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

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

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

4. 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

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

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

7. 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..

8. 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..

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

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

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

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

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

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

15. SA Values?
Equity
Quality
Relevance
Efficiency
Partnership

16. 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.

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

18. Changes in current and future health needs and challenges in societies

19. “Imagine Video” from the Global Health Workforce Alliance

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

21. Changes in demographics

23. Partnerships ? ? ? ? ?

24. Other health professionals
Community

25. 2- A learning environment
1-Decision maker
2- A learning environment
Faculty
Community c

26. 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.

27. 2- A learning/ practice environment
1-Decision maker
2- A learning/ practice environment
Faculty
Community
3-Research

28. 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)

29. 2- A learning/ practice environment
1-Decision maker
2- A learning/ practice environment
Faculty
Community
3-Research
4-Evaluation tool

30. Faculty + Other health professionals

31. 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.

32. 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

33. 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

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

35. What YOU do is affecting the WORLD.

36. THEnet’s Evaluation Framework for Socially Accountable Health Professional Education

37. Faculty and Students

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

39. Time to Act!

42. WRAP UP TIME!