Partners In Health (Fall 2024)

Project Background

Partners In Health (PIH) is a global nonprofit organization dedicated to providing high-quality healthcare to marginalized communities, addressing social determinants of health, and advocating for health equity. PIH Engage is its grassroots advocacy and fundraising network, mobilizing volunteers to support PIH’s mission through community organizing, education, and policy change efforts.  

The need for community health systems strengthening became increasingly evident for Partners In Health (PIH) in 2014, when we were invited by local partners and Ministries of Health in Liberia and Sierra Leone to join the effort to address the ongoing Ebola epidemic in West Africa. It was reinforced in 2020, when we responded to calls from our partners around the world to help fill crucial gaps in local and national responses to the Covid-19 pandemic. Our experiences delivering care in community during these crises, witnessing the impact of community-based solutions on equitable outcomes, and our work partnering with Ministries of Health to strengthen health systems in their wake was the impetus for PIH to launch the Global Academy for Community Health Systems Resilience (the Global Academy), in partnership with the University of Global Health Equity (UGHE) and the Aspen Global Innovators Group. 

Definition of Opportunity

The Global Academy, currently in its first year of implementation, is a twelve-month-long fellowship program which convenes community leaders to learn from experts in community health and health systems strengthening and to work together to pilot innovative, community-centred solutions to the most pressing challenges and underexplored opportunities in their communities. The program recognises the power in bringing together community leaders from diverse backgrounds to learn from one another and engage in a collaborative exchange of experiences and best practices. Our long-term vision is to build a collective voice of community leaders who can influence plans, policies, and movements in the fight to strengthen community health systems worldwide. 

As part of this collaborative effort, PIH contributes our experience in care delivery and health systems strengthening and our global network of implementers and partners. This fellowship program is built on the experience and expertise of UGHE, PIH’s training and research university in Rwanda, which has extensive experience delivering transformative executive education to healthcare and public health professionals on the African continent through its Center for Leadership in Global Health Equity. Together with the Aspen Global Innovators Group, who have extensive, global experience catalysing leadership potential to drive community change, we are seeking to elevate the place of community in the global conversation around health systems resilience and to shine a light on interventions for strengthening community health systems.

Definition of Success

• A successful final product would be in the form of a well-written, well-packaged and visually appealing report, including the following components:

  • Background and rationale of the Global Academy in the context of PIH’s mission and values and the global conversation about health systems resilience

  • Profiles of our current fellows, including the early impact that this program is having in their personal and professional lives, and on their understanding of community health systems resilience

  • Illustrative case studies on the early outcomes of our current fellows’ breakthrough projects

  • Engaging imagery

  • Short video summary of the report, produced from interview footage, graphics provided by interviewees, and other publicly available materials

Meet the Team

Final Deliverable

Partners In Health & PIH Engage (Spring 2025)

Project Background

Partners In Health (PIH) is a global nonprofit organization dedicated to providing high-quality healthcare to marginalized communities, addressing social determinants of health, and advocating for health equity. PIH Engage is its grassroots advocacy and fundraising network, mobilizing volunteers to support PIH’s mission through community organizing, education, and policy change efforts.  

PIH is a member of the EndTB campaign to combat tuberculosis (TB) through advocacy, treatment expansion, and awareness-building. As momentum builds, engaging incoming members of US Congress will be essential for advancing key policy initiatives, including the EndTB Act, the Paul Farmer Memorial Resolution (PMFR), and the Community Health Worker Access Act (CHWAA).

Definition of Opportunity

A Notre Dame student team will research and identify newly elected members of Congress with potential interest in TB advocacy, global health, and partnerships with institutions such as the NIH, CDC, USAID, and the Global Fund. John Green’s forthcoming book Tuberculosis is Everything and his advocacy, along with efforts from young activists (Nerdfighters), are increasing interest in TB activism, particularly among young people. His visit to Notre Dame on February 5, 2025, presents a strategic opportunity to expand engagement and advocacy efforts in legislative circles.

Definition of Success

• A detailed list of incoming members of Congress with relevant health and global development interests, including linkages with organizations such as NIH, CDC, Global Fund, and USAID.

• Develop bios and background information for use during PIH Engage’s Hill Day on April 9, 2025 equipping advocates with key details for meetings on Capitol Hill.

• A comprehensive Champion Scale assessment of targeted MoCs, with tailored engagement strategies to advance their commitment.

Meet the Team

Final Deliverables

ITESM (Spring 2021)

Project Background:

Since its founding in 1943, Monterrey Tech has quickly become one of the most prestigious universities in Latin America.  With 36 campuses in Mexico, the Tech has stood out for training leaders through quality education, research and innovative educational models. In August 2019, as an initiative by the School of Medicine and Health Sciences, and the School of Government and Public Transformation, the Initiative for the Institute of Global Health Equity (IESG in Spanish) emerged. As the first global health institute in Mexico, it seeks to be a leader in training and education of change agents, through research, innovation and knowledge translation, addressing the health inequities in Mexico and the world, based on the belief that health is a fundamental human right.

The Institute of Global Health Equity aspires to partner and work with leading local, national,and global organizations, including Partners In Health (PIH) and its sister organization in Mexico, Compañeros en Salud (CES).  PIH has created an organization to work with community members and university students called PIH Engage to help build a global movement for the right to health,  as well as recruit, train, and equip dedicated teams of volunteer community leaders who mobilize their communities in the fight for health equity. 

The IGHE is launching the first PIH Engage community outside of the United States, and already 15-20 Monterrey Tech students (most medical school students) from Guadalajara, Monterrey and Mexico City have indicated an interest in working together with PIH and CES as “CES Embajadores” (CES Ambassadors) in community building, fundraising, and advocacy on issues of health equity and social justice.

Opportunity:

IGHE is interested in partnering with this DAT and CES Embajadores to explore building new skills and capacities for advocacy on critical health care issues in Mexico. While PIH has built out PIH Engage Advocacy Resources resources in the US, there is nothing similar in Mexico. Our hope is to build these advocacy resources and capacity, sensitive to and adapted for the Mexican context.

 

Definition of Success:

Create and expand significantly the capacity of a student-led force for positively influencing health and equity policy in meaningful ways in Mexico. At the end of this collaboration we would like to have a solid and replicable framework for the rest of the teams that will emerge in the future, with strategies designed and adapted to the Mexican context.

Meet the Team:

Final Deliverables:

Advocacy Manuel

Fundraising Guide

Instituto Tecnológico y de Estudios Superiores de Monterrey (Spring 2020)

Project Background:

The ​Tecnológico de Monterrey​ ​and its network of campuses throughout Mexico is committed to providing quality education, world-class research, and building innovative models for the benefit of society. With the leadership of ​ITESM’s School of Medicine and the School of Government​, the University is building a new interdisciplinary institute for global health training and research with strong links to practice. The fall 2018 DAT helped develop some of the foundational ideas for the new Institute for Global Health Equity (IESG).

The IESG aims to be a global center of excellence that generates health through training, research, innovation and knowledge translation, addressing in an interdisciplinary way the existing inequities in Mexico and the world, based on health as a human right. The IESG aspires to lead in training, research, implementation and public policy development in Global Health and Social Medicine in Latin America, through the creation of integral solutions to address social factors and strengthen health systems with an intersectoral approach, with a preferential option for poor and vulnerable populations.

Definition of Opportunity:

In August 2019, ITESM’s IESG created a partnership with Partner In Health’s sister organization, ​Compañeros en Salud​ in Chiapas, Mexico and the International Center for Social Innovation of Tec de Monterrey (Centro Internacional de Inovación Social, CIIS in Spanish) to generate collaborative projects. Compañeros en Salud works in rural Chiapas Mexico to provide quality health care to underserved communities and hopes to serve as an inspiring model to train and accompany health professionals and community health workers, and to deliver quality health care in low resource settings in Mexico and elsewhere. ​The International Center for Social Innovation (CIIS) is a world-class center that offers an ecosystem apt for social innovation. The CIIS focuses on research and the generation and validation of innovative solutions to social problems. Located in San Cristóbal de Las Casas, Chiapas, every year, during the summer and winter,  the CIIS receives dozens of students from various Tec campuses to work on the resolution of social problems in Chiapas communities. For a 5-week period, the students take various classes and work to generate solutions to social problems in a community. CIIS follows up on the work until the best solutions get implemented. IESG and PIH​ have deep ties to Notre Dame, and both IESG and PIH have served as clients on DAT projects in the past. 

In late November-early December 2019, IESG, CIIS, and CES offered the first-ever immersive global health course in rural Chiapas to Tec students from any discipline at any campus. The five-weeks course was aimed to initiate long-term partnerships with local communities where CES worked and collaboratively address local social issues while training Tec students in the philosophies of accompaniment, program implementation, and global health. Professors, administrators, and communities were excited to see this program unfold. After three weeks of advertising, however, the course offer had to be withdrawn due to lack of interest expressed -- only three students registered to the course.

What does success look like? 

1. That IESG, CIIS, and CES are able to use the lessons and recommendations by the Development Advisory Team to successfully attract talented students interested both in learning about global health and in making contributions to the 2020 summer immersive course in global health. 

2. That after using the partnership framework during the immersive experience in rural communities in Chiapas, a diverse group of stakeholders is satisfied by the experience and work and we can replicate and expand the model in the future. Such stakeholders include people in the villages, CES staff, students, CIIS and IESG administrators, and Tec professors.

Meet the Team:

Best Global Practices for Tobacco Control - National Institute for Respiratory Diseases, Mexico (Fall 2019)

National Institute for Respiratory Diseases, Mexico

Project Background:

The Tobacco Clinic (TC) at the National Institute of Respiratory Diseases (INER) aims to provide support to all smoking patients so that they can quit such a habit in Mexico. Currently, TC provides care to more than 300 patients with an 85% success rate once treatment is finished, 50% at 6 months and 35% at one year after treatment. Through a multidisciplinary team of medicine, psychology, nursing, and nutrition, the Clinic has a cognitive-behavioral program made of 10 group or individual sessions for 5 weeks. This program also includes medical consultation along with pharmacologic treatment to improve therapy outcomes. The whole Clinic’s program is available to the general population: any patient can enter the program. The cost of the sessions is decided according to a socioeconomic level study which varies between $20 and $200 USD. In case pharmacologic treatment is required, the patient will probably spend between $40 and $400 USD depending on his or her needs.

Furthermore, there is a monthly support session for ex-smokers to strengthen addiction cessation through three objectives: 1) Continuous professional interaction with patients so that follow up can be completed; 2) Connection with people ranging on different stages of the smoking cessation process; 3) Provide information regarding the impact tobacco has on patients’ health so that abstinence can be reinforced.

Besides its welfare component, the Clinic has a very important clinical research component, trying to associate different consumption patterns with genetic and functional variations, symptoms and patient prognosis. The TC is currently including dual users (patients that smoke both tobacco and marijuana) in its research and care groups. Moreover, the Clinic is nowadays the headquarters for the Interinstitutional Committee for Tobacco Control, a working group that gathers key stakeholders in private, public and hospital Institutions around Tobacco Control policies.

Definition of Opportunity:

Despite its 30 years of experience, the TC has not compared its model to other successful models for tobacco cessation. Nor has it expanded its influence through e-health. The TC has a limited impact mostly because its population comes almost exclusively from the patient population from inside INER. This limits most of its focus on patients older than 50 years with an already existent pulmonary and/or chronic disease. Thus, there is a need to attract younger populations. Moreover, there is a wide gap of knowledge regarding a patient who has drug addictions that can affect the lung such as inhaled polymers, cocaine and others. For this, the Clinic is currently trying to launch an app that can provide support for patients who want to quit smoking and at the same time feed the TC with data useful for research. Additionally, our Interinstitutional Committee has important and yet unused talent due to a lack of social communication and PR strategies.

Initial ideas:

Comparative work from what the TC does, compared with what other evidence-based centers are doing is extremely useful. Moreover, being able to compare what differences exist between developing and developed countries can help the Clinic find the middle ground that could scale its impact. Specifically exploring the following topics:

• Best examples of Tobacco Cessation Group Session strategies

• Tobacco Cessation Center’s outcome tracking and impact measurement

• Use of e-health strategies to scale the Clinic’s impact

• Successful Strategies for Tobacco Control Committees.

What does success look like:

Specific deliverables regarding the four areas shown above would help the Clinic greatly. Any further development of each one of these comparative tasks into an actual application to the TC would be most welcome. For example, if based on a comparative table of other Tobacco Center’s main impact measures, the team could aid the Clinic in creating its own or our joint project would really make a lasting difference.

Meet the Team:

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Final Deliverable