T H I N K I N G G L O B A L LY
THE GUIDING PRINCIPLES
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xcellence in global health activities is essential and something that we can be attending to even as our world continues to isolate against the coronavirus.
For the fifth anniversary of the creation of CHA’s Guiding Principles for Conducting Global Health Activities, we’ve been exploring how they’ve been put into practical use in a series of Health Progress columns. Here, Sr. Mary Jo McGinley, RSM, reflects on BRUCE the principle of Excellence in the COMPTON global health activities she has overseen first at Catholic Health East and now at Trinity Health. Her memories and commitment to Excellence dovetail many of the essays we’ve published in a new collection that is COVID-19 related, but her comments here are particularly apt for our celebration of the Guiding
Principle’s fifth anniversary. Like Sr. McGinley, many of our authors in Renewing Relationship: Essays as We Evolve and Emerge from Pandemic consider past and present, opportunities and challenges. Have you participated in a medical mission trip or immersion experience, donated to an international disaster response, or are responsible for colleagues who participate in such activities? If so, please take time to consider your involvement in relation to Sr. McGinley’s experience and CHA’s Guiding Principles. I hope that you will also take a few minutes to read the anniversary edition and the essay collection at www.chausa. org/guidingprinciples.
EXCELLENCE SR. MARY JO McGINLEY, RSM, MS Ed, MPH
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n October 22, 2010, less than a year after the horrific earthquake that claimed more than 200,000 Haitian lives, Haiti’s National Public Health Laboratory announced a cholera epidemic in the Artibonite Valley in northwest Haiti. Since we were scheduled to take a medical team to that region in less than three weeks, this news caused great concern for our organization, Global Health Ministry. With over 20 years of experience conducting medical missions, Global Health Ministry reached deep into those years of experience and its never-ending quest for doing the right thing the right way. Keeping tabs on the bulletins coming from Haiti and the Centers for Disease Control and Prevention, we first reached out to our in-country partner to ask if they still wanted us to come or would we add to their burden. Once they affirmed the need for us to come, we contacted each team member, directing them to confer with their loved ones and decide if they were in or wanted out. All 15 team members said
HEALTH PROGRESS
yes, and so we moved to a rapid review with our in-country partner, CDC input and other sources to determine what we needed to add to our supplies and personal preparations. The Sunday before Thanksgiving we all came home, very tired but quite healthy, after our most difficult medical mission. That is still true more than 10 years and over 50 missions later. Looking back at the 2010 mission and considering the Guiding Principles, it is obvious that all six principles were active then and must be active in every medical or surgical mission in the following ways: Prudence — Good planning precedes every mission, and if an emergency overtakes the norm, initiate rapid and prudent research and planning. Authenticity — Your in-country partner must know the community and be able connect with needed external resources in an emergency. In the case of the 2010 cholera epidemic that occurred 10 months after the earthquake, in-country con-
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