Increasing Impact: Evaluation in Global Child Health Education, Clinical Practice and Research

Gladding SP, Suchdev PS, Kiguli S, Lowenthal ED on behalf of the Global Health Task Force of the American Board of Pediatrics

Opportunities in global child health (GCH), the study and practice of improving child health globally, are expanding and increasingly formalized. In education, more postgraduate pediatric training programs offer specialized GCH training, preparing graduates to provide health care to children worldwide.1 Training in clinical areas such as neonatal resuscitation for health care workers in low- and middle-income countries (LMIC) are increasing,2 as are short courses for pediatricians from high-income countries (HICs) planning to practice in LMIC.3 In clinical practice, there are growing numbers of LMIC-HIC clinical partnerships, which provide clinical care and support mutual professional development.4 There are also expanding opportunities for HIC clinicians to participate in short-term medical trips.5 In research, there are increasing partnerships and networks supporting collaborative transnational GCH research.4

As GCH programs and partnerships expand and formalize, robust evaluation is needed to inform best practices and program improvement, provide accountability to communities served through GCH initiatives, and influence decision-making related to GCH priorities and funding. Our aim in this article is to (1) highlight current evaluation strengths; (2) identify evaluation needs and key evaluation questions (Table 1); and (3) suggest possible approaches to addressing evaluation needs in GCH education, clinical practice, research and partnerships.

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