Better Together

The purpose of scientific research is to generate evidence to guide healthcare practices. Today’s episode will focus on the translation of global health research and science into policy. Dr. Parminder Suchdev is a physician-epidemiologist, who has served with the CDC and as the Associate Director of the Emory Global Health Institute. He joins Better Together to discuss the structured cycle from evidence to policy and the importance of translating research into the 3 Ps of policy, program, and practice. With his experience in micronutrient malnutrition research, he shares key strategies for implementation including building partnerships (not just publications), considering the local context, and the importance of communication using a SOCO (single overriding communication objective) and stats along with stories. Finally, he stresses the importance of “grounding advances in equity” as fundamental to global health work.

Indigenous communities, both in the U.S. and around the globe, face significant health disparities due to numerous factors including structural racism, poverty, historical forced assimilation, intergenerational trauma, and underfunding. Dr. Valerie Dobiesz, Director of the Harvard Humanitarian Initiative’s Front Line Indigenous Program (FLIP), joins Better Together to discuss academic and clinical partnerships and career pathway programs designed to address these disparities through workforce development and capacity building.

Funding for global health is a perpetual challenge. Given recent cuts in federal funding, many global health practitioners are considering what the future looks like to find support for global health work and for their own career development. Dr. Indi Trehan joins Better Together to share his journey, sharing pearls about mentorship, how to be effective in capacity-building and research, and creative paths for funding. He discusses nuances of different funders including motivations, agility, oversight, and alignment with advocacy efforts, and how current politics affect the global health funding landscape.

Clinical trials are a cornerstone of advancing medical knowledge, yet significant disparities remain in how research is conducted globally. Dr. Nitya Wadhwa, a pediatrician and physician–scientist, shares her journey from clinician to investigator. She joins Better Together to discuss the process of conducting multi-country clinical trials including design, getting ethical approvals, data collection, analysis, and dissemination. She shares best practices of harmonization, monitoring, and data safety that ensure high-quality rigorous scientific findings that will impact clinical care, leading to improved health outcomes for children and mothers in low-and middle-income countries.

Medical care in conflict settings is complicated by the destruction of infrastructure and displacement of populations. In this episode, Dr. John Kahler, co-founder of MedGlobal (a non-profit organization that provides medical services to displaced people and communities affected by war and disaster), discusses hurdles of financing, access to care, healthcare worker safety, and sustainability. Agility, utilizing local networks, and training of local providers have fostered MedGlobal’s success while the organization navigates challenges of scaling, bureaucracy, and a landscape of changing government political will and funding for international development.

Short term global health experiences for students, trainees, and even licensed health providers have often been plagued by ethical concerns, lack of sustainability, and harmful unintended consequences. Dr. Jessica Evert, a family medicine physician and Global Medical Director of Child Family Health International, joins Better Together to discuss best practices in ethical and sustainable global health experiences. Listen to hear about participation as a learner vs a service provider, taking an assets-based approach, fairtrade learning, and so much more!

“Glocal” health has been described as a transnational approach to improving healthcare in both “global” and “local” communities with a focus on community engagement, transferable knowledge and skills, bidirectional learning, and social justice. Dr. Stockton Mayer, an infectious disease physician at UIC, joins Better Together to talk about his work with partners and communities in Guatemala and Chicago and “adjusting the paradigm” of health care service delivery based on community needs.

Implementation science aims to link evidence-based interventions and policies to real-world practice, bridging the gap between research and actual health outcomes. Dr. Ramnath Subbaraman is an Associate Professor in the Department of Public Health and Community Medicine at the Tufts University School of Medicine. He joins Better Together to discuss his work in implementation science and “innovations hitting reality,” specifically in tuberculosis (TB) care in India to improve TB prevention, care, and survival.

Dr. Gabriel Culbert is a PhD, RN, and Associate Professor at the University of Illinois at Chicago College of Nursing. He joins Better Together to talk about his work in Chicago and Indonesia, where he has done clinical research to address the “perfect storm” of substance use disorder, HIV, and incarceration. He shares his experience exploring the intersection of social factors and medical illness, how we think about the word “vulnerable,” and getting out of your comfort zone.