Global Health 4.0 - University College London

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Global Health 4.0 - University College London Powered By Docstoc
					What can European universities do for
          Global Health?

          Anne M. Johnson
        Professor of Infectious Disease
     Co-director Institute for Global Health,
     Global health -a multidimensional concept-

• Transition from national Public health to Global Health occurs
  ‘where the determinants of health or health outcomes
  circumvent, undermine or are oblivious to the territorial
  boundaries of states and this beyond the capacity of individual
  countries alone to address through domestic institutions.’
       Lee K, Collin J eds. (2005) Global Change and Health
   Term applied in context of:
• Global Health Diplomacy
• Global Health Security
• Global Health Policy
• Global Health vs International health vs Public Health
           What is global health?

Global health is... “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 emphasises transnational
health issues, determinants, and solutions; involves
many disciplines within and beyond the health
sciences and promotes interdisciplinary
collaboration; and is a synthesis of population-based
prevention with individual-level clinical care.”
                          CUGH –USA Koplan et al. (2009)
Global health.... A concept in evolution

   1.0           2.0
   Tropical      International     Global         Global
                    health         health 3.0     health 4.0

Colonial      Cold war     Development aid Globalisation

  Source: Peter Piot Global Health 4.0 CUGH Seattle 2010
                     3.0                           4.0
•   High income countries                  • Worldwide
•   PI = North Am/Europe                   • PI = diverse
•   Study sites                            • Centres of excellence
•   Largely biomedical                     • Multi-disciplinary
•   Infectious diseases                    • Broad health issues and
• Clinical trials,                         • Full spectrum of
  epidemiology,                              translation from
  implementation                             discovery to
                                             implementation science

    Source: Peter Piot CUGH Seattle 2010
UCL Institute for Global Health & the
 Grand Challenge for Global Health

Within UCL:
• initiating and enhancing discipline- and department-specific
  programmes, research and teaching
• stimulating interdisciplinary discourse across the university
• enabling the development of activity to make possible effective
  large-scale multidisciplinary approaches and interventions.
Beyond UCL:
• creating real and virtual spaces for academic discourse, in the
  public-policy arena and international political processes
• exploring partnerships with other universities, government,
  industry, funding bodies, trusts and charities, UK and
  international agencies to support our research, education,
  advocacy and public-policy initiatives
• positioning UCL as the key informant to governments, business
  and the community about matters relating to global health
        Universal and equitable access to quality health care
               depends on global and national forces

Source: Goran Tomson Global
health Europe 2010
    New challenges and contexts
• Growing economies (BRIC)
• Global population growth, changing demography
• Challenges to energy, food, and water security,
• Demographic growth and ageing
• Growing impact of non-communicable diseases
• Migration and social movements
• Acceleration of and new communication
• New technologies
New challenges and contexts 2
• Growth of ‘health industry’ in eg BRIC
  countries- pharmaceuticals, health
  professional, manufacturing, 3y education
• Equitable Partnership not ‘paternalism’
• Equitable and sustainable capacity
  development (Iy education needs 3y education)
• New models of teaching and learning
• Multidisciplinary problem-solving (water,
  energy, vaccines, epidemic control)
‘As global health becomes an increasingly hot
field, there is a risk these well-intentioned
efforts are creating a 21st-century scramble for
Africa by US universities’

Source: Johanna Crane Lancet 23rd April 2011
commenting on Consortium of Universities for
Global Health (CUGH)
European Academic Global
 Health Alliance (EAGHA)
  European Academic Global Health
         Alliance (EAGHA)
• 50 Members in 23 countries in Europe

 “A forum for interested academic institutions
 with involvement in Global Health to exchange
  views and ideas, so as to develop a European
   voice on Global Health issues and influence
                relevant policies”
Where are the member institutions located?

                         Member of Alliance

                         Member of Alliance/ASPHER Member
EAGHA Country-level partners by
       institution type
                   2.4          University/college

       7.9                      Government agency
                                (Ministry, national
                                hospital/medical centre
                                research centre
                                country office of
                                international partnership
Diversity in type of partnership
– Capacity building
   • Through joint research projects, setting up PhD, MsC,
     MPH programs; exchange programs, hospital
     management programs
– Policy development
   • Health System development, improving stewardship
     and regulation at a national level
– Infrastructure strengthening
   • health information system development
– Research partnerships on specific diseases, health
  systems and target groups
     EAGHA Global Partnerships
            4%          WHO Africa Region

                        WHO Region of South-
                        East Asia
8%                      WHO Region of the
                 50%    Americas
                        WHO Eastern
                        WHO Region of Western
      19%               WHO European Region
• To advocate for evidence-based policies and
  increased resources for global health in the
  European Union and other relevant bodies;
  to influence EU policy on research and
  development for global health; to support the
  implementation of the EU research agenda.
• To develop guidelines for partnerships
  between European institutions and their
  counterparts in low- and middle-income
  countries (including the issues of intellectual
  property and data sharing); to learn about
  effective partnerships from case studies and
  to promote the implementation of such
• To contribute to strengthening capacity in
  partner institutions in low income countries
  in response to their priorities, including
  supporting areas such as research, teaching,
  administration and infrastructure.
• To foster exchange of ideas and, where
  appropriate, collaboration between
  European global health institutions on
  research, teaching, and capacity building;
• To encourage and to support the evaluation
  of investments in global health to ensure
  they have the desired effects.
• To raise awareness of the challenges and
  opportunities of global health in medical,
  nursing, public health and allied health
  professions, as well as the wider public.
• To undertake horizon scanning in order to
  identify new and emerging topic areas, and
  share knowledge of potential impacts on
  teaching and research programmes as well as
  on policy and practice.
• To encourage the formation of similar
  collaborative networks in other world regions
  and to forge links with those that already
  exist; to ‘globalize ownership of global health’
  and promote more coherence in global health
  actions across regions through supporting the
  development of a ‘World Federation’ of like
  minded associations.
           EU Global Health Policy
• Advocating for a sustainable European commitment
  to global health
• Promoting synergy between the policy spheres of
  public health, foreign policy, development and
  research for health
• Promoting effective and fair financing of research
  that benefits the health of all people

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