Department Newsletter - Spring 2017

News MMSc-GHD Publications Presentations



Welcome to Vikram Patel, MBBS, PhD, The Pershing Square Professor of Global Health

Dr. Patel, a physician and psychiatric epidemiologist, is an internationally renowned researcher and innovator in global mental health. As The Pershing Square Professor of Global Health, Dr. Patel will play a vital role in delivering on the promise of the human right to health—efficiently, equitably, and in a manner that strengthens the commitment and capacity of all who would do this work to alleviate human suffering. His leadership, innovative research, health-care interventions, and commitments to teaching and to mental health for all are inspiring. We are delighted to welcome him as a colleague and partner for global health.

Professor Byron Good Received Society for Psychological Anthropology Lifetime Achievement Award

Byron Good, PhD, BD, Professor of Medical Anthropology, received the Society for Psychological Anthropology Lifetime Achievement Award at the biennial meeting held March 9–12, 2017 in New Orleans, LA. Dr. Good is one of 17 recipients of the prize, which has been awarded since 1989 to recognize the work of individuals who have substantially influenced the field and its development. Congratulations, Byron!

Bending the Arc

Bending the Arc, a documentary about the global health movement told through the experiences of Dr. Paul Farmer, Dr. Jim Yong Kim, Ophelia Dahl, Dr. Joia Mukherjee, and others. The film that revisits the early experiences of the team in Haiti, premiered on January 23, 2017 at the Sundance Film Festival in Utah. Photo credit: Sundance.

HMS Center for Global Health Delivery–Dubai, Progress Report 2014–2016

On March 8, 2017, Salmaan Keshavjee, MD, PhD, ScM, Director, HMS Center for Global Health Delivery–Dubai announced the publication of the Center's 20147ndash;2016 Progress Report titled, "Our Work, Our Progress," detailing the Center's efforts and accomplishments in bridging health care delivery gaps. Some of the highlights of the Report are: the launch of a Cooperative Research Award program to critical health care delivery research in the region; the convening of international experts on topics ranging from Diabetes in sub-Saharan Africa, to TB care, to expanded access to surgical care; the offering of scholarships for practitioners to continue their studies at Harvard University summer programs, and contributing to ongoing conversations in health care delivery through the publication of several reports. To read the Progress Report, please click here.

Strategy and Value Measurement for Global Health Care Delivery Course

On March 19&ndash21, 2017, senior clinical, financial, and administrative leaders from 17 countries participated in the course, "Strategy and Value Measurement for Global Health Delivery," at the Harvard Medical School Center for Global Health Delivery&ndashDubai ("Center"). The three-day intensive course—a joint venture between the Center and the Harvard Business School—was designed to teach the fundamentals of strategy and value measurement for global health care delivery by exploring innovating, forward-thinking approaches to delivering health care effectively, affordably, and equitably. Read more about the course in the article "Crossing Borders," by Jake Miller.

endTB Partnership Launches Clinical Trial to Target Toughest Strains of Tuberculosis

Médecins Sans Frontières (MSF), Partners In Health and other leading medical organizations have launched a major clinical trial which seeks to revolutionize treatment for the toughest strains of tuberculosis (TB), the world’s leading infectious disease killer. The first patient started treatment in Georgia at the end of February 2017. You can read the press release here.

New GHD teaching case on Project ECHO

The Global Health Delivery Project at Harvard (GHD) is pleased to announce the publication of its newest teaching case, “Project ECHO: Expanding the Capacity of Primary Care Providers to Address Complex Conditions.” This case is the 36th in GHD's award-winning case collection. It traces the inception and growth of Project Extension for Community Healthcare Outcomes (Project ECHO)—a web-based “guided practice” model for primary care providers—from 2003 to 2016. The case describes what the ECHO model™ entails—including best practices, case-based learning, outcome monitoring, and leveraging technology to expand access to specialty resources—and its early replication in the US to address a variety of complex medical conditions, starting with hepatitis C in New Mexico. The case encourages students to consider what is needed to design a service model, the potential for redistribution of expertise to enhance value, the role of operational effectiveness in enabling scale up, and the importance of measuring impact for stakeholders.
The Project ECHO case is published through Harvard Business Publishing (HBP) and can be downloaded for free from HBP, the GHD Case Collection, and The Case Centre. The teaching note is available to registered faculty (registration is free) through HBP and The Case Centre.

The Ebola Suspect’s Dilemma

In the Lancet Global Health article, The Ebola suspect's dilemma, authors Gene Richardson, Mohamed Bailor Barrie, Cameron Nutt, Paul Farmer, and others revisit the 2014–2016 Ebola outbreak in West Africa through the lens of survivors and caregivers. The article looks at some of the dilemmas that so called, "super spreaders"—those that chose not to seek treatment away from home, but instead relied on family—faced during the crisis.

To read the full Lancet article, please use this link.






Poetry and Training the Eye Seminar
Friday, May 5, 2017 | 6:30-8:30pm
Museum of Fine Arts | 465 Huntington Ave, Boston, MA

Join the Arts and Humanities Initiative at Harvard Medical School faculty and Boston Museum of Fine Arts educators as we explore works in the collection that relate to the experience of illness and our mortality—through the lens of poetry and storytelling. For more information and to register, please visit the Arts and Humanities website.

8th Annual Hippocrates Symposium on Poetry and Medicine
Saturday, May 6, 2017 beginning at 8:00am
TMEC Amphitheater | 260 Longwood Avenue, Boston, MA

The 2017 Hippocrates Awards is being organized by the Hippocrates Initiative in partnership with the Arts and Humanities Initiative at Harvard Medical School.

Awards for the 2017 International Hippocrates Open, Health Professional, and Young Poet will be presented at the symposium and all winning and commended poems in the Hippocrates Prize are published in the annual Hippocrates Prize Anthology.

The Hippocrates awards comprise

  • Young Poets Prize and commendations
  • Open Awards with a 1st, 2nd and 3rd Prize and 20 commendations
  • Awards for health professional staff and students from anywhere in the world: a 1st, 2nd and 3rd Prize and 20 commendations

For more information and to register, please visit the Arts and Humanities website.

SEMINARS at the Department of Global Health and Social Medicine

Matthew Bonds, PhD—assistant professor of global health and social medicine
April 24, 2017at 12:00pm | 641 Huntington Avenue, first floor (lunch served beginning at 11:45am)
more information soon via e-mail

Lorenzo Jorge Pérez Ávila, MD, MSc, Prof.—consultant professor and senior researcher, Institute of Tropical Medicine “Pedro Kourí” Havana, Cuba
AIDS: Confessions to a Doctor | a physician's perspective on medical care and social welfare of HIV-infected people living in Cuba
Introduction by Dr. Paul Farmer
May 5, 2017 at 12:15pm | 641 Huntington Avenue, first floor (lunch served) more information

Aneel Brar, MSc—chief operating officer, Mata Jai Kaur Maternal and Child Health Centre
May 17, 2017 at 12:00pm | 641 Huntington Avenue, first floor (lunch served beginning at 11:45am)
more information soon via e-mail

Giuseppe Raviola, MD—assistant professor of global health and social medicine
May 24, 2017 at 12:00pm | 641 Huntington Avenue, first floor (lunch served beginning at 11:45am)
more information soon via e-mail

Neil Gupta, MD, MPH—associate physician in the Division of Global Health Equity and instructor in medicine at Harvard Medical School.
Simplifying Hepatitis C Antiviral Therapy in Rwanda for Elsewhere in the Developing World: The SHARED Study and Implications for Global Treatment Access
June 13, 2017 at 12:00pm | 641 Huntington Avenue, first floor (lunch served beginning at 11:45am)
more information soon via e-mail


Mark Shrime, MD, Assistant Professor of Global Health and Social Medicine:

  • Data-driven surgical scale-up—research in global surgery. Presented at the Lancet Commission on Global Surgery Latin America inaugural conference, São Paulo, Brazil, December 2016
  • The surgical imperative—meeting the needs of the 5 billion. Presented as the Keynote Lecture, UPenn Global Surgery Symposium, Philadelphia, PA, December 2016
  • The surgical imperative—fixing the problem. Presented as the Keynote Lecture, UPenn Global Surgery Symposium, Philadelphia, PA, December 2016
  • The right to look human— Head and Neck Surgery in the Developing World. Presented as the Humanitarian Forum Keynote Lecture, American Academy of Otolaryngology, San Diego, CA, September 2016


  • Cellamare M, Milstein M, Ventz S, Baudin E, Trippa L, Mitnick C. Bayesian adaptive randomization in a clinical trial to identify new regimens for MDR-TB: the endTB trial. Int J Tuberc Lung Dis. 2016; 20(12): S8-S12. [link]
  • Milstein M, Brzezinski A, Varaine F, Mitnick CD. (Re)moving the needle: prospects for all-oral treatment for multidrug-resistant tuberculosis. Int J Tuberc Lung Dis. 2016; 20(12): S18-S23. [link]
  • Tierney DB, Milstein MB, Manjourides J, Furin JJ, Mitnick CD. Treatment outcomes for adolescents with multidrug-resistant tuberculosis in Lima, Peru. Global Pediatric Health. 2016; 3: 1-5. [link]
  • Nourzad S, Jenkins HE, Milstein M, Mitnick CD. Estimating the global burden of multidrug-resistant tuberculosis among prevalent cases of tuberculosis. Int J Tuberc Lung Dis. 2017; 21(1): 6-11. [link]
  • Silverstein, Jason. Four Ways We Can Shorten the Organ Donor Waitlist. Vice. [link]
  • Silverstein, Jason. You'll Never See a Billionaire in a Hospital Waiting Room. Vice. [link]
  • Silverstein, Jason. Trump Could Undo All the Progress We've Made on AIDS. Vice. [link]
  • Silverstein, Jason. 4 Obamacare Alternatives That Don't Suck. Vice. [link]
  • Silverstein, Jason. Trump's Four Useless Alternatives to Obamacare. Vice. [link]
  • Silverstein, Jason. Addicts Are Running Out of Places to Finish Their Recovery. Vice. [link]
  • Silverstein, Jason. Inside Trump's Misguided Plan to Weaken the FDA. Vice. [link]
  • Silverstein, Jason. What the End of Obamacare Means for All of Us. Vice. [link]
  • Silverstein, Jason. How Trumpcare Will Affect Us All. Vice. [link]
  • Silverstein, Jason. Dying Kids Benefit From Obamacare in a Big Way. Vice. [link]
  • Shrime MG, Sekidde S, Linden A, Cohen JL, Weinstein MC, Salomon JA. Sustainable development in surgery: the health, poverty, and equity impacts of charitable surgery in Uganda. PLOS One 2016. [link]
  • Shrime MG, Dare A, Alkire BC, Meara JG. A global country-level comparison of the financial burden of surgery. British Journal of Surgery 2016. 103(11):1453-1461. Epub ahead of print: 18 July 2016. doi: 10.1002/bjs.10249. [link]
  • Shrime MG, Verguet S, Desalegn D, Johansson KA, Jamison D, Kruk ME. Task sharing or public finance for expanding surgical access in rural Ethiopia: an extended cost-effectiveness analysis. Health Policy and Planning 2016. 31(6):706-716. pii czv121. [link]
  • Shrime MG. The right to look human—head and neck surgery in low- and middle-income countries: The Chris O’Brien memorial lecture. JAMA Otolaryngology 2016. Epub ahead of print: 3 Nov 2016. [link]
  • Lin BM, White M, Glover A, Wamah GP, Trotti DL, Randall K, Alkire BC, Cheney ML, Parker G, Shrime MG. Barriers to surgical care and health outcomes: A prospective study on the relation between wealth, sex, and post-operative complications in the Republic of the Congo. World Journal of Surgery 2016. Epub ahead of print 29 July 2016. [link]
  • White M, Alcorn D, Randall K, Duncan S, Klassen H, Shrime MG. Evaluation of patient satisfaction, impact, and disability-free survival after a surgical mission in Madagascar: a pilot survey. World Journal of Surgery 2016. Epub ahead of print 11 October 2016. [link]
  • Silverstein A, Costas-Chavarri A, Gakwaya MR, Lule J, Mukhopadhyay S, Meara JG, Shrime MG. Laparoscopic Versus Open Cholecystectomy: A Cost-Effectiveness Analysis at Rwanda Military Hospital. World Journal of Surgery 2016. Epub ahead of print, Nov 30 2016. [link]
  • Bruno E, White MC, Baxter LS, Ravelojaona VA, Rakotoarison HN, Andriamanjato HH, Close KL, Herbert A, Raykar N, Saluja S, Shrime MG. An Evaluation of Preparedness, Delivery and Impact of Surgical and Anesthesia Care in Madagascar: A Framework for a National Surgical Plan. World Journal of Surgery 2016. Epub ahead of print, Nov 30 2016. [link]
  • Corlew DS, Alkire BC, Poenaru D, Meara JG, Shrime MG. Economic valuation of the impact of a large surgical charity using the Value of Lost Welfare approach. BMJ Global Health 2016. [link]
  • Ng-Kamstra JS, Greenberg SLM, Abdulla F, Amado V, Anderson GA, Cossa M, Costas-Chavarri A, Davies J, Debas HT, Dyer GSM, Erdene S, Farmer PE, Gaumnitz A, Hagander L, Haider A, Leather AJM, Lin Y, Marten R, Marvin JT, McClain CD, Meara JG, Mehes M, Mock C, Mukhopadhyay S, Orgoi S, Prestero T, Price RR, Raykar NP, Riesel JN, Riviello R, Rudy S, Saluja S, Sullivan R, Tarpley JL, Taylor RH, Telemque L-F, Toma G, Varghese A, Walker M, Yamey G, Shrime MG. Global surgery 2030: a roadmap for high-income country actors. BMJ Global Health 2016. doi: 10.1136/bmjgh-2015-000011. [link]
  • Lu C, Liu K, Li L, Yang YH. Sensitivity of Measuring the Progress in Financial Risk Protection to Survey Design and its Socioeconomic and Demographic Determinants: A Case Study in Rwanda. Social Science & Medicine 178 (2017) 11-18. [link]
  • Carson, N., Katz, A.M., Alegria, M. (2016) “How patients and clinicians make meaning of physical symptoms in mental health evaluations,” Transcultural Psychiatry, Vol. 53(5), pp.595-611. [link]
  • Richardson, Eugene T et al. The Ebola suspect's dilemma. The Lancet Global Health , Volume 5, Issue 3 , e254 - e256. [link]
  • Meyers DJ, Filkins M, Harsha Bangura A, et al. Management challenges in mHealth: failures of a mobile community health worker surveillance programme in rural Nepal. BMJ Innovations 2017;3:19-25. [link]
  • Alex Harsha Bangura, Al Ozonoff, David Citrin, Poshan Thapa, Isha Nirola, Sheela Maru, Ryan Schwarz, Anant Raut, Bishal Belbase, Scott Halliday, Mukesh Adhikari, Duncan Maru. Practical issues in the measurement of child survival in health systems trials: experience developing a digital community-based mortality surveillance programme in rural Nepal. BMJ Global Health Dec 2016, 1 (4) e000050; DOI: 10.1136/bmjgh-2016-000050 [link]
  • Sheela Maru, Alex Harsha Bangura, Pooja Mehta, Deepak Bista, Lynn Borgatta, Sami Pande, David Citrin, Sumesh Khanal, Amrit Banstola and Duncan Maru. Impact of the roll out of comprehensive emergency obstetric care on institutional birth rate in rural Nepal. BMC Pregnancy and Childbirth BMC series – open, inclusive and trusted 201717:77. DOI: 10.1186/s12884-017-1267-y [link]