Once thought of as an extreme therapeutic intervention, surgery is now acknowledged by international health professionals as an essential component of basic health services. The mix of outstanding clinical service, research, and teaching, along with its diversity and atmosphere of progressive thinking, puts the UCLA Departments of Surgery and Anesthesia in an excellent position to contribute to advances in global health, innovation, and international health leadership. The Global Surgery Initiative was launched in June 2014 with support from Dr. Ronald Busuttil, as part of the UCLA Center for World Health. The mission of the Global Surgery Initiative parallels that of the UCLA Center for World Health with a surgical focus.
To improve the surgical health of people and communities throughout the world, with our partners, through education, research, and service.
To guide the next generation of surgical leaders to use their vision, talent, and commitment to transform the practice of world health and make a sustainable difference.
It is our great pleasure to present to you the UCLA Center for World Health (CWH) 2016-2017 annual report
The UCLA Center for World Health
(CWH) was established in 2012 as a joint initiative of the David Geffen School of Medicine at UCLA and UCLA Health to produce leaders who will meet the changing health needs of our planet and optimize health care through community partnerships.
UCLA attracts extraordinary minds – both faculty and students – that strive towards a culture of innovation and are dedicated to strengthening human capital. We have exceptional intellectual capacity and a robust history of generating research that benefits millions worldwide.
We are committed to transform the practice of world health to close the gaps and make a sustainable difference by providing clinical experiences, innovative research opportunities as well as humanitarian training.
This report summarizes the highlights of our programs, and describes the expansion of our educational, research, capacity building and health systems strengthening projects that support our vision of a world in which all people achieve their right to high-quality, compassionate, and affordable health care. We develop major collaborations in global pediatric care that will have a lasting impact on the well-being of all children. We work with people around the world to develop the skills they need to solve problems where they live. We work with them to develop educational and health systems that make a difference. We train them to leverage the science and technology necessary to understand how best to improve health locally. We partner with them to educate their next generation of leaders, and we strive toward clinical excellence for everyone, everywhere.
We are also very proud to feature our Global Health Education Program and the accomplishments of some of the students and faculty of the David Geffen School of Medicine at UCLA.
provides additional information on the projects of our many global faculty and partners that we weren’t able to feature in this report.
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In September 2016, a UCLA surgical team completed their annual obstetric fistula repair and training camp in Uganda. The nine-member team provided surgeries for women suffering from fistula, as well as offered training to local providers and medical trainees in the techniques of fistula repair. The team, led by Dr. Christopher Tarnay, Division Chief of Female Pelvic Medicine and Reconstructive Surgery at UCLA, operates under the non-profit organization, Medicine for Humanity, or MFH. Through a partnership with Mbarara University of Science and Technology (MUST), UCLA team members are playing a critical role in improving access to high-quality maternal health care and gynecological surgery in Uganda.
Obstetric fistula is a childbearing injury in which holes are formed between the mother’s birth canal and digestive tract, leaving the woman chronically incontinent. Fistula can occur as a result of obstructed labor, when a baby becomes trapped in the birth canal, necessitating an emergency Cesarean section. Because of limited access to health care facilities in remote areas, emergency C-sections are often unavailable, giving women no other option than to endure sometimes life-threatening labor. Prolonged obstructed labor can have severe consequences for both the mother and baby. The baby can die due to lack of oxygen and the mother can develop fistula, which often leads to chronic medical problems and social ostracism.
For the past 7 years, Dr. Tarnay has regularly been taking surgical teams to Uganda for fistula repair “camps,” two-week long concentrated collaborations between MFH and MUST to provide and improve access to fistula care. Any woman who needs fistula repair is provided the surgery, as well as all transportation, housing, food, medical support, and postoperative rehabilitative services, free of charge.
This year, the UCLA/MFH team performed 64 fistula surgeries and 20 Cesarean sections, while concurrently training local Ugandan residents in Urogynecology. By allocating a significant portion of time towards the training and education of local providers, MFH takes a sustainable approach to improving access to fistula care.
Apart from capacity building and the provision of surgical care, the work of MFH is also deeply linked to a more holistic, emotional aspect of healing. “The team is able to do so much more than just repair the physical aspects of fistula,” said Dr. Tarnay. “This operation can be life changing. Being able to witness these women leave the hospital smiling and with hope perhaps for the first time in years brings tremendous gratification.”
For more information on UCLA’s efforts with Medicine for Humanity, visit www.MedicineForHumanity.org.
[Reposted from University of California News]
UCLA Center for World Health Founding Director Thomas Coates has been named director of the University of California Global Health Institute.
Coates succeeds the institute’s founding director, Dr. Haile Debas of UC San Francisco, who will become director emeritus after playing a pivotal role in launching the systemwide institute in 2009 and guiding its growth.
Coates, who previously served as the institute’s co-director, will be responsible for providing executive strategic, operational and resource management leadership for the institute.
In addition, Dr. Craig Cohen, professor of obstetrics and gynecology at UCSF, and Dr. Patricia Conrad, professor and associate dean for global programs at the School of Veterinary Medicine at UC Davis, will serve as the institute’s co-directors. Cohen previously served as co-director of the institute’s Center of Expertise on Women’s Health and Empowerment and Conrad served as co-director of the Center of Expertise on One Health. In their new role, they will work closely with the director to manage the institute’s operations.
The institute, which works to train the next generation of global health leaders and accelerate the discovery and implementation of transformative global health solutions, also named six new board members:
- Dr. Timothy Brewer, professor of medicine and vice provost of interdisciplinary and cross-campus affairs, UCLA;
- Nancy Burke, associate professor of public health, UC Merced;
- Matthew Guthaus, associate professor of computer engineering, UC Santa Cruz;
- Juliet McMullin, associate professor of anthropology, UC Riverside;
- Brad Pollock, professor and chair of the Department of Public Health Sciences, UC Davis; and
- Steffanie Strathdee, associate dean of global health sciences and Harold Simon Professor and chief of the Division of Global Public Health, UC San Diego.
The board, which is responsible for providing guidance to the institute in overall policy and direction in meeting organizational goals, is chaired by Mary Croughan, executive director of the Research Grants Program Office at the UC Office of the President.