b'P U LT E I N S T I T U T E forG L O B A L D E V E L O P M E N T 2020 - 2021A N N U A L R E V I E WGLOBAL HEALTHGiving Voice to the VoicelessAs the world retreated into their homes in the wake of theMara Estela Rivero Fuentes used data from the 2014 Mexican novel coronavirus pandemic, it became clear that those alreadyTime Use Survey to shed light on the question: who bears the living below the poverty line would suffer the most. Pulteburden of lockdown at home? Rivero Fuentes found that the Institute staff and faculty sought to bring the stark reality ofimplications of lockdownwhen women add teacher, daycare inequality to the forefront of the media by giving voice toprovider, remote worker and nurse to their daily repertoire those most vulnerable.disproportionately affect women, especially those living Beyond hunger and unemployment, the pandemic revealed thebelow the poverty line. harsh nature of gender inequality as well. The Pulte Institutes PULTE INSTITUTE COVID-19 COMMENTARYThe coronavirus has revealed the true nature of hunger in America, Community health workers are heroes, too,Ray Offenheiser - Chronicle of Philanthropy Ray Offenheiser - BRAC USA COVID-19 effect on access to maternal health services in Kenya, The pandemic reveals truths old and newBelize Response Initiative Danice Brown Guzmn - Frontiers in Global Womens Health about migration from Central America, Tom Hare - Dignity & DevelopmentWomen under the weight of lockdown,Mara Estela Rivero Fuentes - Dignity & Development A pandemic of bungling and mismanagement: Lessons from Ebola,The impact of COVID-19 on community-basedRay Offenheiser - Dignity & Development for Cold Chain Developmentresearch in developing countries,Two paths out of the pandemic in Central America: Danice Brown Guzmn, Lila Kumar Khatiwada, Paul Perrin,Repression or rights?, Mara Estela Rivero Fuentes - Dignity & Development Tom Hare, Juan Posada-Burbano, Clara Villatoro -Dignity & DevelopmentEffective health service delivery around the globe dependsstrengthening the national cold-chain system by identifying Immigrant Doctors Worry About FamiliesNot just business as usual:on a network of interconnected systems. One of these crucialand addressing structural and logistical deficiencies in how Back Home With Little Vaccine Access,Humanizing supply chains amid the pandemic, systems is the delivery of vaccines, pharmaceuticals, andbiological samples are currently stored and transported between Paul Perrin - WFYI IndianapolisMelissa Paulsen - Dignity & Development biological samples from provider to end userotherwiselocal clinics, regional hospitals, and the Central Medical known as the cold-chain. Laboratory (CML), the national reference laboratory for Many health and research organizations rely heavily on efficient,diagnostic testing in the country.reliable, and resilient national cold-chain systems to ensureThe EIGH-Pulte Institute team worked with the MoHW Theincreasedhouseworkandactivecareresponsibilitiescanthe accuracy of their diagnostic work. Unfortunately, theBelize, UPS Healthcare, the UPS Foundation, and Carrier be so drainingphysically and mentallythat women maymanagement and maintenance of the cold-chain can presentto assess the current cold-chain processes of four Regional actuallyseeanincreaseintheamountofhourstheyspendan array of challenges that are often amplified in low- andHospitals to formulate recommendations on best-practices for sleeping. Unfortunately, that means their paid employment oftenmiddle-income countries.biological sample transfer to the CML. The data collected will In January 2021, the Carrier Foundation funded a collaborativebe used to design and develop a field-validated pilot solution becomes the lowest priority.initiative between the University of Notre Dames Eck Institutefor an improved medical cold-chain system that can be further for Global Health (EIGH), the Pulte Institute, the Belizescaled in Belize and implemented as a model framework forMara Estela Rivero Fuentes, SHARE MEL-KM Director,Vector Ecology Center (BVEC), and the Ministry of Healththe Central American region. Phase 2 of the project is expected Pulte Institute for Global Development to begin in Fall 2021.16 and Wellness (MoHW) in Belize, Central America, aimed at17'