Capacity building for non communicable disease prevention and control in Latin America and Caribbean

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1 Capacity building for non communicable disease prevention and control in Latin America and Caribbean Advances and challenges Branka Legetic, Anselm Hennis Pan American Health Organization- World Health Organization

2 CARMEN Network Members Argentina, Anguilla, Aruba, Bolivia, Brazil, Bahamas, Canada, Colombia, Costa Rica, Cuba, Curacao, Chile, El Salvador, Ecuador, Guatemala, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Puerto Rico, Trinidad & Tobago, Uruguay, BVI Barbados, St Kits & Nevis, Grenada, Prospective members Suriname, Venezuela Collaborating members SLU,USF,NHLBI,CDC,PHAC AMNET, RAFA,ILSI,F&V,IDB SA-Mexico (border)

3 Carmen School Special project of CARMEN network Generic name for series of training and public health activities that build a partnership between Schools or Departments of Public Health (SPH), Public Health Agencies and Ministries of Health (MOH) at the country level.

4 Objectives Long term Support development of necessary competencies of public health workers and communities to confront the challenges of NCD prevention health promotion and NCD management initiatives. Strengthen the collaboration between SPH, public health agencies and MOH Short term Development, implementation, and evaluation of training courses on integrated NCD prevention and control( primary health care professionals, community workers, and community leaders) Establishment of technical exchange program with Preventive Research Centers (PRC) in the United States to support continuous improvement of the CARMEN School. Creation of full CARMEN school program, with modular composition to be attended ( virtually or in person) as a full CARMEN school part of continuous education or attended separately

5 Present composition Evidence Based Public Health Course (EBPH) Physical Activity and Public Health, (PAPH) Social Marketing course (SM) Policy Analyses and Decision Making (PADM) Chronic Disease Management (CDM) All offered in Spanish and English

6 Partners The University of Saint Louis, School of Public Health (PRC) in USA University of South Carolina, School of Public Health (PRC) US University of South Florida, School of Public Health (PRC)US University of Cali, School of Public Health (Colombia) University of Concepcion, Department of Public Health (Chile) University of Pelotas, ( Brazil) The West Indies University, Department of Public Health (Jamaica) The University of San Carlos & University of Galileo (Guatemala) University of South Florida branch in Panama City ( Panama) University of Miami

7 EBPH developed with PRC of St Luis University Short Course (40 hours) in 2004 in Chile, Uruguay (2005) Guatemala (2007) Colombia ( 2008) Fellowship course (2005, 2006, 2007) Chile, and Masters program (2006, 2007) Catholic University Concepcion, Chile. Degree program (2006, 2007) in Brazil (U de Pelotas) Short course (40 hours) and module in Masters program (2007, 2008) in Jamaica ( West Indies University) A Hybrid course (on line 40 hours and 20 hours on site) in August 2009 in Cali Colombia cia.pdf

8 PAPH course developed with University of South Carolina, School of Public Health (PRC) US Short Course in Costa Rica (2005) Chile (2006) Guatemala (2007) htm SM course developed University of South Florida, School of Public Health (PRC)US Short Course in Panama (2006) (USF campus in Panama City); Mexico (2008) Chile (2008; 2010) Guatemala(2010)

9 PADM course has been developed with WB Short Course in Barbados for ECC countries (October 2007) 1 day seminar (10 hours) ( Nov 2008) with Evangelic University of El Salvador. 08.htm Chronic Disease Management course has been developed with U of Miami: Short term course Miami, 2009;2010 Short term course Argentina (2011) tent&task=view&id=1546&itemid=259&lang=es

10 Evaluation (2007, 2008): Evaluation of short courses: Training courses were well received and assessed by public health professionals as substantial support to the continues education and preparation in the area of prevention of NCDs. Important contribution to success of the model is the commitment and collaboration between Ministry of Health and other governmental and non-governmental organizations, including overall training regulatory institutions to ensure greater institutionalization and a commitment to continuing the training. important favorable factor was tying the training with national health promotion policies and primary health care models

11 Evaluation ( 2010): Assessment of training needs of NCD programs managers and their collaborators( on line in Dec 2009): Participants:146 NCD managers & collaborators Response rate: 72% Gender: M( 60.2%) F (39.8%) Average age: 39 Profile: MD 58%; MSc 66%; 19%PhD; 49% specialists

12 Competences that need enforcement Research, statistics, epidemiology (10%) Evaluation (8.6%) Negotiation skills ( esp. with other sectors) 7.9% Advocacy ( 6.8%) Collaboration, coordination, networking (6.1%) Inter-sector action (5.4%) Social marketing and communication (5.1%)

13 Available resources for training

14 Challenges Logistics & organization: Limited reach through in person courses Resource demanding Content: Request for new skills like negotiations, inter-sector action, social marketing, communication

15 Conclusion & UN HLM Declaration implementation requires from countries greater capacity in all aspects of NC prevention and control Global and Regional Plan of Action on NCDs outlines building capacity as one of key intervention for better response.

16 CARMEN School: continuous education on line: How to Effectively Address NCDs in 21st Century

17 Carmen school virtual course in English 2012,2013, 2014, 2012,2013

18 2015 Expand virtual course in English with new modules on RF ( Tobacco, sodium reduction, alcohol) Launch the virtual course in Spanish

19 Thank you!

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