Principles to Guide a Volunteer Humanitarian Faith-based Short-Term Medical Mission in Nepal: A Case Study

  • Rebecca Houweling Trinity Western University
  • Barbara Astle Trinity Western University
Keywords: short-term medical missions, guidelines, volunteers, global health, humanitarian, faith based, international volunteering, Nepal

Abstract

Global health inequities, natural disasters, and mass migration of refugees have led to an increase in volunteer humanitarian responses worldwide.  While well intentioned for doing good, there is an increasing awareness of the importance for improved preparation for international volunteers involved in short-term medical missions (STMMs).  This case study describes the retrospective application of Lasker’s (2016) Principles for Maximizing the Benefits for Volunteer Health Trips to international volunteers from two faith-based non-governmental organizations (NGOs) in Canada and the United States partnering with a faith-based NGO in Nepal.  These principles are intended to maximize the benefits and diminish challenges that may develop between the international volunteers and the host country staff.  Lessons from this case study highlight the importance of applying such principles to foster responsible STMMs.  In conclusion, there is an increasing call by host country staff for collaborative and standardized guidelines or frameworks for STMMs and other global health activities.

Author Biographies

Rebecca Houweling, Trinity Western University

Rebecca Houweling, BScN, RN, (MSN Student), School of Nursing, Trinity Western University, Langley, BC, Canada

Barbara Astle, Trinity Western University

Barbara Astle, PhD, RN, Associate Professor for School of Nursing & Director for the Centre of Equity and Global Engagement (CEGE), Trinity Western University, Langley, BC, Canada

References

United Nations, Office for Disaster Risk Reduction [Internet]. Geneva. Sendai framework for disaster risk reduction 2015 – 2030. [updated 2015, cited 2018 Aug 20]. Available from: https://www.unisdr.org/files/43291_sendaiframeworkfordrren.pdf

Development Initiatives [Internet]. Bristol, UK. Global humanitarian assistance report 2017: [updated 2017, cited 2018 Aug 20]. Available from: http://devinit.org/post/global-humanitarian-assistance-2017/

United Nations [Internet]. New York. International migration report. 2017. Available from: http://www.un.org/en/development/desa/population/migration/publications/migrationreport/docs/MigrationReport2017_Highlights.pdf

World Health Organization [Internet]. Geneva. Migration and health: key issues. Available from: http://www.euro.who.int/en/health-topics/health-determinants/migration-and-health/migrant-health-in-the-european-region/migration-and-health-key-issues

Lasker J. Hoping to help: The promises and pitfalls of global health volunteering. Ithaca, NY: Cornell University Press; 2016.

Loh LC, Cherniak W, Dreifuss BA, Dacso NM, Lin HC, Every J. Short-term global health experiences and local partnership models: A framework. Globalization and Health. 2015;11(50):1-7. https://doi.org/10.1186/s12992-015-0135-7

Rozier MD, Lasker, JN, Compton B. (2017). Short-term volunteer health trips: Aligning host community preferences and organizer practices. Global Health Action. 2017;10(1267957):1-8. https://doi.org/10.1080/16549716.2017.1267957

Melby MK, Loh LC, Evert J, Prater C, Lin H, Khan OA. Beyond medical “missions” to impact-driven short-term experiences in global health (STEGHs): Ethical principles to optimize community benefit and learner experience. Academic Medicine. 2016;91(5):633-638. https://doi.org/10.1097/ACM.0000000000001009

World Health Organization [Internet]. Geneva. Nepal earthquake 2015 – Grade 3 emergency. 2016. [updated 2015 May 15, cited 2018 August 20]. Available from: http://www.who.int/emergencies/nepal/en/

GBC 2015 SDG Collaborators. Measuring the health-related sustainable development goals in 188 countries: A baseline analysis from the Global Burden of Disease Study 2015. Lancet. 2016;(388):1813-1850. https://doi.org/10.1016/S0140-6736(16)31467-2

Maru S, Nirola I. Thapa A, Thapa P, Kunwar L, Wu W, Maru D. An integrated community health worker intervention in rural Nepal: A type 2 hybrid effectiveness-implementation study protocol. Implementation Science. 2018;13(53):1-11. https://doi.org/10.1186/s13012-018-0741-x

Regan H. International aid to Nepal ramps up. Time. 2015, April 28. Available from: http://time.com/3837688/nepal-earthquake-aid-relief-donations/

Caldron PH, Impens A, Pavlova M, Groot W. A systematic review of social, economic and diplomatic aspects of short-term medical missions. BMC Health Service Research. 2015;15:380. http://doi.org/10.1186/s12913-015-0980-3

Lasker JN, Aldrink M, Balasubramaniam R, Caldron P, Compton B, Evert J, et.al. Guidelines for responsible short-term global health activities: developing common principles. Globalization and Health. 2018;14:18. https://doi.org/10.1186/s12992-018-0330-4

Martiniuk AL, Manouchehrian M, Negin JA, Zwi AB. Brain gains: A literature review of medical missions to low and middle-income countries. BMC Health Services Research. 2012;12(1):134. https://doi.org/10.1186/1472-6963-12-134

Swanson R, Thacker B. Systems thinking in short-term health missions: A conceptual introduction and consideration of implications for practice. Christian Journal for Global Health. 2015;2(1): 7-22. https://doi.org/10.15566/cjgh.v2i1.50

Cherniak W, Latham E, Astle B, Anguyo G, Beaunoir T, Beunaventura J, et.al. Visiting trainees in global settings: Host and partner perspectives on desirable competencies. Annals of Global Health. 2017;83(2):359-368. https://doi.org/10.1016/j.aogh.2017.04.007

Astle B, Barton S, Johnson L, Mill J. Global Health. Astle BJ & Duggleby W. (Cdn. Eds.). Potter PA, Perry AG, Stockert PA, Hall MA. Canadian Fundamentals of Nursing (6th ed). Toronto, ON: Elsevier; 2019.

Ahmed SM, Rawal LB, Chowdhury SA, Murray J, Arscott-Mills S, Jack S, et.al. Cross-country analysis of strategies for achieving progress towards global goals for women's and children's health. Bulletin of The World Health Organization. 2016;94(5):351-361. https://doi.org/10.2471/BLT.15.168450

Målqvist M, Pun A, Raaijmakers H, KC A. Persistent inequity in maternal health care utilization in Nepal despite impressive overall gains. Global Health Action. 2017;10(1356083):1-7. https://doi.org/10.1080/16549716.2017.1356083

Lough BJ, Tiessen R, Lasker, JN. Effective practices of international volunteering for health: Perspectives from partner organizations. Globalization & Health. 2018;14(11):1-11. https://doi.org/10.1186/s12992-018-0329-x

Myser C, Astle B, Cherniak W, Latham E, Anguyo G, Beaunoir T, et.al. Comparing high-income and low- and middle-income country host perspectives on students’ short-term experiences in global health: A qualitative analysis [Abstract]. The Lancet Global Health. 2018;6(S40). https://doi.org/10.1016/S2214-109X(18)30169-4

Sullivan N. International clinical volunteering in Tanzania: A postcolonial analysis of a global health business. Global Public Health. 2018;13(3):310-324. https://doi.org/10.1080/17441692.2017.1346695
Published
2018-11-08
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