Leaders in International Health Program ‘Edmundo Granda Ugalde’

1. Leaders in International Health Program ‘Edmundo Granda Ugalde’

2. Preparing Leaders to Face Evolving Health Challenges and Promote Equity in the Globalized World

3. LIHP 2012Promotion and selection • 180 applications from 29 countries • 60 preselected candidates from 21 countries • Total 40 candidates recommended from 20 countries • Different entities – MOH, Social Security Institutes, Min. of Agriculture, OIRS, International organizations, academia, NGOs, PAHO • Different professions – Medicine, nursing, dentistry, pharmacy, international relations, law, social sciences, environmental sciences, economics, veterinary medicine, engineering, etc.

5. The Challenge of International Health A Changing and Complex World Context New technologies – Free trade – Increasing migration – Regional & sub-regional integration Emergence of new actors, alliances, and structures • Growing Demands on the State • Coordinate intersectoral and international action to achieve national health objectives in an equitable manner • Design and implement action plans taking into account bilateral, sub-regional, regional, and global treaties and agreements. • Define and project national interests in international arenas International Determinants Implement international decisions State Supranational Governance in Health and Development Project national interests

6. EdmundoGrandaUgalde Leaders in International Health Program Purpose: To contribute to the development of the Health Agenda for the Americas 2008-2017 bystrengthening the capacity of countries in the Region to understand, act upon and positively influence the international determinants of health, to promote their national interests, and to achieve intersectoral health agreements in international arenas, at all times guided by the principle of greater global equity in health. Leaders Equity National Capacity

7. 25YearsofExperience….. Training Program in International Health (‘Residency’) Created in 1985; 21 years 187 participants 32 countries Contributions to the conceptual development of international health Decentralized programs in each region

8. Leaders in International Health ProgramEdmundo Granda UgaldePrincipal Characteristics • Decentralized in the countries • Based on national realities and institutional practice • Consideration of national strategies and global, regional and sub-regional mandates (Health Agenda for the Americas, MDGs) • Key role of PAHO/WHO Country Offices • Utilization of information & communication technologies • Problem-based learning strategy (priority challenges with supranational implications) • Multi-institutional and intersectoral participation (country teams) • 2 simultaneous learning processes (group-oriented and individual-oriented) • Combination virtual and on-site learning with Learning communities

9. Target Audience Requirements: • Bachelors degree in public health, international relations, or related area; • Minimum 3 years experience at managerial or directive levelin public health, international relations, or related area; • Current employment at managerial or directive level in public health, international relations, or related field, in an institution dedicated to the public good within a PAHO Member Country; • Citizen or resident of PAHO Member Country; • Excellent knowledge of Spanish or English, with basic ability to understand and read in the other. • Mid to high-level managers and directors in: • Public health programs • International relations organizations involved in health • Academia

10. Program Structure 2012 June-November April-May May December Work in PAHO-office Work in Institiution Module II: Conceptual and Historical Bases in Int’l Health in LAC Region (1 week) Introductory module : PAHO/WHO Country Office & other actors (6 weeks) Final Presentations (1 week) Decentralized program in countries: virtual modules and country plan of work (28 weeks) Subregional Entities Other Actors Supported and Complemented by: Learning communities on international health issues with tutorial support, using a problem-based approach, the VCPH and other information/communication technologies Integration of Experiences Participating in processes/events of subregional, regional or internacional Nature with PAHO and/or other relevant instituations

12. LIHP 2012 Dates • VCIH Orientation: 9 – 13 April (1 week) • M1: 16 April – 25 May (6 weeks) • M2 (On-site): 28 May – 1 June (proposed date; 1 week) • Break: 4 – 8 June (1 week) • M3: 11 June – 13 July (5 weeks) • Break: 16-20 July (1 week) • M4: 23 July – 31 August (6 weeks) • Break: 3-7 Sept. (1 week) • M5 & M6: 10 Sept. – 12 Oct. (5 weeks) • Break: 15-19 Oct. (1 week) • M7 & M8: 22 Oct. – 23 Nov. (5 weeks) • Break: 26 Nov. – 7 Dec. (2 weeks) • Final Presentations: 10 -14 Dec. (1 week; virtual)

13. IH Competencies Analysis of global risks & international determinants of health Policy formulation and decision-making in international health Negotiation and advocacy in international health Management of projects and cooperation in international health Production and dissemination of knowledge in the field of int’l health Communication

14. ‘Core’ Modules • The National Context in a Global Environment (based in home institutions with PWR support); Includes: • Renovation of PHC • Social determinants of health (self-instructional) • Human rights (self-instructional) • CCS, CCA-UNDAF • Conceptual Model of International Health • Interactive International Health Rooms • Research methodologies • Historical and Conceptual Bases of Public Health • 2011: Mexico (regional cohort) and Cuba (BMC) • International Cooperation and Health Diplomacy • Cátedra de Salud Internacional, Escuela Nacional de Salud Pública, Cuba • Conflicts, Violence, Human Rights and Development • U de Antioquia & CISALVA, U del Valle

15. Elective Modules FOCUSMODELS OF DEVELOPMENT • Nutrition, Human Capital and Development • INCAP • Climate Change, Development & Health • Universidad Mayor de San Andrés FOCUSTRADE • Access to Medicines, Trade and International Agreements • FIOCRUZ • Chronic Diseases and Trade • INCAP • CFNI • University of Ottawa

16. ‘Core’ Modules • The National Context in a Global Environment (based in home institutions with PWR support); Includes: • Renovation of PHC • Social determinants of health (self-instructional) • Human rights (self-instructional) • CCS, CCA-UNDAF • Conceptual Model of International Health • Interactive International Health Rooms • Research methodologies • Historical and Conceptual Bases of Public Health • 2011: Mexico (regional cohort) and Cuba (BMC) • International Cooperation and Health Diplomacy • Cátedra de Salud Internacional, Escuela Nacional de Salud Pública, Cuba • Conflicts, Violence, Human Rights and Development • U de Antioquia & CISALVA, U del Valle

17. Elective Modules FOCUSMODELS OF DEVELOPMENT • Nutrition, Human Capital and Development • INCAP • Climate Change, Development & Health • Universidad Mayor de San Andrés FOCUSTRADE • Access to Medicines, Trade and International Agreements • FIOCRUZ • Chronic Diseases and Trade • INCAP • CFNI • University of Ottawa

18. Country projects Objective: Allow participants to: Identify and analyze an important public health problem or situation in their country, sub-region or region from an international health perspective and delve more deeply into its international determinants Propose solutions or actions that will contribute towards its amelioration, giving preference to those actions or solutions requiring intersectoral and/or supranational agreement and collaboration. Addresses IH competencies by applying concepts learned to country-stated priorities in real-life situations

20. Cross-Cutting Themes • International Cooperation • Primary Health Care • Border Health • Chronic Diseases • Financial Crises • Nutritional Crises • Conflicts • Disasters • Sanitary Reform • Human Resources • Migration • Human Rights • Democracy • Millenium Development Goals (MDGs)

21. Critical Role of the Representatives • Critical analysis of the national reality, priority areas, and most relevant partners • Orientation to international cooperation in the country, priorities, objectives, and areas for collaboration • Construction of the issues and options for action with the participants and entities involved • Technical dissemination and political/diplomatic cooperation • Collaboration in theme development and construction of networks • Linking partners and learning opportunities relevant to the different modules • Implementing and monitoring the Interactive International Health Room (IIHR) • Promotion and identification of • Creating work spaces and agendas • Participating in the evaluationprocess in different moments and perspectives

23. The Institutional Commitment • Maintain the position and salary of the participant • Free the participant to participate full-time during 2 weeks of the first phase (1 week for the on-site module and 1 week in PWR) • Free the participant hal-time during the rest of the program so they can dedicate 50% of their work hours to LIHP and 50% so their work • Collaborate with the development of the country project (form part of the Community of Practice) • Share with the PWR and coordinators of the LIHP about important activities relevant to LIHP y and building opportunities

24. Role of Mentor--Key! Monitor the progress of the participants in the completion of their activities and tasks. Identify difficulties that participants may have in the learning process and help them however possible. Follow-up and help with country project in its different phases: development of the proposal, research methodology, implementation and expression of results. Carry out working sessions with participants, Representatives and/or Communities of Practice to this end. Participate in Academic Coordination Meetings of LIHP and seek out joint strategies that facilitate the relationship between the module contents and the country project, IIHR and other components. Participate when possible in tutor sessions/Elluminate sessions Maintain continuous contact with the participants. Facilitate participant interactions and those of the communities of practice in the Interactive International Health Rooms (IIHR) Coordinate activities with the LIHP Coordination and PAHO/WHO Country Offices!

25. Mentors 2012 Claudia Carrasco: Southern Cone Yamileth Ortiz: Andean Region Celia Poon-King: English Caribbean Elba Morán: Mesoamerica

26. Role of Graduates Present country projects to new participants and provide assistance in their development/implementation. Share lessons learned from their time in the Program. Support the learning process of the participants. Help and interact in the Interactive International Health Rooms (IIHR). Participate in the Communities of Practice (CoP). Participate in international health seminars and other events of interest. Collaborate as session facilitators. Contribute to the collective development of the LIHP and to its decentralization/scaling-up on the national, sub-regional and regional levels. Coordinate activities with the LIHP Coordination and PAHO/WHO Country Offices!

27. Evaluation Methodology

28. International Health Seminars Seminars on relevant IH topics: 2008: Conflicts Food Crisis Access to medicines 2009: Financial Crisis and Health Climate Change and Nutritional Security 2010: Conflicts and International Cooperation in the case of Disasters Climate Change and Nutritional Security 2011: Border Health Development Module Trade Open access to seminars through VCPH More than 200 participants around the world!

29. Dissemination of Information

30. Communities of Practice

34. Module 1 objectives Analyze the international health situation in each country according to the conceptual model, existing problems, cooperation strategies and actors in real learning situations.

35. Specific Objectives Understand the importance of the Leaders in International Health Program “Edmundo Granda Ugalde” (LIHP), its conceptual model and applications, providing a framework for international health and the health situation in the Region of the Americas. Identify national health priorities, in accordance with the cooperation strategy of the United Nations and PAHO/WHO in each country (CCA-UNDAF-CCS), the main challenges and the actors involved. Reflect upon and discuss with national authorities, the PAHO/WHO Country Office and the LIHP Coordination the international health country topic, in accordance with the guidelines provided for topic selection. Commence a review of the conceptual bases related to bilateral and multilateral agendas and agreements, Social Determinants of Health, Renewal of Primary Health Care and Millennium Development Goals. Use virtual technologies, particularly the tools available through the Virtual Campus for Public Health (VCPH) and the International Health Situation Rooms (IHSR), so as to effectively participate in the virtual activities of the LIHP. Apply research methodologies to the development of the country proposal to ensure that it follows established norms and the quality of the same.

36. APRIL 2012

37. MAY 2012

38. Evolution of LIHP • External Evaluation:2008-2010 • Academic Network Reunion 2011: Evaluation of LIHP 2008-2011 • Periodic Evaluations (By module and at the end) • Impact Evaluation (projected for 2012)

39. Evolutionof LIHP 2008-2011 Consolidation of academic network Closer relationship between educational modules and conceptual model of international health Advances in LIHP accreditation by academic institutions Better balance between virtual and on-site activities Greater emphasis on work in countries from the beginning Stronger relationship with PAHO/WHO Country Offices Incorporation of new modules: International Cooperation and Health Diplomacy (2009) Climate Change, Development and Health (2009) Chronic Diseases and Trade (2010) And new topics: Social Determinants of Health (2009) Human rights (2009) Process of public health research and scientific publications (2009) Border Health (2011) Module designed specifically for Country Offices More space for discussion and reflection on cross-cutting topics and cutting-edge international health issues Development of graduate network Emphasis on publishing works

40. ImportantAchievements 2008-2011 More than 200 participants in 27 countries (including 2011) trained with international perspective Positive impact on technical cooperation/relations with partners Training consultants, advisors in PAHO/WHO country offices Closer collaboration with national institutions/promote relationships with new partners Collaborative work with Coordinators of Cuban Medical Brigades Development of communities of practice related to national and regional priority areas Consolidation of academic network in international health/global health Training initiatives for Offices for International Relations in Health (ORIS) More than 150 learning objects available through the Virtual Campus for Public Health (VCPH) for use by academic entities and other interested parties (modules, recordings, videos, PPT presentations, speeches, etc.) 61 country projects completed (project sustainability, continuity) More than 10 projects already published and 25-30 in the process of publication Cuban International Public Health Journal (Dec. 2010) Pan American Journal of Public Health (special edition - June 2011) Other Journals Creation of 27 Interactive International Health Rooms Interaction with communities of practice in priority areas Decentralization of processes/initiatives, training processes Peru Ecuador Colombia Others Network of LIHP graduates

41. Experience/Lessons Learned Relationship of theory and practice Collective learning Role of mentors Virtual/on-site and the ‘power’ of the virtual Relation to and potential to impact and advance other processes Others

42. Strengthening National Capacity 92 country projects developed and implemented about priority health themes Improved technical Cooperation Better opportunities for learning in international health 185 participants from 31 countries formed international perspectives Border Health, primary health care, nutritional and food security, violence, development of human resources, migration, others. Close collaboration with national institutions/strengthening relationships with new partners in the country Collaborative work with coordinators from the Cuban Medical Brigades in priority countries in the region Development of Communities of Practice in national/regional priority areas Development of technical advisors in PAHO country offices Development of national/regional initiatives/programs in the countries Accreditation of the Program by recognized universities in the region Important Achievements 2008-2011

43. Dissemination of international health learning resources Creation of networks and collaboration between professionals in international health Contributions to conceptual development in international health Creation of 27 Interactive International Health Rooms Hundreds of learning resources (modules, recordings, videos, presentations, discussions, speeches, etc.) arranged in the Virtual Campus of international Health for the utilization of academic entities and other interested actors (open access) Academic network with > 10 regional institutions; network of graduates Cuban Society for International Health Cuban Jouranl of International Health (2010) Panamerican Journal of Internationla Health (Special Edition- June 2011) Publications in other Journals International Health Bulletin (Periodic Publication) International Health Seminars about current issues assisted by hundreds of participants worldwide Debate and development of priority health themes Important Achievements 2008-2011

46. Diseminación de Información