Global Health2018-11-30T09:43:02+00:00

GLOBAL HEALTH IN THE DEPARTMENT OF PEDIATRICS

Our mission is to improve the health of low resource communities through the integration of innovative research, quality education and service, and inter-professional collaborations in pediatric health.

GOALS

  1. To develop and implement innovative sustainable activities for clinical and educational applications in low resources environment.
  2. To prepare future leaders in competencies for pediatric global health.
  3. To engage and inform the faculty in multi-disciplinary longitudinal capacity building partnerships, integrating research, education and clinical program development with our global partners.

CORE VALUES

Authenticity, respect, collaboration, cultural humility

STRATEGIC VALUES

Non Duplicative, Meaningful, Context-Appropriate, Mutually Beneficial, Measurable, Evidence-Based, Impactful and Sustainable, with emphasis on health system enhancement

STRATEGIC APPROACH

  1. Develop GH policies to support fundable, sustainable, feasible, novel and impactful programs.
  2. Develop GH guidelines emphasizing interprofessional collaborations; cultural immersion; the importance of full partnership, shared responsibility, evidence-based interventions, and system-strengthening approaches to GH.
  3. Collaborate with UIC Center for Global Health and reach out to UIC partners for resource sharing and exchange of ideas.
  4. Implement outcome assessment for all of the GH activities toward publishable and fundable GH program.

Global Health in Vietnam

BACKGROUND

  • Thirty percent of the burden in global health is surgical in nature
  • Half of the surgical needs in the world are life-threatening
  • LMIC patients with injuries have a 6-10 fold higher mortality rate
  • The Lancet commission on Global Surgery 2030 recently defined its sustainable development goals for global health to include universal access to timely, safe and affordable surgical and anesthesia care
  • Surgery is the neglected stepchild of Global Health while Pediatric Surgery is the unborn child of Global Health

WHAT WE ARE

IPSAC-VN (International Pediatric Specialists Alliance for the Children of VietNam): A philanthropic organization with 501(c) (3) status, incorporated in 2009 in the US and in 2016 in Vietnam. Our volunteers are academic professionals of varying pediatric specialties (pediatric surgery/urology/ENT, anesthesiology, oncology, critical care, emergency medicine, neonatology, pediatric surgical nurse practitioners) from health care institution inside and outside the US.

Our mission is to enhance the care of the children in Vietnam through partnership with Vietnamese health care professionals to enhance the workforce and build the institutional capacity in pediatric.

WHAT WE DO

Workforce building and workforce skill enhancement activities for pediatric surgery and pediatric subspecialties at VN pediatric institutions through

  • Clinical program development such as quality improvement and patient safety initiatives
  • Educational and training projects such as a new resuscitation course in pediatric acute surgical emergencies (PASS) for first responders in low resources facilities. The course currently targets future trainers of the first responders
  • Support of academic activities such as manuscript preparations, publications, and scientific presentations
  • Promotion of research activities such as an interventional clinical trial under a FDA IND, and innovative translational investigations

Our sites of operation include medical universities in the South of Vietnam, and 6 children hospitals in the North, Central and South of Vietnam.

Residents and fellows participation in of our activities is site- and program-dependent. We make more than twice a year visits to VN. The frequency of the visit at any of the sites is a function of their programmatic needs.

 

For additional information, please visit our website at IPSACVIETNAM.ORG

GLOBAL HEALTH ACTIVITIES IN NIGERIA

BACKGROUND

Much progress has been made in management and cure of sickle cell disease in the USA, but a huge population of sickle cell patients in Nigeria has not benefited from this progress. Early diagnosis through newborn screening is fundamental to better care. I have experience with sickle cell care and newborn screening, and I’d like to help Nigeria establish newborn screening programs. I have found partners in several academic medical centers in Nigeria, plus Nigerian expatriates in England who can bridge the cultural, medical, and political differences between US and Nigeria.   We can also benefit from genetic the large populations

WHAT ARE WE

Loose collaborative group. Chicago: UIHealth sickle cell center, pediatric and adult, including bone marrow transplant team, Loyola University Med Center at Maywood.

Nigeria: University of Ibadan, Kaduna State University, Bingham University, Bowen University. United Kingdom:  Kings College, Guys and St Thomas Hospital, Oxford University Hospital.

We have written 2 papers together with University of Ibadan, on genomics and on a demonstration trial of hydroxyurea safety and feasibility.  I have participated in several grant applications for newborn screening for sickle cell in Nigeria (European Union Marie Curie RISE program, Wellcome Trust, British NHS, Children’s Prize) This video pitches the need and the main ideas we are trying to get funded.

 ChildrensPrizeHsuVideo

https://www.youtube.com/watch?v=mYKe7V0zD8w).

Introduces the proposal for “Scalable, low-cost, community-based screening and treatment of newborns with sickle cell disease” for Ibadan district of Nigeria…

GEOGRAPHIC AND SOCIOECONOMIC BACKGROUND

Nigeria is the most populous country in Africa. The estimated number of Nigerian babies with sickle cell disease is about 100,000 per year, which is more than the total number of Americans of all ages living with sickle cell disease. Nigeria has oil wealth and a lot of economic growth but big disparities in income.  The militant group Boko Haram in the north has caused violence for many years.  There are multiple ethnic and linguistic groups, and Kaduna state is a microcosm of the country’s diversity. The governor of Kaduna state has decided to fund newborn screening for sickle cell disease as a demonstration of feasibility.

WHAT ARE WE

Setting up newborn screening services in Kaduna state Nigeria will use my prior experience in several states on sickle cell newborn screening.  The team will draw upon the programs for newborn screening in Ghana, USA, and UK. We will also use Implementation Science approaches and a range of community health workers to adapt the programs to the needs of Nigeria.
I plan to visit Abuja, Nigeria, in Feb 2018 to help launch the newborn screening program by training staff there to train Community Health Workers and to use Implementation Science. With my adult sickle hematologist colleagues, we published a couple papers with the group in Ibadan, Nigeria.

1: Saraf SL, Akingbola TS, Shah BN, Ezekekwu CA, Sonubi O, Zhang X, Hsu LL, Gladwin MT, Machado RF, Cooper RS, Gordeuk VR, Tayo BO. Associations of α-thalassemia and BCL11A with stroke in Nigerian, United States, and United Kingdom sickle cell anemia cohorts. Blood Adv. 2017 Apr 25;1(11):693-698.

doi:10.1182/bloodadvances.2017005231.

PubMed PMID: 28868518;

PubMed Central PMCID:

2: Akingbola TS, Tayo BO, Salako B, Layden JE, Hsu LL, Cooper RS, Gordeuk VR, Saraf SL. Comparison of patients from Nigeria and the USA highlights modifiable risk factors for sickle cell anemia complications. Hemoglobin. 2014;38(4):236-43.
doi: 10.3109/03630269.2014.927363. Epub 2014 Jun 18.

PubMed PMID: 24941131;
PubMed Central PMCID: PMC4161131.

Pediatric Tobacco Control by Clinicians in Kenya

The Clinical Effort Against Secondhand Smoke Exposure (CEASE) clinical curriculum is designed to help clinicians address family tobacco use and secondhand smoke exposure in a routine and effective manner. CEASE was developed and tested via extensive research in the United States (US) and our team has demonstrated its effectiveness in pediatric settings in the US and in China. The proposed project aims to adapt and test the CEASE intervention for use in clinical settings in Kenya and to build the tobacco control research-capacity of investigators, pediatricians, community health workers and clinical practice in Kenya. Our ultimate goal is to assess the impact of these interventions on tobacco-related outcomes. The Specific Aims of the proposed project are to:
1: Develop an adaptation of the CEASE tobacco intervention for child healthcare physicians and community health workers in Kenya to address parental smoking and the secondhand smoke exposure of children and other nonsmokers; 2: Test the feasibility and acceptability of CEASE tobacco interventions in clinical settings in Kenya; and 3: Build the research capacity of child healthcare physicians, community health workers and other stakeholders via collaboration in the development and practice-based testing of the CEASE intervention.

Jonathan D. Klein, MD, MPH
Professor and
Senior Associate Department Head
Department of Pediatrics
University of Illinois at Chicago
jonklein@uic.edu

(o) 1-312-996-7179

(m) 1-847-505-3738

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