Medicine's Search for Meaning

Health communication systems designed for rural, developing countries -- where hospitals are often understaffed and transportation is inadequate -- are being adapted to improve care in U.S. cities.

Despite its small student body population, Xavier University, a historically black college in Louisiana, graduates more African American students who eventually become doctors than any other college in the United States. Xavier’s leaders cite its culture of “competitive collaboration,” community of shared experiences and challenges based on race, and free upperclass tutoring services as some of the characteristics that make its students stand out.

The Neem Foundation brings intensive counseling and 1-on-1 therapy to survivors who escaped the horrific violence of Boko Haram, a terrorist group in northeastern Nigeria. With months of aid and tough conversations, the organization attempts to reunite women and children who fled the violence with their families, many of whom shun the Boko Haram escapees.

Rural areas of Maine were being underserved when it came to dental hygiene, so the state opened a dental college and a loan repayment program in order to increase the amount of industry professionals. Since opening, the amount of dentists serving these areas has increased and now the university is looking to scale even further by increasing the amount offered in the loan repayment program.

The Veterans Health Administration's Caregiver Support Program offers resources to family caregivers looking after veterans, including a monthly stipend, medical services, counseling and mental health care, respite care and coverage for travel expenses. The Program launched in 2011 and by 2014 about 15,600 caregivers had been approved for support — greatly exceeding the Program’s original estimate of 4,000 people.

Mozambique has a shortage of practicing surgeons, so medical technicians are being trained to fill their roles in various situations, especially in rural locations. Although there are challenges to using this tactic, the technicians-turned-surgeons have similar complication rates as those who are practicing surgeons.

In 2004, the Media Initiative set out to develop a trauma-informed curriculum for preschoolers in Northern Ireland. Using puppets, cartoons, and professional development, the social-emotional lessons have empowered students to better address conflict and communicate more effectively with each other. A Boston-based teacher education program is one of many who travel to Ireland to observe the program in action each year.

The Maternal and Neonatal Emergency Transport Scheme helps to increase access to healthcare services for women and newborns in rural areas through its informal transport/ambulance service. There are currently 2,500 registered drivers with the program willing to transport those in need of care and they serve about 70-90 women in labor each month.

To address gaps in healthcare access, the local government partnered with organizations like Plan International, German Cooperation and the World Bank’s Saving One Million Lives Project to build, refurbish and equip primary healthcare centers across the state to provide better care. As of May 2023, 138 centers have been built or upgraded, offering maternity care services, child healthcare, vaccinations and family planning among other services.

Mexico's Pilot Program for Licensed Physicians brings Mexican doctors to the states to address the lack of culturally relevant healthcare and Spanish-speaking healthcare providers, particularly in rural areas with large immigrant populations. Currently, the program has 30 Mexican doctors working in various counties throughout the state.