THE GLOBAL HEALTH SERVICE PARTNERSHIP The Peace Corps and Seed Global Health Fitzhugh Mullan, MD Founding Board Chair Seed Global Health Jim Scott, MD Senior Advisor RFHP October 5, 2016

Global Misdistribution of Health Workers Here we have the map of the 57 countries with critical shortages Contributing to these shortages is the pressured pipeline where too few are produced and those that are produced emigrate elsewhere In SSA there are 145k MDs for 821 million people vs. 2.8 million MDs in Europe Another way of looking at the same problem. Overall, sub-Saharan Africa has a physician-to-population ratio of 18 per 100 000, compared with countries such as India (60 per 100000), Brazil (170 per 100 000) and 250 per 100,000 for the US, France(370 per 100 000). Africa’s poorest countries have even greater physician shortages

“ How many of you, who are going to be doctors, are willing to spend your days in Ghana?” –John F. Kennedy, 1960 Kennedy…

The History of an Idea Review the history [pick and choose]: October 14, 1960 President Kennedy spoke to students at University of Michigan. About 2 am. He asks “How many of you who are going to be doctors are willing to spend your days in Ghana? Technicians or engineers, how many of you are willing to work in the Foreign Service?… I think Americans are willing to contribute. But the effort must be far greater than we have ever made in the past “ 1979 – Proposed International health Act of 1979 which directed the Secretary to establish within the Public Health Service 1) international Health Fellowships, 2) International Health Service, 3) Programs to support international health centers and international health programs in US academic institutions

The Global Health Service Partnership (GHSP) March 2012 – Program Launched

The Global Health Service Partnership Program of the Peace Corps Seed Global Health provides program development and technical assistance PEPFAR provides funding for the program Host medical/nursing schools provide faculty appointments, housing, and individualized scopes of work

PEPFAR President's Emergency Plan for AIDS Relief 2003 George W Bush - $15 Billion 2008 reauthorization - $48 Billion

The Global Health Service Partnership Program of the Peace Corps Seed Global Health provides program development and technical assistance PEPFAR provides funding for the program Host medical/nursing schools provide faculty appointments, housing, and individualized scopes of work

GHSP Mission Serve as medical and nursing school faculty Provide clinical instruction, mentoring and other faculty activities, as needed Help build national capacity in medical and nursing education Launched in March 2012. - inaugural deployments of doctors and nurses, expand to recruit, deploy, and support a range of US health professionals to serve as clinical faculty - formally and informally teach students, housestaff and other learners best practice standards through daily rounds on patients and separate regularly scheduled didactic sessions and courses. - enhance existing clinical training systems and structures through the development and implementation of innovative teaching tools, clinical guidelines, treatment protocols, and continuing education programs in partnership with host country faculty. - cohort will include board eligible or board certified doctors and nurses experienced as educators in core specialties. All Global Health Service Partnership Peace Corps Volunteers (GHSP PCVs) will have Increased support to in-country faculty will help ensure that the growing numbers of enrolled medical, nursing, and other health professional students have effective educational environments.

GHSP Program Commitment to serve as clinical faculty for at least one year Must have... Completed post graduate training (MDs) BSN plus additional degree (Nurses) Teaching experience Global health experience

GHSP Program Volunteers receive faculty appointments on the faculty of the nursing or medical school Paid and supported by Peace Corps Some advantages above and beyond normal Peace Corps Up to $30K/year served toward loan repayment (Seed)

GHSP Program 150 volunteers thus far 71 current volunteers in 5 countries Total students and trainees Total # Medical, assistant medical officer, and clinical officer 1,892 Nursing students _______1,849 Post Graduates/ MMed, interns and MSc 153 Nursing post-graduates and interns 52 Hospital staff and other individuals 420 Total Trainees 4,366

The Global Health Service Partnership (GHSP)

July, 2013 Orientation Washington, DC

Swearing In – White House July 16, 2013

Tanzanian Team Greeted by President Jakaya Kikwete

More Information Seed Global Health http://www.seedglobalhealth.org/ Peace Corps http://www.peacecorps.gov/response/globalhealth/