What is Global Health?: Defining Global Health

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As proposed by the Declarations of the Alma Ata and challenged by the Millennium …

As proposed by the Declarations of the Alma Ata and challenged by the Millennium
Development Goals, action by players and stakeholders of diverse specialties and
backgrounds is required to achieve health for all. This assembled expert panel
drawn from different backgrounds will enrich the discussion with their own experiences.

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  • 1. Defining Global Health Expanding horizons in medical education, Bellagio, Italy, September, 2008
  • 2. Participant Organizations
    • GHEC
    • WHO
    • Consortium of NAA Global Health Centers
    • Fogarty
    • Deans from Africa and India
    • US Schools: Columbia, Cornell, Tufts, BU
    • Medical Students (Canada, Israel)
    • Sponsored by : Medical School for International Health at Ben Gurion University in collaboration with Columbia University
  • 3. What is a definition?
    • Meaning of a word or phrase
    • Essence of a thing
  • 4. Limitations in defining Global Health*
    • General term without well-defined parameters
    • Evolving field with changing dimensions and challenges
    • No specific standards for global health training and credentialing
    • No established curriculum for the health professions
    • * Deckelbaum, Bellagio, 2008
  • 5. Defining Global Health: IOM, 1997
    • "health problems, issues, and concerns that transcend national boundaries, may be influenced by circumstances or experiences in other countries, and are best addressed by cooperative actions and solutions."
  • 6. Defining Global Health: Consortium of NA Academic Global Health Centers
    • A field of study, research, and action addresses the health of people everywhere , with special focus on health disparities ;
    • Bridges the divide between medicine and public health through practices that are responsive to both community and individual health care
    • Prevention as well as curative and rehabilitative care ;
  • 7. Defining Global Health: Consortium of NA Academic Global Health Centers
    • 4. Engages health and non-health science disciplines to bring coordinated action;
    • 5. Provides training of skilled health workforce at all levels
    • 6. Provides a platform to stimulate interactions among multiple stakeholders
  • 8. Figure 1 The Global Health Wheel Cross Cultural Medicine Medical anthropology Geographic Medicine Disaster Medicine Refugee Medicine Tropical Infectious Diseases Preventive Medicine Writing Grant Proposals Local Diplomacy
  • 9. Recommendation: Defining Global Health
    • No single comprehensive definition of GH
    • Common concepts:
    • Equity
    • Operationalizing preventive-curative
    • medicine and public health by combining
    • disciplines of medicine- admin- health
    • Cross cultural medicine , linked to medical
    • anthropology, geographic medicine, etc.
  • 10. The Bellagio Conference “Expanding Frontiers in Medical Education”: Recommendations for Global Health Education
  • 11. Four main themes in GHE
    • Defining Global Health
    • Specifying Global Health Competencies
    • Operationalizing international placements
    • Effecting inter-institutional cooperation
  • 12. Recommendation: Competencies
    • General
      • Community , e.g. project management, including data collection and analysis
      • Individual , e.g. Hx/ P.E. skills, know guidelines for common global problems, such as malaria in kids
    • Local, e.g. local history, politics, health care system, etc.
  • 13. Recommendation: International Rotations
    • Best method for learning acceptance of other cultures: global attitude: sensitivity and awareness
    • Must be based on inter-institutional cooperation and mutual assistance
    • Method: structured experience that involves local students, has explicit objectives and is evaluated
  • 14. Recommendation: International Collaboration
    • Transparency, trust and professionalism
    • Preliminary mapping of admin, governance, roles, responsibilities, evaluation
    • Written document