The Jerusalem Conference The Jerusalem Conference on Developing New Schools on Developing New Schools

of Public Health, March of Public Health, March 2002:2002:

Presentation at Open Society Institute Workshop on Population-Based Approaches to

Graduate Level Public Health Education, Yerevan, June 25-27, 2003

TH Tulchinsky MD MPH,

Braun School of Public Health, Jerusalem

With Thanks to Supporters/Participants With Thanks to Supporters/Participants in the Jerusalem Conferencein the Jerusalem Conference

Open Society Institute MASHAV (Foreign Ministry) Ministry of Health Braun SPH Hebrew University Brookdale Institute ASPHER WHO

Participating Countries/SPHsParticipating Countries/SPHs

Albania Bulgaria England Estonia Georgia Germany Hungary Al Quds, Jerusalem Kazakhstan Kenya

Latvia Lithuania Moldova Romania Russia (OSI, MMA, Tver,

St Pete, Chelyabinsk) Ukraine US Uzbekistan Wales

Published As: Tulchinsky TH, Epstein L, Norman C [eds]. Proceedings of the International Conference on Developing New Schools of Public Health. Public Health Reviews, 2003; 30, 1-392

Write to: Pam@hadassah.org.ilWrite to: Pam@hadassah.org.il

Keynote addresses OSI/ASPHER PEER review Mission and structure of SPHs Student expectations, selection, and assessment Curriculum Service and research roles Resources for a SPH Working Goups Background papers and resource material by Braun

Faculty

What’s the ProblemWhat’s the Problem

To understand and report on the scale of the health situation and to raise public and political awareness

To interpret patterns of health and morbidity e.g smoking, alcohol with social dislocation

To advise on what should be done, drawing on best available evidence of effectiveness of interventions from different settings

To monitor the impact of new policies, adapting them for changing circumstances

McKee M. Foreword. Proceedings of the International Conference on Developing McKee M. Foreword. Proceedings of the International Conference on Developing New Schools of Public Health. Public Health Reviews, 2002;30.New Schools of Public Health. Public Health Reviews, 2002;30.

ObjectivesObjectives

Centers of excellence – training, research, service International standards Academic support Attractive to students and stakeholders Sustainability Acceptance of graduates and faculty Accountability and peer review

KeynotesKeynotes

Adany – PH challenges of 21st century Epstein – Braun SPH Simmons – OSI/ASPHER PEER criteria Laaser – Mission and structure of SPHs Varavikova – Student expectations Normand – Student assessment Tulchinsky – Curriculum for MPH Zwanikken – Service role of SPHs Kalediene – Kaunas experience Normand – Working Groups

OSI/ASPHER PEER Review CriteriaOSI/ASPHER PEER Review Criteria

1. Development and mission of SPH

2. External environment

3. Internal organization environment

4. Teaching staff

5. Students and graduates

6. Training programs

7. Teaching/learning facilities

8. Research

9. Institutional quality management

TTriad of Roles of riad of Roles of Schools of Public HealthSchools of Public Health

Training and Training and educationeducation

Training and Training and educationeducation

ResearchResearchResearchResearch

ServiceServiceServiceService

Structure and Stakeholders for SPHsStructure and Stakeholders for SPHs

School of School of Public HealthPublic Health

School of School of Public HealthPublic Health

Ministry Ministry of Healthof HealthMinistry Ministry of Healthof Health

Local Local governmentsgovernments

Local Local governmentsgovernments NGOsNGOsNGOsNGOs

Other Other AAcademic cademic institutionsinstitutions

Other Other AAcademic cademic institutionsinstitutions

UniversityUniversityAcademyAcademyFacultyFaculty

UniversityUniversityAcademyAcademyFacultyFaculty

Funding Funding AgenciesAgencies

Funding Funding AgenciesAgencies

FacultyFacultyFacultyFacultyStudentsStudentsStudentsStudents

Other health Other health institutionsinstitutions

Other health Other health institutionsinstitutions

Other Other MinistriesMinistries

Other Other MinistriesMinistries

InternationalInternational AAcademic cademic PartnersPartners

InternationalInternational AAcademic cademic PartnersPartners

Potential Contribution of Potential Contribution of Schools of Public HealthSchools of Public Health

Train people (skills and competencies) to: Analyze health system and PH problems Develop evidence-based policies Assist governments in adjustment process Work with public and private sector

Research and develop tools to deal with new issues, e.g. globalization, communications technology, internet

Continuous education Develop policy, programs, models and actions driven by

national and community needs (e.g. poverty reduction, HIV Px) Create a demand for a new professionalism in public health

Public Health Training and EducationPublic Health Training and Education

Undergraduate training Public health students Medical and nursing students Students of social sciences, biology, law etc. Students of public health management and administration

Postgraduate training MPH students Students of management and administration in public

health Public health residency training, e.g. occupational health Research training -MSc and PhD training

Professional continuing education

SPH and MPH Graduates Interactions SPH and MPH Graduates Interactions

Professional Needs

Training/Education

Science of Learning experiences

Advocacy and Interventions

Information

Presentation

ManagementLegislation

Resourceallocation

AnalysisPrioritisationStrategy ImplementProvision of service

MPH Graduate Schools of Public Health

Research & Technology development

Technical cooperation

Direct community action

Source: Varavikova EA. Proceedings of International Conference

Survival and

Success

Graduates: Skills and ValuesGraduates: Skills and Values

Values Commitment Knowledge and positive attitude Ideology Flexibility Ability to take risk and make decisions Networking and team building Staying power

Professional Continuing EducationProfessional Continuing Education

Short-term training courses in Public health management and financing Environmental health Health promotion and education Epidemiology and research methods Health economics Health ethics and law Strategic planning and health targets

Role of Research in SPHsRole of Research in SPHs

Set standards of evidence from past and current international experience

Identify avoidable morbidity/mortality in individual and population health

Identify individual and societal risk factors Explore ways to prevent disease and promote health Find the ways of improving primary prevention and

delivery of health services (efficiency, effectiveness, evidence-based)

Promote quality in management in health systems

Conducting Research in SPHsConducting Research in SPHs

Publications in local and international peer reviewed scientific journals

Develop culture of peer review and a self-critical attitude (Research Forum) for students and faculty

Disseminate findings to those who can benefit If in national language, abstract in English invites

comment and criticism from a wider audience If funding of a SPH is tied to teaching hours, need to

provide incentives and time for active research to be valued and rewarded

Service in Public HealthService in Public Health

Participation in the legislative and policy process Support, advice, and counsel PH practitioners,

governments, and the public at large Work at local, national, and international level on public

health practice, policy, services and their development, Initiate debate and advocacy based on their scientific

knowledge, judgement, and values

Zwanikken PAC. Service role of schools of public health: In between research and Zwanikken PAC. Service role of schools of public health: In between research and education? Public Health Reviews;30:133-41 (education? Public Health Reviews;30:133-41 (Proceedings of the International Proceedings of the International Conference on Developing New Schools of Public HealthConference on Developing New Schools of Public Health))

Participation in International Public Participation in International Public Health Networks and CollaborationHealth Networks and Collaboration

International standards Training – local and abroad Research – bilateral, multi-lateral Exchange of students and teachers Continuity and support Academic – faculty development Professional organizations Graduates – alumni organizations

Conclusion of Jerusalem ConferenceConclusion of Jerusalem Conference

A high sense of need for schools of public health in former Soviet countries and in developing countries

Evolution from Social Hygiene to a “new public health” Requires time, resources, international support and

adaptation from successful experience to local circumstances Requires post-graduate training and research centers of

excellence with a high capacity for policy analysis The bottom line - high mortality and morbidity from

preventable diseases cannot be addressed without training large numbers of public health professionals

Thank you!Thank you!

The Jerusalem conference helped participants to face the task in their own settings

and to understand its dimensions