scholarly journals Transnational collaboration for global health education: Romania as West-East hub

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ungureanu ◽  
L Paina ◽  
M G Brînzac ◽  
R M Cherecheș

Abstract Background Similar to many Eastern European countries, Romania has faced significant health professional outflow in the past decades. However, in the recent global context, this pattern is slightly changing and increasingly more complex. Although Romania is not yet experiencing significant inflows of already trained health professional, it has gradually become a preferred destination country for Western students pursuing a medical degree. Moreover, Romania has become attractive as a setting for students in high income countries with an interest in global health. The aim of this paper is to describe how Eastern European countries can provide global health training opportunities for Western students. Methods The paper describes a case study of global health education through a global health practicum program managed by the Department of Public Health at the Babeș-Bolyai University in Cluj-Napoca, Romania. Results The global health program is designed to provide a rich, hands-on practical approach to public health issues for students in health professions. The program has an internship format, with a minimum length of four weeks, organized as either a research project, medical shadowing, community practice, or rural health program. It builds on four key elements: customized placements in public health organisations; academic support and mentoring; instruction conducted in English; and additional cultural elements. For the past ten years, the program has included over 50 participants from the United States of America, UK and Denmark. Conclusions The program implemented by the Department of Public Health revealed the importance of a blended approach - academic-based, and practice-oriented - to providing global health training for health professionals. This approach is vital for preparing the future health workforce towards implementation of SDGs and could serve as a model for other collaborative initiatives.

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
R Worthington

Abstract Background While meeting the health needs of refugees is defensible as a human right, asserting this right is insufficient to ensure that health care needs of refugees are actually met. In addition to political will and social commitment, a well-trained workforce is needed. Problems faced by refugees mean taking a range of public health and other measures, requiring a mix of skills to help health care professionals [HCPs] meet the needs of this vulnerable population. Objectives In taking an overview of global health problems associated with the health care needs of refugees, ethics and human rights are assessed to see what practical steps can be taken by public health leaders to better enable HPCs address unmet needs. Results Given the scale of the problem and the moral implications, there is a case for making refugee health a core topic in global health education. Ethical analysis is used to devise learning outcomes that could be included in programmes for continuing education and professional development. Twelve indicative learning objectives are offered, including to ‘demonstrate leadership when trying to affect change and address health problems faced by refugees' and to ‘demonstrate sensitivity to social customs without necessarily acceding to unlawful or unethical practices'. Conclusions When focusing on the health needs of refugees, practical and ethical considerations should be taken into account in support of efforts at finding educational solutions. Making refugee health a core topic in postgraduate global health education could help HCPs acquire new skills. Key messages The right to health is insufficient to ensure that refugees receive the care they need. There is an ethical case for building refugee health into education programmes for global (public) health.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  

Abstract Background Global health has created new challenges for education and training of health professionals. Changing demand on humanitarian aid and infection control arising from the new corona virus outbreak, antimicrobial resistance, neglected tropical diseases (NTDs), immunisation gaps and care needs of refugees meet with conditions that are only since recently considered as major health threats, including gender inequality, health workforce shortage, environmental risks and climate change as well as poor mental health. These developments have resulted in high-level meetings and new policy frameworks, such as the Sustainable Development Goals (SDGs). However, action on the ground has still to follow. Health professionals are poorly prepared to respond to new global health needs. Public health and healthcare systems face an urgent need to strengthen global health in the education and training of all groups of healthcare workers to create a future workforce, which is capable to implement the SDGs and serve the needs of the population both locally and globally. Objectives This workshop addresses these questions and fosters critical debate. It has three major Objectives: improve advocacy for global health and the SDGs, introduce different models to support and implement global health and the SDGs in health professional education, and strengthen the role of public health in global health. The workshop brings together knowledge and expertise from different countries/regions of the world, professional groups and educational institutions. It seeks to build bridges between disciplines and stakeholder groups, including giving stronger voice to students and young professionals. The workshop illustrates diversity of advocacy and action in global health education, and reveals strong demand for multidisciplinary approaches to respond to population needs. It begins with information on competencies currently valued by global health employers in relation to those developed in graduates of public health programs. This is followed by novel models of global health education, including an institutional collaboration model as West-East hub and a students' driven participatory trans-sectoral model. Further case studies illustrate the benefits of a transdisciplinary approach to respond to major health threats, such as vaccine resistance and Ebola, and the need for including the Global South in gender sensitive research and methodology. The workshop will improve networking of global health advocates. It will add value through knowledge exchange beyond the professional silos, as well as across the global North-South/ East-West. Finally, it will strengthen connections between global health and public health and build capacity for multi-professional, trans-sectoral leadership in global health education and research, which is sensitive to gender and cultural/ethnic diversity. Key messages Strengthening global health competencies in education is a key to respond effectively to new public health challenges and to implement the SGDs. There is growing demand and urgent need for multidisciplinary approaches and transnational collaboration in global health education.


2019 ◽  
Vol 153 (3) ◽  
pp. 374-379
Author(s):  
Emily H Glynn ◽  
Jeannette Guarner ◽  
Allison Hall ◽  
Ann M Nelson ◽  
Linda R Andiric ◽  
...  

Abstract Objectives This study assessed the prevalence, general interest, and barriers to implementing global health curricula in pathology residency programs. Methods We conducted a survey of 166 US pathology residency programs. Results Thirty-two (195) of 166 programs responded. Of these, 13% have a formalized global health program (n = 4), and the majority indicated at least some general interest in global health among trainees (88%, n = 28) and faculty (94%, n = 30), albeit at a low to moderate level. Funding limitations, regulatory constraints, and insufficient knowledge of global health were frequently cited barriers to developing a global health program. Conclusions Few US pathology departments incorporate global health education into postgraduate training. The importance of pathology in global health has been underappreciated, despite its critical role in the delivery of health care in resource-limited settings. One solution is for pathology departments to expand global health educational opportunities for trainees.


Parasitology ◽  
2013 ◽  
Vol 141 (3) ◽  
pp. 311-325 ◽  
Author(s):  
J. P. DUBEY ◽  
I. HOTEA ◽  
T. R. OLARIU ◽  
J. L. JONES ◽  
G. DĂRĂBUŞ

SUMMARYInfections by the protozoan parasite Toxoplasma gondii are widely prevalent in humans and other animals worldwide. However, information from eastern European countries is sketchy. In many eastern European countries, including Romania, it has been assumed that chronic T. gondii infection is a common cause of infertility and abortion. For this reason, many women in Romania with these problems were needlessly tested for T. gondii infection. Most papers on toxoplasmosis in Romania were published in Romanian in local journals and often not available to scientists in other countries. Currently, the rate of congenital infection in Romania is largely unknown. In addition, there is little information on genetic characteristics of T. gondii or prevalence in animals and humans in Romania. In the present paper we review prevalence, clinical spectrum and epidemiology of T. gondii in humans and animals in Romania. This knowledge should be useful to biologists, public health workers, veterinarians and physicians.


Equilibrium ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 97 ◽  
Author(s):  
Elżbieta Jantoń-Drozdowska ◽  
Maria Majewska

The aim of this work was to present the similarities between the components of competitiveness and investment attractiveness as two complementary categories, and to show the role of new locational advantages in determining the level of investment attractiveness of a country. Another objective of this paper was to provide a comparative analysis of Central and Eastern European countries in terms of their investment attractiveness. Thus this paper was organized as follows: the first part of the paper focused on a country’s competitiveness, and the traditional and new location advantages that determine its investment attractiveness in view of direct investment inflows in the light of M. Porter’s model of a diamond, an eclectic paradigm of J. H. Dunning and new growth theories. The second part presented the results of investment attractiveness analysis including selected countries of CEE in the years 1995-2013. Comparing the investment attractiveness of Central and Eastern European countries shows that a rather narrow group of countries attracts a greater amount of FDI, and many more countries have experienced a decline in FDI. Therefore, the research results allow for the conclusion that Central and Eastern Europe reduced its investment attractiveness over the past years. This means that the majority of Central and Eastern European countries are becoming less successful in attracting FDI, and therefore in shaping the environment in which foreign companies wish to conduct their business.


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