HMS Master of Medical Sciences in Global Health Delivery

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The Harvard Medical School Master of Medical Sciences in Global Health Delivery (MMSc-GHD) program provides training in research, program design, and management that students need to become leaders in the field of global health delivery.

Congratulations to the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026! We are...
05/31/2026

Congratulations to the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026! We are so proud of your achievements during the program and we look forward to staying in touch with you as you continue your careers!

Nindya Utami is a physician from Indonesia who conducted her thesis work on human resources in health. Join us today, We...
05/13/2026

Nindya Utami is a physician from Indonesia who conducted her thesis work on human resources in health. Join us today, Wednesday, May 13 at 9am for her thesis presentation “Understanding Sociocultural Characteristics In Shaping Professional Burnout and Well-Being Among Resident Physicians in Indonesia’s Teaching Hospitals: A Mixed-Method Study”

Learn more about this project and other projects:
Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026
📅 May 11–13
🔗 https://lnkd.in/dK4SRXFT

Mariama Mahmoud is a physician from Sierra Leone who conducted her thesis research on tuberculosis treatment: “Tuberculo...
05/13/2026

Mariama Mahmoud is a physician from Sierra Leone who conducted her thesis research on tuberculosis treatment:

“Tuberculosis remains a major public health challenge in Sierra Leone — and the way we deliver MDR/RR-TB care is at a crossroads. 🦠🇸🇱
Sierra Leone has an estimated TB incidence of 372 per 100,000 and MDR/RR-TB prevalence of 8.7 per 100,000. While MDR/RR-TB burden is relatively low, care is still highly centralized, meaning many patients must travel far and rely on hospital-based services.
Yet, there is limited practical guidance on how countries that started with centralized models can successfully transition to decentralized, community-based care. 🏥➡️🏘️
🧪 Our study

We assessed health system readiness to decentralize MDR/RR-TB care across 8 districts in Sierra Leone, and identified key constraints to effective implementation.
🔹 Methods (mixed-methods, explanatory sequential):

📊 Quantitative: Cross-sectional survey of 72 DOTS facilities using a 67-item, 16-domain readiness assessment, with median domain scores calculated

🎙️ Qualitative:
8 focus group discussions with 52 healthcare providers
18 in-depth interviews with adult MDR/RR-TB patients and district TB supervisors
🔄 Integration through a joint display, with qualitative data analyzed via inductive content analysis and mapped onto the socio-ecological model

This approach allowed us to look beyond simple “capacity” and understand the multi-level factors — from health facilities to communities and policies — that will shape the success of decentralized MDR/RR-TB care.

Our findings aim to inform pragmatic, context-specific guidance for Sierra Leone and other high TB burden settings looking to bring MDR/RR-TB care closer to where people live. 🌍”



Learn more about this project and other projects:
Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026
📅 May 11–13
🔗 https://harvard.zoom.us/webinar/register/WN_nT_xQfWQSBqmQxngutQTMw #/registration

Tamba Gbamanja BS, MPH, is a global health professional from Sierra Leone who conducted his research on care using commu...
05/12/2026

Tamba Gbamanja BS, MPH, is a global health professional from Sierra Leone who conducted his research on care using community health workers:

🚑 "Strengthening Community Health in Sierra Leone: Why Funding Still Falls Short 💸

Sierra Leone’s Community Health Worker (CHW) program has made important strides in expanding access to primary health care, aligning with regional goals to build stronger community health systems. 🌍👩🏾‍⚕️👨🏾‍⚕️

Yet, the platform remains heavily dependent on external financing. A 2023 national investment case estimates:

💰 Total program cost (2021–2026): US$53.7 million

⚠️ Current funding gap: 57% (~US$30 million) still unfunded

At the same time, global and regional partners are pushing for domestic sustainability and country ownership of CHW programs. This makes it urgent to understand what’s blocking a successful transition from donor dependence to sustainable, locally led financing. ⏳

To explore these barriers, I used a convergent mixed-methods design that combines:

📊 Quantitative data from the 2023 Sierra Leone CHW Investment Case (a nationally commissioned, publicly available report)

🎤 13 key informant interviews across national, district, and local government levels, spanning five stakeholder categories

By pairing financial analysis with voices from across the health system, this work aims to illuminate:

Where and why financing gaps persist

How governance and coordination affect sustainability

What it will take to fully fund and sustain CHWs as a backbone of primary health care in Sierra Leone”



Learn more about this project and other projects:

Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026

📅 May 11–13

🔗 https://harvard.zoom.us/webinar/register/WN_nT_xQfWQSBqmQxngutQTMw #/registration

Christy Wulandari is a physician from Indonesia who conducted her thesis research on tuberculosis treatment for the Oran...
05/12/2026

Christy Wulandari is a physician from Indonesia who conducted her thesis research on tuberculosis treatment for the Orang Rimba in the Sumatran Rainforest of Indonesia:
🌿 "Tuberculosis Care Among the Orang Rimba of the Sumatran Rainforest 🌿

Indigenous Peoples around the world have carried a disproportionately high burden of tuberculosis (TB) for decades. In Indonesia — the country with the second-highest TB burden globally — an estimated 60 million Indigenous Peoples live with health needs that remain largely unmet.

This study focuses on the Orang Rimba, an Indigenous community living in the Sumatran rainforest in Jambi, Indonesia. 🌏🌳

As part of a larger mixed-methods project to design culturally responsive TB care, this inductive thematic content analytic study:
🗣️ Conducted 28 in-depth interviews with:
Orang Rimba community members
External stakeholders

👥 Held focus group discussions with:
Indigenous Community Health Workers (CHWs)
Community Health Center TB teams

🧩 Findings were analyzed using the Health Equity Implementation Framework to identify the structural, cultural, and systemic factors shaping TB care for the Orang Rimba.

The goal: to move beyond one-size-fits-all approaches and co-create TB care that respects culture, context, and community priorities."


Learn more about this project and other projects:
Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026
📅 May 11–13
🔗 https://harvard.zoom.us/webinar/register/WN_nT_xQfWQSBqmQxngutQTMw #/registration

Learn more about Christy’s project on our website - link in comments

Ikechukwu Nnanna is a physician from Nigeria who worked in Sierra Leone prior to joining the MMSc-GHD program. He conduc...
05/11/2026

Ikechukwu Nnanna is a physician from Nigeria who worked in Sierra Leone prior to joining the MMSc-GHD program. He conducted his thesis research on malnutrition:

“🌍 Tackling Severe Acute Malnutrition in Sierra Leone 🇸🇱

In Koidu, Kono District, severe acute malnutrition (SAM) remains a life-threatening challenge for children under five. SAM is defined by a mid-upper arm circumference (MUAC) < 11.5 cm, low weight-for-height Z-score, or bilateral pitting oedema.

In 2021, the situation was stark:

👉 1 in every 100 children was severely malnourished

👉 Nearly 4 in every 100 suffered from some form of acute malnutrition

To better understand why SAM persists in this resource-limited setting and what’s blocking its eradication, we conducted a convergent mixed-methods study at Koidu Government Hospital 🏥.

🔬 Quantitative component:

Reviewed medical records of 300 children under five with SAM admitted to the pediatric ward (June 2024 – May 2025)

Collected MUAC, height, weight, and clinical data at admission and discharge

Analyzed data in Stata, summarizing continuous variables with means/SD and categorical variables with frequencies/percentages 📊

🗣️ Qualitative component:

Conducted semi-structured in-depth interviews with

14 caregivers
10 healthcare providers 🩺

Interviews held in Krio and English (September 2025 – November 2025)

Audio-recorded, translated, transcribed, and analyzed using an inductive content analytic approach.

Quantitative and qualitative findings were integrated using a joint display, allowing us to see how numbers and narratives align.

Our objective is clear: identify the real-world barriers preventing the eradication of SAM in Koidu and generate evidence that can inform policy, programming, and frontline practice to save children’s lives and futures. 💡"



Learn more about this project and other projects:

Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026

📅 May 11–13

🔗 https://lnkd.in/dK4SRXFT

And visit our website for more photos - link in comments.

Nilufar Qahorova is a healthcare professional from Uzbekistan who pursued her passion for cancer prevention through her ...
05/10/2026

Nilufar Qahorova is a healthcare professional from Uzbekistan who pursued her passion for cancer prevention through her thesis project on cancer in Uzbekistan:

🚨 Cancer prevention in Central Asia: a critical gap we can’t ignore
Cancer deaths in low- and middle-income countries are projected to nearly double by 2040. Yet across much of Central Asia, implementation of evidence-based screening programs — the single most effective tool for reducing cancer mortality — remains far behind where it needs to be.

🇺🇿 In Uzbekistan alone, there were 35,900 new cancer cases and 22,071 cancer deaths in 2022. A mortality-to-incidence ratio of ~67% — comparable to sub-Saharan Africa — is largely driven by the absence of organized, population-based screening.

📊 Our recent mixed-methods study in Tashkent and Bukhara (June–October 2025) set out to identify multilevel barriers to early detection of breast, cervical, and colorectal cancers at the:
👩‍⚕️ Patient level
🧑‍⚕️ Provider level
🏥 Health system level
🏛️ Governance and policy level

We engaged:
60 medical records 📁
30 cancer patients 🧑‍🦰
20 healthcare providers 👩‍⚕️
7 oncologists 🩺
6 policy makers 🏛️
1 National Cancer Control Program (NCCP) Coordinator

Alongside:
16 patient in-depth interviews
17 oncologist in-depth interviews (including the NCCP Director)
17 specialists in focus group discussions

These quantitative and qualitative strands were integrated through joint display analysis to paint a comprehensive picture of where the system is failing patients — and how it can be strengthened.

🌟 Nilufar’s work extended beyond research: in 2025, she was part of the team that helped announce the first colorectal cancer screening program in Central Asia— a milestone for cancer control in the region 💪🎗️
👉 The path forward is clear:

Scaling organized, population-based screening for breast, cervical, and colorectal cancers must become a policy priority if we are serious about reducing preventable cancer deaths in Uzbekistan and across Central Asia.



Learn more about this project and other projects:
Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026
📅 May 11–13
🔗 https://harvard.zoom.us/webinar/register/WN_nT_xQfWQSBqmQxngutQTMw #/registration
Learn more about Nilufar Qahorova’’s research on the Harvard Medical School Master of Medical Sciences in Global Health Delivery website https://ghsm.hms.harvard.edu/thesis-nilufar-qahorova

Ameena Mumthaz is a physician from India who conducted her MMSc in Global Health Delivery thesis research on mental heal...
05/08/2026

Ameena Mumthaz is a physician from India who conducted her MMSc in Global Health Delivery thesis research on mental health:

🌍 “Excited to share our latest research from northern Kerala, India!
Our mixed-methods study explores the illness journeys and care navigation of people living with Bipolar Affective Disorder in the Malappuram and Kozhikode districts.

📊 Quantitative strand:
We conducted structured surveys with 100 clinically confirmed cases of bipolar disorder to understand patterns in diagnosis, treatment, and access to care.

🎙️ Qualitative strand:
We carried out in-depth interviews with:
Individuals living with bipolar disorder
- Caregivers
- Mental health providers

These conversations offered rich, experience-based insights into real-world challenges and strategies people use to navigate the mental health system.

💡 Why this matters:
Our findings highlight the importance of culturally grounded, patient-centred approaches to mental health service delivery—ensuring that care is not just clinically sound, but also contextually meaningful and accessible.

❤️ Grateful to all the participants who shared their stories and to everyone working to strengthen mental health systems in India and beyond.”
🌱

Join us for the Thesis Presentations of the Harvard Medical School Master of Medical Sciences in Global Health Delivery Class of 2026
📅 May 11–13
🔗 https://harvard.zoom.us/webinar/register/WN_nT_xQfWQSBqmQxngutQTMw #/registration

Learn about research projects focused on improving global health delivery in countries including Vietnam, Uzbekistan, Sierra Leone, Rwanda, The Philippines, Malawi, Liberia, Kazakhstan, Indonesia, India, Haiti, and Ethiopia

See the schedule of topics and speakers: https://docs.google.com/spreadsheets/d/1F9XVOcJijQBbpX8BZryIsf8AqeQfeLJuabEZhF0xR2g/edit?gid=0 =0

Keisha Carisse Mangalili is a physician from the Philippines who studied primary care and universal health care in the P...
05/07/2026

Keisha Carisse Mangalili is a physician from the Philippines who studied primary care and universal health care in the Philippines:

“🚑 Strengthening Primary Care for UHC: Lessons from the Philippines 🇵🇭

Primary care is a cornerstone of Universal Health Coverage (UHC) — it’s where people first seek care, and where many health needs can be effectively addressed. Many countries have turned to national and social health insurance to expand access, including by covering primary care services.
In the Philippines, PhilHealth’s primary care benefit package (Konsulta) is a key step in this direction. To better understand how Konsulta is working on the ground in both public and private facilities, our team conducted an explanatory sequential mixed-methods study in Cavite:

🔍 We reviewed utilization data and used a checklist to assess service availability
🗣️ We followed this with interviews and focus group discussions with facility administrators, providers, and patients
🧩 We organized insights using the CFIR framework to identify barriers and facilitators to implementation”

Learn more about the results of this research when Keisha gives her public thesis presentation Tuesday May 12, 9am.
🎓 Thesis Presentations of the MMSc-GHD Class of 2026
📅 May 11–13
🔗 https://lnkd.in/dK4SRXFT
Learn more about Keisha's research project on our website - link in comments.
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Cecilia Needham is global health professional from the United States. She conducted her thesis research for the Master o...
05/06/2026

Cecilia Needham is global health professional from the United States. She conducted her thesis research for the Master of Medical Sciences in Global Health Delivery thesis research on malnutrition in Malawi:

🌍 "The Invisible Cost of Care: Understanding Barriers to Treating Childhood Malnutrition in Malawi 🇲🇼

Malnutrition is responsible for nearly half of all deaths in children under five. In Malawi alone, about 38% of children experience chronic malnutrition.

Severe Acute Malnutrition (SAM) is often treated in outpatient therapeutic programs (OTP) using Ready-to-Use Therapeutic Foods (RUTF). But treatment doesn’t happen in a vacuum. Caregivers face major barriers at the individual, structural, and health systems levels just to reach the clinic every week.

These invisible costs — time, transport, lost income, stigma, and more — can lead to:

⚠️ Loss to follow-up

⚠️ Treatment non-response

⚠️ Relapse

🧪 Our Study

To better understand these challenges in Neno, Malawi, we conducted a convergent mixed-methods study that centers caregivers’ voices:

👶 326 children were enrolled in a prospective clinical cohort across 8 healthcare facilities (selected via stratified random sampling), with attendance and chart data collected from May–December 2025.

🗣️ 32 caregivers participated in in-depth interviews to share their lived realities of navigating outpatient malnutrition care.

🏥 14 Health Surveillance Agents (HSAs) responsible for nutrition joined two focus groups to provide frontline health system perspectives.

📊 We used:

• Descriptive and bivariate analysis for quantitative data

• Inductive content analysis for qualitative data

• Integrated findings through a joint display to explain the determinants of key program outcomes

✨ Why this matters

If we want outpatient treatment programs to succeed, we must design them around the realities of caregivers’ lives—not just clinical protocols. By illuminating the “invisible cost of care,” we hope to inform more equitable, caregiver-centered models of malnutrition treatment."

🎓Join us for the Class of 2026 MMSc-GHD Thesis Presentations on zoom

📅 May 11–13

🔗https://harvard.zoom.us/webinar/register/WN_nT_xQfWQSBqmQxngutQTMw #/registration

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