training local health professionals and capacity building james a. litch md, dtmh centers for...
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Training Local Health Professionals
and Capacity Building
James A. Litch MD, DTMH
Centers for Disease Control and Prevention;
WA Department of Health, Epidemiology Office;
University of Washington School of Medicine
Presentation Overview
• International health assistance• Community based health projects• National training curricula and training
programs• Finding your place • Preparation and timing
Vertical Programs and Primary Care
• International aid projects continue to promote vertical programs
• Needs are great at the community/health post level
• Projects will demand a narrow focus, however health workers needs will be broader
• Be creative so knowledge can be applied broadly
Community Based Training Programs:
Examples
• Mission Hospitals
• Peace Corps
• Small INGOs
• Individual arrangements
Community Based Training Programs: Pearls
• Great need for training of health providers
• Sites are often isolated from national resources
• Many trainers produce their own material
• Don’t re-invent; resources exist
National Training Curricula and Training Programs
• Most countries have established health training programs
• These commonly focus on:– Reproductive Health – Child Health/Immunizations– Logistic Supply
• Good materials exist within county or in the region
International Organizations Partnered with
Ministry of Health• JHPIEGO – FP, Safemotherhood, HIV, Infection
Prevention, Training Trainers, National Training Systems
• INTRAH/PRIME II – FP, Safemotherhood, Adolescent Health
• Engender Health – FP, Infection Prevention, HIV, Adolescent Health
• UNFPA/UNICEF – Family Planning, Safemotherhood
• JSI – Child Survival, Logistic Supply
Finding Your Place
• Resources are available for use; check with local health ministry and partner international agencies
• A few positions exist with international agencies developing material and training systems
Preparation
• Training:– Broad clinical skills: family practice
residency training– Diploma in Tropical Medicine and
Hygiene
• Experience (volunteer):– Clinical teaching at home– Short-term overseas clinical work
A Gradual Process
• Significant overseas experience is required for long-term positions with international training agencies
• Volunteer positions are a fast start to international experience
• Build experience gradually and it will pay off
Medical Tourism
Source: Bishop RA and Litch JA. Medical tourism can do harm. BMJ 2000 Apr 8;320(7240):1017. http://bmj.com/cgi/content/full/320/7240/1017
DEFINITION: Exotic travel to a developing region with a brief opportunity to practice medicine on local residents
Medical Tourism vs
Health Development
Facilitate learning that impacts practice
Treating individual patients yourself