Primary Care Research

The Hope Initiative

Primary Care Research

The Challenge

Achieving and maintaining sustained improvements in health outcomes around the globe depends upon the ability of primary health care delivery systems to respond to the changing needs of frontline healthcare workers and the communities they serve.

High levels of stress can negatively affect the wellbeing of healthcare workers and lead to burnout, in which they experience emotional exhaustion, depersonalization from patients, and reduced personal accomplishment. Among healthcare recipients, hopelessness can contribute to negative health outcomes and a weakened immune system.

Our Solution

We recognize that people thrive when they feel valued, capable, and hopeful. Since the founding of TIP Global Health, our belief has been that hopefulness among frontline health workers and the community members they serve greatly impact our ability to achieve and sustain health goals. The Hope Initiative aims to prove this through rigorous research that will transform health care systems. Learn more about the Hope Initiative.

Our Impact

TIP began our research by adapting the Herth Hope Index (HHI) to measure hope and the key features of hope- interconnectedness, readiness for change, and future-oriented mindset- in the Rwandan context. Our detailed process to develop the Herth Hope Index-Kinyarwanda (HHI-K) has been published in the Quality of Life and Health Outcomes Journal.

We are now conducting a qualitative analysis of factors that contribute to hopefulness among frontline health workers and mothers in rural Rwanda. This research involves interviews with pregnant women and mothers with young children, frontline health workers, national policymakers, and researchers. Our findings will inform interventions designed to increase hopefulness and, in turn, improve health outcomes.
In 2020, TIP’s Hope Initiative team traveled from Rwanda to Detroit, Michigan at the invitation of Henry Ford Health System. We facilitated a week-long Hope Workshop that engaged public and private sector health systems, frontline health workers and Community Health Workers to discuss the influence of hopefulness on maternal health outcomes in Detroit. We are now guiding them through similar Hope-related research.
Together we are working to highlight the critical importance of building hopeful health systems for better health outcomes—from Rwanda to Detroit!
TIP’s Resource Hub
Explore our latest research, blogs,
success stories, and more.
“You Are Doing What?” Podcast Featuring Dr. Wendy Leonard
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Hope in Healthcare Summit 2021
Watch the virtual summit, held on October 6, 2021, that explored the role of hopefulness in…
From Ruli to Detroit: Cross-Continental Learning
When Henry Ford Health System visited Rwanda in partnership with Robert Wood Johnson Foundation, they visited…
Hope Among Health Workers and the Communities They Serve – AMCHP 2021
Watch a panel discussion between TIP Global Health’s Dr. Wendy Leonard and Angele Bienvenue Ishimwe and…
Aheza Community Health Initiative at Work: Improving the Nutrition Status of Children
Many families experienced additional hardship as a result of the COVID-19 pandemic, including an increased risk…
Announcing TIP Global Health’s 2020 Annual Report
Below is an excerpt from TIP Global Health’s 2020 Annual Report. Click the button below to…
With Support, Anything is Possible
After the loss of her daughter-in-law, 65-year-old Josephine found herself as the main caregiver of a…
The Last Mile: Key to Primary Care Delivery
Primary health care is widely perceived as the pathway to universal health coverage and achievement of…
First Research Findings Published from Hope Initiative
TIP adapted the Herth Hope Index to the Rwandan context, and we have been using this…
Empowering Community Health Workers Through Digital Tools
Since TIP’s founding, the approach to empower frontline health workers has been to co-design solutions with…
Healthy Behavior Change Is Possible With Effective Education
TIP’s work in rural communities is able to provide several tools to assist community members in…
2020: A Year of Challenges and Growth
While 2020 was a challenging year for us all, TIP is proud of the impact frontline…

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& improving lives.

TIP Global Health believes that every person deserves a healthy future. Hopefulness builds resilience, enabling frontline health workers and the families they serve to lead long, healthy lives. But we can’t do this important work without your support.