scholarly journals Redefining global health priorities: Improving cancer care in developing settings

2014 ◽  
Vol 4 (1) ◽  
Author(s):  
Asad Moten ◽  
Daniel Schafer ◽  
Paul Farmer ◽  
Jim Kim ◽  
Mauro Ferrari
Keyword(s):  
Global Health ◽  
Cancer Care ◽  
Health Priorities ◽  
Developing Settings

scholarly journals Cinco Pilares da Oncologia Moderna Bem Ilustrados neste Número da Gazeta Médica Dedicado a Cancro

2017 ◽  
Author(s):  
Sofia Azambuja Braga
Keyword(s):  
Global Health ◽  
Cancer Care ◽  
Health Priorities ◽  
Developing Settings

A oncologia é hoje uma das áreas mais relevantes da saúde. Anualmente são diagnosticados 10 milhões de novos casos de cancro e morrem 8,7 milhões de doentes por ano com cancro, o que representa mais do que a soma das mortes devidas a malária, tuberculose e vírus da imunodeficiência humana (VIH).1 A incidência de cancro aumenta devido ao envelhecimento da população, aos nossos estilos de vida e ao rastreio e  diagnóstico precoce. A mortalidade não tem acompanhado o aumento de incidência, felizmente, e, assistimos, por isto, a um aumento de prevalência de doentes com cancro e de sobreviventes. Assim, neste número da Gazeta Médica podemos ler exemplos ilustrativos das principais tendências da oncologia moderna. O diagnóstico precoce, seguimento apertado e abordagem multidisciplinar, o que leva a maior sobrevivência por intervenções terapêuticas racionais e atempadas, ilustradas no caso do adenocarcinoma do pulmão na mulher jovem não fumadora. Avanços tecnológicos cirúrgicos bem patentes no artigo sobre abordagem da doença metastática vertebral. Terapêutica sistémica dirigida a alvos moleculares com toxicidades diversas das toxicidades clássicas das terapêuticas sistémicas citotóxicas, como exemplificado no caso da pneumonite devido ao rituximab. O acompanhamento centrado no doente com avaliação de sintomas, nomeadamente, dos níveis de bem-estar psíquico, aqui avaliados no artigo do distress. E, finalmente, a necessidade urgente de criarmos programas de sobreviventes de cancro, abordando problemas como a fertilidade pós-terapêutica, discutidos no caso da jovem com adenocarcinoma do endométrio.Boas leituras deste número da Gazeta exclusivamente dedicado a cancro!Sofia Azambuja BragaCoordenadora Científica do Instituto CUF Oncologia 1. Moten A, Schafer D, Farmer P, Kim J, Ferrari M. Redefining global health priorities: Improving cancer care in developing settings. J Glob Health. 2014;4:010304.

Global Health Priority-Setting

2019 ◽  
Keyword(s):  
Global Health ◽  
Priority Setting ◽  
Health Resources ◽  
Decision Makers ◽  
Health Priorities ◽  
Health Coverage ◽  
Household Finances ◽  
Health Gains ◽  
Global Priority ◽  
Financing Gap

Global health is at a crossroads. The 2030 Agenda for Sustainable Development has come with ambitious targets for health and health services worldwide. To reach these targets, many more billions of dollars need to be spent on health. However, development assistance for health has plateaued and domestic funding on health in most countries is growing at rates too low to close the financing gap. National and international decision-makers face tough choices about how scarce health care resources should be spent. Should additional funds be spent on primary prevention of stroke, treating childhood cancer, or expanding treatment for HIV/AIDS? Should health coverage decisions take into account the effects of illness on productivity, household finances, and children’s educational attainment, or should they just focus on health outcomes? Does age matter for priority-setting or should it be ignored? Are health gains far in the future less important than gains in the present? Should higher priority be given to people who are sicker or poorer? This book provides a framework for how to think about evidence-based priority-setting in health. Over 18 chapters, ethicists, philosophers, economists, policymakers, and clinicians from around the world assess the state of current practice in national and global priority-setting, describe new tools and methodologies to address establishing global health priorities, and tackle the most important ethical questions that decision-makers must consider in allocating health resources.

Global health from a cancer care perspective

2015 ◽  
Vol 11 (15) ◽  
pp. 2235-2245 ◽  
Author(s):  
Madeline Pesec ◽  
Tracy Sherertz
Keyword(s):  
Global Health ◽  
Cancer Care

scholarly journals Community engagement in global health education supports equity and advances local priorities: an eight year Ecuador-Canada partnership

2018 ◽  
Vol 9 (2) ◽  
pp. e46-51
Author(s):  
Shivali Misra ◽  
Alison Doucet ◽  
Juana Morales ◽  
Neil Andersson ◽  
Ann Macaulay ◽  
...  
Keyword(s):  
Health Education ◽  
Global Health ◽  
Community Engagement ◽  
Participatory Research ◽  
Health Priorities ◽  
Health Improvement ◽  
Medical Trainees ◽  
Global Health Education ◽  
Community Identification ◽  
Community Outcomes

Background: Global health education initiatives inconsistently balance trainee growth and benefits to host communities. This report describes a global health elective for medical trainees that focuses on community engagement and participatory research to provide mutually beneficial outcomes for the communities and trainees.Methods: An eight-year university–community partnership, the Chilcapamba to Montreal Global Health Elective is a two-month shared decision-making research and clinical observership experience in rural Ecuador for medical trainees at McGill University, Canada. Research topics are set by matching community-identified priorities with skillsets and interests of trainees, taking into consideration local potential impact.Results: Community outcomes included development of a Community Health Worker program, new collaborations with local organizations, community identification of health priorities, and generation of health improvement recommendations. Collaborative academic outputs included multiple bursary awards, conference presentations and published manuscripts.  Conclusion: This medical global health elective engages communities using participatory research to prioritise socially responsible and locally beneficial outcomes.

scholarly journals Lessons Learned from the CORE Group Polio Project and Their Relevance for Other Global Health Priorities

2019 ◽  
Vol 101 (4_Suppl) ◽  
pp. 107-112 ◽  
Author(s):  
Henry B. Perry ◽  
Roma Solomon ◽  
Filimona Bisrat ◽  
Lisa Hilmi ◽  
Katherine V. Stamidis ◽  
...  
Keyword(s):  
Global Health ◽  
Lessons Learned ◽  
Health Priorities ◽  
Core Group ◽  
The Core

scholarly journals The Future of Global Radiation Oncology As Part of Accurate, Precision Cancer Medicine

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 91s-91s
Author(s):  
C.N. Coleman ◽  
M.K. Dosanjh ◽  
J. Buchsbaum ◽  
S. Formenti ◽  
D.A. Pistenmaa
Keyword(s):  
Global Health ◽  
Cancer Care ◽  
Radiation Injury ◽  
Space Exploration ◽  
Resource Limited ◽  
Personal Opinion ◽  
Nuclear Policy ◽  
The Future ◽  
Current Resource ◽  
Radiation Medicine

Background: When global health and cancer care are discussed, it is usually in the context of underserved communities, inadequate resources, standards of care below that in the developed world, loss of talented individuals to upper-income countries and the inability to recruit and retain a robust regional workforce. While such conditions may now exist, they are by no means “guaranteed” to be so in the future. Aim: To consider a visionary future for the radiation sciences to encourage investment by individuals in their careers and countries in their cancer care resources such that the current resource-limited facilities will be on the leading edge of accurate, precision radiation medicine. Such a change in perspective can greatly impact recruiting and retaining expertise. Methods: As part of building a visionary strategic plan for radiation oncology and the radiation sciences for the next few decades, a personal opinion paper was prepared by authors from the US National Cancer Institute, Conseil Européen pour la Recherche Nucléaire (CERN)/European Organization for Nuclear Research and the International Conference on Translational Research in Radio-Oncology/Physics for Health in Europe. Considering the critical role for global involvement in the future of radiation sciences, the paper provides a path forward via “win-win” sustainable partnerships formed by current resource-limited and resource-rich countries, as envisioned by the International Cancer Expert Corps ( www.iceccancer.org ). Results: The manuscript “ Accurate, precision radiation medicine: a meta-strategy for impacting cancer care, global health, nuclear policy, and mitigating radiation injury from necessary medical use, space exploration and potential terrorism” is in press. A figure (the Radiation Rotary) illustrates that there are a number of crossroads facing the radiation sciences best addressed as part of a rotary. Four sets of issues are illustrated: 1) cancer care with radiation therapy as both technology and biology, 2) global collaboration in technology development ranging from improved linear accelerators for resource-challenged environments to particle therapy for highly specialized uses, 3) nuclear policy, from energy to the potential for nuclear terrorism and conflagration, and 4) mitigating radiation injury including enabling long-term space exploration, helping reduce the fear of radiation and producing drugs to mitigate radiation injury. Conclusion: Many of these technology, research and development issues must involve LMICs. This is in addition to understanding the differences between upper- and lower-income regions in cancer biology and the environment, including infectious etiologies, diet and the microbiome. The talent and capability of radiation oncologists and related professionals within LMICs are essential to global health and economic development and provide incentives and unique opportunities for world-leading careers and contributions. Disclaimer: The content is the personal opinion of the authors and not their organizations

scholarly journals The Social Construction of Global Health Priorities: An Empirical Analysis of Contagion in Bilateral Health Aid

2021 ◽  
Author(s):  
Leonardo Baccini ◽  
Mirko Heinzel ◽  
Mathias Koenig-Archibugi
Keyword(s):  
Global Health ◽  
Social Construction ◽  
Social Environment ◽  
Empirical Support ◽  
Health Priorities ◽  
Advocacy Networks ◽  
Policy Makers ◽  
Health Aid ◽  
The Social ◽  
Aid Policy

Abstract Donors of development assistance for health typically provide funding for a range of disease focus areas, such as maternal health and child health, malaria, HIV/AIDS, and other infectious diseases. But funding for each disease category does not match closely its contribution to the disability and loss of life it causes and the cost-effectiveness of interventions. We argue that peer influences in the social construction of global health priorities contribute to explaining this misalignment. Aid policy-makers are embedded in a social environment encompassing other donors, health experts, advocacy groups, and international officials. This social environment influences the conceptual and normative frameworks of decision-makers, which in turn affect their funding priorities. Aid policy-makers are especially likely to emulate decisions on funding priorities taken by peers with whom they are most closely involved in the context of expert and advocacy networks. We draw on novel data on donor connectivity through health IGOs and health INGOs and assess the argument by applying spatial regression models to health aid disbursed globally between 1990 and 2017. The analysis provides strong empirical support for our argument that the involvement in overlapping expert and advocacy networks shapes funding priorities regarding disease categories and recipient countries in health aid.

scholarly journals Global health education for the post-pandemic years: parity, people, planet, priorities, and practices

2022 ◽  
Vol 7 (1) ◽  
Author(s):  
Kathryn H. Jacobsen ◽  
Caryl E. Waggett
Keyword(s):  
Health Education ◽  
Global Health ◽  
Health Priorities ◽  
Global Health Education ◽  
Skilled Professional ◽  
The Social ◽  
Student Learning Objectives ◽  
Student Demand ◽  
Access To Medical Care ◽  
Comprehensive Framework

AbstractGlobal health degree programs are now offered by institutions of higher education in most world regions. Based on our review of the curricula for many of these programs, we identified five domains that are central to current global health education. “Parity” emphasizes health equity as the ultimate goal of global health. “People” comprises the social, economic, cultural, and political contributors to health and access to medical care for individuals and communities. “Planet” encompasses various aspects of globalization and environmental health that affect population health. “Priorities” and “practices” include the values, data, and tools used to design, implement, and evaluate partnerships, policies, programs, and other global health interventions in countries of all income levels. The pandemic is likely to increase student demand for global health education from the undergraduate through the graduate and professional levels. Our “5 Ps model of global health education” provides a comprehensive framework for the core student learning objectives for global health today. Knowledge of each of these domains is essential for preparing students for meaningful experiential learning and skilled professional practice in global health.

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