Women's global health leadership in LMICs

Liu, Ewen; Iwelunmor, Juliet; Gabagaya, Grace; Anyasi, Helen; Leyton, Alejandra; Goraleski, Karen A.; Wei, Shufang; Barrio, Mariam Otmani del; Olaleye, Atinuke O; Launois, Pascal; Tucker, Joseph D.

doi:10.1016/s2214-109x(19)30308-0

Cited by 12 publications

(14 citation statements)

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“…Based on the evidence that crowdsourcing approaches can effectively promote sexual health, several local, regional and global policymakers have recommended this practice [10,65]. The UNICEF/UNDP/World Bank/WHO Special Programme for Research and Training in Tropical Diseases has used crowdsourcing in several projects [21,66].…”

Section: Strengths and Limitations Of Studymentioning

confidence: 99%

Crowdsourcing in health and medical research: a systematic review

et al. 2020

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Background: Crowdsourcing is used increasingly in health and medical research. Crowdsourcing is the process of aggregating crowd wisdom to solve a problem. The purpose of this systematic review is to summarize quantitative evidence on crowdsourcing to improve health. Methods: We followed Cochrane systematic review guidance and systematically searched seven databases up to September 4th 2019. Studies were included if they reported on crowdsourcing and related to health or medicine. Studies were excluded if recruitment was the only use of crowdsourcing. We determined the level of evidence associated with review findings using the GRADE approach. Results: We screened 3508 citations, accessed 362 articles, and included 188 studies. Ninety-six studies examined effectiveness, 127 examined feasibility, and 37 examined cost. The most common purposes were to evaluate surgical skills (17 studies), to create sexual health messages (seven studies), and to provide layperson cardiopulmonary resuscitation (CPR) out-of-hospital (six studies). Seventeen observational studies used crowdsourcing to evaluate surgical skills, finding that crowdsourcing evaluation was as effective as expert evaluation (low quality). Four studies used a challenge contest to solicit human immunodeficiency virus (HIV) testing promotion materials and increase HIV testing rates (moderate quality), and two of the four studies found this approach saved money. Three studies suggested that an interactive technology system increased rates of layperson initiated CPR out-ofhospital (moderate quality). However, studies analyzing crowdsourcing to evaluate surgical skills and laypersoninitiated CPR were only from high-income countries. Five studies examined crowdsourcing to inform artificial intelligence projects, most often related to annotation of medical data. Crowdsourcing was evaluated using different outcomes, limiting the extent to which studies could be pooled. Conclusions: Crowdsourcing has been used to improve health in many settings. Although crowdsourcing is effective at improving behavioral outcomes, more research is needed to understand effects on clinical outcomes and costs. More research is needed on crowdsourcing as a tool to develop artificial intelligence systems in medicine.

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Section: Strengths and Limitations Of Studymentioning

confidence: 99%

Crowdsourcing in health and medical research: a systematic review

et al. 2020

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“…Sixty-nine men and 22 women (24%) participated in the scheme as fellows during the evaluated period, somewhat below the estimated global average of women in research [ 11 ], although this percentage may reflect the reality of gender balance within participating regions, countries, or institutions. Strengthening women’s clinical research capacities and scientific leadership is a stated priority for TDR and, in the context of global discussions on women leaders in global health, TDR has since cosponsored a crowdsourcing challenge funded by BMGF with UNICEF, UNDP, The World Bank, and WHO, to identify creative and feasible ideas to increase the number of women in TDR mid-career clinical research fellowships [ 12 ]. As a result of the implementation of suggestions, identified in the challenge contest during the third selection of fellows in 2020–2021, 41.5% of the identified candidates for interviews with TPOs and 50% of finally selected participants were women.…”

Section: Resultsmentioning

confidence: 99%

Benefits and barriers in a clinical research competency development scheme for low- and middle-income countries

Casamitjana

Vahedi²,

Davoren

et al. 2022

Global Health Action

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Background The EDCTP-TDR Clinical Research and Development Fellowship (CRDF) scheme has offered one-year clinical research training placements for early- and mid-career researchers from LMIC since 1999. Objective Using the results of a 2018 external evaluation of the CRDF, the current article aims to identify the principal benefits for the main stakeholders of the CRDF scheme as well as the main barriers to accessing these benefits. Method Data analysis was derived from an external evaluation of the CRDF scheme. Based on a logical framework approach, data for the external evaluation was collected through document review, interviews, focus groups, and questionnaires collected from the main stakeholder groups. The evaluation was structured along six main themes: relevance, effectiveness, efficiency, impact, sustainability, and equity. Results The current paper focuses on the expected benefits, unexpected benefits, and barriers to enjoying benefits of the scheme for key stakeholders. Discussion Expected benefits were aligned with the development of clinical research competencies, which is the objective of the scheme. Unexpected benefits centred on transferable professional skills in scientific leadership and knowledge translation. Barriers mainly were found around engagement with home institutions and the return and reintegration of fellows following the training period. Conclusions and Recommendations Recommendations include further engagement with and support for home institutions and developing a formal framework for the development of transferable professional competencies, including leadership and knowledge transfer competencies.

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“…The challenge contest was hosted by SESH (Social Entrepreneurship to Spur Health) and TDR and called the "Women Leaders in Global Health Challenge" to complement the Women Leaders in Global Health Conference organized by the London School of Hygiene and Tropical Medicine [13]. We followed the TDR "Crowdsourcing in Health and Health Research Practical Guide, " and used the following steps: organizing a multisectoral steering committee; engaging the community to contribute; evaluating ideas based on pre-specified criteria; recognizing exceptional finalists through commendation at the Women's Leaders in Global Health Conference; and implementing selected ideas to adjust TDR fellowship policy [9].…”

Section: Challenge Contestmentioning

confidence: 99%

‘When she rises, we all rise’: a crowdsourcing challenge to increase women’s participation in an infectious diseases research fellowship

et al. 2020

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Background Women are under-represented in many mid-career infectious diseases research fellowships, including a TDR fellowship for low- and middle-income country (LMIC) researchers. TDR solicited creative ideas as part of a challenge contest to increase the number of women fellowship applicants. The purpose of this study is to examine themes from submitted ideas and the impact of implementing the top three ideas on the number of women applicants. Methods We solicited ideas for modifying the TDR fellowship using a crowdsourcing challenge. Then we used a mixed methods approach to evaluate texts submitted in response to the challenge. The qualitative analysis identified themes from eligible submissions. The quantitative analysis examined the mean score (1–10 scale) assigned to submitted ideas and also the number of eligible women applicants before (2014–7) and after (2018) implementing the top three ideas. Results We received 311 ideas on improving women’s participation in this fellowship from 63 countries. Among all ideas, 282 (91%) were from women and 286 (92%) were from low- and middle-income countries (LMICs). Thirty-three (17%) ideas received an overall mean score of 7.0 or greater. The top three ideas included enhanced social media communication targeting women, improving career mentorship, and creating a nomination system to nudge women applicants. These ideas were implemented as part of the 2018 fellowship application cycle. The number of eligible women applicants increased from 11 in 2016 to 48 in 2018. The number of eligible men applicants increased from 55 in 2016 to 114 in 2018. Women represent 44% (8/18) of the 2018 cohort. Conclusion This suggests that the challenge contest resulted in strong participation from women in LMICs. The three top ideas likely contributed to a greater number of women applicants to this mid-career fellowship. Further ways of enhancing women’s participation in global health training are needed.

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Women's global health leadership in LMICs

Cited by 12 publications

References 1 publication

Crowdsourcing in health and medical research: a systematic review

Crowdsourcing in health and medical research: a systematic review

Benefits and barriers in a clinical research competency development scheme for low- and middle-income countries

‘When she rises, we all rise’: a crowdsourcing challenge to increase women’s participation in an infectious diseases research fellowship

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