TUFH Talks

TUFH613

Authors: Alex Anawati, Erin Cameron

Organization: Northern Ontario School of Medicine

Country: Canada

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
The Project: Social Accountability as the Framework for Engagement for Health Institutions (SAFE for HI Project) aims to answer the question: Could social accountability have a positive impact in health institutions who focus on health care service delivery? This question is the focus of a comprehensive research study examining whether the framework of social accountability within medical education can be retooled to have a positive impact in other health institutions that focus on service delivery, such as hospitals or medical clinics. The SAFE for HI Project hopes to answer this question through a series of successive studies that includes the development of an evidence-based evaluation tool, an institutionally validated peer review process, a social accountability methodology for stakeholder and community engagement, and a framework to measure the impact of social accountability in health institutions that focus on health care service delivery. Presently the SAFE for HI Project has developed and piloted the SAFE for HI Evaluation Tool and Peer Review Process. In this presentation, we are excited to share our project and engage others in discussion about how to implement such work in other jurisdictions. Please join our TUFH talk for an overview of our work.

TUFH604

Authors: Herdifitrianne Yanuaristi

Organization: Universitas Gadjah Mada

Country: Indonesia

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
Social determinants of health play a big role in public health, mostly in vulnerable communities such as society living in slum areas. One example is those affecting people of TPST Piyungan, the biggest landfill in Yogyakarta Special Province, Indonesia, populated by 500 intergeneration trash scavengers and their families spread across the 12,5-hectare area. Living in an area unsuitable for ideal residence – among trashes – raises various health problems. Data from PHC Piyungan shows that the 3 top-listed diseases are acute nasopharyngitis, vulnus, and primary hypertension. Among children, our research sampling of 28 children aged 9-12 at the end of December 2020 shows that 61% of them are underweight (Asian BMI criteria). As the underlying causes are mainly the interconnected non-medical factors (i.e. polluted environment, poor sanitation due to poor systemic waste management, and low education), it also requires multilayer individual, community, and systematic-based solutions. Global Empowerment Steps (GPS), a student-powered NGO addressing the concern in health, environmental, and the educational issue of marginal community, implements resource mobilization theory by the intersectoral collaboration to maximize limited resources and allocate them effectively to the target society. My talk will further elaborate on the collaboration made by GPS with several organizations in addressing the struggle of excess garbage and poor trash management to the government, providing targeted education, and raise financial aids for the community. The progress made by GPS is hoped to be a precedent to create a healthier society of the vulnerable communities across the country, empowering students as organic intellectuals.

TUFH738

Authors: Arthur Kaufman

Organization: University of New Mexico

Country: United States

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
Health Equity requires that “everyone has a fair and just opportunity to be healthier” by “removing obstacles to health such as poverty….. lack of access to good jobs with fair pay, quality of education and housing, safe environments, and health care.” Achieving health equity requires effective solutions by both investing in systems that are designed to improve social and economic conditions including housing, transportation, education, income and employment assistance, child and family supports, and legal and criminal justice services and integrating these investments into often disconnected medical and public health programs tasked with improving health.

This TUFH talk will focus on stories and case studies that have reduced healthcare inequities resulting in improvement on the impact on people’s health. This TUFH talk will focus on the model for creating productive partnerships leading toward Health Equity to improve Impact on People’s Health.

TUFH747

Authors: Bob Woollard, Ray Markham

Organization: University of British Columbia

Country: Canada

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
In recent decades, there have been numerous international consensus statements, publications and “calls to action” to foster a global movement towards social accountability. These frequently fail to promote the world-wide global action required for their practical implementation. The global fabric of our communities upon which health depends is torn and we must heal this fabric through communal actions. The unique context in which local action must take place can limit how local change agents and networks can adopt and implement global policy recommendations at the local and systems scale. Globally derived evidence and frameworks can be helpful in prioritizing and framing desirable outcomes and frameworks for action. On the other hand, local actors are in the best position to adapt global intentions into impactful local actions.

This TUFH talk will paint a picture of how global policy can be translated to local action through the story of The Rural Coordination Centre of BC (RCCbc) and its journey, from inception to scale, in improving the health of rural people and communities of British Columbia, Canada. This involves the application of the partnership pentagram plus; relationship based collaboration with First Nations; and an approach of appreciative inquiry.

This TUFH Talk will focus on the value that relationships and partnerships, framed within the partnership pentagram plus are key in translating global policy to local action.

TUFH642

Authors: Grace Iva Susanti, Galang Tri Atmaja, Nur Alifa Suhartita, Brigitha Kelisya Tanzil, Agung Faris Anugrah, Hanggoro Tri Rinonce, Hanggoro Tri Rinonce

Organization: Universitas Gadjah Mada

Country: Indonesia

Sub-Theme: What can we learn from your Primary Health Care Practice and Experiences?

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
Ewuh pakewuh (reluctant) is a culture that has been developing from generation to generation in Central Java Province, Indonesia. Positively, it helps people to be more polite to the elderly, yet it can have a negative impact, especially in the midst of this pandemic, when someone becomes afraid to remind others who do not apply health protocols properly. Based on this problem, Collaborate to Fight COVID-19 (COFIGHT) conducted a survey to see whether this culture had an effect on a person’s compliance with health protocols. Filled by 4000 respondents from 35 districts in Central Java, it is found that 89% of the citizens actually have good knowledge and awareness towards the importance of health protocols in terms of preventing transmission of COVID-19. However, feeling reluctant dominates a person to reprimand others who do not apply health protocols properly (48%), especially to strangers and people with higher positions in society. On the other hand, there are also some people who dare to reprimand others (42%) because they feel responsible to do so. Therefore, COFIGHT held a campaign titled #PadhaNgelingke (reprimanding each other) movement, in collaboration with the Central Java Provincial Health Office. The campaign was carried out by sending 199 volunteers to 185 primary health care to educate people about the importance of health protocols, 3M (wash hands, wear a mask, physical distancing), 3T (testing, tracing, treatment), and vaccine. They also invite people to remind others in implementing health protocol correctly throughout the campaign.

TUFH627

Authors: Titi Savitri Prihatiningsih, Tri Nurkristina, Ardy Findyartini

Organization: Department of Medical Education, Faculty of Medicine, Public Health, and Nursing, Universitas Gadjah Mada

Country: Indonesia

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
The world of medical education has shifted from Flexner to a competency-based paradigm in 1960. The WHO endorsed the competence-based for medical education in 1978. Since then all over the world, many medical schools reformed their medical education program into a competency-based curriculum. Indonesian Medical Council as mandated by Medical Practice Law coordinated the formulation of competency framework led by the Indonesian Medical School Association and involving multi-stakeholders of the Indonesian Medical Association, Ministry of Health, Ministry of Education, Indonesian Association of Teaching Hospitals, 35 Colleges of Specialties, Indonesian College of Medicine, district health offices, the medical students association. The first edition was published in 2006, the second one is in 2012, and the third one was submitted for approval in 2019. The topic discusses the dynamic and challenges of managing stakeholders’ engagement in developing a competency framework (standards of competencies) for medical doctors in Indonesia. Indonesia has a unique feature and unique challenges for having diversity and complexities in health problems. Massive numbers of stakeholders and individuals have been involved in this endeavor. The primary author was the Leader of the working committee comprising of multi stakeholders in the first and the third edition and a member of this working committee in the second edition. The co-authors were members of the working committee. Based on direct experiences and qualitative analysis from the documents, lessons learned could be drawn, in particular the complexities, the difficulties, the obstacles, and the positive values of managing multi-stakeholders at the national level.

TUFH632

Authors: Mary Showstark, Leshan Kereto, Lea Hix, Sherin John, Saad Uaakas

Organization: Yale University School of Medicine Physician Assistant Online Program

Country: United States

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
A grassroots organization, the IFPACS model was structured
on the model of the IFMSA to create a similar, student-run
organization that could stand on its own. A key difference is
that the IFMSA is a federation of student organizations from
around the world, whereas IFPACS currently is an organization
of individual student membership because many countries
have not developed PA/PA-comparable student organizations.
(One of the goals of IFPACS is to assist student leaders
to create local student associations and then build up towards
a federated model like the IFMSA.) Students were identified
through personal contacts of the initiating affiliates and were
invited to join the organization through social media outreach.
Founding members from each country were sought out to
actively recruit students from their local communities while
providing country-specific details on their education and
profession

TUFH731

Authors: Widyandana Widyandana, Nandyan Nurlaksana Wilastonegoro, Lastdes Cristiany Friday, Gandes Retno Rahayu

Organization: Universitas Gadjah Mada

Country: Indonesia

Sub-Theme: Community-Based Education for Health and Social Care Students

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
Background:
The Covid-19 pandemic that came unexpectedly has disrupted all health education systems worldwide. Interprofessional Education (IPE) aimed to prepare future health workers to be effectively work in a collaborative manner to improve the patient and community health status. Therefore, the community learning activities that have shifted from offline to online were used to educate the families in the rural site.
Objective: Evaluating the online education of the IPE program in emergency response of Covid19 to empower families in rural areas.
Method:
This was action research, recruited 786 undergraduate students from medicine, nursing, and health nutrition at the Faculty of Medicine, Public Health and Nursing, Gadjah Mada University (FKKMK UGM), Yogyakarta, Indonesia through Community and Family Health Care – Interprofessional Education ( CFHC-IPE) program. The students were tasked with empowering families to survive in this pandemic, warding the hoaxes, and providing education through online platforms, such as WhatsApp groups and social media.
Results:
The results show that in the period March 23rd until 19th of April 2020 this program has been succeeded in involving 786 students from 3 study programs and reaching a number of 479 families. Both students and assisting families were still difficult to comply with the flow of the program due to the sudden switch to work from home, however, the students support benefits for the communities.
Conclusion:
The online IPE program was effective in assisting families in a rural areas in tackling the hoaxes and provide education related to the Covid-19 Pandemic.

TUFH539

Authors: Samar Ahmed

Organization: Ain Shams University MENA FAIMER Regional Institute

Country: Egypt

Sub-Theme: High-Quality Learning and Collaborations in the Health Workforce

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
Faculty are considered to be the backbone of any institute and their training and
development is necessary for the progressive growth of an educational organization. This
necessity has been the focus of a lot of medical education research, resulting in a
number of faculty development models concentrating on the methodology of program
planning and implementation. Such models are mostly linear considering faculty
development to be a one-time measure. However, there exists a clear distinction
between faculty development and faculty training and in its true sense faculty
development should emphasize individual faculty growth over the long term
synonymously with direct short-term goals related to faculty work. This idea
encouraged us to develop a new model for FD to reinvent the way we approach faculty
development and consider FD as a continuous cyclical process, rather than just a
linear model. We conducted a qualitative study based on phenomenological
observations, leading to the development of the 5×2 backward planning model. The
the model essentially consists of the following interchangeable stages; Decide stage
(focused on decisions related to the context of the program and the kind of faculty
attending it) Define stage( concerned with defining the needs of the program and its
objectives); Design stage (concentrates on the design of the material and the methods of
delivery for the identified objectives); Direct stage ( directing both the learning and
development of faculty and establishing a community of practice) lastly, the Dissect
stage (focusing on scrutinizing the fulfillment of the objectives and the developmental
KPIs.)

TUFH611

Authors: Shakuntala Chhabra

Organization: Mahatma Gandhi Institute of Medical Science Sewagram Wardha Mharashtra India

Country: India

Sub-Theme: What can we learn from your Primary Health Care Practice and Experiences?

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
CONTEXT: Women around the world suffer because of their body function, gender inequalities. Rural women suffer more, from birth to death, womb to the tomb because of dependence, lack of infrastructure. access problems in regions where there is extreme poverty. STUDIES Attempts were made to find about girls felt needs, pre-conception health, health during pregnancy, reproductive life, elderly women. We served, researched, learned, to best serve. RESULTS During early adolescence life 36% of girls & 38% of boys had low BMI, 13% boys, 19% girls had very severe anemia, only 4% boys 10% girls, were non-anemic. Twenty-three percent of preconception women had low BMI and Seventy percent of pregnant women were anemic. 65% had low birth weight babies. Seven percent of reproductive life women were very severely anemic, only 9% non-anemic, 30% had low BMI, 34% had symptoms of Vit A deficiency. Sixty-six percent of elderly women suffered from illnesses, easily treatable even in villages. Biofuel mass use increased problems of insufficient food, especially iron-containing. The advantage of Mahua ((Madhuca Longifolia) which controlled lipids was countered with extra salt. Only 27% of rural families had land, 66% could grow crops, so only 18% could grow that too to sell not to use for themselves. When adolescents were asked about skill learning to support themselves, families had no understanding of available, doable, sustainability in villages.
CONCLUSIONS It is essential to keep on doing community-based research technical social perspectives too while serving to know needs of communities, learning gaps, modify improve services guide to have healthy communities.

TUFH727

Authors: Anne Cronin

Organization: University of Limerick

Country: Ireland

Sub-Theme: Innovative Ways for Community Mobilization and Engagement of Stakeholders

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
The Limerick Cycle Bus was established in 2019 as an initiative to support children to cycle to school safely. Limerick is a flat city with a radius of 6km and therefore bike trips are achievable for varying levels of ability. However, the city has poor cycling infrastructure with very few segregated cycle lanes. As a result, commuter/utility cyclists share the road space with vehicular traffic for most trips. Sharing road space can prove quite dangerous for children cycling and therefore numbers cycling to school in the city are quite low.
The cycle bus highlights the need for enhanced safety features like segregated infrastructure throughout the city, in parallel to supporting families that want to use active travel as a means of getting their children to school. Since its inception number of children using the cycle bus has increased from a handful of children to over 60 children on a daily basis.
The cycle bus community in Ireland has grown consistently since 2019 to what is now a national network of cycle buses in cities and towns across the country.
In terms of public health – children cycling to school has significant value and offers a wide scope of benefits. In qualitative interviews with the children, they speak of their ‘better mood’ when they reach school and ‘feelings of happiness’ when traveling to school with their peers. Some have spoken of their ‘ability to concentrate better’ when arriving at school and their desire ‘to get on with their day’.

TUFH698

Authors: Toni-Ann Mundle, Omarr Edwards, Cianna Lunan, Maria Jackson, Tomlin Paul

Organization: UWI Mona Campus

Country: Jamaica

Sub-Theme: Community-Based Education for Health and Social Care Students

Agenda at TUFH 2021: July 22, 2021, from 5 – 7 AM UTC+0

Abstract:
As part of the formalization of The University of the West Indies (UWI) Mona Campus Faculty of Medical Sciences (FMS) Social Accountability and Interprofessional Education mission, the FMS formally inculcated community partnered rural and underserved Health Fairs into its informal curricula by developing a tripartite steering committee of community leaders, faculty, and student leadership.
While FMS Mona has traditionally had a strong socially accountable community health and primary health care focused curriculum, inclusive of longitudinally integrated clerkships in community health; integrating interprofessional education, collaboration, and practice is a relatively new innovation for the seven health professions schools of the FMS.
In December 2016, the FMS rolled out the first of its new socially accountable interprofessional health fairs targeting rural and underserved Jamaica supplementing its formal curriculum with student volunteers from the cross-section of medical, dental, nursing, physiotherapy, pharmacy, diagnostic imaging, and basic medical sciences schools.
At these whole-day health fairs, students and supervising faculty venture deep into rural and underserved Jamaica working logistically with the local community. Students rotate and are cross-trained in the different disciplines on offer and interprofessional team dynamics are forged yielding professional and life lessons in preparation for their inevitable graduation into the health team.
This is but one medical education innovation that saw FMS Mona become the first school in Latin America and the Caribbean, and 17th school overall to win AMEE’s ASPIRE-to-Excellence Award in Social Accountability in 2020.