OpportunitiesTempus project IB_JEP 22183-2001“Development of Public Health Services in Kyrgyzstan” 2002-2004Partners: Kyrgyz State Medical Academy, Bishkek, Kyrgyzstan St. Martin’s College (present University of Cumbria), Lancaster, UK Pirkanmaa Polytechnic, Tampere, Finland
Project Objective:The development of a modern, effective Institute for Health Management and Public Health working in partnership with the Ministry of Health to provide high quality initial and continuing education to health professionals in Kyrgyzstan through: Updating 2 Undergraduate courses to reflect current needs and practices Development of a Masters Course Development of Quality Assurance practices & procedures Improving practices of Continuing Professional Development Establishment of International Forum of PH professionals
Opportunities in Kyrgyzstan Kyrgyz State Medical Academy: Public Health Faculty; Administration; International office; Material and Technical base Ministry of Health: Health Care System; Medical Education System Ministry of Education and Science: Higher Education System Local Tempus Office
Opportunities in the UK St. Martin’s College: Public Health; Nursing; Occupational Therapy; International Office; Material and Technical System Public Health System of UK; Health Care System of UK; Higher Education System
Opportunities in Finland Pirkanmaa Polytechnic: International office; Administration; Material and Technical base Public Health System of Finland; Health Care System of Finland; Higher Education System: Public Health professionals education; Nursing education
Opportunities, Challenges,Compromises Intellectual potential of Universities of countries with different ideological heritage, economical situation, culture, education and research, health care and public health system, experiences and approaches. This potential is presented by different intellectual qualities of the team members: inquisitiveness, criticality, sensitivity to the contradiction, creativity, ability to generate unusual ideas, discipline, self-control, dialogue etc.
Challenges We’ve got “what” to do in the project; We’ve got “where” to do it; We’ve got “who” would do it; And we must have found out “how” to do it.So the main challenge was:How to realize the project using all theseopportunities under different conditions andcircumstances effectively?
Activities 4 visits to Kyrgyzstan 6 visits to Europe - 20 of the KSMA teaching staff (17) and top managers (3) 2 weeks of Intensive English course in the UK - 12 KSMA faculties (competition) 2 months of English course - 12 KSMA faculties International conference with proceedings Web-site and National Forum of Public Health Specialists Equipment of department’s offices by computers, printers, etc.
Curriculum development 2 undergraduate programmes: Preventive Medicine Programme - 5 year 25 students of the 1st year, 40 students of the 2nd year Nursing Programme - 3.5 year 20 students of the 1st year 2 postgraduate programmes: Master of Public Health Master of Public Health Nursing
New courses Health concepts Health Promotion International Health Professional Communication Media Communication Writing Communication Critical Analysis Leadership Conflict Management
Conference, October, 9-11 2003 90 participants: PH practitioners of Kyrgyzstan; Armenia, Kazakhstan, Tajikistan, Uzbekistan; UK, Finland; Present problems of PH services and education in PH in Kyrgyzstan and in the world were discussed; Developed programmes and courses were presented; Web-site of the project and the International Forum are presented (http://phksma.host.net.kg); Conference resolution was accepted; Conference results were published in the proceedings
Acquaintance, mastering, updating,developments and implementations Features of European PH systems on examples of the UK and Finland; New trends in international public health systems development; Updating and mastering new teaching techniques: Preparation and use of video materials Use of case studies
Acquaintance, mastering, updating,developments and implementations Updating Quality Assurance system: Use feedback from students for the Central methodical committee for preventive medicine courses; Including 2 experts from practical PH services in the committee; Use of peer teaching and peer review of learning materials in practice of the KSMA Continuing Professional Development: 3 round tables on CPD for PH specialists; Discussions aren’t finished yet; Standards for PH specialsts is being developed
Gained Benefits of the project Professional and cultural growth of the KSMA teaching staff; Big prerequisites for development of the national public health services are made; Broadening of international contacts with UK and Finnish institutions in research and educational area
Publications of project results Collection of papers on Public Health Issues and Proceedings of the International Conference on Public Health in Kyrgyzstan, Cholpon-Ata, October 9-11 2003. Bishkek: Kyrgyz State Medical Academy. O’Brien, V (2003) The Social Context of Health: Culture and Health in Public Health Development Kyrgyzstan: education, science, practice. Proceedings of the International Conference on Public Health in Kyrgyzstan, Cholpon-Ata, October 9-11 2003. Bishkek: Kyrgyz State Medical Academy. OBrien, V. Djusupov, K. Kudaibergonova, T. (2005) Public health challenges in Kyrgyzstan: developing a new curriculum. Rural and Remote Health 5 (online) 2005: 461 Available from: http://rrh.deakin.edu.au
Publication of project resultsO’Brien, V (2005) Public Health in Kyrgyzstan: The Land of the Celestial Mountains Threevoices Films, Levens www.threevoices.info/Threevoices/Films.htmlO’Brien, V. Djusipov, K. Kudaibergonova, T (2005): Public health challenges in Kyrgyzstan: developing a new curriculum. Rural and Remote Health 5 (online)http://www.rrh.org.au/publishedarticles/article_print_461.pdfKyrgyz State Medical Academy:http://kgma.aknet.kgUniversity of Cumbria (St. Martin College):http://insight.cumbria.ac.uk/156/Pirkanmaa Polytechnic web site:http://www.piramk.fi/materiaalit/kv/wwwspirit03.pdf
Challenges These results are only the visible tip of an iceberg and all the work from which these results became possible are not visible. ‘Under the water’, the invisible support for the visible tip of the iceberg, we can find the people who made the project successful.
Challenges at start of project Lack of resources: Period of transition after USSR Collapse; Lack of opportunities for international work; Poor awareness and understanding of international work; Lack of skills for international work at staff (Computer, Internet, Foreign Languages) Lack of international contacts with universities; Lack of initiative for international work;
Compromises at start of project Administrative support: Support, encouraging and acknowledgment of international work by top managers; International office establishment and hiring staff with international experience; International office activity: Website with international projects funding information and successful stories of people; Organising seminars on international grant initiatives; Individual consultations on attending international conferences and grant writing; Looking for collaborators for international projects
Challenges during the projectProject: Short-term: Project was planned for 3 years, but we only got 2 years funding; Frequent visits of partners (intensive work in trips and after trip at universities); Bureaucracy: Lots of project forms; Visa arrangement documents
Challenges during the projectCountries: Lack of recourses (Collapse of Soviet Union, transition economics); Visa support (UK Embassy in Kazakhstan); Culture (Different values); System of education (Based mostly on class contact); Health care system (Terms: e.g. health inequality); Public health care (PH professionals are medical doctors)
Challenges during the projectUniversities: Work overload of staff (System of education based mostly on class contact); Lack of initiative from universities and staff (Ministry of Health and Ministry of Education subordination) Limited opportunity to involve more people from chair; Lack of opportunity to involve professionals from practical part of Public Health System
Challenges during the projectPeople: Language barrier (poor English); Poor access to specific literature (Limited library funds and internet access); Poor material and technical base of chair; Work overload of project team members; Lack of awareness and recognition of project by KSMA staff; Participation in international project is not acknowledged by universities as work load; Limited opportunity to involve more people from staff of university and chair; Head of Chair subordination of team members; Ministry of Health and Ministry of Education subordination (difficult to involve professionals from practical part of Public Health System)
Compromises during theproject International Office (logistics, technical support, interpretation); Inclusion of “political” members in the project team; Inclusion of leaders of KSMA and Public Health system in the project team and their great support and acknowledgement ; Cooperation with Local Tempus office (Project equipment purchasing documents); Tremendous work of team (sacrificing time, weekends, sleep etc.) Setting up English Language courses; Setting up Computer and Internet user courses; Setting up Tempus project web site; Our families support; Our friends and collegues support; Our Lands support (Culture, Traditions of Hospitality, Nature etc)
Challenges at the “end” of theprojectThe international project can be compared to chain reaction which starts with the several passionate people who than involve more and more other people who contribute the project their forces and emotions, knowledge and skills, hopes and aspirations for their countries benefit.And the main challenge at the end of the project is that this chain reaction does not stop on you but goes on!