Journal of Epidemiology and Global Health

In Press, Corrected Proof, Available Online: 13 June 2020

Assessment of Local Health Worker Attitudes toward International Medical Volunteers in Low- and Middle-income Countries: A Global Survey

Authors
Crystal Bae1, *, Nehal Naik2, Monika Misak2, Sean L. Barnes3, ORCID, Avelino C. Verceles4, Alfred Papali5, 6, Michael T. McCurdy4, Lia I. Losonczy2, 7,
1Department of Emergency Medicine, Temple University, Philadelphia, PA, USA
2Department of Emergency Medicine, George Washington University Hospital, Washington, D.C., USA
3Department of Decision, Operations & Information Technologies, Robert H. Smith School of Business, University of Maryland, MD, USA
4Division of Pulmonary and Critical Care Medicine, University of Maryland School of Medicine, Baltimore, MD, USA
5Division of Pulmonary & Critical Care Medicine, Atrium Health, Charlotte, NC, USA
6Division of Pulmonary & Critical Care Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA
7Department of Anesthesia & Critical Care Medicine, George Washington University School of Medicine, Washington, D.C., USA

Senior author.

*Corresponding author. Email: baecrystal@gmail.com
Corresponding Author
Crystal Bae
Received 2 February 2020, Accepted 18 May 2020, Available Online 13 June 2020.
DOI
https://doi.org/10.2991/jegh.k.200605.001How to use a DOI?
Keywords
Global health, international medicine, international medical volunteers
Abstract

Background: International Medical Volunteers (IMVs) positively and negatively impact host countries, and the goals of their trips may not always align with the interests of the hosts in Low- and Middle-Income Countries (LMICs). We sought to better understand local physicians’ interest of hosting IMVs and what type of support they desired.

Methods: This study was a convenience sample survey-based needs assessment. The surveys were distributed to local physicians by 28 professional society groups in LMICs.

Findings: A total of 102 physicians from 51 countries completed the survey. Despite 61.8% participants having no experience with IMVs, 75% were interested in hosting them. Host physicians most desired clinical education (39%), research collaboration (18%), and Systems Development (11%). The most requested specialties were obstetrics and gynecology (25%) and emergency medicine (11%). Respondents considered public hospitals (62%) to be the most helpful clinical setting in which IMVs could work, and 3 months (47%) as the ideal length of stay.

Respondents expressed interest in advertising the specific needs of the host country to potential IMVs (80%). Qualitative analyses suggested hosts wanted more training opportunities, inclusion of all stakeholders, culturally competent volunteers, and aid focused on subspecialty education, health policy, public health, and research.

Conclusion: Hosts desire more bidirectional clinical education and research capacity building than just direct clinical care. Importantly, cultural competence is key to a successful host partnership, potentially improved through IMV preparation. Finally, respondents want IMVs to ensure that they stay within their scope of practice and training.

Copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Publication Date
2020/06
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
https://doi.org/10.2991/jegh.k.200605.001How to use a DOI?
Copyright
© 2020 The Authors. Published by Atlantis Press International B.V.
Open Access
This is an open access article distributed under the CC BY-NC 4.0 license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - JOUR
AU  - Crystal Bae
AU  - Nehal Naik
AU  - Monika Misak
AU  - Sean L. Barnes
AU  - Avelino C. Verceles
AU  - Alfred Papali
AU  - Michael T. McCurdy
AU  - Lia I. Losonczy
PY  - 2020
DA  - 2020/06
TI  - Assessment of Local Health Worker Attitudes toward International Medical Volunteers in Low- and Middle-income Countries: A Global Survey
JO  - Journal of Epidemiology and Global Health
SN  - 2210-6014
UR  - https://doi.org/10.2991/jegh.k.200605.001
DO  - https://doi.org/10.2991/jegh.k.200605.001
ID  - Bae2020
ER  -