1. WFPHA Global cCharter

2. We acknowledge the elders and peoples of the Aboriginal people who are the traditional custodians/owners of the lands where we are today. We also acknowledge other First Nations peoples who are with us today.

3. Background WFPHA PET Public Health Functions frameworks (US and EU)
Public health competency sets

4. A Global Charter for the Public’s Health (WFPHA)

5. Methods
Five competency sets were mapped against the Global Charter framework
CAPHIA, ASPHER, CEPH, CP FPHM, UK FPHM (Canadian set is in revision, therefore not included)
Two of us independently mapped the competencies and then discussed discrepancies

6. CAPHIA ASPHER Aus CP FPHM UK FPHM
(6 Domains)
ASPHER
(5 Domains)
CEPH
(8 Domains)
Aus CP FPHM
UK FPHM
(10 Domains)
Health Monitoring and Surveillance
Disease Prevention and Control
Health Protection
Health Promotion
Health Policy, Planning and Management
Evidence-based Professional Population Health Practice
(19 competencies)
Methods in Public Health
Population Health & its Material Environmental Determinants
Health Policy, Economics, Organisational Theory & Management
Health Promotion: Health Education, Health Protection & Disease Prevention
Ethics
(72 competencies)
Evidence-based Approaches to Public Health
Public Health & Health Care Systems
Planning & Management to Promote Health
Policy in Public Health
Leadership
Communication
Inter-professional Practice
Systems Thinking
(22 competencies)
General Professional Practice
Cultural Competency
Information, Research & Evaluation
Policy
Health Promotion & Disease Prevention
Health Sector Advocacy, Development & Management
(70 competencies)
… public health intelligence to survey and assess … health & wellbeing
… evidence of effectiveness of health or wellbeing improvement interventions, programmes and services …
Policy and strategy development and implementation
Strategic leadership and collaborative working for health
Health promotion, determinants of health and health communication
Health protection
Health and public health care
Academic public health
Professional personal and ethical development
Integration and application of competences for consultant practice
(86 competencies)

7. Results Very hard to compare: Competency sets are differently written
CAPHIA – within each Domain each Competency is graded and can be used from undergrad to postgrad curriculum design. Suggested content included.
ASHPER – complex; content-prescriptive; each Domain is compiled in a slightly different way
CEPH – levels for different levels of staff from front line to management; written as outcomes rather than outputs. Complex document, with expected content provided based on functions of public health
Aus CP FPHM (does not admit non-medics) – very medical/practice oriented; several are about competent medical practice rather than public health
UK FPHM (fellowship obtainable for appropriately trained non-medics) – complex, content prescriptive, directed at safe public health practice

8. Results: WFPHA coverage
WFPHA Global Charter for Public Health
CAPHIA (6 Domains)
ASHPHER (5 Domains)
CEPH (8 Domains)
RACP PHM (6 Domains)
UK FPHM (10 Domains)
Governance:
public health legislation; health and cross-sector policy; strategy; financing; organisation; assurance: transparency, accountability and audit
2 3 5
2 3
(2) Information:
surveillance, monitoring and evaluation; monitoring of health determinants; research and evidence; risk and innovation; dissemination and uptake
All
(3) Protection:
international health regulation and co-ordination; health impact assessment; communicable disease control; emergency preparedness; occupational health; environmental health; climate change and sustainability
2 3 4
7 9 10
(4) Prevention:
primary prevention: vaccination; secondary prevention: screening; tertiary prevention: evidence-based, community-based, integrated, person-centered quality healthcare and rehabilitation; healthcare management and planning 4
(5) Promotion:
inequalities; environmental determinants; social and economic determinants; resilience; behaviour and health literacy; life-course; healthy settings
3 4
1 2 4
(6) Advocacy:
leadership and ethics; health equity; social-mobilization and solidarity; education of the public; people-centred approach; voluntary community sector engagement; communications; sustainable development
4 5
(7) Capacity:
workforce development for public health, health workers and wider workforce; workforce planning: numbers, resources, infrastructure; standards, curriculum, accreditation; capabilities, teaching and training

9. Discussion
We note that competencies are about what is expected to be taught, but not pedagogical approaches to delivering content
Mapping competencies is difficult – cultural context and different backgrounds (for example, in part they reflect temporal, geographical, and political problems occurring when they were written)
Identification of shortfalls/gaps in competency sets
All except CAPHIA are used for accreditation of MPH and/or school and/or faculty accreditation
WFPHA Global Charter provides a mechanism for being able to compare competency sets, and is another mechanism to check public health course content; could be useful in considering course (re)design

10. References and thanks
Lomazzi M. Viewpoint: A Global Charter for the Public’s Health—the public health system: role, functions, competencies and education requirements European Journal of Public Health, 1–3. doi: /eurpub/ckw011.
Somerset S, Robinson P, Kelsall H. Foundation Competencies for Public Health Graduates in Australia, 2nd Edition. December Council of Public Health Institutions in Australia (CAPHIA). Available at:
Accreditation Criteria - Schools Of Public Health & Public Health Programs. CEPH, Silver Springs, MD, USA
Birt C, Foldspang A. European Core Competencies for Public Health Professionals. Association of Schools of Public Health in the European Region, ASPHER, 2011.
Foldspang A, Public Health Core Competencies for Essential Public Health Operations. ASPHER, 2016
Advanced Training in Public Health Medicine 2017–18. Physician Readiness for Expert Practice - Program Requirements Handbook. Australasian Faculty of Public Health Medicine . Australasian Faculty of Public Health Medicine. Royal Australian College of Physicians, 2017
UK Faculty of Public Health Medicine. Public Health Speciality Training Curriculum. UK Faculty of Public Health Medicine, London, 2015.