Extreme Affordability Conference


“Disrupting Barriers to Strengthen Global Health”

Extreme Affordability was a regional conference hosted by the University of Utah in 2017, developed as a clear and undisputed rally point for those redesigning the systems and processes by which we deliver value in health care.

The University of Utah has a history of Global Health work addressing the systems and processes by which we deliver health care, and focusing on how to make changes that will increase access, quality, and equitability. We envision a world where the highest standards of health are accessible and affordable for everyone. We welcome medical practitioners, policymakers, professionals, investors, technologists, students and businesses to join us to infuse the problem-solving environment with innovative spirit and renewed energy.

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2017 Extreme Affordability Conference
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1 Cancer Peak Study Echo L. Warner MPH; Zachary Warner MPH; Brandon R. Reid MS; Priscilla Auguste; Danisette Torres; Maria Fam; Ann Gillett-Ellrington MD, PhD, MPH; Matthew Kraybill PhD; Deanna Kepka PhD, MPH In 2013, the Pan American Health Organization issued a call for improving primary cancer prevention among indigenous populations in the Caribbean. Cervical cancer disproportionately affects women in this region. 36,000 cervical cancer deaths in 2012. 3 [...]
2 Challenges and Successes of a Perinatal Community Health Worker Program for Pregnant Somali and Sudanese Refugee Women in Salt Lake County Aster Tecle, PhD; Adhal Awan; Sabrina Mohamed; Jane Dyer, CNM, PhD, FACNM Extreme Affordability is a regional conference hosted by the University of Utah to develop a clear and undisputed rally point for those redesigning the systems and processes by which we deliver value in health care. The University of Utah is pleased to [...]
3 Continuing Didactic and Practical Laparoscopic Training Courses in Mongolia Jade Nunez; Sandag Erdene; Sarnai Erdene; Ulzii-Orshickh; Togtokhbayar Baljinnyam; Nanjid Bikhaniragchaa; Jonathan Nellermoe; Orgoi Sergelen; John Langell; Ashok Khandkar; Raymond Price Between 2005 and 2013, use of laparoscopic cholecystectomy increased from 2% to 58% in Mongolia. Expensive and poorly functioning equipment continue to present challenges. The University of Utah's Centers for Global Surgery and Medical Innovation developed [...]
4 Cost-Effectiveness of an Early Cancer Surveillance Strategy for Patients with Li-Fraumeni Syndrome C.R. Tak; E. Biltaji; W. Kohlmann; L. Maese; C.M.T. Sherwin; D.I. Brixner; J.D. Schiffman Patients with Li-Fraumeni Syndrome (LFS) are at a high risk of cancer; Lifetime risk of cancer approaches 90%; Recent data suggest that early cancer surveillance is beneficial for patients with LFS.
5 A Field-deployable Platform for Prognostic Hepatic Cancer Screening in Low-resource Settings Jennifer H. Granger, Nano Institute of Utah; Jill E. Shea, University of Utah Department of Surgery; Courtney L. Scaife, University of Utah Department of Surgery; Marc D. Porter, Nano Institute of Utah, University of Utah Departments of Surgery, Chemistry, [...] Challenge: Develop a point of need (PON) platform to screen at-risk populations for HCC. Solution: Combine membrane based assay technology with handheld spectrometric readout.
6 A Global Assessment of Medical Students' Knowledge of Smoking, Risks, Cessation Techniques and Therapeutic Options: Findings from 13 Countries Ragheed Al-Dulaimi, MD, MPH, MSc The burden of smoking-related illness and death is heaviest in developing countries. Around 80% of the more than 1 billion smokers worldwide reside in low- and middle-income countries. The use of counselling and medication can more than double the chance of [...]
7 Blood Pressure Changes During a 12 Month Wellness Coaching Program Among Utah Women of Color Hannah Wright; Sara E. Simonsen; Grant Sunada; Lisa Gren; Heather Coulter; Patricia Eisenman; Stephen C. Alder; Louisa A. Stark; Brenda Ralls; Leanne Johnston; Kathleen Digre Hypertension is a risk factor for coronary heart disease and stroke, occurring at higher rates in women of color than in non-Hispanic Whites. Reducing blood pressure in high risk groups is a challenging public health issue. The Coalition for a Healthier [...]
8 A Multi-Theoretical Approach to Micronutrient Supplementation among Women of Child-Bearing Age in Ghana Rachel Jaggi, MA; Scott Benson, MD, PhD, MPH; Stephen Alder, PhD Micronutrient supplementation is a popular approach to addressing the unmet dietary needs of mothers in low- and middle-income countries, as supplement distribution programs can be implemented relatively quickly at comparatively low cost. However, dietary [...]
9 An Evaluation of the Fulbright Student Program Jason Chen Flagship international educational exchange program of State Department, Senator William Fulbright (1945). Increase mutual understanding between the people of US and other countries. Various awards: open study/research, ETA, graduate degree, public policy, [...]
10 Determining Demand for Rural Healthcare Facilities in Developing Countries Brent Lloyd; Rebecca Richards-Steed; Philip Dennison; Neng Wan; Ran Wei; Kathryn Grace; Gregory Husak Geotechnologies provide decision support for numerous public health issues such as determining locations of healthcare facilities for a given population. With limited population health data available for developing countries, geotechnologies provide little [...]
11 Creation of an International Surgical Mission Trip Database Using Internet Traces; a Novel Approach Sean Runnels MD; Diane Ellis MD; Mike Schwartz BS; Cathy L. Magnum BS; Emily N. Stuart BS Currently, no comprehensive database of international surgical missions exists. We propose a novel methodology to create a database using traces of surgical missions on the internet in the form of blog posts, websites, or news articles.
12 Pediatric Surgery Across Sub-Saharan Africa: A Multi-Centre Prospective Cohort Study N.J. Wright; T.T. Anyomih; S. Tabiri; F.A. Abantanga; P.M. Wondoh; E.O. Abem; O. Imoro; A.S. Seidu; I.M. Adakudugu; N. Ade-Ajayi; E. Ameh; K. Lakhoo; A. Leather; D. Poenaru Objective: To form a collaboration of surgeons and allied health professionals to collectively undertake the largest prospective cohort study of pediatric surgery across sub-Saharan Africa.
13 Overcoming Utah Sex Education Barriers Using Global Examples Rene Gilfillan; Sydney Friesen; Stormy Foster-Palmer; Ivy Christofferson; Christian Price; Sherry Liao, University of Utah Honors Global Health Scholars To use successful global examples of sexual education reforms to overcome similar barriers to comprehensive sex education and health in Utah.
14 Promoting ADHD Education to Reduce Gaps in Reporting and Knowledge of the Disorder Worldwide Morgan Laverty; Danielle Bonser; Francesca Botto; Tyler Laws Under and over reported cases of ADHD amasses a large burden of disease across all nations and socioeconomic circumstances. Variation in knowledge and reporting of the disorder results in conflicting data which renders many countries unable to understand [...]
15 The Prevalence and Correlates of Non-Communicable Diseases among Rural Ghanaians B. Espiritu; O.A. Owusu; S. Imanbekova; E. Cryer; S. Connor; B. Pearson; R. Gilfillan; C. Jensen; E. Amuzu; J.M. Boaheng; R. Buxton; L.S. Benson; D. Ansong; T.T. Dickerson Recent studies have suggested that both hypertension and hypertension-related factors (e.g. diabetes mellitus, dyslipidemia, hypercholesterolemia) are common in some regions of the African sub-Sahara. Until recently, hypertension and related diseases were [...]
16 The Role of Laparoscopy in a Semi-Urban Nigerian Hospital: an Outcomes-focused Comparative Analysis of Laparoscopic and Open Surgery Katherine E. Smiley, MD; Funmilola Wuraola, MBBS; Bolanle Mojibola, MBChB; Adewale Aderounmu MBBS; Raymond R. Price; Adewale O. Adisa, MBChB Laparascopic surgery allows: swifter recovery versus open surgery; fewer would complications; possibly greater value to low- to middle- income countries versus high-income. Nigeria is the fastest-growing economy and most populous country in sub-Saharan [...]
17 Promoting Family Planning in Developing Countries through Culturally Sensitive and Successful Means Bridget Dorsey; Avery Mallett; Samira Saeed; Omar Shihab Consistent access to family planning resources, paired with secondary education for girls, removes barriers around the world to family planning in a culturally sensitive and successful way.
18 Project Embrace: A Non-Profit Organization Dedicated to Reducing Medical Waste and Promoting Global Health Through the Provision of Sustainable Medical Devices to Low and Middle-Income Countries Mohan Sudabattula As an organization, Project Embrace is dedicated to the reduction of global health inequalities and promotion of a healthy planet. We do this through the collection, sanitation, shipment and delivery of sustainable medical devices that provide either [...]
19 Structural Quality of Healthcare Facilities in India Bianca Armenta; Naveen Rathi; Nushean Assasnik, BS; Akiko Kamimura, PhD, MSW, MA India has a number of health issues and the healthcare facilities in India are insufficient due to poor quality of care. This study focuses on structural aspects of quality of care in India. The purpose of this study is to examine the factors affecting the [...]
20 The Perception and Management of Acute and Chronic Pain in Rural Ghana Harris, M., Birdsall, A., Birdsall, M., Sparks, CD., Benson, SL., Dickerson, T. Pain is valued in healthcare as a primary indicator of a patients health status. The U.S. consumes approximately 700mg of morphine equivalence per capita. Comparatively, Ghana uses approximately 0.152mg per capita. With such a difference of opioid usage, we [...]
21 Prevalence of Dyslipidemia and Related Risk Factors Among Adults in Armenia Hripsime Z. Wright, MD, MPH; Ketevan Amirkhanashvili MS2; Natalie Channel MS2; Marine G. Hovhannisyan, MD, MPH This study provides insight into the previously unreported prevalence of dyslipidemia in a region with high CVD mortality.
22 Preventative Healthcare in Post-Soviet Armenia: Providing Education and Screenings to Expand Awareness of Noncommunicable Diseases Hripsime Z. Wright MD, MPH; Erin Gavin, MD Candidate; Natalie Channell, MD Candidate; Bethlyn Craner, MPH Candidate; Ketevan Amirkhanashvili, MD Candidate; Marine G. Hovhannisyan, MD, MPH Non-communicable diseases (NCDs) account for over 75% of annual deaths globally. Cardiovascular disease, cancer, diabetes, and respiratory disease are the most common NCDs which, while typically unique to the developed world, are growing in prominence in [...]
23 Medical Cost and Healthcare Resource Utilization Influenced by Anti-Platelet Agent Selection in Patients with Acute Coronary Syndrome Kibum Kim, PhD; Daniel R. Touchette, Pharm D.; Todd A. Lee, Pharm; Amer K. Ardati, MD, MSf; Surrey M. Walton, PhDc; Robert J. DiDomenico, Pharm D, FCCPd Acute coronary syndrome (ACS), after receiving percutaneous coronary intervention (PCI), requires appropriate long-term antiplatelet therapy with a P2Y12 combination with aspirin.[1,2] Clopidogrel, a 2nd generation P2Y12 antagonist, has stood as the [...]
24 Open Access - The Holy Grail for Low Resource Practitioners? Mark J. Harris MD MPH; Mellanye Lackey, MSI There is a significant health workforce deficit in low income countries (LICs). In addition, professionals and students in LICs have limited options for their continuing medical education and the propagation of their scholarly work. Access to the current [...]
25 Improving Newborn Care in Resource Poor Settings: Evaluation of a Combined Training and Quality Improvement Approach Kajsa Vlasic; M. Caitlin Indart; Caitlin Stiglmeier MD; Reena Patel MD; Meghna Patel; Pranav Brahmbhatt; Christopher Maloney MD, PhD; Bernhard Fassl MD Every year 2.8 million newborns die worldwide due to complications in the newborn period. Newborns with low birth weight (<2500 grams) are at greatest risk for death due to complications related to asphyxia, prematurity and infections. Outcomes for newborns [...]

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University of Utah Health

University of Utah Health

University of Utah Health is the only university health care system in the state of Utah and provides patient care for the people of Utah, Idaho, Wyoming, Montana, and much of Nevada.