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Exploring Bidirectionality in Global Health Partnerships: Perspectives From U.S. Pediatric Residency Programs.

Anik Patel1, Pauline Kamau2, Justus Simba3

  • 1Pediatrics, Children's Mercy Hospital, Kansas City, USA.

Cureus
|June 16, 2026
PubMed
Summary
This summary is machine-generated.

Global health partnerships (GHPs) benefit from bidirectionality, defined as reciprocal and equitable collaboration. U.S. pediatric faculty identified benefits like mutual respect and challenges such as cultural barriers, emphasizing the need for flexibility in GHPs.

Keywords:
academic partnershipsbidirectionalityglobal equityglobal health educationpediatric residency

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Area of Science:

  • Global Health
  • International Collaboration
  • Pediatric Health

Background:

  • Growing interest in global health partnerships (GHPs) but limited guidance on bidirectional practices.
  • Need to understand U.S. pediatric global health faculty perspectives on bidirectionality.
  • Informing future discussions with international collaborators on equitable partnerships.

Purpose of the Study:

  • To understand U.S. pediatric global health faculty perspectives on institutional bidirectional practices.
  • To identify perceived benefits and challenges of bidirectionality in GHPs.
  • To inform the development of more equitable and effective GHPs.

Main Methods:

  • Online survey using REDCap administered to U.S. pediatric global health faculty.
  • Qualitative data collected through free-text responses from January 18 to February 20, 2023.
  • Inductive coding of responses to identify themes related to bidirectionality.

Main Results:

  • Participants described bidirectionality as reciprocity, equity, and collaboration.
  • Perceived benefits included friendship, mutual respect, educational opportunities, and achieving equity.
  • Challenges included technical, cultural, and financial barriers, alongside mismatched expectations.

Conclusions:

  • Bidirectionality in GHPs involves reciprocal and equitable collaboration at personal and institutional levels.
  • U.S. pediatric perspectives offer a framework for assessing bidirectionality in existing GHPs.
  • Persistence and flexibility are crucial for fostering partner-informed collaboration in GHPs.