Local Partners’ Perspectives on Health Student Service-Learning Placements in Low- and Middle-Income Countries: A Pilot Qualitative Study with Partners from Vietnam and Timor-Leste
Keywords:global health, international service learning, professional education, therapy
Service-learning programs can provide clinical assistance in low-resourced settings while providing students with intercultural learning opportunities in diverse health contexts; local partners’ perspectives on international service-learning (ISL) programs are integral to ethical, effective and sustainable university-community partnerships; yet the perspectives of local partners remain under-represented in research. Interpretive description methods guided data collection and thematic analysis of qualitative responses from written questionnaires. Four local partners from Vietnam and Timor-Leste responded to questionnaires in this pilot project. Three themes were identified regarding benefits, underpinning factors for program effectiveness, and a further three themes related to desired improvements. According to local partners, benefits of ISL include skill and knowledge exchange, enhanced assessment and intervention strategies, and increased service quality. Communication and relationships were seen as underpinning factors of effective partnerships. Areas for further improvement included drawing more strongly on local partner strengths and perspectives, further collaborative preparation for the placements, and more regular communication. These preliminary findings align with existing research regarding benefits to local partners. Modelling effective practices, formal training and meetings, and ongoing case discussions may be some useful methods for achieving knowledge and skill exchange in ISL.
Atuyambe, L.M., Baingana, R.K., Kibira, S.P.S., Katahoire, A., Okello, E., Mafigiri, D.K., Ayebare, F., Oboke, H., Acio, C., Muggaga, K., Mbalinda, S., Nabaggala, R., Ruzaaza, G., Arubaku, W., Mary, S., Akera, P., Tumwine, J.K., Peters, D.H., & Sewankambo, N.K., 2016. Undergraduate students' contributions to health service delivery through community-based education: A qualitative study by the MESAU Consortium in Uganda. BMC Medical Education, 16 (123). doi: 10.1186/s12909-016-0626-0
Beaman, A., Asano, R., Sibbritt, D., Newton, P.J., & Davidson, P.M., 2018. Global service learning and health systems strengthening: An integrative literature review. Heliyon, 4 (8), e00713. doi: 10.1016/j.heliyon.2018.e00713
Beran, D., Aebischer Perone, S., Alcoba, G., Bischoff, A., Bussien, C.-L., Eperon, G., Hagon, O., Bausch, F.J., Perone, N., Vogel, T, & Chappuis, F., 2016. Partnerships in global health and collaborative governance: Lessons learnt from the Division of Tropical and Humanitarian Medicine at the Geneva University Hospitals. Globalalization and Health, 12 (1), 14. doi: 10.1186/s12992-016-0156-x
Bowen, S., & Martens, P.J., 2006. A model for collaborative evaluation of university-community partnerships. Journal of Epidemiology and Community Health, 60 (10), 902–907. doi: 10.1136/jech.2005.040881
Braun, V., & Clarke, V., 2006. Using thematic analysis in psychology. Qualitative Research in Psychology, 3 (2), 77–101. doi: 10.1191/1478088706qp063oa
Chapman, D.D., 2018. The ethics of international service learning as a pedagogical development practice: A Canadian study. Third World Quarterly, 39 (10), 1899–1922. doi: 10.1080/01436597.2016.1175935
Cipriani, J., 2017. Integration of International Service Learning in developing countries within occupational therapy education: Process and implications. Occupational Therapy in Health Care, 31 (1), 61–71. doi: 10.1080/07380577.2016.1244734
Crawford, E., Caine, A.-M., Hunter, L., Hill, A. E., Mandrusiak, A., Anemaat, L., Dunwoodie, R., Fagan, A., & Quinlan, T., 2017. Service learning in developing countries: Student outcomes including personal successes, seeing the world in new ways, and developing as health professionals. Journal of Interprofessional Education & Practice, 9 (1), 74–81. doi: 10.1016/j.xjep.2017.08.006
Crump, J.A., Sugarman, J., & the Working Group on Ethics Guidelines for Global Health Training (WEIGHT), 2010. Ethics and best practice guidelines for training experiences in global health. American Journal of Tropical Medicine and Hygiene, 83 (6), 1178–1182. doi: 10.4269/ajtmh.2010.10-0527
Curtin, A.J., Martins, D.C., & Schwartz-Barcott, D., 2015. A mixed methods evaluation of an international service learning program in the Dominican Republic. Public Health Nursing, 32 (1), 58–67. doi: 10.1111/phn.12117
Decamp, M., 2007. Scrutinizing global short-term medical outreach. Hastings Center Report, 37 (6), 21–23. doi: 10.1353/hcr.2007.0096
El-Jardali, F., Ataya, N., & Fadlallah, R., 2018. Changing roles of universities in the era of SDGs: Rising up to the global challenge through institutionalising partnerships with governments and communities. Health Research Policy and Systems, 16 (1), 38. doi: 10.1186/s12961-018-0318-9
Hayward, L., & Li, L., 2017. Sustaining and improving an international service-learning partnership: Evaluation of an evidence-based service delivery model. Physiotherapy Theory and Practice, 33 (6), 475-489. doi: 10.1080/09593985.2017.1318425
Hayward, L., Li, L., Venere, K., & Pallais, A., 2015. Enhancements to an International Service-Learning model: Integration of program alumni and global stakeholder feedback. Journal of Physical Therapy Education, 29 (2), 43–53. doi: 10.1097/00001416-201529020-00007
Jesus, J.E., 2010. Ethical challenges and considerations of short-term international medical initiatives: An excursion to Ghana as a case study. Annals of Emergency Medicine, 55 (1), 17–22. doi: 10.1016/j.annemergmed.2009.07.014
Johnson, A.M., & Howell, D.M., 2017. International service learning and interprofessional education in Ecuador: Findings from a phenomenology study with students from four professions. Journal of Interprofessional Care, 31 (2), 245–254. doi: 10.1080/13561820.2016.1262337
Landry, M., Nixon, S., Raman, S., Taylor, J., & Tepper, J., 2012. Global Health Experiences (GHEs) in physical therapist education: Balancing moral imperative with inherent moral hazard. Journal of Physical Therapy Education, 26 (1), 24–28. doi: 10.1097/00001416-201210000-00006
Lattanzi, J.B., & Pechak, C., 2011. A conceptual framework for international service-learning course planning: Promoting a foundation for ethical practice in the physical therapy and occupational therapy professions. Journal of Allied Health, 40 (2), 103–109.
Loh, L.C., Cherniak, W., Dreifuss, B.A., Dacso, M.M., Lin, H.C., & Evert, J., 2015. Short term global health experiences and local partnership models: A framework. Globalization and Health, 11, 50. doi:10.1186/s12992-015-0135-7
McKinnon, T.H., & Fealy, G.M., 2011. Core principles for developing global service-learning programs in nursing. Nursing Education Perspective, 32 (2), 95–101. doi: 10.5480/1536-5026-32.2.95
Memmott, R.J., Coverston, C.R., Heise, B.A., Williams, M., Maughan, E.D., Kohl, J., & Palmer, S., 2010. Practical considerations in establishing sustainable international nursing experiences. Nursing Education Perspective, 31 (5), 298–302. doi: 10.1043/1536-5026-31.5.298
Musolino, G.M., & Feehan, P.G., 2004. Enhancing diversity through mentorship: The nurturing potential of service learning. Journal of Physical Therapy Education, 80 (5), S53. doi: 10.1097/00001416-200401000-00005
Patton, M.Q., 2002. Qualitative research and evaluation methods. Sage Publications.
Pechak, C.M., & Black, J.D., 2013. Benefits and challenges of international clinical education from a US-based physiotherapist faculty perspective. Physiotherapy Research International, 18 (4), 239–249. doi: 10.1002/pri.1556
Pechak, C.M., & Thompson, M., 2009. A conceptual model of optimal international service-learning and its application to global health initiatives in rehabilitation. Physical Therapy, 89 (11), 1192–1204. doi: 10.2522/ptj.20080378
Plumb, E., Roe, K., Plumb, J., Sepe, P., Soin, K., Ramirez, A., Baganizi, E., Simmons, R., & Khubchandani, J., 2013. The use of international service learning initiatives for global health education: Case studies from Rwanda and Mexico. Health Promotion Practice, 14 (3), 334–342. doi: 10.1177/1524839913476516
Reisch, R., 2011. International service learning programs: Ethical issues and recommendations. Developing World Bioethics, 11 (2), 93–98. doi:10.1111/j.1471-8847.2011.00299.x
Rinaldo, S.B., Davis, D.F., & Borunda, J., 2015. Delivering value to community partners in service-learning projects. Journal of Community Engagement and Scholarship, 8 (1), 115–124.
Sabo, S., de Zapien, J., Teufel-Shone, N., Rosales, C., Bergsma, L., & Taren, D., 2015. Service learning: A vehicle for building health equity and eliminating health disparities. American Journal of Public Health, 105 Supplement 1, S38–43. doi: 10.2105/ajph.2014.302364
Saffran, L., 2013. Dancing through Cape Coast: Ethical and practical considerations for health-related service-learning programs. Academic Medicine, 88 (9), 1212–1214. doi: 10.1097/ACM.0b013e31829ec9f2
Thorne, S., 2016. Interpretive description: Qualitative research for applied practice, 2nd edn. Routledge.
Thorne, S., Kirkham, S.R., & MacDonald-Emes, J., 1997. Interpretive description: A noncategorical qualitative alternative for developing nursing knowledge. Research in Nursing and Health, 20 (2), 169–177. doi.org/10.1002/(SICI)1098-240X(199704)20:2<169::AID-NUR9>3.0.CO;2-I
Thorne, S., Reimer Kirkham, S., & O’Flynn-Magee, K., 2004. The analytic challenge in interpretive description. International Journal of Qualitative Methods, 3 (1), 1–11. doi: 10.1177/160940690400300101
World Bank, 2019. World Bank country and lending groups. Retrieved from https://datahelpdesk.worldbank.org/knowledgebase/articles/906519-world-bank-country-and-lending-groups
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