title: The financial health of global health programs.
abstract: OBJECTIVE
  No studies have examined how established global health (GH) programs have achieved sustainability. The objective of this study was to describe the financial status of GH programs.
  
  
  METHODS
  In this cross-sectional survey of the Society of Teachers of Family Medicine's Group on Global Health, we assessed each program's affiliation, years of GH activities, whether or not participation was formalized, time spent on GH, funding, and anticipated funding.
  
  
  RESULTS
  We received 31 responses (30% response rate); 55% were affiliated with residencies, 29% were affiliated with medical schools, 16% were affiliated with both, and 68% had formalized programs. Respondents spent 19% full-time equivalent (FTE) on GH and used a mean of 3.3 funding sources to support GH. Given a mean budget of $28,756, parent institutions provided 50% while 15% was from personal funds. Twenty-six percent thought their funding would increase in the next 2 years. Compared to residencies, medical school respondents devoted more time (26% FTE versus 13% FTE), used more funding categories (4.7 versus 2.2), and anticipated funding increases (42.8% versus 12.0%). Compared to younger programs (? 5 years), respondents from older programs (> 5 years) devoted more time (25% FTE versus 16% FTE) and used more funding categories (3.8 versus 2.9). Compared to those lacking formal programs, respondents from formalized programs were less likely to use personal funds (19% versus 60%).
  
  
  CONCLUSIONS
  This limited descriptive study offers insight into the financial status of GH programs. Despite institutional support, respondents relied on personal funds and were pessimistic about future funding.
authors.affiliation: Virginia Commonwealth University.
authors.forename: Winston
authors.initials: W
authors.lastname: Liaw
authors.forename: Andrew
authors.initials: A
authors.lastname: Bazemore
authors.forename: Ranit
authors.initials: R
authors.lastname: Mishori
authors.forename: Philip
authors.initials: P
authors.lastname: Diller
authors.forename: Inis
authors.initials: I
authors.lastname: Bardella
authors.forename: Newton
authors.initials: N
authors.lastname: Chang
mesh_terms: D003430:Cross-Sectional Studies; D003479:Curriculum; D005180:Faculty, Medical / Q000458:organization & administration; D005194:Family Practice / Q000193:education*; D005378:Financial Support; D014943:Global Health / Q000193:education*; D006801:Humans; D007396:Internship and Residency / Q000191:economics* / Q000458:organization & administration; D012577:Schools, Medical / Q000191:economics* / Q000458:organization & administration; D013997:Time Factors