Global Health Nursing & Midwifery

Dear Joe,
I teach a global health course at the MGH Institute of Health Professions in the School of Nursing which is a graduate level course that is open to all of our students so last winter I had a few PT students in it as well. The class is an online course and I am updating it and changing it a bit for the spring semester but am happy to talk with you, feel free to email me at .
Generally this is an intro course for global health and topics include:
Brief History of Global Health
Health as a Human Right
Impact of Poverty on Global Health
Maternal Child Health/Impact of Gender
Health Systems
Communicable Diseases
Non-Communicable Diseases
Environment and Health
Nutrition and Health
Violence and Health
Natural Disasters/Impact on health
Health Professional Migration
Science and Technology
Global Solutions

Good Luck!
Sheila Davis

I'm a Certified Nurse-Midwife and recently started teaching a Nursing School at the undergraduate level. I'd love to develop a similar course here at this school in Denver. Any ideas or information you gather on this would be welcome.
Sarabeth Friedman

Hello Joe and Sarabeth,

My colleague, Eileen Stuart-Shor, and I teach a global health course at the
College of Nursing and Health Sciences; U Mass/Boston. This course brings
together undergraduate, graduate and doctoral nursing students….course
requirements/assignments vary depending on the educational level of the
student. A great resource for an intro to global health is the
textbook: Skolnik,
R. (2008) Essential of Global Health. Boston: Jones and Bartlett. It
includes a very comprehensive syllabus that can be adapted to your needs. I
can forward it to you…or if you order the text you have the option of
downloading valuable videos, ppt lectures, etc.

Our topics include:
The Principles of Global Health
Human Rights and Global Health

The Determinants of Health

Institutional, providers and patient level factors which influence health

Cross-cultural care and understanding

Prevalence of common health conditions globally

Disparities/Vulnerable Populations

Health Care Financing

Nurses’ Voice at the Policy Table

We take advantage of quest speakers who have specific expertise….as well as
case studies.. that helps bring real life situations into the class room.

A great resource for case studies is: Global Health Delivery Project at
Harvard University ( )

Please feel free ...

Hello Joe and Sarabeth,

My colleague, Eileen Stuart-Shor, and I teach a global health course at the
College of Nursing and Health Sciences; U Mass/Boston. This course brings
together undergraduate, graduate and doctoral nursing students….course
requirements/assignments vary depending on the educational level of the
student. A great resource for an intro to global health is the
textbook: Skolnik,
R. (2008) Essential of Global Health. Boston: Jones and Bartlett. It
includes a very comprehensive syllabus that can be adapted to your needs. I
can forward it to you…or if you order the text you have the option of
downloading valuable videos, ppt lectures, etc.

Our topics include:
The Principles of Global Health
Human Rights and Global Health

The Determinants of Health

Institutional, providers and patient level factors which influence health

Cross-cultural care and understanding

Prevalence of common health conditions globally

Disparities/Vulnerable Populations

Health Care Financing

Nurses’ Voice at the Policy Table

We take advantage of quest speakers who have specific expertise….as well as
case studies.. that helps bring real life situations into the class room.

A great resource for case studies is: Global Health Delivery Project at
Harvard University ( )

Please feel free to contact either Eileen () or me
() for more information.

You will love teaching this course!

Pat Daoust

--

Pat Daoust

Dear Pat,

I am also a global health e-learning center student with the GHeL and would
like to look at the resource, Stolink.

Many thanks in advance for your assistance.

Best regards

--

*Amungwa Athanasius Nche*
*Health and Development Certified Training Professional*
*P.O. Box 2157*
*Alakuma, Road-Mankon*
*Bamenda*
*North West Region *
*Cameroon*

*
**True Love is accepting what has been, what is,will be and will not be*
*

Sarabeth,
 
I am a retired OB/GYN who have spent time for the last 2 years intermittently conducting a general clinic associated with the Nomad Foundation (see www.nomadfoundation.org) among the needy nomadic people in northern Niger  We have established a permanent continuous clinic in the desert along their migration route. Prior to this there has never been continuous medical care available for them. When we are not there we have a live in Tuareg nurse practitioner keep the clinic open.
 
Because of the high maternal and neonatal mortality among these people, this November we are going to start training selected candidates from each traveling village with midwife like abilities. We will be dealing with mature women who are 100% illiterate and speak only their local language. Any organized care in the past has been nonexistent. Their tradition has been to labor where they are sometimes with the help of another untrained woman. They are often far away from any standing clinic or hospital.
 
This short summary can raise many questions. I am attaching our education plan and will probably need to revise it as we go. If you have some helpful ideas or want to learn more you ...

Sarabeth,
 
I am a retired OB/GYN who have spent time for the last 2 years intermittently conducting a general clinic associated with the Nomad Foundation (see www.nomadfoundation.org) among the needy nomadic people in northern Niger  We have established a permanent continuous clinic in the desert along their migration route. Prior to this there has never been continuous medical care available for them. When we are not there we have a live in Tuareg nurse practitioner keep the clinic open.
 
Because of the high maternal and neonatal mortality among these people, this November we are going to start training selected candidates from each traveling village with midwife like abilities. We will be dealing with mature women who are 100% illiterate and speak only their local language. Any organized care in the past has been nonexistent. Their tradition has been to labor where they are sometimes with the help of another untrained woman. They are often far away from any standing clinic or hospital.
 
This short summary can raise many questions. I am attaching our education plan and will probably need to revise it as we go. If you have some helpful ideas or want to learn more you can E-mail or call. We are more than happy to hear valid suggestions.
 
Bob
 
Robert A Skankey MD

Dear Robert,
This is a very worthwhile albeit challenging thing to do and I am so
sure you have stumbled opon the right thing to for your nomadic
population. Keep this up. I will look at your training project and
post you feed back as seen. However I am wondering how nomadic your
target population is. If it moves around a great and your clients get
out of your care radius how do you assure compliance to your
prescriptions? Or do you have a referral network?
Best regards

--


*Amungwa Athanasius Nche*
*Health and Development Certified Training Professional*
*P.O. Box 2157*
*Alakuma, Road-Mankon*
*Bamenda*
*North West Region *
*Cameroon*

*
**True Love is accepting what has been, what is,will be and will not be*
*

Amunugwa,

To start we are training only 5 ladies. Each comes from one of the five traveling villages and will be immediately available for women's need within their village. Each will have a cell phone (there is improving communication with cell phones). The health care worker will be able in most instances to communicate by cell with our clinic nurse practitioner at Tamesna to be guided through their treatment.


Please note the instructions they will get during the first module.



FIRST
AND MOST IMPORTANT: Encourage maternity care by an established clinic or hospital. 
THEREFORE THIS PROGRAM MUST ACCEPT
ONLY THOSE WOMEN WHO WOULD NOT OR CANNOT GO TO A HOSPITAL OR CLINIC, ESPECIALLY
WHEN IT IS TOO FAR.
WHEN FREQUENT TRAVEL IS
IMPOSSIBLE, AFTER INITIAL REGISTRATION WITH AN ESTABLISHED CLINIC, THE HEALTH
CARE WORKER CAN CONDUCT PRENATAL CARE AND HAVE THE PATIENT TRAVEL AND STAY NEAR
A CLINIC OR HOSPITAL DURING THE LAST MONTH OF PREGNANCY.

We are not going to interfere with any adequate trained care that they get, just those who cannot get help.

Thanks for the question. I hope you have downloaded my training plan. If you have any suggestions I would be happy to entertain ...

Amunugwa,

To start we are training only 5 ladies. Each comes from one of the five traveling villages and will be immediately available for women's need within their village. Each will have a cell phone (there is improving communication with cell phones). The health care worker will be able in most instances to communicate by cell with our clinic nurse practitioner at Tamesna to be guided through their treatment.


Please note the instructions they will get during the first module.



FIRST
AND MOST IMPORTANT: Encourage maternity care by an established clinic or hospital. 
THEREFORE THIS PROGRAM MUST ACCEPT
ONLY THOSE WOMEN WHO WOULD NOT OR CANNOT GO TO A HOSPITAL OR CLINIC, ESPECIALLY
WHEN IT IS TOO FAR.
WHEN FREQUENT TRAVEL IS
IMPOSSIBLE, AFTER INITIAL REGISTRATION WITH AN ESTABLISHED CLINIC, THE HEALTH
CARE WORKER CAN CONDUCT PRENATAL CARE AND HAVE THE PATIENT TRAVEL AND STAY NEAR
A CLINIC OR HOSPITAL DURING THE LAST MONTH OF PREGNANCY.

We are not going to interfere with any adequate trained care that they get, just those who cannot get help.

Thanks for the question. I hope you have downloaded my training plan. If you have any suggestions I would be happy to entertain them.

Bob

Dear Robert,

I'm quite impressed in what you are doing. It seems to me that it will be useful for Nepal as well since we've high illiteracy rate, high maternal/neonatal deaths, poor access and utilisation of services, especially in rural and remote Nepal.

By the way, by profession I'm a nurse with public health background and advocating to strengthen maternal health services in rural Nepal. In Nepal, we don't have a separate cadre called Midwives but through Midwifery Society of Nepal (Learn more at http://www.midson.org) we are advocating for it as per the National Policy on Skilled Bith Attendants.

Woud appreciate if you could share more about this program how it works so that I can share and discuss with my colleagues in Nepal. Here is my email .

Thank you
Laxmi Tamang

Hi Bob;

I have read your explanation with a lot of interest: I am particularlmy
interested in the aspect of telenursing or call it telecare; it is new and
using modern communication systems which are cost effective is a novelty
which many developing countries are still to implant into their nursing or
heqlth systems.

In my country Cameroon; the notion of nursing or medical informatics is not
integrated in the curriculum be it in the basic or post basic and even
university nursing programmes.
I think what you are doing should be considered a best practice that should
be expanded nationally; regionally; why not globally:

So if the nurses have anything they cannot handle what do they do? You
probably still had to say smething about referrals of cases beyond your own
capacities.

I am out in the filed and when I do get back I shalll download your proposed
curriculum and have a look:

Best regards

--

*Amungwa Athanasius Nche*
*Health and Development Certified Training Professional*
*P.O. Box 2157*
*Alakuma, Road-Mankon*
*Bamenda*
*North West Region *
*Cameroon*

*
**True Love is accepting what has been, what is,will be and will not be*
*

Dear Dr. Skankey,
This is an excellent program. I did not see any attachments outlining the curriculum for the modules. Could you please send this out again?
Best regards,
Catherine O'Connor

Catherine A. O'Connor, MSN, ACRN
Northeastern University
School of Nursing
207 D Robinson Hall

Mobile: 781-964-3856
Office: 617-373-8207
FAX: 617-373-8675