Aparna Sridhar, MD, is deeply involved with UCLA’s global health efforts. She leads the GRACE program, which focuses on improving reproductive health through partnerships in education and clinical care. Dr. Sridhar highlights how these experiences help UCLA’s healthcare providers learn to care for California’s diverse population.
These global travels offer insights into unique childbirth practices. For instance, in India, new mothers often follow specific diets to help with milk production and avoid foods that might upset their stomachs. They also use a method called “belly-binding,” where a cloth is wrapped around the waist to support recovery after childbirth. This practice, similar to postpartum binders used in the U.S., shows how culture shapes care approaches.
Such observations help doctors understand the varied cultural backgrounds of their patients. Dr. Sridhar emphasizes that care should respect individual preferences and experiences. She refers to this understanding as “cultural humility,” a principle that is vital in Los Angeles, where many different cultures converge.
The GRACE program also fosters cross-cultural exchanges. For example, UCLA collaborates with the Federation of Obstetric and Gynecological Societies of India to discuss medical guidelines. Dr. Sridhar notes that instead of merely teaching each other, both sides share valuable experiences, learning about similarities and differences shaped by diverse healthcare systems.
In another partnership, UCLA and the South Asian Federation of Obstetrics and Gynecology conduct virtual simulations to improve responses to obstetric emergencies. These simulations allow teams to train together despite geographic barriers, especially in managing crises like hypertensive emergencies in pregnancy.
Additionally, Dr. Christopher Tarnay from UCLA has made significant strides in Uganda. He helps run the Center for Gynecologic and Fistula Care in partnership with local hospitals. This center not only offers treatment but also trains healthcare providers. Initiatives like this provide invaluable experiences for UCLA residents while bridging gaps in care.
The need for maternal care innovation is critical, especially in sub-Saharan Africa. In 2020, this region accounted for nearly 70% of the world’s maternal deaths. Zimbabwe alone has a maternal mortality rate of 358 per 100,000 births compared to just 18.6 in the United States, according to the World Health Organization.
Dr. Sridhar’s next project focuses on using augmented reality technology to teach rural healthcare providers in Zimbabwe. This approach could help mentor healthcare workers energetically while ensuring they remain in their communities. “It’s a significant step forward,” she says, reflecting on how technology can solve pressing healthcare issues.
Importantly, the lessons learned in these international settings can also apply back in California. “We have maternity care deserts here at home,” Dr. Sridhar explains, pointing out that closures of maternity units create challenges similar to those faced globally.
Her dedication to the GRACE initiative aims to ensure that quality care is accessible no matter where someone lives. She asserts that global learning is not just beneficial; it’s essential for enhancing healthcare quality everywhere.
In a world where healthcare disparities are apparent, Dr. Sridhar’s initiatives show that through understanding and shared knowledge, we can create better, more equitable health systems for everyone.
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