Human Resources for Health A complex, transversal and global health problem

Agenda: Social Accountability definition SA values SA key principles Student’s role Time to Act! Wrap up

What is Social Accountability? Let’s figure it out together!

SA Definition? The obligation of medical schools to direct their education, research and service activities towards addressing the priority health concerns of the community, region, and/or nation they have a mandate to serve. WHO Definition

SA Values? …….: Providing high-quality health care and opportunities to access education to everyone.

SA Values? Equity : Providing high-quality health care and opportunities to access education to everyone.

SA Values? …….: The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge..

SA Values? Quality: The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge..

SA Values? …….:  The degree to which the most important and locally relevant problems are tackled first.

SA Values? Relevance:  The degree to which the most important and locally relevant problems are tackled first.

SA Values? ……..: Producing the greatest impact on health using available resources.

SA Values? Efficiency: Producing the greatest impact on health using available resources.

SA Values? ……..: Educating a health workforce ready to work with all relevant stakeholders.

SA Values? Partnership: Educating a health workforce ready to work with all relevant stakeholders.

SA Values? Equity Quality Relevance Efficiency Partnership

SA Values? Where does your medical school fall? Boelen C. Defining and measuring the social accountability of medical schools. Geneva: Division of Development of Human Resources for Health, World Health Organization; 1995.

Key Principles Changes in current and future health needs and challenges in societies Partnerships Global Health Perspective

Changes in current and future health needs and challenges in societies

“Imagine Video” from the Global Health Workforce Alliance

Quality It’s not ONLY about NUMBERS... Availability Accessibility Acceptability Quality

Changes in demographics

Partnerships ? ? ? ? ?

Other health professionals Community

2- A learning environment 1-Decision maker 2- A learning environment Faculty Community c

Community Based Medical Education CBME consists of activities that use the community extensively as a learning environment, where students, teachers, community members and representatives of other sectors are actively engaged throughout the educational experience in providing medical education that is relevant to community needs. Mennin S Petroni-Mennin R. Community-based medical education. The Clinical Teacher. 2006;3(2):90-96.

2- A learning/ practice environment 1-Decision maker 2- A learning/ practice environment Faculty Community 3-Research

Community Based Participatory Research CBPR is a widely accepted collaborative approach to research that works to understand and protect public health by involving all partners in the research process. Israel BA, Schulz AJ, Parker EA, Becker AB. Review of community-based research: assessing partnership approaches to improve public health. Ann. Rev. Public Health 19,173–202 (1998)

2- A learning/ practice environment 1-Decision maker 2- A learning/ practice environment Faculty Community 3-Research 4-Evaluation tool

Faculty + Other health professionals

Interprofessional Education IPE is a collaborative approach when “students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes” Hopkins D, Burton A, Hammick M, Hoffman S. Framework for action on interprofessional education & collaborative practice. Geneva: WHO; 2010.

Interprofessional education ⬄ Teamwork and improved health care Theoretical Learning Model Clinical learning model Interprofessional students learn together. Interprofessional teaching team Selected content tailored towards specific disciplines. Assessment through examinations, seminar presentations and projects. Interprofessional students learn together in various units and wards. Interprofessional learning. experiences (ward rounds, audit meetings). Assessments through clinical portfolios. Interprofessional education ⬄ Teamwork and improved health care http://www.who.int/hrh/nursing_midwifery/13006_InterprofessionalEducationCaseStudyFinal.pdf?ua=1

Global Health Perspective “…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 Division

Medicine HEALTH Finances Social Factors Political decisions Geographical determinants HEALTH Medicine Finances Political decisions

What YOU do is affecting the WORLD.

THEnet’s Evaluation Framework for Socially Accountable Health Professional Education

Faculty and Students

Students are: Decision makers Leaders of Social Accountability Projects Healthcare change makers

Time to Act!

WRAP UP TIME!