Barriers to global health development
Principal Investigator(s): View help for Principal Investigator(s) Bahr Weiss, Vanderbilt University
Version: View help for Version V1
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Project Citation:
Weiss, Bahr. Barriers to global health development. Ann Arbor, MI: Inter-university Consortium for Political and Social Research [distributor], 2017-09-09. https://doi.org/10.3886/E100948V1
Project Description
Summary:
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Background. Global health’s goal of reducing low-and-middle-income
country versus high-income country health disparities faces complex challenges.
Although there have been discussions of barriers, there has not been a
broad-based, quantitative survey of such barriers.
Methods. 432 global health professionals were invited via email to participate in an online survey, with 268 (62%) participating. The survey assessed participants’ (A) demographic and global health background, (B) perceptions regarding 66 barriers’ seriousness, (C) detailed ratings of barriers designated most serious, (D) potential solutions.
Results. Thirty-four (of 66) barriers were seen as moderately or more serious, highlighting the widespread, significant challenges global health development faces. Perceived barrier seriousness differed significantly across domains: Resource Limitations mean=2.47 (0-4 Likert scale), Priority Selection mean=2.20, Corruption, Lack of Competence mean=1.87, Social and Cultural Barriers mean=1.68. Some system-level predictors showed significant but relatively limited relations. For instance, for Global Health Domain, HIV and Mental Health had higher levels of perceived Social and Cultural Barriers than other GH Domains. Individual–level global health experience predictors had small but significant effects, with seriousness of (a) Corruption, Lack of Competence, and (b) Priority Selection barriers positively correlated with respondents’ level of LMIC-oriented (e.g., weeks/year spent in LMIC) but Academic Global Health Achievement (e.g., number of global health publications) negatively correlated with overall barrier seriousness.
Conclusions. That comparatively few system-level predictors (e.g., Organization Type) were significant suggests these barriers may be relatively fundamental at the system-level. Individual-level and system-level effects do have policy implications; e.g., Priority Selection barriers were among the most serious, yet effects on seriousness of how LMIC-oriented a professional was versus level of academic global health achievement ran in opposite directions, suggesting increased discussion of priorities between LMIC-based and other professionals may be useful. It is hoped the 22 suggested solutions will provide useful ideas for addressing global health barriers.
Methods. 432 global health professionals were invited via email to participate in an online survey, with 268 (62%) participating. The survey assessed participants’ (A) demographic and global health background, (B) perceptions regarding 66 barriers’ seriousness, (C) detailed ratings of barriers designated most serious, (D) potential solutions.
Results. Thirty-four (of 66) barriers were seen as moderately or more serious, highlighting the widespread, significant challenges global health development faces. Perceived barrier seriousness differed significantly across domains: Resource Limitations mean=2.47 (0-4 Likert scale), Priority Selection mean=2.20, Corruption, Lack of Competence mean=1.87, Social and Cultural Barriers mean=1.68. Some system-level predictors showed significant but relatively limited relations. For instance, for Global Health Domain, HIV and Mental Health had higher levels of perceived Social and Cultural Barriers than other GH Domains. Individual–level global health experience predictors had small but significant effects, with seriousness of (a) Corruption, Lack of Competence, and (b) Priority Selection barriers positively correlated with respondents’ level of LMIC-oriented (e.g., weeks/year spent in LMIC) but Academic Global Health Achievement (e.g., number of global health publications) negatively correlated with overall barrier seriousness.
Conclusions. That comparatively few system-level predictors (e.g., Organization Type) were significant suggests these barriers may be relatively fundamental at the system-level. Individual-level and system-level effects do have policy implications; e.g., Priority Selection barriers were among the most serious, yet effects on seriousness of how LMIC-oriented a professional was versus level of academic global health achievement ran in opposite directions, suggesting increased discussion of priorities between LMIC-based and other professionals may be useful. It is hoped the 22 suggested solutions will provide useful ideas for addressing global health barriers.
Funding Sources:
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US NIH Fogarty International Center ( D43TW009089)
Scope of Project
Subject Terms:
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global health
Geographic Coverage:
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global
Time Period(s):
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7/15/2013 – 4/15/2014
Universe:
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global health professionals
Data Type(s):
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survey data
Collection Notes:
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The
survey was programmed and administered online using the Qualtrics online data
collection platform.
Methodology
Response Rate:
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62%
Sampling:
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The
purpose of the sampling frame was to identify individuals (A) with moderate to
high levels of professional experience in global health, (B) who had considered
barriers to global health development, (C) who were focused across a broad range
of global health domains, and (D) working in a variety of professional
positions (e.g., researcher; upper-level administration at a global
health-related organization).
Data Source:
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Online data survey.
Collection Mode(s):
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web-based survey
Scales:
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Barriers to Global Health Development Survey
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