One Health Core Competencies & Curriculum Development in SEA & Vietnam

1. One Health Core Competencies & Curriculum Development in SEA & Vietnam Dr. Phuc Pham-Duc Vietnam One Health University Network Email: pdp@vohun.org The 4th International Health Literacy Conference Hai Phong, Nov 7th – 9th, 2016

2. 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

3. The world we live in is… • Complex/Complicated • Global/Interconnected • Challenging IMAGE: www.modis.co.uk

4. .... Changing World .... Increasing human population Pathogen adaptation Climate change Environmental pollutants Globalization Modernized technology Differences in socio-economic development and traditional livelihoods Deforestation & wild meat consumption Invasion species & exotic pest and diseases

5. Complex problems: systems approach • Food Insecurity • Food Safety • Poverty • Water Insecurity • Safe water • Climate Change • Unsustainable Natural Resources • Environmental contamination • Political Strife and Conflict • Infectious Disease • High Priority • HIV, TB, Malaria • Neglected Tropical Diseases • Antibiotic resistance • Emerging Diseases • Chronic Disease / NCDs • Heart Disease • Malnutrition • Allergies • Cancer • Diabetes

6. 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

7. 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

8. One Health What is One 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!

9. 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

10. MORE TO COME BEGINNING

11. 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 Universitas Gadjah Mada

12. Vietnam One Health University Network (VOHUN) Bac Giang University of Agriculture and Forestry • Thai Nguyen University: • College of Medicine & Pharmacy • College of Agriculture & Forestry • Hanoi (Network Secretariat): • Hanoi School of Public Health • Hanoi Medical University • Vietnam National University of Agriculture Hai Phong University of Medicine and Pharmacy Thai Binh University of Medicine & Pharmacy • Hue University: • College of Medicine and Pharmacy • College of Agriculture and Forestry • 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 • Can Tho • University of Medicine & Pharmacy • Can Tho University / Faculty of Agriculture and Applied Biology

13. 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

14. 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

15. 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 • Management • Communication and Informatics • Culture and Beliefs • Leadership • Collaboration andPartnership • Values and Ethics • Systems Thinking

16. One Health Competency Domains for SEAOHUN - Country and Regional

17. 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

18. Communication: • Includes competencies that foster effective communication and information sharing across disciplines and sectors. • Communication Management • Information Management

19. 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

20. 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

21. 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

22. 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

23. 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

24. SEAOHUN Regional OH Course Modules Behavior development Ecosystem health Fundamentals of infectious disease One Health concepts and knowledge Epidemiology and risk analysis Policy, advocacy and regulation Public health Systems thinking Collaboration and partnership Communication and informatics Culture, beliefs, values and ethics Leadership Infectious disease management Management One Health economics

25. 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

26. Modules Making your curriculum a One Health Curriculum is as easy as ,, Identify Your Gaps Know Your OH Competencies Fill Your Gaps

27. How to Make Your Curriculum a One Health Curriculum One Health Competencies (Core & Technical) Learning Objectives Modules Professional Development “Short Course” (in-service) Academic Curricula (pre-service)

28. 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

29. Challenges for One Health • Institutional challenges: acceptance, policy engagement • Capacity building: One Health Workforce • Incentives: how to share credits, added values of One Health. • Deeper coordination between sectors on human and animals health and the environmental agencies. • Improving the translation of evidence and research into policy.

30. ACKNOWLEDEGMENT Universities, Institutes, Private Sectors & Community Members

31. Thank you very much!