International Centre for Primary Health Care
International Centre for Primary Health Care
and Family Medicine (P
and Family Medicine (Primafamed)rimafamed)
WHO Collaborating center on PHC
WHO Collaborating center on PHC
Prof. dr Jan De Maeseneer, MD, PhD – Promotor Maaike Flinkenflögel, MD – Past - coordinator
Marc Twagirumukiza, MD, PhD
Showcasing EDULINK Projects with a focus on sustainability
EduLink / ACP-S&T Stakeholder Conference Brussels, 26-28 October 2010
Primafamed
Primafamed : Primary Health Care / Family : Primary Health Care / Family Medicine Education Network
Medicine Education Network
Edulink
Edulink/ACP/ACP--EU funded project (9 ACP RPR 12 # 6 )EU funded project (9 ACP RPR 12 # 6 )
Department of Family Medicine and Primary Health Care Ghent University - Belgium
The project in worldwide efforts…
Global efforts
TUFH, EFPC, etc
EduLink, VLIR, EU, …
The Millennium Development Goals : 2000-2015
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
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
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,
socio-economic, 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
The primafamed…
Definition
• Period : 01/2008 – 06/2010
• 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
EduLink - Primafamed project…
•
• 20082008--2010: Primafamed Network, with objectives:2010:
– 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.
Achievements ….
• High contribution
to the
improved/harmonized
curriculum for training of
African family physicians
within the universities in
Sub-Sahara Africa.
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
www.phcfm.org
.
Achievements in partnership…
“
“Improving the Quality of Family Medicine Improving the Quality of Family Medicine Training in Sub
Training in Sub--Saharan AfricaSaharan Africa””
Kampala 2008 Conference
Kampala 2008 Conference
Sharing experiences,
ideas, knowledge and
skills on training African
Achievements in partnership …
• Primafamed workshop: Research
integrated in the family medicine training; the master thesis” 23 – 25 August 2010, Swaziland
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
Achievements in partnership …
ICHO (Inter-University Network for Family Medicine Belgium)
www.icho.be
IUCEA (Inter-University Council for East Africa) www.iucea.org
FAMEC (Family Medicine Educational Consortium)
WONCA (Global Family Doctor) www.globalfamilydoctor.com
GHETS (Global Health through Education, Training & Service) www.ghets.org & TUFH/ The Network (Towards Unity For
Health) www.the-networktufh.org
EFPC (European Forum For Primary Care)
www.euprimarycare.org
South-African universities : Walter Sisulu , Durban, Stellenbosch , Cape Town, Limpopo , Pretoria , Witwatersrand , Bloemfontein
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
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.
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
Primary Health Care for all...
Primary Health Care for all...
Primafamed@UGent.be www.primafamed.ugent.be
Thanks
Thanks
for your attention
for your attention
“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!”
