Education Research and Innovation Conference WSU SOM December 4-8, 2020 CULTURAL COMPETENCY Languages from twelve countries were introduced by WSU Students and Faculty to facilitate introduction of a prospective public health intervention, inclusive of the process of Informed Consent. Prior to presenting their poster in the Symposium, each student participated in a fifteen-minute scenario for their proposed intervention, with the student acting as a public health educator and explaining the project to a native speaker. Short Form Consents templates were available from the WSU IRB. https://www.Research.wayne.edu/irb/informed-consent-short-form ﻧ ﻤ ﻮ ذ ج ﻗ ﺼ ﯿ ﺮ ﻟ ﻠ ﻤ ﻮ ا ﻓ ﻘ ﺔ ﻋ ﻠ ﻰ ا ﻟ ﻤ ﺸ ﺎ ر ﻛ ﺔ ﻓ ﻲ ﺑ ﺤ ﺚArabic 研究知情同意书简表 Chinese अन ु संधान म* भाग लेने हेत ु लघ ु 2प सहमतत Hindi and Bengali, Portuguese/Brazilian, English, Farsi, French/Canadien, German, Malayalam, Spanish/Mexican, Yoruba Figure 1. GLOBAL PUBLIC HEALTH LINGUISTS SHOWN: L to R: Dr. Gleason-Comstock; William Costello, MPH (English); Dr. Kumar (Hindi); Fatima Diop, BS (French/Canadien) ; Jacqueline Reji, BSN (Malayalam); Jabeda Begum, BS, MPH Candidate (Bengali) Sustainable Development Goals Social Determinants of Health Economic Stability Education Access & Quality Social & Community Context Healthcare Access & Quality Neighborhood Built Environment Maternal Health x Communicable Diseases x x xx* Substance Abuse x x x* Noncommunicable Disease x x* xx Traffic Accidents x* Sexual & Repro- ductive Health x* Pollution x *WSU Global Health, Justice & the Environment (GHJE) Conference Poster Presentation TABLE 1. SOCIAL DETERMINANTS OF HEALTH PARADIGM Table 1 illustrates the 15 student presentations in a SDOH – SDG paradigm. Each SDG was intersected at least one SDOH topic. Social and Community Context was the SDOH was most frequently intersected by SDG. RESULTS STUDENT ASSESSMENT OF TEACHING AND GUEST FEEDBACK The 15 students generally reported satisfaction with class participation, relevance and group interaction, with an WSU SET diagnostics averaged score of 4.4 on a scale of (1) Strongly disagree to (5) Strongly agree. Qualitative feedback from students and guest lecturer included: • More time to explore the overall content of global public health to address current situations and bring concepts together, • Enjoying the research approach and having multiple guests, • Symposium was a great idea.. wish more countries could be covered. GLOBAL PUBLIC HEALTH ASSIGNMENTS DISPLAYED AT CAMPUS CONFERENCE
Transcript of EXPLORING GLOBAL PUBLIC HEALTH AND SOCIAL …
AcknowledgementsandPresentation
CONCLUSIONANDFUTUREDIRECTIONINNOVATION
EXPLORINGGLOBALPUBLICHEALTHANDSOCIALDETERMINANTSOFHEALTHTHROUGHANINTERDISCIPLINARYAPPROACH
JulieGleason-Comstock,PhD,MCHES1;VijayaArunKumar,MD,MPH2;TsvetiMarkova,MD,FAAP3;JuliannBinienda,PhD4
FRAMEWORK
Globalhealthisacknowledgedasaninterdisciplinaryapproachinwhichaddressingsocialdeterminantsofhealth(SDOH)isincreasinglycriticalforaddressingglobalhealthequity(Abeuelezam,AmerJofPublicHealth,2020).• TheWayneStateUniversity(WSU)DepartmentofFamilyMedicine&
PublicHealthSciences(DFMPHS)offeredanewdidacticgraduatecourse,FPH7120:GlobalPublicHealthinSS2019.
• StudentsfrompublicandalliedhealthexaminedapplicationofSDOHtoglobalhealthinterventionsandWorldHealthOrganization(WHO)2030SustainableDevelopmentGoals(SDG).
TheclassinnovativelyintegratedexplorationofSDOHwithSDG.MentoredstudentsfrompublicandalliedhealthexpandedtheirglobalhealthperspectivesbysubmittingabstractsonselectedclasstopicsandSDOHtoaUniversitypeer-reviewedglobalresearchconference.
A13week hybridelectivegraduatecoursewasavailabletopublichealth,medicalandalliedhealthstudents.OnlinedidacticcomponentsandknowledgecontentquizzeswereprovidedthroughanonlinetextbookandWHOwebsitecomponents.Globalhealthexpertguestsparticipatedinanonlinepanel,ledclassgroupsandfacilitatedinteractiveculturalcompetencyexercises.• StudentswereassignedaWHOglobalgeographicarea,withSDOHandSDGwerechosenbymutualagreementwiththeInstructor.
• WSUfacultyandstudentsparticipatedintheclasstoprovideculturalcontextandguidanceforpotentialresearchinformedconsent(Figure1).
• EvaluationwasconductedthroughtheWSUStudentEvaluationofTeachingandqualitativefeedbackfromguestlecturers.
• TheculminatingstudentprojectwasaSymposiuminwhichtheInstructorassignedstudentstoWHOglobalgeographicareas.
Fivementoredstudentssuccessfullysubmittedabstractsforpeer-reviewedposterpresentationsattheinauguralWSUDivisionofResearch2019GlobalHealthJusticeandtheEnvironmentConference“ultimatelybringingclassroomlearningintotherealworld.”
• “GraceMahasi’sposter‘SubstanceAbuseTreatmentAlongtheNorthernMexicoBorder:ASurveyProspectus’ledhertoreflectontheinterdisciplinarynatureofresearchandthegrowingglobalizationoftransnationalrelationships.
• SaherYunus addressedthetopicof‘CanadaandRoadInjury:YoungandDistractedDrivers’becausetrafficdeathsareamajorcontributortounintentionaldeathsduetoinfrastructureissues.
• AlymamahMashrah’stopic‘WomeninEthiopia:AProposaltoUseMobilePhone AppstoReduceHIVInfection’relatedtoherstronginterestinsocialdeterminantsofwomen’shealthandhealtheducation.
• SaraAlosaimyapproached‘ImprovingOutcomesforPatientswithDualHIVandNeglectedTropicalDiseasesinBrazilbyEnhancingAwarenessofPreP’asanexplorationofhealthplatformsforreducinginfectiousdisease.
• PriyaSpencerexplored‘PromotionofaPatient-CenteredCommunity-DrivenMedicalModeltoCombatMulti-DrugResistantTBinChina’addressingbarrierstoeliminationofTBbecauseofdrugtoxicityanddiseaseburden.”
MEDICALEDUCATIONTAKEAWAY:WeEXPLOREDglobalpublichealthandWorldHealthOrganization2030SustainableDevelopmentGoalstoDETERMINEhowSocialDeterminantsofHealthcouldbeintegratedintoaninauguralcourse.WeFOUNDthatWSUSOMFacultyandGraduateStudentswereourmajorresourceinprovidingglobalexpertiseandculturalcompetency.
Thisinterdisciplinaryproblem-basedapproachholdspotentialforincorporationofGlobalPublicHealthandSocialDeterminantsofHealthcomponentsintomedicalandgraduatecurricula.FPH7120willagainbeofferedinSS2021.
WayneStateUniversitySchoolofMedicineAuthors:1AssistantProfessor,DFMPHSContact:[email protected],EmergencyMedicine;AssociateChair,Global&UrbanHealth3Professor&Chair,DFMPHS;AssociateDeanGraduateMedicalEducation4Professor,DFMPHSThank you:• Ghadir Mohamed Mozeb, BS, Public Health Honors, Poster Development
MedicalEducationResearchandInnovationConferenceWSUSOMDecember4-8,2020
CULTURALCOMPETENCY
LanguagesfromtwelvecountrieswereintroducedbyWSUStudentsandFacultytofacilitateintroductionofaprospectivepublichealthintervention,inclusiveoftheprocessofInformedConsent.PriortopresentingtheirposterintheSymposium,eachstudentparticipatedinafifteen-minutescenariofortheirproposedintervention,withthestudentactingasapublichealtheducatorandexplainingtheprojecttoanativespeaker.ShortFormConsentstemplateswereavailablefromtheWSUIRB.https://www.Research.wayne.edu/irb/informed-consent-short-form
Arabic ثحب يف ةكراشملا ىلع ةقفاوملل ریصق جذومن研究知情同意书简表 Chinese
अनसुंधान म* भाग लेने हेतु लघु 2प सहमतत HindiandBengali,Portuguese/Brazilian,English,Farsi,French/Canadien,
German,Malayalam,Spanish/Mexican,YorubaFigure1.GLOBALPUBLICHEALTHLINGUISTSSHOWN:LtoR:Dr.Gleason-Comstock;WilliamCostello,MPH(English);Dr.Kumar(Hindi);FatimaDiop,BS(French/Canadien);JacquelineReji,BSN(Malayalam);JabedaBegum,BS,MPHCandidate(Bengali)
SustainableDevelopment
Goals
SocialDeterminantsofHealth
EconomicStability
EducationAccess&Quality
Social&CommunityContext
HealthcareAccess&Quality
NeighborhoodBuilt
Environment
MaternalHealth xCommunicable
Diseases x x xx*
SubstanceAbuse x x x*Noncommunicable
Disease x x* xx
TrafficAccidents x*Sexual&Repro-ductiveHealth x*
Pollution x*WSUGlobalHealth,Justice&theEnvironment(GHJE)ConferencePosterPresentation
TABLE1.SOCIALDETERMINANTSOFHEALTHPARADIGM
Table1illustratesthe15studentpresentationsinaSDOH– SDGparadigm.EachSDGwasintersectedatleastoneSDOHtopic.SocialandCommunityContextwastheSDOHwasmostfrequentlyintersectedbySDG.
RESULTS
STUDENTASSESSMENTOFTEACHINGANDGUESTFEEDBACK
The15studentsgenerallyreportedsatisfactionwithclassparticipation,relevanceandgroupinteraction,withanWSUSETdiagnosticsaveragedscoreof4.4onascaleof(1)Stronglydisagreeto(5)Stronglyagree.
Qualitativefeedbackfromstudentsandguestlecturerincluded:• Moretimetoexploretheoverallcontentofglobalpublichealthtoaddresscurrentsituationsandbringconceptstogether,
• Enjoyingtheresearchapproachandhavingmultipleguests,• Symposiumwasagreatidea..wishmorecountriescouldbecovered.
GLOBALPUBLICHEALTHASSIGNMENTSDISPLAYEDATCAMPUSCONFERENCE
