title: Host community perspectives on trainees participating in short-term experiences in global health.
abstract: BACKGROUND
  High-income country (HIC) trainees are undertaking global health experiences in low- and middle-income country (LMIC) host communities in increasing numbers. Although the benefits for HIC trainees are well described, the benefits and drawbacks for LMIC host communities are not well captured.
  
  
  OBJECTIVE
  This study evaluated the perspectives of supervising physicians and local programme coordinators from LMIC host communities who engaged with HIC trainees in the context of the latter's short-term experiences in global health.
  
  
  METHODS
  Thirty-five semi-structured interviews were conducted with LMIC host community collaborators with a US-based, non-profit global health education organisation. Interviews took place in La Paz, Bolivia and New Delhi, India. Interview transcripts were assessed for recurrent themes using thematic analysis.
  
  
  RESULTS
  Benefits for hosts included improvements in job satisfaction, local prestige, global connectedness, local networks, leadership skills, resources and sense of efficacy within their communities. Host collaborators called for improvements in HIC trainee attitudes and behaviours, and asked that trainees not make promises they would not fulfil. Findings also provided evidence of a desire for parity between the opportunities afforded to US-based staff and those available to LMIC-based partners.
  
  
  CONCLUSIONS
  This study provides important insights into the perspectives of LMIC host community members in the context of short-term experiences in global health for HIC trainees. We hope to inform the behaviour of HIC trainees and institutions with regard to international partnerships and global health activities.
authors.affiliation: Department of Medicine-Infectious Disease, Stanford University School of Medicine, Stanford, California, USA. tkung@stanford.edu.
authors.forename: Tiffany H
authors.initials: TH
authors.lastname: Kung
authors.affiliation: Division of Global Health Equity, Brigham and Women's Hospital, Boston, Massachusetts, USA.
authors.forename: Eugene T
authors.initials: ET
authors.lastname: Richardson
authors.affiliation: Department of Medicine-Infectious Disease, Stanford University School of Medicine, Stanford, California, USA.
authors.forename: Tarub S
authors.initials: TS
authors.lastname: Mabud
authors.affiliation: Prevention Research Center, Stanford University School of Medicine, Stanford, California, USA.
authors.forename: Catherine A
authors.initials: CA
authors.lastname: Heaney
authors.affiliation: Department of Medicine-General Disciplines, Stanford University School of Medicine, Stanford, California, USA.|Child Family Health International, San Francisco, California, USA.
authors.forename: Evaleen
authors.initials: E
authors.lastname: Jones
authors.affiliation: Child Family Health International, San Francisco, California, USA.|Department of Family and Community Medicine, University of California San Francisco, San Francisco, California, USA.
authors.forename: Jessica
authors.initials: J
authors.lastname: Evert
mesh_terms: D001291:Attitude of Health Personnel; D001838:Bolivia; D002982:Clinical Clerkship / Q000379:methods*; D003906:Developing Countries; D004501:Education, Medical; D005260:Female; D014943:Global Health / Q000193:education*; D006801:Humans; D007194:India; D007391:International Cooperation; D007393:International Educational Exchange / Q000639:trends*; D007407:Interviews as Topic; D007588:Job Satisfaction; D007857:Leadership; D008297:Male; D013337:Students, Medical