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Partners in Practice

Partners in Practice. establishing an International Development Programme of the Danish College of General Practitioners. Torsdag d. 25. august 2005 kl. 14.00 Rigshospitalet, Auditorium 2 Opponenter: Aase Bengaard Andersen Birgitte Jyding Vennervald

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Partners in Practice

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  1. Partners in Practice establishing an International Development Programme of the Danish College of General Practitioners Partners in Practice

  2. Torsdag d. 25. august 2005 kl. 14.00 Rigshospitalet, Auditorium 2 Opponenter: Aase Bengaard Andersen Birgitte Jyding Vennervald Thor Theander Vejledere: Henrik Ullum, Anthony Butterworth Bente Klarlund Pedersen

  3. A model for sustainable delivery of home based care incorporating anti-retroviral treatment to people living with HIV/AIDS – the HBC+. A sustainable, cost-effective and poverty-oriented model that, despite the complexity of the operation, strive to maintain a focused, simplified approach

  4. Ugeskr Læger 2005;8:862-5 Medicus 2004;5:19-23

  5. Partners in Practice

  6. The Primary Health care approach:a paradigmaticshift – a BIG idea Medicine Health Curative care Holistic care Specialised hospital care for the few Local health care for many Biological determinants of disease Socio-economic explanations Partners in Practice

  7. Alma-Ata declarationPrimary Health Care as a strategy The concept of PHC had strong sociopolitical implications. It explicitly outlined a strategy which would respond more equitably, appropiately and effectively to basic healthcare needs and ALSO adress the underlying social, economical and political causes (determinants) of poor health Partners in Practice

  8. ”Health for All 2000” wasnevermet; contrarily: health status is stagnantordeclining and public health systems areweakenedmainly due to: increasing poverty and failure to address health determinants resulting in poorer health status declining per capita health spending reducing a) health personnel and morale, b) drugs availability, c) transport for outreach and supervision, d) donor funding have reinforced selective & vertical approaches, fragmenting health services HIV/AIDS affecting and infecting health personnel -> -> reversing previous gains in PHC implementation Partners in Practice

  9. WHO: World Health Report 2008Focus: Primary Health CareVertical -> Horizontal -> Diagonal “Globalization is putting the social cohesion of many countries under stress, and health systems are clearly not performing as well as they could and should. People are increasingly impatient with the inability of health services to deliver. Few would disagree that health systems need to respond better – and faster – to the challenges of a changing world. PHC can do that.” Partners in Practice

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  13. Scandinavian Primary Health Care: Free and accessible Cost-effective and efficient Comprehensive and sustained by a mutually supportive referral system to secondary care ”Second to none” – (Propably the best in the world) Secretive about it !! Partners in Practice

  14. Allegationsabout the Scandinavian GP as a developmentworker: Implicit knowledge of the wonders of a well-functioning Primary Health Care system Experienced community facilitator and collaborator Ready and able for global responsibility By doing so maintaining local integrity and enthusiasm Partners in Practice

  15. Partners in PracticeInternational DevelopmentProgramme Foster development of PHC worldwide through established partnerships Offer wide variety of consultancy, expertice and skills transfer services Create, initiate, fund and facilitate PHC projects benefitting less priviliged ”Engaging locally to provide globally” Partners in Practice

  16. Now, isn’tthat a greatidea?orNaive, hypothetical mind games! How to do? Partners in Practice

  17. Inspiration: RCGP Int. Development Programme: Undergraduate and postgraduate training and curriculum development Courses and seminars for partners – Teaching the teachers Accreditation and assessment programmes Global Health Primary Care Initiative, BU: Development and implementation of locally sustainable models of PC Health management education programmes International Faculty Development Programs DANIDA – Health Sector Support Programmes Partners in Practice

  18. Partners in Practiceas an organisationalstructurea framework for diverse activities A formal body for partnerships, project development and fund-raising purposes Promoting and facilitating local initiatives Providing professional and administrative assistance Partners in Practice

  19. Partners in Practicea founding workshop ! Group discussions: Interest and capacity? Recruitment Identifying potential projects – how? How to move on? Structure and funding Follow up – concrete steps Partners in Practice

  20. Partners in Practice

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