INJURY DISPROPORTIONALLY AFFECTS LMIC

1. Global Health Showcase 2014 Poster Guidelines Project summary: 1-2 sentences summarizing the purpose, process, and conclusions of the project. Being succinct and clear is in your favor – think of this section as your elevator pitch. Town, Country Second town, If needed • CONCLUSIONS • In form of bullets or as a paragraph • Build institutional capacity at CHUK and KCMC to foster CPG development to improve emergency care quality • Reduce TBI mortality by 20% • Improve TBI morbidity • PROJECT OBJECTIVES • Keep it short and to the point • This is not a paper • Remember you’ll be standing next to your poster explaining the context • No more than four objectives INCLUDE AT LEAST TWO PHOTOS AND ONE VISUAL AID, LIKE A GRAPH, SKETCH, TABLE, ETC. CAPITALIZED NAME | GLOBAL HEALTH PROGRAMCAPITALIZED NAME | GLOBAL HEALTH PROGRAMDUKE INSTITUTION • METHODOLOGY • Rearrange sections as needed. Do not be wordy – keep in mind the audiences attention span. • Develop a TBI registry to gauge the current state of TBI care • and patient outcomes, to guide CPG development. • Conduct a systematic review of international TBI acute management guidelines will be • conducted. • Use a local expert panel to contextualize international guidelines to create resource and site appropriate CPGs. • The impact of these CPGs will be assessed through TBI registry data and provider surveys. LMIC LACK APPROPRIATE RESOURCES TO REDUCE MORTALITY AND MORBIDITY DUE TO TBI AND OTHER INJURIES INJURY DISPROPORTIONALLY AFFECTS LMIC Thanks to our partners at KCMC and CHUK, Dr. Chuck Gerardo, Dr. Nathan Thielman, and Duke Emergency Medicine.

2. Explanatory Disease Models and Medical Pluralism in Rural Togo: Focus on Malaria KATHLEEN RIDGEWAY | PROGRAM II IN GLOBAL HEALTHDUKE GLOBAL HEALTH INSTITUTE Farendé, Togo • Objectives • Understand local categorizations of malaria • Explore traditional herbal healing for malaria • Understand community members’ health care utilization patterns • Investigate current and investigate potential future interactions between biomedical and traditional healing systems Methodology The project administered one hour long semi-structured interviews to eight traditional healers and four clinical practitioners. Four focus group interviews were held with local community members. The culmination of the project was a collaborative meeting with 14 traditional healers and 7 clinical practitioners from the local district; designed and implemented with two Duke students in a neighboring village. This project sought to understand the explanatory models and pluralistic treatment options for malaria in Farendé, a rural Togolese village with a high level of utilization of traditional herbal healing alongside biomedical clinics. Data was gathered through conducting semi-structured interviews with traditional healers and clinical practitioners, and through holding focus group discussions with community members. MEMBERS OF THE WOMEN’S FOCUS GROUP DISCUSSION IN FARENDÉ • Conclusions • Malaria is categorized as “yellow” or “white,” corresponding respectively with symptoms of jaundice or anemia. • Traditional herbal healing is present formally, through recognized healers, and informally, through self-treatment. • Treatment-seeking behavior is motivated primarily by cost, and traditional healing is typically sought before attending the clinic. • Herbal remedies are present in profusion and great variation; most common species used for malaria include Eucalyptus grandis, Khayasenegalensis, members of the Euphorbia genus, and members of the Citrus genus. LEARNING ABOUT LOCAL HERBAL HEALING WITH KÉRÉKOU, HERBAL AND SPIRITUAL TRADITIONAL HEALER. TRADITIONAL HERBAL REMEDY FOR MALARIA. Acknowledgements:: This project would not be possible without support from: Dr. Charles Piot, PhD, The AalokModi Family, DGHI and the community of Kuwde, Togo.