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One Health Core Competencies & Curriculum Development in SEA & Vietnam
The 4th International Health Literacy Conference Hai Phong, Nov 7th – 9th, 2016 One Health Core Competencies & Curriculum Development in SEA & Vietnam Dr. Phuc Pham-Duc Vietnam One Health University Network
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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 3/12/2018
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The world we live in is… Complex/Complicated Global/Interconnected
Challenging IMAGE:
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& exotic pest and diseases
.... 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
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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
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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 President Obama, during his September, 2011 speech to the UN general assembly, said: “… And we must come together to prevent, detect, and fight every kind of biological danger – whether it is a pandemic like H1N1, a terrorist threat, or a treatable disease.” 6
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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
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Humans + Animals + Ecosystems
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 Professionals working together: Interdisciplinary (interactive) Multidisciplinary (additive) Transdisciplinary (holistic) To create BETTER outcomes!
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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
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MORE TO COME BEGINNING
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South East Asia One Health University Network (SEAOHUN)
Hanoi School of Public Health Chiang Mai University Mahidol University Universiti Kebangsaan Malaysia Institut Pertanian Bogor Universitas Indonesia Universitas Gadjah Mada Universiti Putra Malaysia Hanoi Medical University Hanoi University of Agriculture
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Hai Phong University of Medicine and Pharmacy
Vietnam One Health University Network (VOHUN) Hanoi (Network Secretariat): Hanoi School of Public Health Hanoi Medical University Vietnam National University of Agriculture Thai Nguyen University: College of Medicine & Pharmacy College of Agriculture & Forestry Thai Binh University of Medicine & Pharmacy Hai Phong University of Medicine and Pharmacy Bac Giang University of Agriculture and Forestry Nam Dinh University of Nursing 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 Can Tho University of Medicine & Pharmacy Can Tho University / Faculty of Agriculture and Applied Biology Hochiminh City: HCMC University of Medicine and Pharmacy HCMC University of Agriculture & Forestry 3/12/2018
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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
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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
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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 and Partnership Values and Ethics Systems Thinking
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One Health Competency Domains for SEAOHUN - Country and Regional
OHCC Regional Domains by Country July 2012 Workshop Results SEAOHUN Regional Domains October 2012 Malaysia Indonesia Thailand Vietnam Management Planning and Management Communication Communication and Informatics Culture and Belief Culture and Ethics Culture and Beliefs Leadership and Professionalism Leadership Collaboration and Partnership Collaboration Collaboration and Partnership Ethics Values and Ethics Systems Thinking One Health Knowledge Policy, Regulation and Advocacy
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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
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Communication: Communication Management Information Management
Includes competencies that foster effective communication and information sharing across disciplines and sectors. Communication Management Information Management
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Culture and Beliefs: Cultural Sensitivity Belief Systems
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
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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
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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
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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
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Systems Thinking Systems Knowledge Management Evaluation Improvement
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
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SEAOHUN Regional OH Course Modules
Behavior development Collaboration and partnership Ecosystem health Fundamentals of infectious disease Communication and informatics One Health concepts and knowledge Culture, beliefs, values and ethics Leadership Epidemiology and risk analysis Infectious disease management Policy, advocacy and regulation Management Public health One Health economics Systems thinking
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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
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Know Your OH Competencies
Making your curriculum a One Health Curriculum is as easy as ,, Identify Your Gaps Modules Know Your OH Competencies Fill Your Gaps
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How to Make Your Curriculum a
One Health Curriculum Academic Curricula (pre-service) One Health Competencies (Core & Technical) Learning Objectives Modules Professional Development “Short Course” (in-service)
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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
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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.
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Universities, Institutes, Private Sectors & Community Members
ACKNOWLEDEGMENT Universities, Institutes, Private Sectors & Community Members
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Thank you very much! 3/12/2018
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