Podcast

Advanced practice providers (APPs), such as nurse anesthetists, nurse midwives, nurse practitioners, and physicians assistants, have and can continue to bridge gaps by increasing access and quality of health care in cost effective ways especially in underserved communities in low and middle income countries (LMICs). Interviews with APPs and other healthcare professionals, personal experience living and working as an APP in LMICs, and literature reviews reveal similar results: utilizing APPs provides cost-effective health care access, improves morbidity and mortality outcomes, and enhances patient satisfaction without compromising the quality of care given in underserved areas. Challenges to APPs in LMICs include lack of access and standardization of higher education programs, role and title variability, physician resistance, limited research, and inconsistent legislation and licensing restrictions. When these challenges are overcome, APPs improve health care access in difficult to reach locations, exhibit adaptability and flexibility in challenging circumstances, and fill in the gaps of physician shortages particularly in primary care and rural locations. APPs are a vital, but underused role in health care. Enhancing APP training programs, defining roles and titles, educating health care providers and legislature writers, and promoting research in LMICs can improve the availability and implementation of APPs in LMIC and thus bridge gaps in global heath care. This presentation will provide personal perspectives from APPs who have worked around the World as well as present research that addresses advantages, challenges, and the necessity of APPs worldwide in bridging healthcare gaps.

When I arrived in Nigeria I thought my main role would be taking care of my 6-month-old daughter. When people asked before we left, “What are you going to do?” I almost apologetically said I would be a “homemaker.” Shortly after arriving I struggled to know my role as “an accompanying spouse.” I was not prepared for this undefined role and sometimes felt like a “second class missionary” because I was not in a specific ministry. It did not take long before the Lord opened up for me amazing opportunities for ministry, some in our home and others in our community. During this workshop I will share my journey, the many wonderful doors of significant opportunity God opened for me to serve using my past experiences, education and gifts to eventually serve many unreached women and children in our community and in Nigeria. We will also explore ways in which male “accompanying spouses” also got involved and had an impact in their own unique ways and the significance of culture on these decisions.

This session will present the need for healthcare workers to understand that their response to women who are being abused can make a crucial difference in whether the patient feels safe or shamed. Behavior that can incite fear will be identified: Physical gestures, facial expressions, distance, tone of voice, etc. This session will also discuss how showing skepticism, insensitive questioning, and telling the patient what to do can shut down the opportunity to help her . Helpful ways to communicate concern, respect, and autonomy to make her own decisions, will be identified.

Sending organizations spend tens of millions of dollars each year sending clinicians and support staff overseas. They invest very little in comparison on the leaders who are essential to preventing their burnout. Competent and compassionate administrative leaders are not only essential for developing and sustaining resilient healthcare and ministry teams; they also shepherd the systems that optimize human, technological and financial resources and prevent waste of resources and harm to patients. Despite its necessity, health care leadership and management training often scarce in many of the world’s most marginalized places. In this presentation, Anderson makes a case for the necessity of building leadership capacity and introduces practical tools that help address this training gap while building vibrant, sustainable mission teams.

Despite very different settings, HIV care in the United States and sub-Saharan Africa share a lot in common. This breakout session will explore similarities and differences in HIV care between these settings including the widespread challenge of HIV-related stigma.