- Robert J. Havey, MD
- Robert L. Murphy, MD
- Kate Klein, MA, MPH
- Karin Ulstrup, MD
- Shannon Galvin, MD
- Lisa Hirschhorn, MD, MPH
- Deborah S. Clements, MD, FAAFP
- Rebecca Dworkin, RN
Ryan Family Center for Global Primary Care
— Robert J. Havey, MD, Deputy Director, Havey Institute for Global Health
Our mission is to strengthen the global and local effort to improve global primary healthcare quality, access and impact through partnerships and innovations in research, education and service. As defined by the World Health Organization, primary health care is people-focused, rather than disease-focused, care that includes health promotion, disease prevention, treatment, rehabilitation and palliative care.
We aim to utilize an approach that builds on new and existing partnerships that help to identify opportunities for research, training and capacity-building within these institutions. Through our foundation built on collaboration, our vision is to strengthen global primary care approaches and help to bring expertise to the field through building procedures and focus based on landscape review.
Identifying Effective PHC Service Delivery Models for Integrated Management of Non-Communicable Chronic Diseases in Resource Constrained Settings
Northwestern PI: Lisa Hirschhorn, MD, MPH
Non-communicable diseases (NCDs) are the leading cause of death worldwide, with nearly 80% of the deaths in low and middle-income countries (LMICs). Funding from the Havey Institute for Global Health will support a new collaboration between Northwestern, the Global Alliance for Chronic Diseases (GACD) Research Network and the Bill and Melinda Gates Foundation-funded Primary Health Care Research Consortium (PHCRC) to leverage existing funded studies of models to integrate NCDs into primary care in LMICs.
Chronic, Non-Communicable Disease in the Dominican Republic
Northwestern PI: Darren Eblovi, MD, MPH
One World Surgery (OWS) is a non-profit organization that provides ~1,400 free surgeries per year in a variety of specialties to patients of low socioeconomic status in rural Honduras. In 2017, the organization initiated preliminary steps toward opening its second center in the Dominican Republic. Funding from the Havey Institute for Global Health will maximize the productivity and impact of an already robust investment in infrastructure, including a surgery center, clinic, and visitor center, as well as volunteer visits from primary care physicians. By investing toward the salaries of local Dominican professionals and shipping of donated medications, the Institute substantially augments the number of individuals benefiting from this program.
Primary Care Quality Improvement Transformation for Private Health Sector in Liberia
Snapper Hill Clinic is a private health center in Liberia that provides primary care services for ~30,000 patients annually. With support from the Havey Institute for Global Health, the clinic aims to raise awareness on the COVID-19 infection and prevention control measures, as well as invest in a telehealth system that will ensure the clinic continues to deliver care with limited expose to the virus. To implement this plan, Snapper Hill has partnered with the Healthcare Federation of Liberia (HFL) to lead the HFL COVID-19 Response Team to expedite detection, reduce transmission of the disease and manage the inevitable case overflows.
Using Systems Modeling to Improve Retention in Care for Hypertensive Patients in PC Settings in NigeriaNorthwestern PI: Lisa Hirschhorn, MD, MPH
Elevated blood pressure (BP) is one of the leading modifiable risk factors for cardiovascular disease (CVD) morbidity and mortality around the world. Approximately 1.4 billion adults have elevated BP globally, including as many as 44% of adults in Nigeria, the most populous country in sub-Saharan Africa. Hypertension care needs to transition from secondary and tertiary care centers to primary healthcare centers (PHCs) to improve the reach of hypertensive services. This study, embedded within the HTN Program in Nigeria, will use systems modeling for improving retention in hypertension care in Nigeria as an example for resource-limited settings.
Combatting Poverty and Malnutrition in the Kigezi Sub-region in Southwestern Uganda: The Rabbit Breeding Project
Northwestern PI: Danielle L. Steker, MD
Poverty and poor nutrition remain key hindrances to attainment of an integrated Primary Health Care delivery in Uganda. Uganda suffers from high rates of child malnutrition, of which 80% is due to a lack of protein in the diet. This study, funded by the Havey Institute for Global Health, aims to combat poverty and malnutrition in the Kigezi sub-region in Southwestern Uganda via rabbit breeding to promote protein intake, income generation, and food security in selected households.
Age-Friendly Services for Older Adults: Assessing the Implementation in Primary Health Care Centres in Lagos, NigeriaNorthwestern PI: Lisa Hirschhorn, MD MPH
Population ageing is occurring globally but much more rapidly in low- and middle-income countries. The WHO developed guidelines for Age-Friendly Health Services (AFHS) at PHC centers to improve care for older patients. This research is aimed at assessing the level of implementation of the WHO framework for age friendly PHCs and to determine the barriers and facilitators to implementation in Lagos, Nigeria. Results will be used to develop and test interventions to improve care readiness and delivery for older people in Nigeria.
Evaluating Capacity, Site Readiness, and Capacity for Implementation of a Multi-Level Hypertension Control Program in Bamako, MaliNorthwestern PI: Mamoudou Maiga, MD, PhD
Hypertension is a major public health problem due to its high prevalence and major risk factor for cardiovascular diseases. In Mali, cardiologists are only available in tertiary hospitals in larger cities, with most diagnosed cases being monitored by primary care physicians. This pilot study aims to characterize and compare hypertension service availability, readiness, diagnosis, treatment, and control rates in two different healthcare settings in Mali. This project will build upon the successful collaboration with the University of Sciences, Techniques and Technologies (USTTB) and serve as the foundation for a new promising collaboration with cardiologists at USTTB.
International Classroom Virtual Primary CareNorthwestern PI: Karin Ulstrup, MD
The goal of this program, funded by the Havey Institute for Global Health, is to provide Northwestern FSM students with a longitudinal global health experience through an online, interactive collaboration with peers in the developing world. This program will be in collaboration with the Rural Aid Organization (RAO) Hospital's Physician Assistant School in rural Tanzania, where students will teach each other using presentations of commonly seen primary care sample patients. Meetings will be supervised by attending physicians at Northwestern and RAO Hospital.
The Ryan Family Center for Global Primary Care Steering Committee
The Ryan Family Center for Global Primary Care is currently advised by a steering committee made up of the following individuals.
Research Catalyzer Funding: Primary CareFOR FACULTY
The Havey Institute for Global Health is pleased to share this call for applications to supporting member faculty research projects focused on improving Primary Care services and systems throughout the world.
Project Award Funding: Primary CareFOR FACULTY
The Havey Institute for Global Health is pleased to offer support to affiliated Northwestern faculty for projects focused on improving Primary Care services and systems throughout the world.