TY - BOOK AU - Adriena De Visser AU - Jennifer Hatfield AU - Rachel Ellaway AU - Denise Buchner AU - Jeremiah Seni AU - Wilfred Arubaku AU - Josephine Nambi Najjuma AU - Gwendolyn Hollaar TI - Global health electives: Ethical engagement in building global health capacity PY - 2020////6/2 CY - Mwanza, Tanzania PB - Taylor & Francis &, Catholic University of Health and Allied Sciences [CUHAS – Bugando] N2 - Abstract Purpose: Little is known about the impact medical trainees undertaking global health electives (GHEs) have on host institutions and their communities in low-and middle-income countries. The goal of this study was to explore the relationship dynamics associated with GHEs as perceived by host stakeholders at three sites in sub-Saharan Africa. Method: This case-based interpretive phenomenological study examined stakeholder perspectives in Mwanza, Tanzania, and Mbarara and Rugazi, Uganda, where the University of Calgary, Alberta, Canada has long-standing institutional collaborations. Between September and November 2017, 33 host stakeholders participated in semi-structured interviews and 28 host stakeholders participated in focus group discussions. Participant experiences were analyzed using interpretive phenomenological techniques. Results: The findings revealed that, although GHEs are well-established and a common experience for host stakeholders, their perceptions about who visiting medical trainees (VMTs) are remains indistinct. Participants acknowledged that there are a variety of benefits to GHEs, but overall VMTs appear to benefit the most from this unique learning opportunity. Host stakeholders described significant challenges and burdens of GHEs and recommended ways in which GHEs could be improved. Conclusions: GHEs need to be designed to better embrace ethical engagement and reciprocity with host stakeholders to ensure equity in benefits and responsibilities UR - https://doi.org/10.1080/0142159X.2020.1724920 ER -