1921
Volume 97, Issue 2
  • ISSN: 0002-9637
  • E-ISSN: 1476-1645

Abstract

Abstract.

Interest in short-term global health experiences to underserviced populations has grown rapidly in the last few decades. However, there remains very little research on what participants can expect to encounter. At the same time, it has been suggested that in order for physicians and workers to provide safe and effective care, volunteers should have a basic understanding of local culture, health systems, epidemiology, and socioeconomic needs of the community before arriving. Our objective was to add to the limited literature on what short-term global health trips can expect to encounter through a cross-sectional study of patient demographics, socioeconomic markers, and the prevalence of diseases encountered on a short-term medical service trip to Lima, Peru. Descriptive analysis was conducted on clinic data collected from patients living in Pamplona Alta and Pamplona Baja, Lima, Peru, in July 2015. We found that volunteers encountered mainly female patients (70.8%), and that there were significant socioeconomic barriers to care including poverty, poor housing, environmental exposures, and lack of continuity of health care. Analysis of the disease prevalence found a high proportion of acute and chronic musculoskeletal pain in the adult populations (18.8% and 11.4%, respectively), and a high presentation of upper respiratory tract infections (25.4%) and parasites (22.0%) in the pediatric group. These findings can be used by future short-term medical service trips to address potential gaps in care including the organization of weekend clinics to allow access to working men, and the use of patient education and nonpharmacological management of acute and chronic disease.

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2017-08-02
2018-08-22
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References

  1. Martiniuk AL, Manouchehrian M, Negin JA, Zwi AB, , 2012. Brain Gains : a literature review of medical missions to low and middle-income countries. BMC Health Serv Res 12: 134.[Crossref]
  2. Stone GS, Olson KR, , 2016. The ethics of medical volunteerism. Med Clin North Am 100: 237246.[Crossref]
  3. Roche SD, Ketheeswaran P, Wirtz VJ, , 2016. International short-term medical missions: a systematic review of recommended practices. Int J Public Health 62: 3142.[Crossref]
  4. Sykes KJ, , 2014. Short-term medical service trips: a systematic review of the evidence. Am J Public Health 104: 3848.[Crossref]
  5. Mondragon A, Campo C, Tobón D, Jimenez C, Alzate V, Martinez J, , 2011. Multidisciplinary college camp for services and research (CUMIS) as a strategy for community intervention. Investig Andin 13: 353362.
  6. Heitzinger K, Montano SM, Hawes SE, Alarcón JO, Zunt JR, , 2014. A community-based cluster randomized survey of noncommunicable disease and risk factors in a peri-urban shantytown in Lima, Peru. BMC Int Health Hum Rights 14: 19.[Crossref]
  7. World Health Organization, 2010. Unmasking and overcoming health inequities in urban settings. Evol Ecol 10: 1145.
  8. Sanchez JF, Halsey ES, Bayer AM, Beltran M, Razuri HR, Velasquez DE, Cama VA, Graf PCF, Quispe AM, Maves RC, Montgomery JM, Sanders JW, Lescano AG, , 2015. Needs, acceptability, and value of humanitarian medical assistance in remote Peruvian Amazon riverine communities. Am J Trop Med Hyg 92: 10901099.[Crossref]
  9. Williamson J, Ramirez R, Wingfield T, , 2015. Health, healthcare access, and use of traditional versus modern medicine in remote Peruvian Amazon communities: a descriptive study of knowledge, attitudes, and practices. Am J Trop Med Hyg 92: 857864.[Crossref]
  10. Dainton C, Chu CH, Lin H, Loh L, , 2016. Review clinical guidelines for western clinicians engaged in primary care medical service trips in Latin America and the Caribbean : an integrative literature review. Trop Med Int Health 21: 470478.[Crossref]
  11. Dainton C, Chu C, , 2015. Symptom clusters on primary care medical service trips in five regions in Latin America. J Epidemiol Glob Health 5: 259264.[Crossref]
  12. Ferrara BJ, Townsley E, MacKay CR, Lin HC, Loh LC, , 2014. Short-term global health education programs abroad: disease patterns observed in Haitian migrant worker communities around la Romana, Dominican Republic. Am J Trop Med Hyg 91: 871875.[Crossref]
  13. Martiniuk ALC, Adunuri N, Negin J, Tracey P, Fontecha C, Caldwell P, , 2012. Primary care provision by volunteer medical brigades in Honduras: a health record review of more than 2,500 patients over three years. Int J Health Serv 42: 739.[Crossref]
  14. World Health Organisation, 2014. World Health Statistics 2014: Wealth of Information on Global Public Health. Geneva, Switzerland: World Health Organization.
  15. Instituto Nacional de Estadística e Informática, 2015. Brechas de Género 2015 Avances Hacia La Igualdad Entre Mujeres Y Hombres. Available at: https://www.inei.gob.pe/media/MenuRecursivo/publicaciones_digitales/Est/Lib1309/Libro.pdf. Accessed November 6, 2016.
  16. Mikkonen J, Raphael D, , 2010. Social Determinants of Health: The Canadian Facts. Toronto, Canada: York University School of Health Policy and Management.
  17. World Health Organisation, 2007. The determinants of health. Available at: http://www.who.int/hia/evidence/doh/en/#.U7GfUEBOsu8.mendeley. Accessed October 2, 2016.
  18. Perú Ministerio de Salud, 2013. Norma Técnica de Salud Para La Atención Integral de Las Personas Afectadas Por Tuberculosis. Available at: ftp://ftp2.minsa.gob.pe/normaslegales/2013/RM715_2013_MINSA.pdf. Accessed November 6, 2016.
  19. Narasimhan P, Wood J, Macintyre CR, Mathai D, , 2013. Risk factors for tuberculosis. Pulm Med 2013: 828939.[Crossref]
  20. DeCamp M, , 2007. Scrutinizing global short-term medical. Hastings Cent Rep 37: 2123.[Crossref]
  21. Charles CV, Summerlee AJS, Dewey CE, , 2011. Iron content of Cambodian foods when prepared in cooking pots containing an iron ingot. Trop Med Int Health 16: 15181524.[Crossref]
  22. Organización Panamericana de la Salud, 2010. Perú: Situación Y Perspectivas de La Mortalidad Por Sexo Y Grupos de Edad, Nacional Y Por Departamentos, 1990–2025. Avaialble at: http://proyectos.inei.gob.pe/web/biblioineipub/bancopub/Est/Lib0901/index.htm. Accessed November 6, 2016.
  23. World Health Organisation, 2015. WHO Model List of Essential Medicines (April 2015). Geneva, Switzerland: World Health Organization.
  24. del Valle Mendoza J, Cornejo-Tapia A, Weilg P, Verne E, Nazario-Fuertes R, Ugarte C, del Valle LJ, Pumarola T, , 2015. Incidence of respiratory viruses in Peruvian children with acute respiratory infections. J Med Virol 87: 917924.[Crossref]
  25. Pantenburg B, Ochoa TJ, Ecker L, Ruiz J, , 2014. Feeding of young children during diarrhea: caregivers’ intended practices and perceptions. Am J Trop Med Hyg 91: 555562.[Crossref]
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Supplementary Data

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  • Received : 30 Nov 2016
  • Accepted : 23 Apr 2017

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