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What is Global Health?: Anvar Velji


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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.

Published in: Education, Health & Medicine
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What is Global Health?: Anvar Velji

  1. 1. What is Global Health? Anvar Velji, FRCP©,FACP, FIDSA Co-Founder, Global Health Education Consortium Clinical Prof. Medicine, University Of California, Davis Chief, Infectious Disease, Kaiser Permanente Medical Center, So. Sacramento 18th Annual Global Health Education Consortium and The 7th Annual Western International Health Meeting, University of Washington, Seattle April 3-5, 2009
  2. 2. What Is Global Health? <ul><li>Global Health-is a new paradigmatic vision and action that rests on human ideas, ideals, and values of providing high quality of health for all globally </li></ul><ul><li>It has at its core-equity, compassion, altruism, sharing, sensitivity, dignity, respect, philanthropy and professionalism </li></ul>
  3. 3. What is Global Health? <ul><li>Bound by a global ethical code of conduct transcends-boarders, ethnicity, cast, color, race and religions. Enshrines the notion of “global good” </li></ul>
  4. 4. Global Health-Institute Of Medicine Report-1997 <ul><li>Health problems, issues and concerns </li></ul><ul><li>that transcend national boundaries, </li></ul><ul><li>and may be best addressed by cooperative actions </li></ul>
  5. 5. “ Good” Global Health & Equity <ul><li>“ good global health is delivering the </li></ul><ul><li>promise of health for all in an equitable manner and training the global health workforce” </li></ul>
  6. 6. WHO—moral obligations & global health <ul><li>“ Health for all in the 21 st Century (must be) built on the genuine expressions of moral obligations to protect the vulnerable and mitigate inequities with science based and socially sensitive methods.(WHO-1997) </li></ul>
  7. 7. GH & Philanthropy <ul><li>“ Global Health is about caring re unnecessary suffering, the premature death and unmet potential in the world. Applications of tools, resources,noticing and caring, about blatant unfairness”( William Foege-Gates) </li></ul>
  8. 8. Global Health & Gates Foundation <ul><li>“ The Gates Foundation really has three word objective- </li></ul><ul><li>Global </li></ul><ul><li>Health </li></ul><ul><li>Equity” (Gordon Perkin & William Foege ) </li></ul>
  9. 9. The Mexican Health Care Reform <ul><li>Julio Frenk & colleagues-transformed health care using: </li></ul><ul><li>Bedrock of ethics, values, empathy, rights, equity </li></ul><ul><li>Evidence based interventions and science </li></ul>
  10. 10. Equity& Human Rights-and GH <ul><li>” And with equity and human rights as key values-global health ethics provides moral guidance for the health systems, governance and global health as a discipline.”( Velji, A, Bryant, J) </li></ul>
  11. 11. Global Health Centers-Quest For Equity- <ul><li>“ A new frontier of science, a field for inquiry, and an area for action” </li></ul><ul><li>focused around global health challenges embraces individual and population health focused on inequities and disparities </li></ul>
  12. 12. Primary Health Care-Now More Than Ever WHO Report <ul><li>Alma Ata-Oct 2008-30 th Anniversary </li></ul><ul><li>Four sets of reforms: </li></ul><ul><ul><li>Universal Coverage </li></ul></ul><ul><ul><li>Service Delivery Reforms </li></ul></ul><ul><ul><li>Public policy Reforms </li></ul></ul><ul><ul><li>Leadership Reforms </li></ul></ul><ul><li>Reflect convergence between values of primary health care, expectations of citizens, common health performance challenges (Director General Chan) </li></ul>
  13. 13. Service Delivery Reforms Health & Equity <ul><li>The old-new mantra “putting people at the center of health care, harmonizing mind, and body, people and systems” </li></ul>
  14. 14. Role of Global Health Centers <ul><li>Focus on: </li></ul><ul><li>Mission driven education </li></ul><ul><li>Global human being </li></ul><ul><li>Social, environment </li></ul><ul><li>Ethics, values, diversity-equity </li></ul><ul><li>Policy </li></ul><ul><li>Evidence based science </li></ul>
  15. 15. The Global ‘Village’ ‘ it is not a matter of indifference if, in a city, the dwellings of the poor become infested with typhoid and cholera but it is a threat to the health of the richest people also’ Albania - 1999
  16. 16. Afghan refugee - Pakistan - 1996 Mobile Populations are Vulnerable Populations
  17. 17. References: <ul><li>Velji, AM, ed. International health: beyond the year 2000. In Infect Dis Clin North Am 1995 Jun; 9(2):223-461(entire issue). </li></ul><ul><li>Velji, AM, ed. International health: Infect Dis Clin North Am 1991Jun;5(2): (entire issue) &International Health beyond the year 2000,(Same issue) 417-28 </li></ul><ul><li>Velji, A, Bryant JH. Global Health Ethics In: Understanding Global Health (eds.): Markle, WH , Fisher, MA, Smego,RA.295-317.Lange McGraw Hill,2007 </li></ul><ul><li>Institute of Medicine Report: America’s Vital Interest in Global Health, National Academy Press, Washington, D.C, 1997. </li></ul><ul><li>McCarthy, M :A Conversation with the leaders of Gates Foundation’s Global Health Program: 6)Gordon Per kin , William Foege : Lancet 2000;356:153-55 </li></ul>
  18. 18. References: <ul><li>Global Health-The Gates-Buffet Effect: Okie,S, NEJM 355:1084-1088,2006 </li></ul><ul><li>Velji, A, Eight Years and Counting-What Can Americans Do? (Editorial), West j Med,1992:157:84 </li></ul><ul><li>Global Health Education Consortium (GHEC)- </li></ul><ul><li>Bryant, J H, et al. Alma Ata and Health for All by the Year 2000.The Role of Academic Institutions Infect Dis Clin North Am 1991;Jun;5 (2):403416.Also see references-1,2,3,and 6 re role of universities and health/social justice/equity/mission vs. disciplines/development of workforce. </li></ul>
  19. 19. <ul><li>Global Health Sustainability Conference: Focus on the workforce-Global Health Sciences UCSF-Sept 23-25th 2007.Conference summary at-…ept_2007/summary.pdf - and also see H. Debas presentation: Global Health Centers of Excellence: Are We There Yet? Global Health Education Consortium 17th Annual Conference, Sacramento, California, April 3-5, 2008-GHEC Website-Conferences. </li></ul><ul><li>Velji, AM; International Health (editorial). West J Med,1991:155:308-309 </li></ul>References:
  20. 20. Thanks to Brian Ward for the picture slides