Alma Ata at 40: Revisiting Health for All in the UHC Era

Alma Ata at 40: Revisiting Health for All in the UHC Era

A One Week Intensive Global Health Policy Course in Geneva, Switzerland, from June 25-29, 2018

COURSE OUTLINE AND SYLLABUS

1. The Duke Global Policy Program in Geneva

Offered by Duke University’s Sanford School of Public Policy, the Global Policy Program in Geneva is designed to expose future international policy leaders to the field of global governance and policy from an academic and experiential perspective. In addition to the Geneva policy internships, a major element of the Program is a one-week intensive course on global health described in this course outline and syllabus.

2. Background to the 2018 Course: Alma Ata, Health for All, and the UHC “moment”

The International Conference on Primary Health Care, held in Alma-Ata, USSR in September 1978 led to an iconic declaration that was a milestone in global health cooperation, the Alma-Ata Declaration.1 “The attainment of the highest possible level of health,” it says, “is a most important world-wide social goal whose realization requires the action of many other social and economic sectors in addition to the health sector.” The declaration put primary care at the heart of a new call to achieve “Health for All by 2000” (a goal that was never reached—it came and went with little fanfare).

The declaration’s vision of primary care was expansive and all-inclusive (encompassing, for example, animal husbandry, public works, housing, and “peace, détante, and disarmament”). This broad vision was loved by some, but hated by many—critics called it overly idealistic, unrealistic, and unhelpful in terms of shaping an actual pathway to improved health. The most famous and influential critique of the declaration, by Walsh and Warren, was published in the

1 See www.who.int/publications/almaata_declaration_en.pdf?ua=1

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Alma Ata at 40: Revisiting Health for All in the UHC Era

New England Journal of Medicine one year later.2 “The goal set at Alma Ata is above reproach,” they wrote, “yet its very scope makes it unattainable because of the cost and numbers of trained personnel required.” Instead of trying to provide all services to all people from day one, Walsh and Warren argued for “selective primary care”—focusing on the diseases of poverty that cause the greatest burden and that can be tackled with highly cost-effective interventions:

“On the basis of high morbidity and mortality and of feasibility of control, a circumscribed number of diseases are selected for prevention in a clearly defined population. Since few programs based on this selective model of prevention and treatment have been attempted, the following approach is proposed. The principal recipients of care would be children up to three years old and women in the childbearing years. The care provided would be measles and diphtheria–pertussis–tetanus (DPT) vaccination for children over six months old, tetanus toxoid to all women of childbearing age, encouragement of long-term breast feeding, provision of chloroquine for episodes of fever in children under three years old in areas where malaria is prevalent and, finally, oral rehydration packets and instruction.”2

The debate on providing comprehensive primary care versus selected services has continued over the last four decades, with the pendulum swinging this way, then that (it is mirrored in debates about horizontal, vertical, and diagonal health programming3). The MDGs era was dominated by selective approaches—the tripling of development assistance for health (DAH) from 2000-2010 was used mostly to fund specific programs for HIV, TB, malaria, and vaccine-preventable diseases. But there is now growing concern within the global health community that this “golden decade” did too little to address underlying health systems weaknesses in low- and middle-income countries. Magnussen and colleagues argue that “after several years of investment in vertical interventions, preventable diseases remain a major challenge for developing countries. The selective model has not responded adequately to the interrelationship between health and socioeconomic development, and a rethinking of global health policy is urgently needed.”4 Universal health coverage (UHC) is the new rallying cry—indeed, Dr Tedros has staked his leadership on achieving it.

September 2018 marks the 40 year anniversary of Alma-Ata, providing a wonderful opportunity for the Duke Geneva Global Health course to revisit these critical, relevant, and urgent discussions and debates. The anniversary will be marked at a conference on Oct 25–26 in Almaty (the new name of Alma Ata), Kazakhstan, at which a new declaration, the Alma-Ata

2 Walsh JA, Warren KS. Selective primary care: an interim strategy for disease control in developing countries. New Engl J Med 1979;301:967-9743 Shroff ZC, Ghaffar A, Soucat A. Moving beyond diagonal and T-shaped: getting the incentives right. Health Systems & Reform 2017;3:261-2674 Magnussen L, Ehiri J, Jolly P. Comprehensive versus selective primary care: lessons for global health policy. Health Affairs 2004;23(3):167-76.

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Declaration 2.0, will be written. There is much excitement and interest in whether and how Alma-Ata 2.0 could help to give a “boost” to the global UHC movement. Many journals, including the BMJ and Lancet, will devote special issues to the anniversary (Gavin Yamey, course director, is lead author of a paper in the Lancet special issue on Alma-Ata at 40).

3. Course Tutor and Teaching Assistant

The Course Director is Dr Gavin Yamey, who directs The Center for Policy Impact in Global Health at Duke University, The Center is an innovative policy lab that addresses critical challenges in financing and delivering global health.

Gavin trained in clinical medicine at Oxford University and University College London, medical journalism and editing at the BMJ, and public health at the London School of Hygiene and Tropical Medicine. He was Deputy Editor of wjm—the Western Journal of Medicine, Assistant Editor at the BMJ, a founding Senior Editor of PLOS Medicine, and the Principal Investigator on a $1.1 million grant from the Bill & Melinda Gates Foundation to support the launch of PLOS Neglected Tropical Diseases. In 2009, he was awarded a Kaiser Family Mini-Media Fellowship in Global Health Reporting to examine the barriers to scaling up low cost, low tech health tools in Sudan, Uganda and Kenya.

Dr. Yamey currently serves as a commissioner on two international health commissions, the Lancet Commission on Tuberculosis and the Commission on Institutional Transformation for Gender and Equity. He previously served on the Lancet Commission on Investing in Health and the Lancet Commission on Global Surgery. He has been an External Advisor to the WHO and to TDR, the Special Program for Research and Training in Tropical Diseases. Gavin has published extensively on global health, neglected diseases, health policy, and disparities in health and has been a frequent commentator on National Public Radio. He also hosts a weekly music show, Professor G’s Musical Odyssey, on Duke radio, WXDU (in case you are wondering, his playlists are at http://wxdu.org/plmanager/world/djplaylists.php?id=639).

Gavin’s teaching assistant is Annalisa Kristoffersen, International & Academic Programs Assistant at the Duke Sanford School of Public Policy. Annalisa received a B.A. in International Studies with minors in French and Environmental Science from North Carolina State University. Before joining Duke’s Sanford School of Public Policy, Annalisa served as a Research Assistant for Elizabeth Glaser Pediatric AIDS Foundation and interned at a maternal and child health non-profit organization, Curamericas Global. She also worked at the McKimmon Center for Extension and Continuing Education, Wake County Government and Global Training Initiative at N.C. State. She looks forward to supporting the global health track’s intensive course and delving into this exciting and ever-important field.

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Alma Ata at 40: Revisiting Health for All in the UHC Era

4. Structure of the Course

The course involves ten interactive seminars, five site visits, a policy case competition/simulation, and two mentorship meals (one dinner, one lunch).

An at-a-glance schedule (all on one page) is given in the Appendix on page 15.

Seminars: these will be led by internationally renowned experts from the WHO and other Geneva-based organizations, including several WHO Directors (e.g. Shekhar Saxena, Director of the Department of Mental Health and Substance Abuse at WHO's Headquarters Office). In many of these seminars (e.g. on the global governance of Ebola and on road injuries), you will break out into small groups to do problem-solving exercises.

Site visits: we will visit five influential organizations that represent a variety of sectors (inter-governmental organizations, non-governmental organizations, and public-private partnerships).

Policy case competition (a collaboration with the Humanitarian Action Fellows track): For this competition, you will work in four teams made up of Fellows from both the Global Health and Humanitarian Action tracks. The competition will involve developing a primary health care policy for refugee settings. Further details will be provided on day one of the course. We have included in this syllabus some background reading materials.

Mentorship meals: these are informal opportunities (a dinner and a lunch), away from the campus, to discuss careers with the course director and a guest mentor.

Reflections: we have built in an opportunity at the end of the week for us to reflect as a group on the learnings.

The course is structured in this way to give participants an appreciation of the contextual factors influencing global health and the policy levers that we can use to transform global health status going forward.

5. Readings

The readings described in the schedule below are meant to serve as starter resources. For each session and site visit, we have carefully picked about three key readings (they are usually short—some are editorials, think pieces, videos, or blogs), which hopefully will enrich your understanding of the context of the seminar or site visit discussions. For all seminars, we have included at least one article by the seminar’s guest lecturer.

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Alma Ata at 40: Revisiting Health for All in the UHC Era

For an accessible introduction to UHC, it would be valuable to read selected articles from the Lancet’s special series in 2012 (which are collected together at www.thelancet.com/themed-universal-health-coverage); in particular, please read these 4 short commentaries:

The struggle for universal health coverage (editorial). Lancet 2012;380: 859. Rodin J, de Ferranti D. Universal health coverage: the third global health transition?

Lancet 2012; 380: 861-862 Frenk J, de Ferranti D. Universal health coverage: good health, good economics. Lancet

2012; 380: 862-864 Evans DB, Marten, R, Etienne C. Universal health coverage is a development issue.

Lancet 2012; 380: 864-865.

If you want to dig deeper into global health policy, you will find detailed analyses of many of the core themes of the course in The Handbook of Global Health Policy, edited by Brown WG, Yamey G, and Wamala S (Oxford, UK: Wiley-Blackwell, 2014, at http://www.wiley.com/WileyCDA/WileyTitle/productCd-0470674199.html). The introductory chapter gives a helpful overview of the book. A PDF of this chapter will be provided to you, as will the chapters that are most closely related to UHC, health systems, Alma Ata, and the future of global health cooperation, i.e., Chapters 23-26:

The Health Systems Agenda: Prospects for the Diagonal Approach, by Julio Frenk, Octavio Gómez-Dantés, and Felicia Knaul

Will Effective Health Delivery Platforms be Built in Low-Income Countries?, by Gorik Ooms, Peter Hill, and Yibeltal Assega Voelkner

A Rights-Based Approach to Global Health Policy: What Contribution can Human Rights Make to Achieving Equity?, by Lisa Forman

From Aid to Accompaniment: New Rules of the Road, by Vanessa Kerry, Agnes Binagwaho, Jonathan Weigel, and Paul Farmer.

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6. Schedule and required readings

All seminars are in the morning, at the UNI-MAIL campus of University of Geneva (Bd du Pont-d'Arve 40 1205 Genève). The building can easily be accessed by Tram 15 (Uni Mail stop). There are also two parking decks located near the building. The Global Health course will be held in room M1150. This room is on the main level, and there will be signs helping direct visitors to the room.

We will then travel together to the site visits in the afternoons.

DAY 1: MONDAY JUNE 25, 2018

Seminar 1, 9-10: Gavin Yamey: Alma Ata at 40-Achieving UHC and Primary Care for All (Course Framework and Overview)

This seminar sets the scene for the week, giving a grounding in key themes and concepts; we will explore:

» What do we mean by UHC and primary health care (PHC)?» Why are these concepts so high on the global health agenda?» Is UHC an “empty promise”? By being “all things to all people,” has it lost its meaning?» How can we make UHC a reality?

Required reading

Universal health coverage explained, by Greg Martin (a 5 minute video lecture): https://www.youtube.com/watch?v=FlETZ202Ovg&t=102s

WHO: the many paths towards UHC (10 minute video): https://www.youtube.com/watch?v=VQ3sHfYzcv8&t=111s

Kruk M. Universal health coverage: a policy whose time has come. BMJ 2013;347:f6360 Participants at the Bellagio Workshop on Implementing Pro-Poor Universal Health

Coverage. Implementing pro-poor universal health coverage. Lancet Global Health 2016;4(1):e14-e16

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Seminar 2, 10-10.30: Gavin Yamey and Amy Hepburn: The joint global health-humanitarian action case study

This short seminar, led by Gavin Yamey in conjunction with the course director of the Duke Geneva Program’s Humanitarian Action track, Amy Hepburn, will give you guidance and directions on the course case study/simulation. You will work in 4 teams throughout the week on a case-based challenge related to developing primary care services in a refugee setting. You will present your final policy analyses on Friday morning. Full instructions will be given during this seminar. Background readings are given below.

Required reading

Langlois EV, Haines A, Tomson G, Ghaffar A. Refugees: towards better access to health-care services. Lancet 2016;387:319-320

de Bocanegra HK, et al. Addressing refugee health through evidence-based policies:a case study. Annals of Epidemiology 2017; May 12. pii: S1047-2797(17)30074-1. doi: 10.1016/j.annepidem.2017.05.010. [Epub ahead of print]

Zimmerman C, Kiss L, Hossain M (2011) Migration and Health: A Framework for 21st Century Policy-Making. PLoS Med 8(5): e1001034.

COFFEE: 10.30-11

Seminar 3, 11-12.20: Anayda Portela: Community Participation and Engagement in UHC

The global health enterprise often pays lip service to the role of community engagement or mentions it as an afterthought. In this seminar, we will flip this idea on its head and argue that the participation and engagement of communities is essential and central to achieving UHC.

Required reading

Jallah W, Kateh F, Panjabi R. Paying and investing in last-mile community health workers accelerates universal health coverage. Available at: https://blogs.bmj.com/bmj/2018/05/22/paying-and-investing-in-last-mile-community-health-workers-accelerates-universal-health-coverage/

Marston C, Hinton R, Kean S, Baral S, Ahuja A, Costello A, Portela A. Community participation for transformative action on women's, children's and adolescents' health. Bull World Health Organ. 2016;94(5):376-82.

Howard-Grabman L, Miltenburg AS, Marston C, Portela A. Factors affecting effective community participation in maternal and newborn health programme planning,

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implementation and quality of care interventions. BMC Pregnancy Childbirth. 2017 Aug 31;17(1):268

Suggested Reading

http://www.who.int/healthpromotion/conferences/previous/ottawa/en/

http://globalstrategy.everywomaneverychild.org/

Standards for improving quality of maternal and newborn care in health facilities

http://www.who.int/maternal_child_adolescent/documents/social-behavioural-community-engagement-interventions-evidence/en/

http://www.who.int/maternal_child_adolescent/documents/health-promotion-interventions/en/

LUNCH: 12.20-13.00

Work in groups on case study/simulation: 13.00-14.00

14.45-16.45 SITE VISIT: WHO SHOC (Strategic Health Operations Centre) room

We will have the very rare opportunity to visit the SHOC room (unless there’s an emergency outbreak and the room is in use). The WHO Strategic Health Operations Centre (SHOC) “monitors global public health events around the clock, and facilitates international collaboration during public health emergencies and daily operations.”

Required reading

About the SHOC Room: http://www.who.int/csr/alertresponse/shoc/en/ (a one page briefing note)

WHO. Department of Global Capacities, Alert and Response. International Health Regulations: Support to global outbreak alert and response and maintaining national capacities 2014. At http://www.who.int/ihr/publications/gcr_activity_report_2014/en/ (23 pages, but lots of photos and mostly written in an accessible, journalistic style)

Ross AG, et al. Planning for the Next Global Pandemic. Int J Infect Dis. 2015;38:89-94

DAY 2: TUESDAY JUNE 26, 2018

Seminar 4, 9-10.30: Shams B. Syed: Quality of Care, UHC, HSS, and Resilience

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In this seminar, we will explore what resilience means and how it relates to UHC, health systems strengthening (HSS), primary health care, and the quality of health services.

Required reading

Kutzkin J, Sparkes SP. Health systems strengthening, universal health coverage, health security and resilience. Bulletin of the WHO 2016;94:2. At http://www.who.int/bulletin/volumes/94/1/15-165050/en/

Campbell J, Cometto G, Rasanathan K, Kelley E, Syed S, Zurn P, de Bernis L, Matthews Z, Benton D, Frank O, Nove A. Improving the resilience and workforce of health systems for women's, children's, and adolescents' health. BMJ 2015; ;351:h4148.

Jain V, Alam A. Redefining universal health coverage in the age of global health security. BMJ Global Health 2017; 2(2): e000255. At http://gh.bmj.com/content/2/2/e000255

COFFEE: 10.30-11

Seminar 5, 11-12.20: Theresa Diaz: The Role of M&E in the UHC 'Movement'

Given the centrality of UHC in the SDGs era, measuring progress towards achieving UHC has become an important global health concern. There has been much debate on what should be “counted” and little in the way of agreement on the best metrics. A meaningful metric is essential for us to be able to assess progress. This seminar will highlight the critical and compelling discussions on why monitoring is so important and how best it can be achieved.

Required reading

Grove G, et al. Maternal, newborn, and child health and the Sustainable Development Goals—a call for sustained and improved measurement. Lancet 2015;386:1511-1514

Moran AC, Moller AB, Chou D, Morgan A, El Arifeen S, Hanson C, Say L, Diaz T, Askew I, Costello A. 'What gets measured gets managed': revisiting the indicators for maternal and newborn health programmes. Reprod Health 2018 Feb 2;15(1):19.

Boerma T, Eozenou P, Evans D, Evans T, Kieny M-P, Wagstaff A (2014) Monitoring Progress towards Universal Health Coverage at Country and Global Levels. PLoS Med 11(9): e1001731. (note: this article summarizes the key messages from a large and sometimes “deep in the weeds” collection of technical reviews and country case studies on monitoring UHC; these are collected together at http://collections.plos.org/uhc2014).

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LUNCH: 12.20-13.00

Work in groups on case study/simulation: 13.00-14.00

SITE VISIT, 14.45-16.45: FIND (Foundation for Innovative New Diagnostics)

Required reading

FIND: About us, at https://www.finddx.org/about-us/ FIND Factsheet (one-pager): Accelerating access to diagnostics:

https://www.finddx.org/wp-content/uploads/2018/05/FIND_AccessStrategy_One-pager.pdf

FIND Factsheet (one-pager): Antimicrobial resistance and diagnostics: https://www.finddx.org/wp-content/uploads/2018/01/AMR_One-Pager-PRINT.pdf

Derda R, Gitaka J, Klapperich CM, Mace CR, Kumar AA, et al. (2015) Enabling the Development and Deployment of Next Generation Point-of-Care Diagnostics. PLoS Negl Trop Dis 9(5): e0003676. doi: 10.1371/journal.pntd.000367

DAY 3: WEDNESDAY JUNE 26, 2018

Seminar 6, 8.30-9.30: Shekhar Saxena: Mental Health Services-continuing challenges from Alma Ata to UHC

After decades of neglect, mental health has finally risen up the global health agenda (e.g. SDG3 includes targets/indicators on suicide and substance misuse). Nevertheless, as this seminar will show, the global burden remains enormous, there are major treatment gaps, and stigma still acts as a major barrier to progress. The seminar will examine how the UHC and PHC movements can help improve mental health worldwide.

Required reading

DeSilva M, Samele C, Saxena S, Patel V, and Darzi A. Policy actions to achieve integrated community-based mental health services. Health Affairs 2014;33:1595-1602

Patel V, Belkin GS, Chockalingam A, Cooper J, Saxena S, et al. (2013) Grand Challenges: Integrating Mental Health Services into Priority Health Care Platforms. PLoS Med 10(5): e1001448

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Patel V, Chisholm D, Parikh R, et al, on behalf of the DCP MNS Author Group. Addressing the burden of mental, neurological, and substance use disorders: key messages from Disease Control Priorities, 3rd edition. Lancet 2016; 387: 1672-85

Suggested reading (provided by Shekhar Saxena):

Two readings found here. http://www.who.int/mental_health/mhgap/mhGAP_intervention_guide_02/en/

9:30-10:30: Gavin Yamey: Midweek reflections on the course: emerging themes and debates

COFFEE: 10.30-11

Seminar 7: Shyama Kuruvilla: UHC, Primary Care, and the Unfinished Agenda of Child and Maternal Health

This seminar will examine why women, children, and adolescents are at the heart of the UHC and primary care agendas. It will explore (i) the burden of maternal and child health and the feasibility of the SDG 3 targets (SDG 3 calls for the global maternal mortality ratio to reach less than 70 per 100,000 live births and “an end” to avertable child and newborn deaths by 2030); (ii) the specific health needs of women and children in refugee and other complex humanitarian emergency settings; and (iii) the key innovations in R&D, delivery, financing, and policy that will be needed to finish the unfinished agenda of maternal and child health.

Required reading

Kuruvilla S, Bustreo F, Kuo T, et al. The global strategy for women's, children's and adolescents' health (2016-2030): a roadmap based on evidence and country experience. Bull World Health Organ. 2016;94:398-400

Engmann CM, Khan S, Moyer CA, Coffey PS, Bhutta ZA. Transformative innovations in reproductive, maternal, newborn, and child health over the next 20 years. PLoS Med 2016;13(3): e1001969

McDougall L, Sharma A, Franz-Vasdeki J, et al. Prioritising women's, children's, and adolescents' health in the post-2015 world. BMJ 2015;351:h4327

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Bustreo S, Zaid S. Leave no one behind: Women, children and adolescent health in emergencies. Devex, May 10, 2016. https://www.devex.com/news/leave-no-one-behind-women-children-and-adolescent-health-in-emergencies-88101

LUNCH: 12.20-13.00

SITE VISIT, 14.30-17.00: ICRC (International Committee of the Red Cross) [joint visit with the Humanitarian Action Fellows, as part of the joint case study/simulation]

Lunch at ICRC museum (buy lunch at café or eat own lunch in garden); we will purchase the museum ticketsm

Required reading

ICRC mandate and mission: https://www.icrc.org/en/who-we-are/mandate Walker P. Cracking the code: the genesis, use and future of the Code of Conduct.

Disasters 2005;29:323-336 Bernard V. Editorial: Migration and displacement: Humanity with its back to the

wall. International Review of the Red Cross, Issue No. 904, published May 9 2018, pages 1-11. At https://reliefweb.int/report/world/international-review-red-cross-issue-no-904-migration-and-displacement (just the opening editorial, not the whole issue)

DAY 4: THURSDAY JUNE 27, 2018

Seminar 8, 9-10.30: Injury Prevention: Melecki Khayesi, Joelle Auert

Unlike the MDGs, the SDGs include reducing mortality from injuries as a target (SDG3 target 3.6 is “By 2020, halve the number of global deaths and injuries from road traffic accidents”). In sub-Saharan Africa, road injuries are the number one cause of death in young people. This seminar will shine a light on the causes of this burden of mortality and on the largest barriers facing policymakers in reducing injury deaths. It will highlight best practices that countries are using curb such deaths.

Required reading

Khayesi M, Peden M. Road safety in Africa. BMJ. 2005 Oct 1;331(7519):710-1. Toroyan T, Khayesi M, Peden M. Time to prioritise safe walking. Int J Inj Contr Saf

Promot. 2013;20(2):197-202.

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Bachani AM, Peden M, Gururaj G, Nortyn R, Hyder AA. Road traffic injuries. Chapter in Disease Control Priorities, 3rd edition. PDF at http://dcp-3.org/chapter/2505/road-traffic-injuries

COFFEE: 10.30-11.00

Seminar 9: The Governance of Global Health Security. A Case Study of the Ebola Outbreak

This seminar will examine the relationship between UHC and health security. It will highlight the features and characteristics of our current global health governance system. It will address a number of key questions: How do we define governance for global health security and how/why has it evolved since the early days of international health cooperation? What are the major governance challenges and how are they impeding the effectiveness and efficiency of the global health ‘system’? What are the key weaknesses in the global governance system for health security? How did the Ebola epidemic expose these? How can this system be strengthened so that it is ready to tackle the next major outbreak?

Required reading

Moon S, et al. Post-Ebola reforms: ample analysis, inadequate action. BMJ 2017;356:j280

Moon S, et al. Will Ebola change the game? Ten essential reforms before the next pandemic. The report of the Harvard-LSHTM Independent Panel on the Global Response to Ebola. Lancet 2015;386:2204-2221.

Jain V, Alam A. Redefining universal health coverage in the age of global health security. BMJ Global Health 2017;2:e000255. At http://gh.bmj.com/content/2/2/e000255

https://www.ncbi.nlm.nih.gov/m/pubmed/21439089/

LUNCH: 12.20-13.00

SITE VISIT, 14.00-15.15: MMV (Medicines for Malaria Venture)

Required reading

About MMV: http://www.mmv.org/about-us Frequently asked questions about MMV: https://www.mmv.org/about-us/faqs Hemingway J, Shretta R, Wells TNC, Bell D, Djimdé AA, Achee N, et al. Tools and

Strategies for Malaria Control and Elimination: What Do We Need to Achieve a Grand Convergence in Malaria? PLoS Biol 2016;14(3): e1002380.

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SITE VISIT, 15.45-17.00: Global Fund to Fight AIDS, TB, and Malaria

Required reading

Global Fund overview: https://www.theglobalfund.org/en/overview/ Hanefeld J. The Global Fund to Fight AIDS, Tuberculosis and Malaria: 10 years on. Clin

Med (Lond). 2014 Feb;14(1):54-7. Jürgens R, Csete J, Lim H, Timberlake S, Smith M. Human Rights and the Global Fund to

Fight AIDS, Tuberculosis and Malaria: How Does a Large Funder of Basic Health Services Meet the Challenge of Rights-Based Programs? Health Hum Rights 2017 Dec;19(2):183-195.

DAY 5: FRIDAY, JUNE 28, 2018

Required reading:

UNHCR Emergency Handbook, Health in Camps: https://emergency.unhcr.org/entry/111814/health-in-camps

9-10.30: PRESENTATION OF GROUP WORK/CASE SIMULATION

COFFEE: 10.30-11.00

Seminar 10, 11-12.20: Gavin Yamey: Wrap-up and reflections on the week

12.20-13.30: Informal lunch in the park

7. Mentorship meals

There will be two dinners, both at 6.30pm, one on Monday evening (June 25) and one on Thursday evening (June 28), each with half of the student group, at Pizza Scandale. The restaurant is located on Rue de Lausanne 24 in Geneva. It is just a couple blocks away from Gare Cornavin and can easily be accessed by a number of tram/bus lines.

These dinners are aimed at providing an informal venue to discuss careers and provide guidance on career pathways. There will be an invited guest mentor for each dinner.

8. Policy memo

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To gain course credit, all Fellows in all three tracks of the Program on Global Policy and Governance are required to write a short policy memo—on a topic of their choice. Fellows usually choose a topic that is closely linked to their internship or to a major theme of the course week (including the case simulation, e.g. your memo could be on primary care service provision in refugee settings). Further guidance, including how to submit the memo, will be given during the course week. Instructions from the Sanford Program are as follows:

Word limit: 1,000 words (approx. 2-3 pages, single spaced) Format: Standard 1 inch margins, 12 pt. font Structure: Introduction, background, supporting argument or analysis, and reference

list. Choose the policy memo topic yourself, along with the office, organization, or individual to which it is addressed.

Deadline for memo submission: July 31, 2018.

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APPENDIX

Monday, June 25 Tuesday, June 26 Wednesday, June 27 Thursday, June 28 Friday, June 29SEMINARS 9-10: Gavin Yamey: Alma Ata at 40-Achieving UHC and Primary Care for All (Course Framework and Overview) 10-10.30: Gavin Yamey & Amy Hepburn: the joint global health-humanitarian action case study

SEMINAR 9-10.30: Shams B. Syed: Quality of Care, UHC, HSS, and Resilience

SEMINAR 8.30-9.30: Shekhar Saxena: Mental Health Services-continuing challenges from Alma Ata to UHC 9:30-10:30: Gavin Yamey: Midweek reflections on the course: emerging themes and debates

SEMINAR 9-10.30: Injury Prevention: Melecki Khayesi, Joelle Auert

9-10.30: Joint case competition

Coffee: 10.30-11 Coffee: 10.30-11 Coffee: 10.30-11 Coffee: 10.30-11 Coffee: 11-11.30

11.00-12.20 11-12.20 11-12.20 11-12.20 11.30-12.20SEMINAR Anayda Portela: Community Participation and Engagement in UHC

SEMINAR Theresa Diaz: The Role of M&E in the UHC 'Movement'

SEMINAR Shyama Kuruvilla: UHC, Primary Care, and the Unfinished Agenda of Child and Maternal Health

SEMINAR Suerie Moon: The Governance of Global Health Security. A Case Study of the Ebola Outbreak

SEMINAR Wrap Up and Reflections on the Course

Lunch: 12:20-13:00 Lunch: 12:20-13:00 Lunch: 12:20-14.00. Lunch at ICRC museum (buy lunch at café or eat own lunch in garden); we will purchase the museum tickets

Lunch: 12:20-13:00 Team Lunch in the Park

13.00-14.00 13.00-14.00 14.00-15.15 AFTERNOON FREEWork in groups on case competition Work in groups on case competition SITE VISIT: MMV (Medicines for

Malaria Venture) 14.45-16.45 14.45-16.45 14.00-17.00 15:45 --17:00SITE VISIT: WHO SHOC (Strategic Health Operations Centre) room

SITE VISIT: FIND (Foundation for Innovative New Diagnostics)

SITE VISIT: ICRC joint visit with humanitarian action fellows

SITE VISIT: Global Fund to Fight AIDS, Tuberculosis and Malaria

18.30-20.30 18.30-20.30 18:00-19:30GH Track Dinner Group 1. Guest: Suerie Moon

GH Track Dinner Group 2. Guest: Shyama Kuruvilla

Program Reception

2018 Week-at-a-Glance Schedule

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Alma Ata at 40: Revisiting Health for All in the UHC Era

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