Transcript One Health Workforce

The 4th International Health Literacy Conference
Hai Phong, Nov 7th – 9th, 2016
One Health Core Competencies &
Curriculum Development in SEA & Vietnam
Dr. Phuc Pham-Duc
Vietnam One Health University Network
Email: [email protected]
Outline
• One Health (OH) Rationale & Definitions
• Brief History of One Health
• About SEAOHUN & VOHUN
• OH Core Competency (OHCC) Domains
• OH Modules
• Challenges for One Health
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The world we live in is…
• Complex/Complicated
• Global/Interconnected
• Challenging
IMAGE: www.modis.co.uk
.... Changing World ....
Increasing human population
Pathogen adaptation
Climate change
Environmental
pollutants
Globalization
Modernized
technology
Deforestation
& wild meat consumption
Differences in socioeconomic development
and traditional livelihoods
Invasion species
& exotic pest and diseases
Complex problems: systems approach
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Food Insecurity
• Infectious Disease
• High Priority
Food Safety
• HIV, TB, Malaria
Poverty
• Neglected Tropical
Diseases
Water Insecurity
• Antibiotic resistance
Safe water
• Emerging Diseases
Climate Change
• Chronic Disease / NCDs
• Heart Disease
Unsustainable Natural
Resources
• Malnutrition
• Allergies
• Environmental contamination
• Cancer
• Political Strife and Conflict
• Diabetes
Global Health Security
Agenda
“…We must come together to prevent,
and detect and fight every kind of
biological danger – whether it’s a
pandemic like H1N1, a terrorist threat,
or a treatable disease.”
President Barack Obama, 2011
Why One Health?
• Emerging and re-emerging zoonoses
• Rapid worldwide spread
• Serious threats to public health and economic
stability
• Early identification of pathogens and rapid response
to outbreaks needed
• Comprehensive disease detection and response
capacities needed
What is One
OneHealth
Health?
The collaborative efforts of multiple
disciplines working locally, nationally and
globally to attain optimal health for people,
animal and our environment
(FAO, OIE, WHO, WB…)
Humans + Animals + Ecosystems
http://www.cdc.gov/onehealth
• Professionals working together:
• Interdisciplinary (interactive)
• Multidisciplinary (additive)
• Transdisciplinary (holistic)
To create BETTER outcomes!
OH can be many partners…
• Human health:
• World Health Organization (WHO)
• Ministries/Departments of Health
• Community health centers
• Animal health:
• World Organization for Animal Health (OIE)
• Ministries/Departments of Agriculture, Animal Health
• Farming industry
• Ecosystem health:
• Foreign Agriculture Organization (FAO)
• Ministries/Departments of Natural Resources
• Wildlife/conservation organizations
MORE TO
COME
BEGINNING
South East Asia One Health University Network
(SEAOHUN)
Hanoi School of Public Health
Hanoi Medical University
Hanoi University of Agriculture
Chiang Mai University
Mahidol University
Universiti Kebangsaan Malaysia
Universiti Putra Malaysia
Institut Pertanian Bogor
Universitas Indonesia
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Universitas Gadjah Mada
Vietnam One Health University
Network (VOHUN)
Bac Giang University of
Agriculture and Forestry
Hanoi (Network Secretariat):
• Hanoi School of Public Health
• Hanoi Medical University
• Vietnam National University of Agriculture
Thai Nguyen University:
• College of Medicine &
Pharmacy
• College of Agriculture &
Forestry
Hai Phong University of
Medicine and
Pharmacy
Hue University:
• College of Medicine and Pharmacy
• College of Agriculture and Forestry
Thai Binh University of
Medicine & Pharmacy
Dak Lak: Tay Nguyen University
• Faculty of Medicine and Pharmacy
• Faculty of Animal Science and Veterinary
Medicine
Nam Dinh University of
Nursing
Hochiminh City:
• HCMC University of Medicine and Pharmacy
• HCMC University of Agriculture & Forestry
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Can Tho
•University of Medicine
& Pharmacy
•Can Tho University /
Faculty of Agriculture and
Applied Biology
Aim
To promote the One Health approach through university training and
research to inspire a new generation of lecturers and researchers
equipped with a full range of knowledge and skills to practice the
One health approach
Vision
National network of social and intellectual excellence on One Health
against infectious and zoonotic diseases
Mission
To link and empower leading universities in Vietnam to generate
social and intellectual capital on One Health against infectious and
zoonotic diseases
How do you “do/make” One
Health (in academia)?
• Identify and/or understand the knowledge, skills,
attitudes, behaviors that are necessary for
collaboration
• These are known as the One Health Core Competencies
(OHCCs)
• Map your curricula for these OHCCs
• Embed these OHCCs into various training platforms
• Curricula (for students)
• In Service Training
What do we mean by “Core Competency”
(vs. Domain)?
• Core Competency: Knowledge, Skills,
Attitudes, Behaviors to be a One Health
Professional
• Domain: Broader grouping of competencies
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Management
Communication and Informatics
Culture and Beliefs
Leadership
Collaboration and Partnership
Values and Ethics
Systems Thinking
One Health Competency Domains for
SEAOHUN - Country and Regional
OHCC Regional Domains by Country July 2012 Workshop Results
SEAOHUN
Regional
Domains
October 2012
Malaysia
Indonesia
Thailand
Vietnam
Management
Management
Planning and
Management
Planning and
Management
Management
Communication
Communication
Communication and
Informatics
Communication and
Informatics
Communication and
Informatics
Culture and Belief
Culture and Belief
Culture and Ethics
Culture and Beliefs
Culture and Beliefs
Leadership and
Professionalism
Leadership and
Professionalism
Leadership
Leadership
Leadership
Collaboration and
Partnership
Collaboration
Collaboration and
Partnership
Collaboration and
Partnership
Collaboration and
Partnership
Ethics
Values and Ethics
Values and Ethics
Values and Ethics
Systems Thinking
Systems Thinking
Systems Thinking
Systems Thinking
Systems Thinking
One Health Knowledge
Policy, Regulation and
Advocacy
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Management:
• Includes competencies that enable partners to plan,
design, implement, and evaluate programs across
disciplines and sectors in order to maximize
effectiveness of action and desired One Health
outcomes.
• Program:
• Planning
• Design
• Implementation
• Evaluation
Communication:
• Includes competencies that foster effective
communication and information sharing across
disciplines and sectors.
• Communication Management
• Information Management
Culture and Beliefs:
• Includes competencies focusing on effective
communication and interactions through the
understanding of diverse social norms, roles, and
practices of individuals, communities, and organizations
that impact an intended One Health outcome.
• Cultural Sensitivity
• Belief Systems
Leadership:
• Includes competencies that focus on creating shared
visions, championing collaborative solutions through
critical and strategic decision- making, and energizing
commitment to transdisciplinary approaches for One
Health challenges.
• Strategic/Critical Thinking
• Shared Visions
• Decision Making
• Collaborative Solutions
• Team Commitment
Collaboration & Partnership
• Includes competencies that identify, recruit,
work with, and sustain the willingness and
ability of a diverse range of stakeholders to
work effectively to advance One Health
• Stakeholder
• Identification
• Recruitment
• Roles
• Retention
Values and Ethics
• Includes competencies that enable partners to identify
and respond with respect and fairness across all
disciplines and sectors to One Health issues in diverse
human, animal and ecosystem contexts, and promote
accountability for the full impact of decisions on the
integrated system at local, national, and international
levels.
• Respect and Fairness
• For Individuals
• In Teams
• Between Organizations
• Accountability for Full Impact
Systems Thinking
• Includes competencies that recognize how elements
influence and interact with one another within a whole
that result from the dynamic interdependencies among
human, animal, environmental and ecological systems, and
how these interdependencies affect the relationships
among individuals, groups, organizations, and communities
• Systems
• Knowledge
• Management
• Evaluation
• Improvement
SEAOHUN Regional
OH Course Modules
Behavior
development
Ecosystem health
Collaboration and
partnership
Fundamentals of Communication and
infectious disease
informatics
One Health
concepts and
knowledge
Culture, beliefs,
values and ethics
Leadership
Epidemiology and
risk analysis
Policy, advocacy
and regulation
Public health
Systems thinking
Infectious disease
management
Management
One Health
economics
Courses vs. OH Core Competencies
• How well does your curriculum align with
OH core competencies already?
• Identify strengths and gaps of your
curriculum
• Use existing courses as an avenue for
building OH core competencies
• Create new courses to bridge the missing
core competencies
Making your curriculum a One Health
Curriculum is as easy as ,,
Identify Your
Gaps
Know Your OH
Competencies
Fill Your Gaps
How to Make Your Curriculum a
One Health Curriculum
One Health
Competencies
(Core & Technical)
Learning Objectives
Modules
Academic
Curricula
(pre-service)
Professional
Development “Short
Course”
(in-service)
The One Health modules design
is flexible and adaptable
MANY OPTIONS/CHOICES:
• May choose to teach the core competencies as
standalone modules
• May choose to combine elements of modules
• May choose to teach specific sessions
• May choose modules to create a new unit in existing
course or create “short course”
• May choose to localize content and change context
• May tailor to audience of learners
Challenges for One Health
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Institutional challenges:
acceptance, policy engagement
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Capacity building: One Health
Workforce
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Incentives: how to share credits,
added values of One Health.
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Deeper coordination between
sectors on human and animals
health and the environmental
agencies.
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Improving the translation of
evidence and research into policy.
ACKNOWLEDEGMENT
Universities, Institutes, Private Sectors & Community Members
Thank you very much!
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