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Ensuring equitable engagement in global health education

Rwandan perspectives and observations about learner exchange with high-income countries

Bibliographic Data

ID21879825
AuthorsSirey Zhang (0009-0008-0676-2301, Dartmouth College), Micaela Dickinson (Dartmouth College), Christian Umuhoza (0000-0003-0249-4721, University of Kigali), Florence Masaisa (University of Kigali), Emmanual Rusingiza (University of Kigali), Emmanuel Munyaneza (Centre Hospitalier Universitaire de Kigali), Lisa V Adams (0000-0002-1303-2154, Dartmouth College)
Year2025
Volume10
Issue12
Pagese018985
Publication date2025-12-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2025-018985
PMID41419252
OpenAlexW4417535549
LanguageEN
References cited29

INTRODUCTION: Global health originated from colonial and tropical medicine, which served the interests of colonial powers. Despite efforts to address this legacy, the field still faces challenges in unequal partnerships between high-income (HICs) and low-income and middle-income (LMICs) countries. Activists push for paradigm shifts emphasising health equity, decolonisation and partnerships based on solidarity and justice. The Geisel School of Medicine at Dartmouth aligns with these movements, focusing its global health programmes on equity. METHODS: This study, employing ethnographic methods to centre the perspectives of learners at one of its partner institutions, the University Teaching Hospital of Kigali, identified key themes to enhance equity in global health medical education. RESULTS: These themes yielded concrete actions at the student, curricular and institutional levels that should be undertaken to promote equity and justice in academic global health partnerships. CONCLUSION: The findings offer a tailored framework for fostering equitable and justice-oriented practices in future exchanges with potential applications to academic global health exchanges between HICs and LMICs more broadly

Global challenges · Global health · Global strategy · Health equity · MEDLINE · Public health · Global Health and Surgery · Global Maternal and Child Health · International Development and Aid · Health Policy

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