Department of Surgery, Kisii Teaching and Referral Hospital, Kisii, Kenya.
The Nightingale Breast Centre, Manchester University NHS Foundation Trust, Wythenshawe Hospital, Manchester, UK
BMJ Glob Health. 2022 May;7(5). doi: 10.1136/bmjgh-2022-008755.
Global health education holds a paradox: the provision of global health degrees focusing on challenges in low-income and middle-income countries has increased in high-income countries, while those in these low-income and middle-income countries lack access to contribute their expertise, creating an 'information problem'. Breast cancer is a pressing global health priority, which requires curriculum design, implementation, ownership and leadership by those with direct and lived experience of breast cancer.The Kenya-UK Breast Cancer Awareness Week was conceptualised following the signing of the Memorandum of Understanding between the Kenyan and UK governments launching the Kenya UK Health Alliance. This alliance aims to promote health cooperation to address Kenya's breast cancer challenge. Here, we present the first of the collaborative's initiatives: a breast cancer global health education programme designed, implemented, owned and led by Kenyan stakeholders.We present the utilisation of the Virtual Roundtable for Collaborative Education Design for the design and implementation of a nationwide virtual breast cancer awareness week delivered across eleven Kenyan medical schools. By involving partners with lived and/or professional experience of breast cancer in Kenya in all stages of the design and delivery of the awareness week, the project experimented with disrupting power dynamics and fostered ownership of the initiative by colleagues with direct expertise of breast cancer in Kenya.This initiative provides a platform, precedent and playbook to guide professionals from other specialties in the design and implementation of similar global collaborative ventures. We have used this approach to continue to advocate for global health curricula design change, so that those with lived experiences of global health challenges in their contextualised professional and personal environments are given leadership, reward and ownership of their curricula and further to highlight breast cancer as a global heath priority.
在高收入国家，专注于低收入和中等收入国家全球健康挑战的全球健康学位课程有所增加，而这些国家的人们却无法获得贡献专业知识的机会，从而造成了“信息问题”。乳腺癌是一个紧迫的全球健康优先事项，需要由直接和亲身经历过乳腺癌的人来设计、实施、拥有和领导课程。肯尼亚-英国乳腺癌宣传周是在肯尼亚和英国政府签署谅解备忘录后构想的，该备忘录启动了肯尼亚-英国卫生联盟。该联盟旨在促进卫生合作，以应对肯尼亚的乳腺癌挑战。在这里，我们展示了该联盟的第一个倡议：一个由肯尼亚利益相关者设计、实施、拥有和领导的乳腺癌全球健康教育计划。我们介绍了虚拟圆桌会议在协作教育设计中的利用，以设计和实施在肯尼亚 11 所医学院开展的全国虚拟乳腺癌宣传周。通过让肯尼亚有乳腺癌生活和/或专业经验的合作伙伴参与到宣传周的设计和实施的各个阶段，该项目尝试打破权力动态，培养肯尼亚直接参与乳腺癌的同事对该倡议的所有权。该倡议提供了一个平台、先例和操作手册，指导其他专业领域的专业人员设计和实施类似的全球合作项目。我们已经使用这种方法继续倡导全球健康课程设计的变革，以便让那些在其具体的专业和个人环境中经历过全球健康挑战的人拥有课程设计的领导力、奖励和所有权，并进一步强调乳腺癌是一个全球健康优先事项。
