Primafamed : Primary Health Care / Family Medicine Education Network. International Centre for Primary Health Care and Family Medicine (Primafamed)

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1 Showcasing EDULINK Projects with a focus on sustainability Primafamed : Primary Health Care / Family Medicine Education Network Edulink/ACP /ACP-EU funded project (9 ACP RPR 12 # 6 ) Prof. dr Jan De Maeseneer, MD, PhD Promotor Maaike Flinkenflögel, MD Past - coordinator Marc Twagirumukiza, MD, PhD International Centre for Primary Health Care and Family Medicine (Primafamed) WHO Collaborating center on PHC Department of Family Medicine and Primary Health Care Ghent University - Belgium EduLink / ACP-S&T Stakeholder Conference Brussels, October 2010

2 The project in worldwide efforts Global efforts EduLink, VLIR, EU, TUFH, EFPC, etc

3 The Millennium Development Goals : Eradicate extreme poverty and hunger Achieve universal primary education Promote gender equality and empower women Reduce child mortality Improve maternal health Combat HIV/AIDS, malaria and other diseases Ensure environmental sustainability Develop a global partnership for development

4 Source: The Lancet 2010;375:1588

5 WHO and PHC now In 2007 the WHO director general Margareth Chan stated the Alma Ata vision needed revitalization the World Health Report 2008 : Primary Health care, now more than ever

6 Family Medicine to implement PHC concept Family medicine is the discipline in the health care system providing continuous, comprehensive and coordinated primary health care for individuals, families and communities Family medicine integrates physiologic, socioeconomic, cultural and spiritual parameters and is not limited by age, gender, organ system or disease entity Mash R, Downing R, Moosa S, De Maeseneer J. Exploring the key principles of family medicine in Sub-Saharan Africa: international Delphi consensus process. SAFamPract 2009;50(3):62-67

7 The primafamed Our contribution

8 Definition Period : 01/ /2010 Coordinated from Ghent University Belgium department of family medicine and primary health care Financed by Edulink-ACP-EU An institutional network for the development of family medicine and primary health care in Sub-Saharan Africa

9 EduLink - Primafamed project : 2010: Primafamed Network, with objectives: to develop research in primary health care and family medicine in a broader international context; to strengthen primary health care as a first contact of a population or a community with the health system and to develop family medicine as a clinical discipline operating in the primary health care team; to strengthen education and training, both at undergraduate and postgraduate level, and, continuous professional development; to make expertise on primary health care and family medicine available internationally for universities, institutes for higher education, NGOs, governments and international organizations.

10 Partners

11 Achievements. High contribution to the improved/harmonized curriculum for training of African family physicians within the universities in Sub- Sahara Africa.

12 Achievements. Contribution to the (re-) organization of health care system with PHC as the base African Journal of Primary Health Care and Family medicine See Strong partnerships

13 Achievements in partnership Improving the Quality of Family Medicine Training in Sub-Saharan Saharan Africa Sharing experiences, ideas, knowledge and skills on training African Family Physicians Kampala 2008 Conference

14 Achievements in partnership Primafamed workshop: Research integrated in the family medicine training; the master thesis August 2010, Swaziland

15 Achievements in partnership The Edulink projects and equitable care Adequate organization of the health care system CARES, Primafamed Good facilities with necessary equipment Pro MHI Africa Well-trained human resources INEPEA, CARES, Primafamed Accessibility for the community Pro MHI Africa, INEPEA, Primafamed

16 Achievements in partnership ICHO (Inter-University Network for Family Medicine Belgium) IUCEA (Inter-University Council for East Africa) FAMEC (Family Medicine Educational Consortium) WONCA (Global Family Doctor) GHETS (Global Health through Education, Training & Service) & TUFH/ The Network (Towards Unity For Health) EFPC (European Forum For Primary Care) South-African universities : Walter Sisulu, Durban, Stellenbosch, Cape Town, Limpopo, Pretoria, Witwatersrand, Bloemfontein

17 S.W.O.T Analysis : some elements 1. Weakness : Common weakness: lack of family physicians and teachers. Lack of family medicine program for undergraduate level. Limited institutional budget to create a sustainable development of family medicine (infrastructures, technologies scholarships, staffs, etc). Others : Political will, unawareness, dropouts, etc. 2. Opportunities Strong national/international commitment

18 The sustainable future Education (as investment for the future) The community and health care workers involved in the planning/awareness Ministries and other influential stakeholders involved South-South cooperation Strong network The project created relations between the partners that will be cultivated and may lead to other joint initiatives in future.

19 To build up a sustainable future Explore sustainable financing eg the creation of a supported platform of College of Family Physician in Europe ( under discussion: UK, Denmark) Explore links with French speaking countries of Africa (Mali, Benin, Niger and Burundi) 4th Call for Proposals to build on the foundations and achievements of Primafamed The Primafamed network still active

20 Primary Health Care for all... Although the nature tries classifying people into richest and poorest, it is an ethical obligation for scholars to find how health care can reach everyone! Marc Twagirumukiza Thanks for your attention

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