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Training Local Health Professionals and Capacity Building. James A. Litch MD, DTMH Centers for Disease Control and Prevention; WA Department of Health, Epidemiology Office; University of Washington School of Medicine. Presentation Overview. International health assistance
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Training Local Health Professionals and Capacity Building James A. Litch MD, DTMH Centers for Disease Control and Prevention; WA Department of Health, Epidemiology Office; University of Washington School of Medicine
Presentation Overview • International health assistance • Community based health projects • National training curricula and training programs • Finding your place • Preparation and timing
Vertical Programs and Primary Care • International aid projects continue to promote vertical programs • Needs are great at the community/health post level • Projects will demand a narrow focus, however health workers needs will be broader • Be creative so knowledge can be applied broadly
Community Based Training Programs: Examples • Mission Hospitals • Peace Corps • Small INGOs • Individual arrangements
Community Based Training Programs: Pearls • Great need for training of health providers • Sites are often isolated from national resources • Many trainers produce their own material • Don’t re-invent; resources exist
National Training Curricula and Training Programs • Most countries have established health training programs • These commonly focus on: • Reproductive Health • Child Health/Immunizations • Logistic Supply • Good materials exist within county or in the region
International Organizations Partnered with Ministry of Health • JHPIEGO – FP, Safemotherhood, HIV, Infection Prevention, Training Trainers, National Training Systems • INTRAH/PRIME II – FP, Safemotherhood, Adolescent Health • Engender Health – FP, Infection Prevention, HIV, Adolescent Health • UNFPA/UNICEF – Family Planning, Safemotherhood • JSI – Child Survival, Logistic Supply
Finding Your Place • Resources are available for use; check with local health ministry and partner international agencies • A few positions exist with international agencies developing material and training systems
Preparation • Training: • Broad clinical skills: family practice residency training • Diploma in Tropical Medicine and Hygiene • Experience (volunteer): • Clinical teaching at home • Short-term overseas clinical work
A Gradual Process • Significant overseas experience is required for long-term positions with international training agencies • Volunteer positions are a fast start to international experience • Build experience gradually and it will pay off
Medical Tourism DEFINITION: Exotic travel to a developing region with a brief opportunity to practicemedicine on local residents Source:Bishop RA and Litch JA. Medical tourism can do harm. BMJ 2000 Apr 8;320(7240):1017. http://bmj.com/cgi/content/full/320/7240/1017
Medical Tourism vs Health Development Treating individual patients yourself Facilitate learning that impacts practice