What can European universities do for Global Health ?

1. What can European universities do for Global Health? Anne M. Johnson Professor of Infectious Disease Epidemiology Co-director Institute for Global Health, UCL

2. Global health -a multidimensionalconcept- • Transition from national Public health to Global Health occurs ‘where the determinants of health or health outcomes circumvent, undermine or are oblivious to the territorial boundaries of states and this beyond the capacity of individual countries alone to address through domestic institutions.’ Lee K, Collin J eds. (2005) Global Change and Health Term applied in context of: • Global Health Diplomacy • Global Health Security • Global Health Policy • Global Health vs International health vs Public Health

3. What is global health? Global health is... “an area for study, research, and practice that places a priority on improving health and achieving equity in health for all people worldwide. Global health emphasises transnational health issues, determinants, and solutions; involves many disciplines within and beyond the health sciences and promotes interdisciplinary collaboration; and is a synthesis of population-based prevention with individual-level clinical care.” CUGH –USA Koplanet al. (2009)

4. Global health.... A concept in evolution 2.0 International health 1.0 Tropical medicine Global health 3.0 Global health 4.0 Colonial Cold war Development aid Globalisation Source: Peter Piot Global Health 4.0 CUGH Seattle 2010

5. 3.0 4.0 • High income countries • PI = North Am/Europe • Study sites • Largely biomedical • Infectious diseases • Clinical trials, epidemiology, implementation • Worldwide • PI = diverse • Centres of excellence • Multi-disciplinary • Broad health issues and disparities • Full spectrum of translation from discovery to implementation science Source: Peter Piot CUGH Seattle 2010

6. UCL Institute for Global Health & the Grand Challenge for Global Health www.ucl.ac.uk/global-health/

7. Activities Within UCL: • initiating and enhancing discipline- and department-specific programmes, research and teaching • stimulating interdisciplinary discourseacross the university • enabling the development of activity to make possible effective large-scale multidisciplinary approaches and interventions. Beyond UCL: • creating real and virtual spaces for academic discourse, in the public-policy arena and international political processes • exploring partnerships with other universities, government, industry, funding bodies, trusts and charities, UK and international agencies to support our research, education, advocacy and public-policy initiatives • positioning UCL as the key informant to governments, business and the community about matters relating to global health

9. www.populationfootprints.org

10. Universal and equitable access to quality health care depends on global and national forces Source: GoranTomson Global health Europe 2010

12. New challenges and contexts • Growing economies (BRIC) • Global population growth, changing demography • Challenges to energy, food, and water security, • Demographic growth and ageing • Growing impact of non-communicable diseases • Migration and social movements • Acceleration of and new communication modalities • New technologies

13. New challenges and contexts 2 • Growth of ‘health industry’ in eg BRIC countries- pharmaceuticals, health professional, manufacturing, 3y education • Equitable Partnership not ‘paternalism’ • Equitable and sustainable capacity development (Iy education needs 3y education) • New models of teaching and learning • Multidisciplinary problem-solving (water, energy, vaccines, epidemic control)

14. ‘As global health becomes an increasingly hot field, there is a risk these well-intentioned efforts are creating a 21st-century scramble for Africa by US universities’ Source: Johanna Crane Lancet 23rd April 2011 commenting on Consortium of Universities for Global Health (CUGH)

15. EuropeanAcademic Global Health Alliance (EAGHA)

16. EuropeanAcademic Global Health Alliance (EAGHA) • 50 Members in 23 countries in Europe “A forum for interested academic institutions with involvement in Global Health to exchange views and ideas, so as to develop a European voice on Global Health issues and influence relevant policies”

17. Where are the member institutions located? Member of Alliance Member of Alliance/ASPHER Member

18. EAGHA Country-levelpartners by institution type

19. Diversity in type of partnership • Capacity building • Through joint research projects, setting up PhD, MsC, MPH programs; exchange programs, hospital management programs • Policy development • Health System development, improving stewardship and regulation at a national level • Infrastructure strengthening • health information system development • Research partnerships on specific diseases, health systems and target groups

20. EAGHA Global Partnerships

21. Objectives • To advocate for evidence-based policies and increased resources for global health in the European Union and other relevant bodies; to influence EU policy on research and development for global health; to support the implementation of the EU research agenda.

22. Objectives • To develop guidelines for partnerships between European institutions and their counterparts in low- and middle-income countries (including the issues of intellectual property and data sharing); to learn about effective partnerships from case studies and to promote the implementation of such guidelines.

23. Objectives • To contribute to strengthening capacity in partner institutions in low income countries in response to their priorities, including supporting areas such as research, teaching, administration and infrastructure.

24. Objectives • To foster exchange of ideas and, where appropriate, collaboration between European global health institutions on research, teaching, and capacity building;

25. Objectives • To encourage and to support the evaluation of investments in global health to ensure they have the desired effects.

26. Objectives • To raise awareness of the challenges and opportunities of global health in medical, nursing, public health and allied health professions, as well as the wider public.

27. change in North America." Objectives • To undertake horizon scanning in order to identify new and emerging topic areas, and share knowledge of potential impacts on teaching and research programmes as well as on policy and practice.

28. Objectives • To encourage the formation of similar collaborative networks in other world regions and to forge links with those that already exist; to ‘globalize ownership of global health’ and promote more coherence in global health actions across regions through supporting the development of a ‘World Federation’ of like minded associations.

29. EU Global Health Policy • Advocating for a sustainable European commitment to global health • Promoting synergy between the policy spheres of public health, foreign policy, development and research for health • Promoting effective and fair financing of research that benefits the health of all people