1 CURRICULUM VITAE Name: KEGELS First name: Guy A.G. Gender: male Born: Antwerp, Belgium, January 27, 1951 Marital status: married, 1 son Present position: Senior Lecturer, Department of Public Health Prince Leopold Institute of Tropical Medicine Antwerp, Belgium Education and training High school: graduated in 1968 (Antwerp, Belgium) : foreign exchange student, Clayton Valley High School, Concord, California : University of Antwerp, Medical School; graduated MD : Prince Leopold Institute of Tropical Medicine, Antwerp, Belgium Diploma Course in Tropical Medicine and Hygiene Graduated DTM&H : PhD (Doctor in Medical Sciences); University of Antwerp Thesis: "Development of a methodology for a feasible and efficient approach to health problems by basic health services in rural Africa. An application to sleeping sickness (Trypanosoma brucei gambiense). Professional and employment record Present employer: Prince Leopold Institute of Tropical Medicine Nationalestraat 155 B 2000 Antwerp, Belgium Quality and Human Resources Unit Position: full-time staff member since February 1989; senior lecturer since 2003 Training responsibilities: - Teaching of the Public Health module in the Postgraduate Course for Tropical Medicine (physicians and masters in biomedical sciences)
2 2 - At the Health Systems Management and Policy programme (MPH course, alternating in French and English): Health service organisation, financing systems and financial management, health problem based approach, tools for decision making in public health, health information systems, research, health policy and reform, project management and evaluation,...; Since : in charge of 2 months option / short course strategic management - At the Master s Course in Disease Control (MSc course, alternating in French and English): Organisational configurations, health service organisation, tools for decision making; - Coaching participants in seminars, workshops, group work and paper writing. Research activities: - Epidemiological research: on the predictive value of early signs and symptoms of Human African Trypanosomiasis ( ); - Health Systems Research: - on optimising district and provincial level systems in rural and urban settings in Thailand ( ; ) - on reorganising and optimising the national health information system in Morocco ( ) - on district level management in Zimbabwe ( ) - on adapting health services to urban situations in three North-African settings (Morocco, Tunisia, Algeria) ( ) - on preparing and formulating health care reform in Thailand ( ) - on general quality management and change management in health care organisations - Quality and performance improvement in health services with special attention to organisational configuration and culture (2000- ) - Health workforce development and capacity building (2002- ) Other teaching assignments University of Antwerp; Institute of Development Policy and Management - Sectoral policies: Health (30 hours; English and French in alternating years; till 2007) Free University Brussels (VUB); Master's Program in Medical & Pharmaceutical Research - Clinical epidemiology (till 2003) Course on research and decision making, Institut National d Administration Sanitaire, Rabat, Morocco (January 2009)
3 3 Previous long term positions - June September 1988 Employer: Medicus Mundi Belgium Long term consultant at the Health Development Project (Kita, Bafoulabe, Kenieba), Mali. The Health Development Project in Mali was a World Bank (IDA), Belgian Government and Mali government funded project, in three rural districts in Western Mali. Responsibilities of the long term consultant consisted in overall assistance in rationalising first and second line health care, operationalising and follow-up of new cost recovery systems at hospital and health centre level and planning the extension of health service coverage. The experience and conceptual developments of this project contributed significantly to the formulation of Mali s new health sector policy in May May 1985 Employer: Institute of Hygiene and Epidemiology, Brussels, Belgium Position: team member of the Epidemiology Unit. Responsibilities included the analysis of data from a national prevalence survey of hospital infections in Belgian hospitals (main task) and collaborating in conceptual and applied research on improvement of the Belgian sentinel networks of GPs. - July January 1984 Employer: Laval University, Québec Position: Health Care Co-ordinator of the island of Anjouan, Comoro Islands. Anjouan is a small island of some 150,000 inhabitants (at that time), with a three-tier health service system (1 referral hospital, 5 'medical centres' with MDs, 12 health centres). My function consisted in overall co-ordination of the health service management and planning activities, including the allocation and distribution of essential drugs and other resources, and backstopping in clinical hospital work. - September June 1982 Practical refresher training and research at the Institute of Tropical Medicine in Antwerp. - June July 1981 Employer: U.N.D.P., United Nations Volunteers Position: basic health care deputy co-ordinator, Anjouan, Comoro Islands. This function included mainly clinical work at hospital and health centre level, managerial and planning duties and epidemologic research (carrying out a tuberculin survey among school children in order to asses the level of the annual rate of infection and its possible local variations). - November May 1979 Postgraduate internship obstetrics-gynecology, Jan Palfijn Hospital, Antwerp. Clinical work and training, in preparation of overseas work. - November October 1978 Various replacements for general practitioners and emergency ward hospital work. - April October 1977 Postgraduate internship surgery, Fabiola Hospital, Blankenberge (Belgium).
4 4 Clinical work and training, in preparation of overseas work. Short term assignments and missions - March - May 1984 Prince Leopold Institute of Tropical Medicine (Nutrition Unit); Kenya Design of evaluation framework for large nutritional and health interventions. My contribution in this team effort concentrated on process evaluation and included a 3 weeks mission to Kenya in order to explore the feasibility of this type of evaluation there. - October 1988 UNFPA, Morocco National Health Information System reform: first of a series of missions on the design and development of an MCH/FP module for the national health information system. - November - December 1988 UNFPA, Madagascar. External end-of-project evaluation of an MCH/PF project based on the risk approach (MAG/85/P03) and of the national health statistics project (MAG/79/P02). - March 1989 Medicus Mundi Belgium, Mali Analysis and planning of the financing of health care in a rural district in Mali. - June 1989 UNFPA, Morocco Setting up the first module of the new national health information system in Morocco: mother and child health. Design and instructions for use UNFPA, Morocco Six follow-up and technical backstopping missions in the context of setting up and expanding the national health information system, and preparation of a new UNFPA funded project EEC / Institute of Tropical Medicine, Thailand Seven missions in a joint health systems research project with Thai national, provincial and district level researchers on how to optimise health care provision in rural, urban and 'urbanising' areas in central Thailand. - June 1990 Institute of Tropical Medicine; Zaïre (Kasongo, Maniema) Supervision of a longitudinal study on the predictive power of early signs and symptoms of Human African Trypanosomiasis in Kasongo (Maniema, Zaïre).
5 5 - October 1991 Medicus Mundi Belgium, Mali Critical evaluation of functioning and financing of several 'population based' PHC initiatives, in view of improving and refining strategies for the WB and UNICEF funded PSP-HR project ('Projet Santé Populations - Hydraulique Rurale') - June - July 1993 The World Bank, Cameroon Pre-appraisal consultancy for World Bank funded health sector intervention in the field of essential drugs supply and distribution systems involving cost recovery UNFPA, Morocco Four follow-up missions for a new project of extension and improved use of the national information system. - September 1994 Medicus Mundi Belgium - Institute of Tropical Medicine, Zimbabwe Follow-up of the 'District Health Service Management' project (Murewa and Tsholotsho districts): an operational and action research project on improvement of the health system through appropriate district level management - February 1995 Medicus Mundi Belgium - Institute of Tropical Medicine, Zimbabwe Follow-up of the District Health Service Management Project. - July 1995 GTZ, Mauritania Consultancy on financing of health systems in the context of a German-Mauritanian project in the province of Hodh al Gharbi. - September 1994; February 1995; September 1997; September 1998; April 2001 Medicus Mundi Belgium - Institute of Tropical Medicine, Zimbabwe Follow-up of the District Health Service Management Project. - January 1996 EU / Institute of Tropical Medicine, Thailand International Workshop on "Health Care Reform: at the frontier of research and policy decisions". Key-note address and participation. - November 1996; February 1997; February 1998; March 1998 EU-DG I / Institute of Tropical Medicine, Thailand Technical assistance consultancies to the Thai Health Care Reform project in the field of health systems expertise - March 1997 Projet Santé Population / Hydraulique Rurale (PSPHR), Mali Study on cost and financing of district health systems in Mali, with discussion conference on results.
6 6 - June 1997 EU-DG XII (Avicenna programme) / Institute of Tropical Medicine, Morocco Consultancy to support a research project on determinants and management of health problems in medium-sized North African cities (Safi in Morocco) - November 1998 GTZ/KfW, Guinée-Conakry Mid-term evaluation of the project Technical Advisor with the Ministry of Health - June 2000 UNICEF, Tunisia Evaluation of the project Programme de développement des circonscriptions sanitaires. - April 2001 DGDC, Morocco, Framework Agreement, Scientific guidance Consultancy for support of Moroccan scientific guidance to health care management at provincial level. - May 2002 Bilateral co-operation The Netherlands, Malawi Mid-term evaluation of the project Malawi Health, Population and Nutrition - February 2003 Alliance for Health Policy and Systems Research; International Workshop on Health Care Reforms the Missing Jigsaw Pieces. Phuket, Thailand - February 2005 Health Care Reform Project (II); Thailand Inputs in the development of family medicine in Thailand - January 2006 Participation in Workshop on Neglected Tropical Diseases (Lusaka, Zambia), organised by DBL (Danish Bilharziosis Laboratory) and WHO - November 2006, March 2007, November 2007, May 2008, November 2008, February 2009 Scientific guidance Belgian Technical Cooperation project ASSRMKF (Senegal) Languages - Mother tongue: Dutch - English: fluent reading, writing, speaking - French: fluent reading, writing, speaking - Spanish: reading (passive knowledge) - German: fluent reading, understanding
7 7 Professional associations Member of the Belgian Society of Tropical Medicine. Institutional responsibilities - Course director (rotating) of the International Course in Health Development (ICHD/CIPS), presently renamed Health Services Management and Policy (HSMP): MPH course at the Institute of Tropical Medicine, Antwerp ( and ; presently ) - Chairman of the Department of Public Health (Institute of Tropical Medicine, Antwerp): January 2000 May Member of the Director s Committee, Institute of Tropical Medicine, Antwerp: since January Representative of the academic personnel (ZAP) in the Board of Trustees of the Institute of Tropical Medicine, Antwerp: January 2000 May Vice-chairman of the Department of Public Health (Institute of Tropical Medicine, Antwerp): since May Series co-editor of Studies in Health Service Organisation & Policy (ITG-Press). - Member of the Medical Ethics Committee of the Institute of Tropical Medicine: Member of the ITM-A Research Commission since January External examiner MPH final exam & thesis defence, KIT Amsterdam - Chairman of Medicus Mundi Belgium (NGO for health development) from 1993 till 2008
8 8 Publications (peer-reviewed journals) - Van Lerberghe W, Kegels G, Cornelis G, Ancona C, Mangelschots E, Van Balen H: Haemoglobin measurement: reliability of some simple techniques for use in a P.H.C. setting. Bull. WHO, 61 (6): (1983) - Kegels G, Cornelis G, Mangelschots E, Van Brabant R, Van Lerberghe W: Haemoglobin and PCV measurement: reliability of some simple techniques for use in surveys or rural hospitals. Ann. Soc. belge Méd. Trop., 64: (1984) - Kegels G: Resultaten van een nationale prevalentiestudie van ziekenhuisinfecties. Tijdschrift voor Geneeskunde, 42, 6 (1986) - Mertens R, Kegels G, Stroobant A, Reybrouck G, Lamotte JM, Potvliege C, Van Casteren V, Lauwers S, Verschraegen G, Wauters G: The national prevalence survey of nosocomial infections in Belgium, 1984; J Hosp Infect, 9 (3): (1987) - Van Lerberghe W, Van Balen H and Kegels G: District and first referral hospitals in sub-saharan Africa - an empirical typology based on a MMI mail survey. Ed. Medicus Mundi Internationalis, April French version 'Typologie et performances des hôpitaux de premier recours en Afrique Sub-Saharienne' in: Ann. Soc. belge Méd. Trop., vol. 72, suppl. 2 (1992) - Kegels G, Criel B, Van Lerberghe W, Mentens H, Magnus E and Van Balen H: Screening for T. b. gambiense antibodies with the Indirect Fluorescent Antibody test (IFAT). Effect of age and of a history of previous treatment. Ann. Soc. belge Méd. Trop., vol. 72: (1992) - François B, Dujardin B et Kegels G: Dépister ou traiter systématiquement une population à risque? Une méthode basée sur l'analyse des coûts, utilisable au niveau du district sanitaire; Bull. O.M.S., 71 (5): (1993) - Kegels G: Paying for health care instead of buying drugs; an experience from western Mali. Ann. Soc. belge Méd. Trop., vol. 74: (1994) - Noterman J-P, Criel B, Kegels G and Katulanya I: A prepayment scheme for hospital care in the Masisi district in Zaire: a critical evaluation. Soc. Sci. Med. Vol. 40, N. 7: (1995) - Criel B and Kegels G: A health insurance scheme for hospital care in Bwamanda district, Zaire: lessons and questions after 10 years of functioning. Tropical Medicine and International Health, vol. 2 (7): (1997) - Dujardin B, Haelterman E, Van Damme W, Kegels G: The adequacy of one sputum smear for diagnosing pulmonary tuberculosis (Letter to the editor) American Journal of Public Health, vol. 87 (7): (1997)
9 9 - Dujardin B, Kegels G, Buvé A and Mercenier P: Tuberculosis control: did the programme fail or did we fail the programme? (Editorial) Tropical Medicine and International Health, vol. 2 (8), (1997) - Van Damme W, Lynen L, Kegels G and Van Lerberghe W: Measles vaccination and inflammatory bowel disease. (Letter to the editor) Lancet vol. 350, (1997) - Belghiti A, De Brouwere V, Kegels G and Van Lerberghe W: Monitoring unmet obstetric need at district level in Morocco. Tropical Medicine and International Health, vol. 3, (1998) - Blaise P, Dubois H, Dugas S, Kegels G & Van der Vennet J: Le système de santé français vu de l étranger : éclatements et double emploi. Actualité et Dossiers en Santé Publique Décembre 2001 (37) Meesen B, Criel B and Kegels G: Formal pooling of health risks in sub-saharan Africa: Reflections on the obstacles encountered. International Social Security Review (2002) Vol. 55 (2), Meessen B, Criel B et Kegels G: Les arrangements formels de mise en commun des risques maladie en Afrique subsaharienne: pistes de réflexion sur les obstacles rencontrés. Revue Internationale de Sécurité Sociale (2002) Vol.55 (2), Meessen B, Criel B y Kegels G: Mancomunidad formal de los riesgos de salud en Africa subsahariana: reflexiones sobre los obstaculos encontrados. Revista Internacional de Seguridad Social (2002) Vol 55 (2), Meesen B, Criel B und Kegels G: Institutionelle Lösungen zur gemeinschaftlichen Risikoverteilung bei Krankheit in Afrika südlich der Sahara: Überlegungen angesichts der vorgefundenen Hindernisse. Internationale Revue für Soziale Sicherheit (2002) Vol 55 (2), Kadima Ebeja A, Lutumba P, Molisho D, Kegels G, Miaka Mia Bilenge C, Boelaert M: Sleeping sickness outbreak in Kinshasa, DRC: more than an urban legend (abstract). Acta Tropica (2002) 83 (Suppl.1): S49 - Kadima Ebeja A, Lutumba P, Molisho D, Kegels G, Miaka Mia Bilenge C, Boelaert M: La maladie de sommeil dans la région Ville de Kinshasa: une analyse rétrospective des données de surveillance sur la période Tropical Medicine and International Health (2003) Vol 8 N 10, Marchal B and Kegels G: Health workforce imbalances in times of globalization: brain drain or professional mobility? International Journal of Health Planning and Management (2003) Vol 18 N S1, S89-S101 - Criel B, Kegels G and Van der Stuyft P: A framework for analysing the relationship between disease control programmes and basic health care. Tropical Medicine and International Health (2004) Vol 9 N 6, A1-A4
10 10 - Kegels G: Epilogue. Tropical Medicine and International Health (2004) 9(6): A27 - Marchal B, Kegels G and De Brouwere V: Human resources in scaling up HIV/AIDS programmes: just a killer assumption or in need of new paradigms? AIDS (2004) 18(15): Blaise P and Kegels G: A realistic approach to the evaluation of the quality management movement in health care systems: a comparison between European and African contexts based on Mintzberg s organisational models. International Journal of Health Planning and Management (2004) 19: Marchal B, De Brouwere V and Kegels G: HIV/AIDS and the health workforce crisis: What are the next steps? Tropical Medicine and International Health (2005) 10 (4): Van Damme W and Kegels G: Health System Strengthening and Scaling Up Antiretroviral Therapy: The Need for Context-Specific Delivery Models. Reproductive Health Matters (2006) 14(27): Laleman G, Kegels G, Marchal B, Van der Roost D, Bogaert I and Van Damme W: The contribution of international health volunteers to the health workforce in sub-saharan Africa. Human Resources for Health (2007) 5:19 - Marchal B and Kegels G: Focusing on the software of managing health workers: What can we learn from high commitment management practices? International Journal of Health Planning and Management (2008) 23: Van Damme W, Kober K, Kegels G: Scaling up antiretroviral treatment in Southern African countries with human resource shortage: how will health systems adapt? Social Science & Medicine (2008) 66: Coulibaly Y, Cavalli A, Van Dormael M, Kegels G: Programme activities: a major burden for district health systems? Tropical Medicine and International Health (2008) 13 (12): Marchal B, Cavalli A, Kegels G: Global Health Actors Claim To Support Health System Strengthening Is This Reality or Rhetoric? PLoS Med (2009) 6(4): e doi: /journal.pmed Books, book chapters - Kegels G: Comment chiffrer l'histoire naturelle de la Trypanosomiase Humaine Africaine sur la base de l'expérience Kasongo: le problème de la reproductibilité. in: Rapport final du seminaire de modellisation appliquée pour l'optimisation des prises de décisions et du suivi des programmes de contrôle de la maladie du sommeil (Daloa, Côte d'ivoire, octobre 1991), edited by Habbema JDF and De Muynck A; Rotterdam: Département de Santé Publique et Médecine Sociale, Université Erasmus (1992):55-59
11 11 - Van Lerberghe W, Van Damme W, Kegels G, Ancona C, Criel B: District hospital reports: the MMI-WHO guidelines revisited. A report to WHO. Public Health Unit of the Institute for Tropical Medicine, Antwerp - Medicus Mundi Internationalis (1993) - Kegels G: Horizontal et vertical; soins intégrés et systèmes intégrés; programmes et services; peut-on lever la confusion? In: Vers une épidémiologie totale, edited by J.L. Jacquemin; Association Hommes-Santé-Tropiques, Poitiers (1994) - Kegels G: Development of a methodology for a feasible and efficient approach to health problems by basic health services in rural Africa. An application to sleeping sickness (Trypanosoma brucei gambiense). Doctoral thesis, University of Antwerp (1995) - Van Lerberghe W and Kegels G: Reforming the health sector: science and politics, research and muddling through. in: Health Care Reform. At the Frontier of Research and Policy Decisions. Sanguan Nitayarumphong (ed.), Office of Health Care Reform, Ministry of Public Health, Thailand. pp (1997) - Blaise P, Kegels G and Van Lerberghe W: Coûts et financement du système de santé de cercle au Mali. Studies in Health Service Organisation & Policy, #5, ITG Press, Antwerp (1997); 129 pp - Kegels G: Vertical analysis of human African trypanosomiasis. Studies in Health Service Organisation & Policy, #7, ITG Press, Antwerp (1997); 174 pp - Van Lerberghe W and Kegels G: Savoir plus pour faire mieux: quelles recherches sur l intégration? in: Intégrations et Recherche. Studies in Health Service Organisation & Policy, #8, ITG Press, Antwerp (1998); p Van Lerberghe W, Luck M, De Brouwere V, Kegels G and Ferrinho P: Performance, working conditions and coping strategies: an introduction. In: Providing health care under adverse conditions. Health personnel performance & individual coping strategies. Studies in Health Organisation & Policy, #16, ITG Press, Antwerp (2000); p Blaise P and Kegels G: Mintzberg, organisation s configuration and quality management in health care. In: Quality in professional organisations : higher education and health care. Proceedings of the Fourth Toulon-Verona Conference; Polytechnic Faculty of Mons, Belgium, August 2001: Blaise P, Kegels G and Criel B: Child-centred care in African health care systems: why is there so little of it? And what can be done? In: Kolsteren P, Hoeree T, Perez-Cueto A (eds.) Promoting Growth and Development of Under-fives. Proceedings of the International Colloquium, Antwerp November (2002) Antwerpen, ITGPress: Blaise P and Kegels G. Quality management in health care systems in Africa: one concept, many faces, contrasted results. An analysis of three case studies from Africa.
12 12 In: Quality in higher education, health care, local government. 5 th Conference, Lisbon, Portugal, September 2002 Toulon-Verona - Marchal B and Kegels G. Which role for Medicus Mundi Internationalis in Human Resources Development. Current critical issues in Human Resources for Health in developing countries. Medicus Mundi International. (August 2003); 54 pp - Kegels G and Marchal B. AIDS and the Health Workforce in Africa. Making Sense. Medicus Mundi International. (2006); 63 pp. Available at : Selected reports, articles, presentations, other literature - Kegels G: Le financement des soins de santé dans un cercle du Mali en zone rurale. Medicus Mundi Belgium - Projet de Développement Sanitaire du Mali (39 pp) - (1989) - Kegels G: Le système national d'information sanitaire: modules SMI-PF. Manuel d'instructions. Ministère de la Santé Publique du Maroc - FNUAP (73 pp) - (1989) - Kegels G: Health systems research in Ayutthaya, Thailand (abstract). Nederlands Tijdschrift voor Geneeskunde (135) (1991) - Kegels G and Gerniers MM: Organisation et financement des soins de santé primaires au niveau du Cercle, Mali. Medicus Mundi Belgium - Projet de Développement Sanitaire du Mali (42 pp) - (1991) - De Brouwere V, Kegels G and Van Lerberghe W: La fiche opérationnelle, outil de gestion du patient. Health and Community Working Paper #28 - Antwerp: Prince Leopold Institute of Tropical Medicine (1991) - Kegels G: Cameroon essential drugs program. Pre-appraisal report to the World Bank, Washington DC (1993) - Kegels G: L'assurance maladie et l'afrique subsaharienne. In: Le financement du district sanitaire. Deuxième seminaire-atelier international octobre 1993 à Cotonou - Bénin. GTZ, Eschborn (1994) - Kegels G: Appui au projet S'BaH en matière de financement de systèmes sanitaires. Report to the GTZ - Mauritanian-German Co-operation. (1995) - Kegels G: "Sustainability". Medicus Mundi International - Newsletter Nr 55 (1995) - Blaise P, Kegels G, Van Lerberghe W: Coûts et financement du système de santé de cercle au Mali. Etude réalisée pour le Projet Santé, Population et Hydraulique Rurale, Ministère de la Santé, de la Solidarité et des Personnes Agées. Bamako, (avril 1997)
13 13 - Kegels G: Quality, excellence and recognition: an exploration. Qualité, excellence et reconnaissance: une exploration. Lettre du RIAC / INFI Newsletter (June 1999) Institute of Tropical Medicine, Antwerp; Apers L, Kegels G: Een vreemd verbond. Vragen op antwoorden met betrekking tot internationale samenwerking. Medicus Mundi België (1999); 169 pp. - Kegels G: Some issues in ensuring access to necessary pharmaceuticals. Medicus Mundi International Newsletter Nr. 68, (Spring 2002) - Blaise P et Kegels G. Les différentes approches de management de la qualité des soins. Le potentiel et les limites de la mise en oeuvre des programmes d assurance qualité; études de cas en Afrique sub-saharienne. In: Les dixièmes journées nationales de Santé Publique, Table ronde sur l assurance de la qualité en première ligne. Hammamet, Tunisie, octobre 2002: Blaise P et Kegels G. Des expériences de management de la qualité dans les systèmes de santé en Afrique. Entre programme vertical et stratégie de changement, des espoirs déçus et des contraintes mal maîtrisées. In: Qualité et accès aux soins en milieu urbain. Séminaire conjoint UNICEF, Coopération Française, GTZ, Dakar, Sénégal, 18, 19, 20 juin Hoerée T, Campos da Silveira V, Marchal B, Kegels G (May 2008) Training public health professionals at ITM, Antwerp. What to keep from the past, what innovations to adopt? Poster presented at the Geneva Health Forum, Geneva, Switzerland - Campos da Silveira V, Hoerée T, Marchal B, Kegels G (May 2008) Changing the learning track of a Master in Public Health. A story of change at ITM, Antwerp. Poster presented at Geneva Health Forum, Geneva, Switzerland
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