A Global Response; Pediatric Global Health Fellowship Rodney Finalle, MD Director of Global Health April 5, 2009

2 Billion Children Live in the World 3% live in the USA 90% live in developing countries 40% of population of the developing world are children MDG #4 Reduce under 5 mortality by 2/3 Pediatric Global Health 30,000 children die every day from preventable causes

2 Billion Children Live in the World

3% live in the USA

90% live in developing countries

40% of population of the developing world are children

MDG #4

Reduce under 5 mortality by 2/3

Improve children’s health in poor communities, in poor countries. Cross Disciplines Truly Collaborative Focus on Early Childhood Bridges Academic with Health System Response Global Health at CHOP 30,000

Improve children’s health in poor communities, in poor countries.

Cross Disciplines

Truly Collaborative

Focus on Early Childhood

Bridges Academic with Health System Response

Dominican Republic Partnership in 2004 Bateyes communities: No access to clean water, plumbing, food, or healthcare Migrant poor families surviving on $1 per day per person Global Health Partners 30,000 Botswana Partnership in 2007 Grew out of an Academic Collaboration (UPenn) Ravaged by the AIDS Pandemic and Tuberculosis Focus on AIDS, TB, Malnutrition and nursing

Dominican Republic

Partnership in 2004

Bateyes communities: No access to clean water, plumbing, food, or healthcare

Migrant poor families surviving on $1 per day per person

CHOP Doctors, nurses, therapists working in partner communities Global Health Allies “… bringing our local expertise global, and bringing our global experiences back to our local workplace.” 30,000

CHOP Doctors, nurses, therapists working in partner communities

Institutional Buy-In Friends in high places Align with the future Malpractice Reassurance and organization Risk Real vs. Perceived Scheduling Flexibility Funding No stone left unturned International Communication, commitment and collaboration Institutional Challenges & Responses 30,000

Institutional Buy-In

Friends in high places

Align with the future

Malpractice

Reassurance and organization

Risk

Real vs. Perceived

Scheduling

Flexibility

Funding

No stone left unturned

International

Communication, commitment and collaboration

The Concept: A Pediatric Global Health Fellowship Global Health; Need for Leadership “… training future leaders in global health, an emerging field of academic study…” 30,000

The Concept: A Pediatric Global Health Fellowship

The Traditional Academic Model, With a Twist! Global Health Fellowship 30,000 Clinical Care Education Research Advocacy

The Traditional Academic Model, With a Twist!

Two Years of Fellowship; Building Knowledge, Research and Leadership Skills 50% Clinical Time 50% Research and Education Guided distance curriculum Active faculty support and mentoring Global Health Fellowship Structure 30,000

Two Years of Fellowship; Building Knowledge, Research and Leadership Skills

50% Clinical Time

50% Research and Education

Guided distance curriculum

Active faculty support and mentoring

What it is…and what it is not: Infectious disease Tropical medicine Public Health Environmental science Advocacy Economics Education Sociology Global Health Curriculum 30,000

What it is…and what it is not:

Infectious disease

Tropical medicine

Public Health

Environmental science

Advocacy

Economics

Education

Sociology

International Sites Engaged partners, MOH involvement Supervision In country and home institution Distance Learning Self guided, web enabled Crossing Cultures Selection of appropriate fellows, supporting capacity locally in partner communities Feedback and Mentoring Support mechanisms (academic and personal), professional development Global Health Fellowship Unique Features 30,000

International Sites

Engaged partners, MOH involvement

Supervision

In country and home institution

Distance Learning

Self guided, web enabled

Crossing Cultures

Selection of appropriate fellows, supporting capacity locally in partner communities

Feedback and Mentoring

Support mechanisms (academic and personal), professional development

Global (not defined by borders) Health (as opposed to medicine) Possibilities: Community health campaigns Analysis of public/private partnerships Mobilization of communities to address disparities in care Global Health Fellowship Scholarly Activity 30,000

Global (not defined by borders)

Health (as opposed to medicine)

Possibilities:

Community health campaigns

Analysis of public/private partnerships

Mobilization of communities to address disparities in care

Focus on: Medicine (i.e.: doctors) Other health fields Other non-clinical areas US personnel Address local professional development challenges Us Make capacity building a priority Limitations & Growth Opportunities 30,000

Focus on:

Medicine (i.e.: doctors)

Other health fields

Other non-clinical areas

US personnel

Address local professional development challenges

Us

Make capacity building a priority

Possibilities Child Mortality Capacity Building Enhanced Collaboration Professional Development Fellowship Outcomes 30,000 … stay tuned!

Possibilities

Child Mortality

Capacity Building

Enhanced Collaboration

Professional Development