Concurrent Sessions

• Chair/Moderator: Prof Laetitia Rispel
• Rapporteurs: Dr Flavia Senkubuge and Dr Waasila Jassat
• Speakers: TBD

Background and Aims:

Brazil, the Russian Federation, India, China and South Africa – the countries known as BRICS – represent some of the world’s fastest growing economies and nearly 40% of the world’s

population. These countries face several common health challenges: from the burden of communicable and non- communicable diseases, inequitable access to health services, large private health sectors

and human resources shortages.

A quality health workforce is critical for the development of health systems and the delivery of health services. Health sector reform initiatives have not included human resources

development as an integral part in their processes.

The five BRICS countries have followed their own paths on the road to universal health coverage, with varying degrees of success. Despite more than two decades of reforms they still

face

fundamental challenges. Their experiences offer some lessons for other low- and middle-income countries that wish to pursue reforms towards universal health coverage.

The Public Health Association of South Africa (PHASA) will host a themed discussion session to share and discuss innovations and lessons from respective BRICS countries in capacitating

the

public health workforce to achieve universal coverage. Attendees will benefit from this exciting session gaining in valuable knowledge and perspective on policy development, planning and management of

human resources.

Methods: This Session will operate in a series of stages – as follows
Stage one: Chairperson will set the scene and present the background and aims of the session and detail its format.

Stage two: Representatives from Public Health Associations from each of the BRICS countries will deliver brief presentations that address the health care challenges and the HRH reforms that have

been implemented in their respective countries. The presentations will focus on lessons learned and visions for the future.

1. Brazil’s Family Health Teams and Open University: ABRASCO
2. Russia’s experiences of medical education reforms: PHA of Russia
3. India’s road to universal health reforms and the public health workforce: Indian Public Health Association
4. China’s community health worker (‘barefoot doctor’) Programme: China Society for Preventive Medicine
5. South Africa’s early lessons in implementing primary health care teams: PHASA

Stage three: The chairperson will allow for questions and answers

Stage four: The speakers will make concluding remarks and the Chairperson will summarize and close the session.

Conclusions:
Human resources for health must have a more prominent place on the political agenda of countries. It is apparent that to meet current and future challenges, partnerships must be established and lessons

learned from other settings.

Session description will be available soon.

• Chair/Moderator- Dr. Renu Garg, Regional Advisor, WHO SEARO
• Co-Chair- Dr. Dorji Wangchuk, Secretary of Health, Bhutan
• Speakers-
  • Tobacco Control- Prof Prakit Vathesatogkit, ThaiNCDNet, Thailand
  • Studying Alcohol Pricing Policies and Developing a Model for Alcohol Control- Dr. Monika Arora, PHFI, India
  • Best practices for promoting healthy diet and physical activity: Experiences from Singapore, Dr Lyn James, Director Disease Control, Ministry of Health
  • Strengthening of Health Systems- Dr Laxmi Somatunga, Deputy Director General, Ministry of Health, Sri Lanka

Background and Aims:

Non- communicable diseases are currently the leading cause of preventable death and disability globally and in the South- East Asia region. They account for an estimated 8.5 million

deaths in SEARO, half of these deaths being premature and among the most productive age group of 30 – 70 years. In addition, there is a heavy economic burden imposed by NCDs. It is postulated that NCDs

along with mental health conditions could cost the world $47 trillion in lost economic output from 2010 to 2030, if urgent action is not taken to prevent and treat them. Fortunately, most of the burden on

NCDs can be largely averted through formulating and implementing cost effective, affordable and evidence backed public health policies that enable and promote healthier lifestyles, promote awareness

about risk factors and providing equitable and universal access to cost- effective interventions through the health system.

This workshop aims to present the role of policy interventions in addressing the most common risk factors for NCDs – tobacco use, harmful use of alcohol, unhealthy diets and physical

inactivity with a focus on the South East Asian Region. Evidence and experiences around these ‘best buys’ and their implementation status in SEARO countries will presented as case studies. The importance

of health system strengthening and the barriers faced by LMICs will be highlighted. The need for multisectoral action in NCD prevention and control will be the underlying theme of this symposium.

Methods: This Session will start with chair presenting opening remarks, followed by presentations from invited speakers. Questions for all four speakers will be taken up at the

end

of four presentations. Chair will moderate this discussion and interaction with audience. The co-chair will sum up all four presentations and key discussions issues that are presented during this

symposium.

Stage one: Introduction (5 min): The Chair will provide an overview of the best buys, with an emphasis on cost effectiveness and scalability of interventions.

Stage two: Presentations (1 Hr- 4 Presentations, 15 minutes each):
Four presentations will be provided on the following topics, with focus on a successfully implemented best practice for each NCD risk factor-

Dr Prakit Vathesatogkit will share Thailand’s experience of developing and implementing policies for reducing demand and supply of tobacco products. He will also highlight the role of

Thai

Health Promotion Trust Fund for health promotion in Thailand.

Dr. Monika Arora will present price elasticity estimates of various tobacco products from a recently concluded study in India. The presentation will also highlight taxation policies

around

tobacco products in South East Asia region and emphasize on need to adopt a comprehensive alcohol control policy at each country level. The presentation will particularly highlight pricing and taxation

measures recommended from LMIC perspective for NCD prevention and control.

Dr Lyn James will provide an overview of the policies adopted by the Singapore Government to create health promoting and enabling environment for healthy nutrition and physical

activity

for its population.

Dr. Laxmi Somatunga will make a presentation on the policies adopted by the Ministry of Health Sri Lanka to ensure availability to essential NCD medicines at the primary health care

level

and its impact on increasing access to NCD services.

Stage three: Questions (20 minutes) Stage four: Wrap up (5 minutes)

Conclusions: The presented policy interventions to address NCDs are scalable, cost effective and can be duplicated in other resource-limited settings to decrease the burden of

NCDs. Implementation of these policies require cooperation of sectors beyond the health sector. The benefits of investing in NCDs control far surpass revenue collected through the tobacco and alcohol

industry- not just economically, but socially and by reducing the burden of NCDs.

Session description will be available soon.

Speakers:
Dr. Vanessa Racloz (Roll Back Malaria Partnership, Switzerland)
Dr. Amadou Bah (Swiss Tropical and Public Health Institute, Switzerland)
Dr. Helen Prytherch (Swiss Tropical and Public Health Institute, Switzerland)
Dr. Shampa Nag (CARITAS, India)
Mrs. Jayeeta Chowdhury (Tata Trust India)

Background and Aims:

Since 2000, the Malaria Community has demonstrated that every dollar spent fighting malaria amounts to a solid investment in people-centred development, productivity, and

progress.

The benefits and economic returns are unprecedented. 4.3 million lives have been saved. With the end of the Millennium Development Goals, combined with the end of the first Global Malaria Action Plan

(GMAP) developed by the Roll Back Malaria Partnership, a second generation document is now being elaborated. This process is being informed by extensive consultations at community, country, regional

and global level. As well as making the case for investing in malaria, the document identifies 7 priority areas where action is needed:

1. Partnering to achieve the broader development agenda
2. Increasing financial investment in malaria
3. Improving policy and governance
4. Strengthening and integrating in health systems
5. Tailoring interventions to reach those in greatest need
6. Strengthening the evidence to inform the response
7. Driving research and development for continued innovation

The second generation GMAP (GMAP2) will be available for public consultation as we speak, and this session would like to take the opportunity to familiarize participants with the

background of this process and document, as well as to encourage active participation in the revision process.

Methods: This Session will operate in a series of stages – as follows

Stage one: Introduction to the process and document
Background on the Roll Back Malaria Partnership and an introduction to the process of developing GMAP2, as well as an overview of how the document is aligned with, and complements the WHO

Technical

Strategy on Malaria.

Stage two: The value of investing in malaria control and elimination to achieve the 2030 malaria targets
Malaria has been shown to be a determinant of economic development in the long term. This stage describes the estimates of the potential value of investing in malaria control and elimination to reach

the

global malaria targets that are shared by GMAP2 and the WHO Global Technical Strategy for the 2016-2030 period. The findings demonstrate that achieving elimination and preventing resurgence will

deliver significant returns, and pave the way for sustainable investments for a malaria-free world.

Stage three: The multisectoral approach to malaria
The new post 2015 development agenda paves the way for an intensification of multisectoral partnerships to reduce and eliminate malaria. GMAP2 builds upon the Multisectoral Action Framework to

demonstrate how the disease is not only a health, but also a development, economic, social, biological, environmental, education and agricultural issue. It provides a matrix for illuminating the underlying

determinants of malaria, the sectors that are best placed to mount a response, and provides examples of the different ways that non-health sectors are contributing to the creation of a malaria-free

world.

Stage four: The role of civil society
People are the essential voice in matters of health, living conditions, and well-being. They are a key health and anti-malaria resource, and it is crucial that people are empowered to make healthy life

choices

for themselves and their families. The active involvement of community members holds the key to the acceptance of interventions (e.g. early care-seeking at public health facilities, involvement in

distribution campaigns, successful vector control activities, etc.). Empowered communities and civil society groups will use malaria products and services effectively and increase the demand for them, play

an active role in public decision-making, and create mechanisms for holding providers accountable.

Stage five: The role of the private sector and corporate responsibility
Understanding a partner’s motivation for investing in malaria opens the door to the creation of sustainable, productive partnerships. The traditional roles of the different constituencies in the fight

against

malaria continue to evolve. The private sector in particular can bring a broad array of skills and competencies to the fight against malaria. However, the motivation for private sector engagement differ

depending on whether malaria is part of a company’s core business (e.g. LLIN producer); whether it is indirectly affected by malaria (e.g. mining, logging industries); or whether the investment is made for

reasons of Corporate Social Responsibility.

Conclusions:
Through these presentations, as well as the opportunity to discuss with the audience, the presenters would like to give a short overview of the current status of the Global Malaria Action Plan 2, and

discuss

the suitability and applicability of its proposed document with the main focus being on positioning the future and advocating for a global case for investment.

Session description will be available soon.

Session description will be available soon.

Assumptions: A large audience made up of knowledgeable and motivated public health professionals from all over the world.

Background: Before 2013 five of the six regions of WHO had adopted a measles elimination goal. Only SEAR had not. The Region of the Americas and the European Region had

also

adopted rubella and congenital rubella syndrome (CRS) elimination goals. By 2009, the Region of the Americas had eliminated both indigenous measles and rubella.

The last case of paralysis due to indigenous wild polio virus in SEAR occurred in January 2011. In September 2013, with more than two and half years being polio-free and anticipating

the

certification of SEAR as polio-free in March 2014, the Regional Committee of SEAR resolved to build on the success of polio and passed a resolution to eliminate measles and control rubella and congenital

rubella syndrome in SEAR by 2020.

The experience of the Region of the Americas proves that the strategies and tools exist to achieve regional measles elimination and rubella and CRS control. The experience of the

other

four regions highlights the on-going challenges to achieve these goals. The countries of SEAR will have to draw on their experience with making the region polio-free and the experiences of the other regions

in measles elimination and rubella and CRS control in order to achieve the 2020 goal.

Objectives of the session:

1. To inform the audience of the regional goal to eliminate measles and control rubella and congenital rubella syndrome CRS)
2. To present the current status and explain the strategies to eliminate measles and control rubella and CRS;
3. To present significant challenges to achieving the goals, and
4. To present experiences from key countries.

Session description will be available soon.

Session description will be available soon.

CHAIR, CO-CHAIR & PANELISTS: Keeping the theme in mind, panelists for the session will be from the fields of Obstetrics, Pediatrics, Public Health, Nursing as well as Policymakers. Experts/Specialists with long standing experience of working with Government, Unicef & Civil Society will be the panelists and speak on different facets of this thematic area.

• Chair & Co-Chair (To be confirmed)
• Speakers : 5 Speakers (To be confirmed)

Background and Aims:

Why the Session is important in the current scenario.

Reducing maternal and child mortality is among the main goals of the National Health Mission (NHM). Huge financial and strategic investments are being made to achieve these goals. Keeping in mind India’s commitment to the Millennium Development Goals 4 and 5, the Call to Action: Child Survival and Development 2013 has been made a top priority. The Government of India along with its Development Partnersis aiming at accelerating child survival and improving maternal health in the near future and beyond 2015 through implementation of RMNCH+A strategy, with focus on the High Priority Districts.

Reducing Neonatal Deaths is one of the key priority areas of Government and Development Partners. Apart from the entire RMNCH+A strategy guiding interventions through a life-cycle based approach, the recently launched India Newborn Action Plan (INAP)—developed in response to the Global Every Newborn Action Plan (ENAP) and launched at the World Health Assembly in June 2014—outlines a targeted strategy for accelerating the reduction of preventable newborn deaths and stillbirths in the country. INAP defines the latest evidence on effective interventions which will not only help in reducing the burden of stillbirths and neonatal mortality, but also maternal deaths. Out of all the interventions which reduce neonatal as well as maternal deaths, contribution of quality of care at birth is the highest.

In last decade, coverage in terms of availability and accessibility of maternal & neonatal health care services has been substantially increased across states, especially with a substantial increase in institutional delivery, but quality of service delivery still remains a challenge and needs to be prioritized for action.

Keeping the above background in mind, the topic of panel discussion has two key areas for discussion- care at birth and quality of care.

What benefit attendees will get, i.e. skills, knowledge or perspective acquired
Participants will learn about:
• The importance of improving quality of care during delivery and childbirth for reduction of maternal & neonatal mortality.
• Government’s policies and programmes for improving quality of maternal and neonatal care.
• The status and challenges in providing good quality care during delivery in different states of India.
• Experiences from different parts of the country on initiatives to improve quality of care at birth.
• Innovative ideas/experiences which can be scaled up or replicated for improving quality of care.

Methods: This Session will operate in a series of stages – as follows
Stage one: 5 minutes introduction by Chair / Moderator
Stage two: 10 minutes presentation per speaker on the subject with or without help of PPT
Stage three: 30 minutes for open discussion
Stage four (etc.): 5 minutes for summing up

Conclusions: The panel discussion with presentation by experts followed by interaction with audience will enrich all participants in learning and deliberating on the status, challenges and action for improving quality of care during birth, which is a very critical intervention contributing to reduction in neonatal and maternal mortality.

Chair: N.K.Ganguly

Speakers:
• S K Bhattacharya: ex-ICMR
• Thomas Wierzba, PATH
• Sushant Sahastrabuddhe, IVI
• Eileen PATH

Background and Aims:
Enteric and diarrhoeal diseases are caused by a multitute of organisms and have several modes of transmission and presentation as well as management. In this session we will hear experts speak on the global burden as well as control of the more important causes of enteric and diarrhoeal diseases including their vaccines.

Methods:
Topic one: Update on Global Burden of diarrhea and enteric diseases
Topic two: Status of Shigella burden and vaccine development.
Topic three: Burden of typhoid and paratyphoid and strategies for control
Topic four: Importance of Communications in prevention and control of these diseases.

Conclusions:
The importance and severity of enteric and diarrhoeal diseases will be highlighted in this session. Since they usually affect those with low hygenic status, interpersonal communications will also go a long way in control of these diseases.

Among the 7.6 million under-five deaths globally each year, approximately 40% occur in the neonatal period and almost 99% occur in low and middle-income countries. Infections are

still

the leading cause of neonatal death in these countries, where a large proportion of births occur at home in unhygienic conditions. Health facilities in these low resource settings also struggle to achieve

hygienic practices during labour, delivery and the immediate postpartum period and babies are often discharged early into same environment that home-born babies experience.

In this panel 4 speakers will summarize the evidence for interventions proven to reduce mortality and share important policy and programmatic experiences for both prevention and

treatment of neonatal infections.

The panel will begin with an overview of the current global burden of newborn infections and their contribution to under-five mortality. The first speaker will summarize the pooled

analyses

of 3 RCTs (Nepal, Bangladesh, Pakistan) which showed that immediate application of 7.1% chlorhexidine digluconate to the freshly-cut umbilical cord reduces neonatal mortality by 23%.

Programmatic experiences from Nepal and Nigeria will be presented to highlight approaches utilized for successful advocacy, policy development, program implementation plus

strategies

to address challenges for the scale up of chlorhexidine nationwide in both countries.

The final speaker will present the results from the COMBINE trial in Ethiopia which evaluated the impact on neonatal mortality of management of possible severe bacterial infection by

government Health Extension Workers, when referral to a health center was not possible or accepted by families. The antibiotic regimen was intramuscular gentamicin plus oral amoxicillin for 7 days. The

evaluation found that the intervention reduced neonatal mortality after the first day of life. Final data will be shared during the presentation (pending publication).

Speakers:

1. Dr. Luke Mullany, Associate Professor, Department of International Health, Johns Hopkins University
2. Ms. Leela Khanal, Project Manager, Chlorhexidine Navi Care Program/Nepal.
3. Dr. Nosa Orobaton, Chief of Party, TSHIP/JSI/Nigeria.
4. Dr. Steve Wall, Newborn Health Technical Lead, Saving Newborn Lives, Save the Children
5. Dr. Penny Dawson, Sr. Technical Advisor/JSI. MODERATOR

Title and session description will be available soon.

• Chair/Moderator: Arlyne Beeche, Senior Program Officer, IDRC Asia Regional Office
• Speakers
  • Dr. V. Ramana Dhara, Medical Director, Occupational Health Clinics, ESHCO, Centers for Disease Control & Prevention, Atlanta
  • Dr. Davison Munodawafa, WHO – South East Asia

Background and Aims:

The current outbreak of Ebola in Guinea, Sierra Leone and Liberia is testament to the fragile, stressed and underdeveloped conditions of these West African nations (particularly after

the

eleven year conflict in Sierra Leone and Liberia that ended in 2002). Extreme poverty and high illiteracy, weak infrastructure and health systems, and an environment that is being increasingly degraded in

the recent decade through deforestation have contributed to the outbreak. Many global agencies have admitted to a delayed response and underestimated the seriousness of the crisis at the outset. The

initial lack of leadership and governance around resource allocation, misconceptions and mistrust by local populations, poor communication and coordination strategies from national/regional health

services and international agencies, unsafe burial ceremonies and higher rates of rapid travel within and between countries all contributed to the scale and rapid spread of the epidemic and made early

emergency responses more difficult. There have been significant insights into the importance of (i) understanding socio-cultural and economic factors as potential drivers of disease spread and (ii) effective

communications to assist in disease prevention and control.

The Ebola crisis led to a humanitarian catastrophe in many affected areas with declining food security, devastating economic impact and increasing civil unrest. Primary health care

services were negatively impacted due to the deaths of health workers and efforts to contain Ebola, and priorities around maternal and child health care, control of malaria and other endemic illnesses were

drastically decreased. It is critically important to ensure continuity in essential primary health care services during and beyond the containment and control of the current Ebola emergency.

This session will contribute to an improved understanding of the need and importance of interdisciplinary research, effective communication, and multi-sector action to address

remaining

gaps in and improved understanding of Ebola transmission drivers and their interactions, and to learn from and improve real-time on-the-ground prevention, containment and control responses while

strengthening overall health sector capacity. The importance of targeted investment and training towards building sustainable human and health infrastructure will also be discussed, as well as their

relevance to the detection and management of other infectious diseases, to contain future outbreaks, while continuing to deliver effective routine interventions, such as maternal and child healthcare.

Methods: This Session will operate in a series of stages – as follows

Stage one: (15 mins.)
Introduction to the Topic, Speakers, and briefly on the three main Objectives:

• Population health research on disease transmission drivers, including social, economic, and ecosystem factors: improved understanding of rapidly changing environments(physical,social, economic, and cultural) affecting interactions between pathogens, animals, humans and landscapes that create predisposing conditions for an Ebola epidemic.
• Current health sector response and limitations, and catalyzing change to better respond to outbreak crisis and support delivery of high quality basic health service: Importanceofstrengthening sustainable health workforce capacity to prevent and contain Ebola and other infectious diseases, while providing essential primary health care services
• Most impactful emergency interventions and effectiveness of ‘rapid’ clinical trials (vaccine and potential treatments): address key questions that are emerging with the vaccinetrialssuch as access and delivery, social, cultural, economic and ethical considerations, the risk perception of the vaccine and the clinical trials in the community and how to navigate to ensure effective andlargescale vaccine strategies, and discuss global coordination efforts of vaccine trials.

Stage two: (45 mins.)
Presentations by the Speakers:

• Dr. Dhara: Ebola overview, risk assessment, and responder preparedness;
• Dr. Munodawafa: Voice from the field on prevention of Ebola transmission including socio-cultural & economic factors;

Stage three: (30 mins.)
Open discussions and Conclusion:

The conclusion of this session will result in a more thorough understanding of the lessons learned from the Ebola epidemic, and key interventions (low [e.g. safe burial practices] and

high

technology [e.g. vaccines], and how they can be used adapted to prevent/curb similar future outbreaks of Ebola and other relevant (re)emerging infectious diseases globally that have high mortality rates,

especially amongst the poorest and most vulnerable populations.

Session description will be available soon.

Background: The member countries of the South East Asia Region account for more than one third of the global burden of cervical cancer and amidst competing health

priorities,

control of cervical cancer was never considered a priority and with resource and logistics constraints, countries in SEAR lacked effective and organized cervical cancer control program.

In some of these countries the number of women dying from cervical cancer annually is comparable to the number of maternal deaths during child birth. The mortality rates from the

disease in the region are also very high due to the late stage at diagnosis and sub-optimal therapeutic facilities. Prevention of deaths of middle aged women from cervical cancer through effective control

will help these countries to improve the women health. Saving lives from cervical cancer will also contribute to the 2010 United Nations Secretary-General’s Global Strategy for Women and Children’s Health

and to the 2011 Declaration of the UN General Assembly High level Meeting on Non- Communicable Diseases.

In order to respond to such a challenge and in line with RD’s vision and flagship initiative of addressing non-communicable disease, WHO South East Asia Regional Office had developed

a

regional strategic framework of comprehensive control of cancer cervix with the aim to offer broad guidelines to the member states in South East Asia Region to develop or strengthen their national cervical

cancer control program through judicious use of primary prevention (HPV vaccination) as well as secondary prevention (cervical cancer screening and treatment) strategies. The framework is based on the

situational analysis of the member countries regarding their preparedness and capacity to introduce new cervical cancer control measures.

Session Objective: To deliberate on global-regional situation of cancer cervix, disseminate regional strategic framework for action and facilitate exchange of country

experiences.

Session Plan (presenters will be decided later)

• Global-Regional situation of cancer cervix: Time to Act: 15 Minutes (WHO/HQ)
• WHO SEA Regional Strategic Framework of Comprehensive Control of Cancer Cervix:
  15 Minutes
• HPV vaccination: towards healthier girls, women and future…Country Experience: Bhutan: 15 minutes
• Organized Screen and treat approached in health system: Tamilnadu Health System Development Experience: 15 Minutes
• Discussions: 15 minutes

Chair/Moderator:

• Dr. Gursimran Grewal

Session Speakers:

• Mr. Mohan HL- Director Community Mobilization and IEC
• Dr. Krishnamurthy J- Project Director Sukshema
• Dr. Shajy Isac – Director Research
• Female Sex workers -2
• ASHA -1
• VHSNC Member -1

Background and Aims:

Public Helath initiatve have focused on improving the lives and health of the marginalized communities to help prevent the spread of HIV/AIDS and improve Matrenal and Neonatal

health

through various community led initiatives.Success of programs is dependent on the ownership and particiaption of the commmunities for whom they are designed. In limited resource settings, community-

level interventions can address this, since care-seeking behaviour is strongly influenced by the socio-cultural environment.

The University of Manitoba, KHPT and IHAT will share their experiences working with communities to address Public health challenges in Karnataka. We will share the approaches used

and

lessons learnt through our projects in Karnataka to address issues related to HIV/AIDs and MNCH. A brief on the projects is appended below.

Each session will also highlight/ share thought and discussion oriented questions that will be taken up in the Q&A to help the audience understand the various approcahes that can

be

utilized for Community Mobilization and be able to interact with the community/beneficaries that have particiapted in these initiatives. The audience will also be exposed to how the community mobilization

interventions work through different models one using front line government workers and government structres and the other thorugh direct interactions with the benefiaries.

Methods: 90mins

Stage 1: Overview: Setting the context in Karnataka – 7mins
Need for Involving Communities – 7mins

Stage 2: Approaches for Community Mobilization – 30 mins

Stage 3: Experience sharing on community approaches via Community Members – 12 mins
HIV Interventions – 2 Female Sex Workers -5mins
MNCH Interventions– 1 ASHA and 1 VHSC member – 7min

Stage 4: Learning’s – 14 mins
Questions and Answers – 20 mins

Conclusion: At the end of this session the audience would be able to understand the need for community mobilization, its approaches and how it helps empower communities

and

individuals to address and ensure appropriate self-care, prevention, and care-seeking behaviour. In limited resource settings, community-level interventions can address this, since care-seeking behaviour is

strongly influenced by the socio-cultural environment.

• Chair/Moderator
  The session will be chaired by one of the eminent public health personalities in India. May be someone from AIIMS; or from Ministry of Health looking after rural health programs / Childhealthprograms.
• Speakers
  There will be 3 invited papers and 2 panelists who would comment on the papers. We will be able to confirm the presenters’ name and panelists’ names at a later date. The presentation titles arehoweveroutlines under session two below.

Background and Aims:

Public health system has neglected WASH and almost forgotten water, sanitation and hygiene (WASH) as an important element of PHC. As a result of such neglect, development in

health

and nutrition faltered.

The first presentation will highlight the situation as the opening piece; and the next paper will analyze the causes of it and call for public health to act on WASH. The final paper will

show

that strong political will and social movement can change the situation. This will be motivating for India and in conformity with rest of South Asia as well.

We will be inviting panelists like the President or Secretary General of Indian Medical Association. We will also invite President or Secretary General of Bangladesh Medical Association

or

someone influential in the Ministry of Health (MOH). If possible someone from Pakistan Medical Association or Public Health Association can also be invited. Nepal can be an alternative.

Methods: This Session will operate in a series of stages – as follows
Stage one: (5 mins) Opening remarks by the Chair. The session will be chaired by one of the eminent public health personalities in India. May be someone from AIIMS; or someone from Ministry

of

Health looking after rural health programs.

Stage two: (35 mins) three invited presentations

1. The critical linkage between WASH & stunting ( under-nutrition) – keynote address (15 mins)
2. Missing WASH from Primary Health Care: Cost and consequences – paper by WaterAid (10 mins)
3. Achieving total sanitation and hygiene coverage within a generation – lessons from East Asia by Tim Brewer / Henry Northover – sharing of interim findings (10 mins)

Stage three (15 mins): Inviting questions from the floor all three presentations.

Stage four: (30 mins) Panel discussion : The chairperson will ask the panelists to comment on the papers and articulate the main learning points for the South Asian countries from the perspective of

public health and provide direction for way forward

Stage five: (5 mins) Session summary by Chair

Conclusions: Remind the public health sector about their forgotten child – WASH!

Background:

There have been significant reductions in maternal and newborn mortality over the last two decades. Yet in 2010, still there were approximately 287,000 maternal deaths, 2.6 million

still

births and neonatal deaths resulting mostly from complications during and following pregnancy and child birth. Effective interventions to prevent and treat maternal and perinatal complications are well

known. Most maternal and perinatal deaths are preventable if life-saving preventive and therapeutic interventions are provided at the right time – in fact, what are known as the “three delays” are major

barriers to improving chances of survival: 1) delay in recognizing and seek care when complications occur, 2) delay in reaching a health facility, and 3) delays in receiving appropriate care within the health

facility.

Accurate information on how many women died, where they died and why they died is essential, yet currently inadequate. In the absence of reliable vital

registration data, maternal mortality estimates are based on statistical models. The Commis¬sion on Information and Accountability (the Commission), created to track progress on resources and results

towards the goals of the UN Secretary-General’s Global Strategy on Women’s and Children’s Health, recommended in its report attention to three intercon¬nected processes – monitoring, reviewing and

acting – aimed at learning and continuous improvement in life-saving interventions.

Maternal death surveillance and response (MDSR), a relatively new concept that builds on the principles of public health surveillance and promotes routine identification and timely

notification of maternal deaths and is a form of continuous surveillance linking health information system and quality improvement processes from local to national level. It helps in quantification and

determination of causes and avoidability of maternal deaths. Each one of these untimely fatalities provides valuable information, which if acted on, can prevent future deaths. In that regard, MDSR

emphasizes the link between information and response.

The World Health Organization’s (WHO) South East Asia Regional Office (SEARO) has promoted maternal death and morbidity reviews through the introduction of its guide Beyond the

numbers—Reviewing maternal deaths and complications to make pregnancy safer (2004) in all countries in the Region, by sensitising programme managers, and by strengthening the capacity to perform

MDRs and analyse the findings of these reviews.

Session objective: To share global, regional and country situation on MDG5A and disseminate Maternal Death Surveillance and Response (MDSR) guidelines.

MDG 5: So close, yet so far… (presenter to be decided later)

Global-regional progress: achievements and challenges: 15 minutes

Country Experiences in reviewing maternal deaths (India, Myanmar and Sri Lanka): 10 minutes each

Maternal Death Surveillance and Response: WHO guidance to support action: 15 minutes

Unfinished Agenda of MDG5: Maternal Health Beyond 2015 (Every mother, every newborn- EMEN): 15 Minutes

Discussion: 15 minutes

Session description will be available soon.

Chair: Dr John Clemens

Speakers :
1. John Clemens, ICDDRB
2. Martin Mengel, AMP
3. Richard Wood, Africhol
4. Firdausi Qadri, ICDDRB

Background and Aims:
Cholera, a diarrhoeal disease has always been a neglected disease yet it is one of the most dreaded diseases with high fatality rate. In this session we will hear about the global scenario of cholera as well as its prevention strategies. Cholera is a major public health problem in developing countries like Africa, India, Bangladesh. Here we will get to know the efforts being taken for control of the disease in these countries.

Methods:
This Session will operate in a series of stages – as follows
Topic one: Global burden of cholera and potential use of vaccine in endemic vs. epidemic situations
Topic two: Cholera burden in Africa and the use of local evidence to stimulate cholera vaccine response
Topic three: Spatial dynamics of cholera in urban environments
Topic four: Implementation of a comprehensive approach to the control of cholera in Bangladesh

Conclusions:
The session will contribute to the knowledge of cholera which is very poorly understood even by the scientific community. It will also give an overview of the preventive strategies which are being undertaken presently in different countries.

Dr. Trevor Hancock, U of Victoria; Dr. Tony Capon, UNU; Dr. Le Vu Anh, Hanoi School of Public Health; Dr Suneetha Subramanian, UNU and Dr Colin Butler, Canberra University

Ultimately we depend on ecosystems for the very stuff of life – air, water, food, fuel, protection from UV radiation and a relatively stable and livable climate. But while public health

has

paid a lot of attention to the social determinants of health in recent years, much less attention has been paid to the ecological determinants of health. However, there is growing concern in the public health

community about the profound implications for population health, and for the wellbeing of communities and societies, of the major global ecological changes now underway. Those changes include not only

climate change but resource depletion, pollution and ecotoxicity, and the loss of species and biodiversity.

Numerous major reports in recent years have pointed out that for a variety of ecosystem functions we are at or approaching, and in some cases have already passed planetary

boundaries

for some key ecosystem functions. So great are the changes to ecosystem functioning that humanity is causing that geologists are proclaiming a new geological age – the Anthropocene.

The ecological changes we are seeing are driven by societal forces such as population growth, economic growth, pervasive and powerful new technologies, and societal values. In fact,

we

need to understand that it is not a matter of either the social or the ecological determinants of health, but that we live within an ecosocial system and need to adopt an ‘ecosocial’ approach, understanding

that the ecological and social determinants of health interact.

Public health has an important role in identifying the health implications of global and regional ecological change; alerting their communities and governments at all levels to these

health

implications; assessing, monitoring and reporting on ecological changes and their health impact; working with communities, governments and all appropriate non-profit and private sector partners to prevent

further adverse ecological changes and to make the changes necessary to adapt to this new ecological reality.

This is not the first time public health has been called upon to address major societal and global issues that affect health. In the 19th century in Europe, North America and elsewhere,

public health worked to address and control the major threats to health posed by urbanization and industrialization, threats that are now being addressed in many middle and low-income countries. Today, we

need a global public health response to the global threats to health posed by the human-induced ecological changes we are witnessing.

In this session, we will present evolving work in this new area of public health concern, focusing on three emerging initiatives: The Lancet/Rockefeller Foundation’s Commission on

Planetary Health, the H-Earth initiative and the Canadian Public Health Association’s major report and policy paper on the ecological determinants of health. Presentations from Vietnam (bringing a

developing world perspective), India (bringing a One Health’ perspective) and Unicef (TBC – bringing a child and intergenerational equity focus) will frame a discussion on the implications for the world’s

public health community of this new and very large challenge.

Program

• Historic and global context, eco-social/human ecological approach, CPHA report – Trevor Hancock – 15 minutes
• Vietnam’s perspective and experience – Le Vu Anh – 15 minutes
• Linking human and non-human health, links to the to Convention on Biological Diversity – Suneetha Subramanian – 15 minutes
• The Planetary Health Commission and the Post-2015 agenda – Tony Capon – 15 minutes
• The H-Earth Initiative – Colin Butler – 10 minutes
• Discussion – Implications for public health professionals and Associations, next steps – 30 minutes

Co – Chairs:

R. Bedi
M. Al Darwish and
P. Gupta

Speakers:

1. Welcome – R. Bedi (5 min)
2. Dental Public Health capacity worldwide: OHWG survey results – M. Lomazzi (20 min)
3. Pushing Oral Health Agenda in India: Government and WHO Initiatives – S. Naseem (20 min)
4. Dental Public Health capacity in Oman – S. Al Bulushi (15 min)
5. Role of women in Dental Public Health – M. AlFahran (15 min)
6. Resolution on Dental Public Health Workforce Infrastructure – M. Al Darwish (15 min)

Description:

The OHWG has led a survey to map Dental Public Health Capacity worldwide. The results of this survey will give an overview of the strong and weak points of Dental Public Health

Capacity

in the different regions of the world as well and an insight in the integration between Oral and Public Health.

The session will provide a general overview of Dental Public Health capacity in the world with a special focus on India and the Eastern Mediterranean region. The session will be

completed

by the resolution on Dental Public Health Workforce Infrastructure elaborated by the Oral Health Working Group and submitted for approval to the WFPHA General Assembly.

Professional health organizations, including public health associations, are one means by which civil society advocates and provides leadership on tobacco control. This session will

present

and discuss the tobacco control advocacy approaches used by public health associations and the World Federation of Public Health Associations, and as well provide an opportunity to explore how the WFPHA

could contribute to global tobacco control efforts.

Session Chair/Moderator:
James Chauvin, WFPHA Immediate Past-President

Speakers:
- Dr. Bolormaa Purevdorj, Health Promotion Department, National Center of Public Health (Mongolia) and Mongolian Public Health Professionals’ Association
- Dr. Flavia Senkubuge, Vice-President, African Federation of Public Health Associations
- Binod Regmi, Nepal Public Health Association
- Luiz Facchini, ABRASCO (Brazil)
- Michael Moore, Vice-President & President-Elect, WFPHA and CEO, Public Health Association of Australia

Session Objective:
1. To demonstrate the role and achievements of public health associations and other civil society organizations in tobacco control
2. To discuss options for WFPHA to contribute to global tobacco control

CHAIR:

Prof. Judy Lewis, Professor Emeritus, Departments of Community Medicine and Pediatrics, University of Connecticut School of Medicine, Farmington, CT, USA

SPEAKERS:

Dr. Sarah Kiguli, Professor and Head of Paediatrics, Makerere University, Kampala, Uganda

Dr. Mohamed Moukyer, Associate Professor of Public Health and Vice-Dean for Graduate Studies and Research at the School of Medicine, Ahfad University for Women in Omdurman, Sudan and Head,

Department of Education Development, Research and Quality Assurance, Faculty of Applied Medical Sciences, Jazan University, Saudi Arabia

Dr. Deyanira González de León, Professor, Department of Health Care, Division of Biological and Health Sciences, Universidad Autónoma Metropolitana-Xochimilco, Mexico City, Mexico

Ms. Kamayani Bali Mahabal, Lawyer and Human Rights Activist, South Asia Director of People’s Health Movement, Mumbai, India

SYNOPSIS: Of the 8 Millennium Development Goals (MDGs), the only three that won’t be achieved by 2015 are those related to Maternal and Child Health—MDGs 3) promote

gender equality and empower women; 4) reduce child mortality; and 5) improve maternal health. Child well-being and survival are directly related to the health of mothers. Women’s equality and health

equity are closely related, and women’s health throughout the lifespan must also be addressed. Adolescents are another neglected population and one that represents 1/6th of the world’s population, most of

whom live in lower and Middle Income Countries (LMIC). This panel will address interventions and advocacy to improve the health of women, children and adolescents (WCA). If we are to end preventable

maternal and child deaths, and improve quality of life for all of the world’s people, women’s voices must be heard and engaged. It is important to learn from our colleagues in the global south about

culturally appropriate and effective interventions.

These experts are all members of the Women and Health Task Force (WHTF) which receives administrative and grant funding from GHETS (Global Health through Education, Training

and

Service). In 2014, the WHTF will publish the 3rd edition of the Women’s Health Learning Package: modules on 9 global women’s health topics, with country overviews and cases from the global south. The

WHTF is a group of academic, public health and community professionals and advocates working to improve the health of women and their communities. They represent different regions and cultures and

will provide examples of effective academic and community level approaches to increase health professions students’ awareness of health needs of WCA; support female students and faculty; and, work with

communities to identify their needs and develop effective and acceptable solutions. It will be chaired by Judy Lewis is Emeritus Professor at University of Connecticut School of Medicine where she has been

on the faculty for over 40 years. She is a well-recognized public health sociologist, medical educator, and MCH leader. She was one of the founding members of the WHTF in 1991.

The panelists will discuss the current status of health of WCA providing perspectives from the global south. The importance of looking at women’s health from a lifespan perspective

and

not just in terms of reproductive health and motherhood will be addressed. A developmental approach will be used to examine the health of children and adolescents. Another critical issue is advocating for

policies that support women’s rights and universal health care, as well as accessible and appropriate health services.

Prof. Judy Lewis will provide an overview of the WHTF and the global state of WCA. Dr. Sarah Kiguli will discuss the major causes of child mortality and morbidity in Sub-Saharan Africa

with

a focus on Uganda. Dr. Mohamed Moukyer will examine some of the unique aspects of adolescence and present his research on health-related behaviors of Sudanese adolescents. Dr. Deyanira González de

Leon will focus on reproductive health and safe motherhood, and also look at obesity and cervical cancer using examples from Mexico and South America. Ms. Kamayani Bali Mahabal will provide a rights-

based approach to WCA, using advocacy and policy examples from India and South Asia.

POINT OF CONTACT: Prof. Judy Lewis, Departments of Community Medicine and Pediatrics, University of Connecticut, Farmington, CT, USA. Tel: +1-860-521-8265. Email:

[email protected].

Session description will be available soon.

While global progress has been made in improving nutrition, malnutrition continues to be a complex problem. Malnutrition has negative consequences on health, physical and

cognitive

growth, intellectual performance, and earning potential. In 2011, under-nutrition contributed to over 3.1 million (45 percent of) child deaths worldwide (http://www.usaid.gov/nutrition-strategy). A Lancet

Series published in 2013 (http://www.thelancet.com/series/maternal-and-child-nutrition) promoted a new framework that rallies managers and implementers across key sectors such as health, agriculture,

social, and education to combine nutrition-specific and nutrition-sensitive interventions. Strengthening Social and Behavior Change and Communication (SBCC) across these sectors is critical to achieve global

commitment to reduce under-nutrition. The proposed panel will include 1) a review the latest World Health Assembly (WHO) nutrition recommendations, 2) a presentation of a large scale program

implemented across agriculture and health sectors in Bangladesh, 3) a presentation of a large scale program targeting adolescents through the education system in India, and 4) a presentation on of an

innovative SBCC intervention that is supporting community videos to improve agriculture, and maternal, infant and young child feeding practices.

Panel Presentations:

1. John Snow, Inc.: WHO updates on Essential Nutrition Actions – improving women, new born, infant and young child health and nutrition.(http://www.who.int/nutrition/publications/infantfeeding/essential_nutrition_actions/en/)
2. SPRING-HKI-Bangladesh: Intersectoral approach in implementing nutrition, hygiene, and homestead food production at scale in Bangladesh (http://www.spring-nutrition.org/search/content/bangladesh)
3. UNICEF-India: India’s adolescent anemia control program: ten make or break elements for sustaining success (http://www.unicef.org/india/)
4. SPRING-Digital Green-India: Seeds of Change: Leveraging Community Video for Agriculture and Nutrition Behavior Change in South Asia (http://www.spring-nutrition.org/events/seeds-change-leveraging-community-video-agriculture-and-nutrition-behavior-change-south-asia)

Presenter Name/Organization for each presentation on the panel

1. Dr. Agnes Guyon, John Snow, Inc. (Washington, DC. USA)
2. Md. Nazmul Huda, SPRING – Helen Keller International (Khulna, Bangladesh)
3. Vani Sethi, UNICEF (New Delhi, India)
4. Vinay Kumar, Digital Green (New Delhi, India)

Moderator Name/Organization

Dr. Rajesh Kumar Singh, JSI India (New Delhi, India)

Chair:
Dr. Shu-Ti Chiou
Director-General, Health Promotion Administration, Ministry of Health and Welfare, Taiwan
Chair of Governance Board, International Network of Health Promoting Hospitals and Health Services
Global Vice Presidents, The International Union for Health Promotion and Education

Speakers:
1. The Current Status and Future Prospect of Tobacco Control in Taiwan – Dr. Shu-Ti Chiou
2. Workplace tobacco control in Taiwan – Prof. Mei-Lien Chen, Institute of Environmental and Occupational Health Sciences, National Yang-Ming University, Taiwan
3. The Innovation and challenge of tobacco-free hospitals: the experience of Taiwan – Prof. Ying-Wei Wang, Doctor, Buddhist Tzu Chi General Hospital
4. Electronic cigarettes : why the hard sell? – Dr. Martin McKee, Professor of European Public Health, London School of Hygiene and Tropical Medicine,UK

Background and Aims:
Smoking related diseases constitute major health burden globally in terms of mortality, morbidity and loss of productivity, urging countries to implement various tobacco control strategies. Adopting the MPOWER Strategy recommended by the WHO FCTC, Taiwan have implemented multi-policy interventions, including the enforcement of the Tobacco Hazards Prevention Act on January 11, 2009, increasing tobacco surcharge, imposing graphic warning on package. Through these strategies and under the joint effort by city and county governments, ministries and other government agencies, the adult smoking rate has decreased from 21.9% in 2008 to 16.4% in 2014 in Taiwan with a decline by 890,000 people in the smoking population, and the exposure rate of the general public to second-hand smoke in public places has reduced from 23.7% in 2008 to 7.5% in 2014. In addition, Taiwan launched “Second-generation Cessation Payment Scheme” in 2012 to increase accessibility, affordability of various smoking cessation services; hence, all villages, towns, cities and districts island-wide will be able to access such service. Taiwan aspires to meet the ultimate goal of 50% reduction of current smoking rate by 2020 proposed by Tobacco Endgame to build Taiwan into a smoke-free society.

The session is aimed to discuss the current status and future prospect of tobacco control in Taiwan, the issue of electronic cigarettes, the workplace tobacco control in Taiwan, and the innovation and challenge of tobacco-free hospitals in Taiwan.

Methods:
This Session will operate in a series of stages – as follows
Stage one: Introduction – Dr. Shu-Ti Chiou (5 minutes)
Stage two: The Current Status and Future Prospect of Tobacco Control in Taiwan – Dr. Shu-Ti Chiou (15 minutes)
Stage three: Workplace tobacco control in Taiwan – Prof. Mei-Lien Chen (15 minutes)
Stage four: The Innovation and challenge of tobacco-free hospitals: the experience of Taiwan – Prof. Ying-Wei Wang (15 minutes)
Stage five: Electronic cigarettes: why the hard sell? – Dr. Martin Mckee (15 minutes)
Stage six : Discussion (40 minutes)

Conclusions:
In order to successfully reduce the smoking rate by 50% in ten years, Taiwan have enforced multi-policy interventions and have been constantly monitoring the effectiveness of the strategies over the past 5 years. Following the promising progress received to date, it is a challenging but achievable task with the cooperation city and county governments, ministries and other government agencies.

Mobilizing global public health efforts to address non-communicable chronic diseases (NCDs) is recognized as a key strategy to improve population health. Mobilization efforts are needed at both national and global levels. While substantial headway has been made, particularly in the area of tobacco control, significant challenges lie ahead as we tackle other common NCDs. Mechanisms are needed to strengthen synergistic action among alliances and consortia that cross sectors.
This session will bring together public health leaders who are engaged in consortia and alliances at supra-national levels. They will provide the perspectives of research funders, academic leaders, non-governmental organizations, professional associations and public health institutes.
They will be asked to address several key questions:
- What is the primary goal of your alliance or consortium as it relates to NCDs?
- What are key barriers and challenges to realizing synergies among alliances and consortia?
- What has been learned about key mechanisms to join up the efforts of alliances and consortia that are working on NCDs?
- What is your top recommendation for new ways of joining up efforts among alliances and consortia at national and supra-national levels?

Each speaker will be asked to provide a 10 minute response to each of these questions (estimate 50-60 minutes). This will be followed by a panel discussion and an interactive session with the audience (30-40 minutes). Speakers will then be asked to provide one key reflection on the way forward.
Proposed speakers
- Nancy Edwards, RN, PhD, FCAHS, Scientific Director, Canadian Institutes of Health Research Institute of Population and Public Health- Moderator

- James B. Chauvin, MA, MSc, HonFFPH(UK) Independent Public Health Advocate and Consultant and Immediate Past-President, World Federation of Public Health Associations (WFPHA) – Speaker

- Howard Hu, MD, MPH, DSc. Dean, Dalla Lana School of Public Health Professor, Environmental Health, Epidemiology and Global Health - Speaker

- Vesna Bjegovic-Mikanovic, Professor of Public Health & President of Association of Schools of Public Health in the European Region-Speaker

- Dr. Howard Njoo: Associate Deputy Chief of Public Health Officer for the Public Health Agency of Canada (PHAC)- Speaker

Organized by Canadian Institutes of Health Research – Institute of Population and Public Health

Session description will be available soon.

Description: In this panel, public health leaders from the United States, India, Australia, and South Africa will discuss the public health impact of energy generation and

identify approaches to secure energy from more sustainable healthier processes.

Co-chairs:
- Dr. Peter Orris (MD, MPH) – Professor and Chief of Occupational and Environmental Medicine, University of Illinois at Chicago, USA
- Dr. Madhumita Dobe – Professor and Department Head, Health Education, All India Institute of Hygiene and Public Health, India Public Health Association

Panelists:
1. Dr. Peter Orris (MD, MPH) – Professor and Chief of Occupational and Environmental Medicine, University of Illinois at Chicago, USA
- Coal Energy Generation’s Contribution to the Global Burden of Disease
2. Dr. John Balbus (MD, MPH) – Deputy Director, National Institute of Environmental Health Sciences, USA (by video)
- Current US Initiatives, Domestic and International, To Transition to More Sustainable
And Healthier Energy Generation
3. Dr. Kalpana Balakrishnan (PhD) – Professor & Director, WHO Collaborating Center for Occupational and Environmental Health, Sri Ramachandra University, India (by video)
- Energy and Health in India
4. Dr. Peter Tait (MBBS) – General Practitioner; Adjunct Clinical Senior Lecturer at Australian National University Medical School; Convenor, Ecology and Environment Interest Group, Public Health Association

of Australia
- The Application of Research on Energy Generation and Public Health in Australia
5. Dr. Stephen Knight (MBBCh) – Public Health Medicine Physician and Senior Lecturer, University of KwaZulu-Natal, Public Health Association of South Africa
- Energy Generation and The Public’s Health in South Africa
6. Aditya Ramji (MSc) – Consultant, Council on Energy, Environment and Water, India
- The Economics of a Transition Towards Cleaner, Healthier Energy Sources

Chair: Rajshankar Ghosh

Speakers:
1. Kathy Neuzil, PATH
2. Gagandeep Kang, CMC, Vellore
3. Nita Bhandari, SAS

Background and Aims:
Rotavirus is one of the most important causes of childhood diarrhoea and mortality. It is being given worldwide priority for prevention and control. Rotavirus diaarrhoea affects children of developed countries also- making it an international disease. Here we discuss the several strains of the virus which cause the disease and the most efficient mode of control i.e. by vaccination.

Methods:
Stage one: Global burden of rotavirus disease and the potential role of immunization to control rotavirus
Stage two: Rotavirus burden, strain distribution and India-specific rotavirus questions. Lessons for vaccine implementation and public health impact
Stage three: ROTAVAC™ – an indigenous rotavirus vaccine for India

Conclusions:
This very vital session will mainly highlight the causes and preventive measures of rotavirus diarrhoea which has high mortality potentials especially in young children.

Young People’s Expectations from the Medical Community (15 minutes)
Suggested Speakers: Young Inspirers’ Group, Family Planning Association of India

National Adolescent Health Program/ Rashtriya Kishor Swaasthya Karyakram: Vision and Key Strategies, Status and Way Forward (15 minutes)
Suggested Speakers: Dr Sushma Dureja, Deputy Commissioner, Ministry of Health and Family Welfare

Paediatricians for Adolescents: Signature Initiatives with Adolescents (15 minutes)
Suggested Speakers: Dr Swati Bhave, Executive Director, Association of Adolescent and Child Care in India

Creating Adolescent Health and Well Being Promoting Schools (15 minutes)
Suggested Speakers: Ms Prachi, Program Director, Sangath

Questions from the audience and discussion (20 minutes)

Chair: Dr Venkatesh Srinivasan, UNFPA
Co-chair: Dr Harish Pemde, Secretary, Adolescent Health Academy

In 2010 the United Nations initiated a process leading to the identification of a new set of global goals for a post-2015 sustainable human development agenda (post-2015 SDG). Concerned about the lack of consideration of ‘health’ in its broadest understanding within the initial discussions, the International Epidemiology Association (IEA) issued in 2013 a Position Paper on this subject, focusing on life expectancies (www.worldwewant2015.org/node/292903). This position paper was endorsed by the World Federation of Public Health Associations (WFPHA). In August 2014, during the 20th IEA World Congress on Epidemiology, the IEA and WFPHA held a joint session to inform delegates about the situation, to analyze priority targets within the proposed goals, and to discuss technical issues such as measurement of vital and health data in low income populations. Further advocacy has also taken place, with experts convened by WHO endorsing in December 2014 a life-expectancy/premature mortality-based overarching goal for the health SDG.

The purpose of this session is to update delegates to the 14th World Congress on Public Health about the status of health-related goals within the proposed post-2015 Sustainable Development Agenda. One of the outcomes will be a conjoint statement by the IEA and the WFPHA on this topic.

Introduction:
Dr. Theodor Abelin, WFPHA Past-President (2001-2004) and WFPHA Advisory Board member

Co-chairs:
- Prof. Michael Moore, WFPHA Vice-President and President-Elect
- Dr. Vinod Srivastava, IEA Secretary

Panelists:
- Dr. Mengistu Asnake, WFPHA President
- Professor Dame Valerie Beral, IEA President

Respondents:
- Dr. David Butler-Jones, global public health expert and former Chief Public Health Officer of Canada
- Dr. Ilona Kickbusch, Professor at the Graduate Institute of International and Development Studies, Geneva
- Dr. Tewabech Bishaw, Secretary-General, African Federation of Public Health Associations

Session description will be available soon.

Description: Public health advocates from around the world will share experiences of health sector leadership in addressing the health impacts of energy choices. The

panel will also explore how shifting to clean, renewable energy can protect and promote public health, and the role of the health sector in enabling that transition.

Co-chairs:
- Josh Karliner – Director of Global Projects / International Team Coordinator, Health Care Without Harm, USA
- Shweta Narayan – Healthy Energy India Campaigner, The Other Media, India

Panelists:
1. Vina HuLamm (MS) – Global Health Manager, American Public Health Association, USA
2. Fiona Armstrong (Master in Politics and Public Policy, BN) – Founder and Convenor, Climate and Health Alliance, Australia
3. Dr. Renzo Guinto (MD) – Healthy Energy Initiative Philippines Campaigner, Health Care Without Harm – Asia
4. Rico Euripidou (Master in Environmental Epidemiology) – Environmental Health Campaign Manager, groundWork, South Africa
5. Dr. K. Srinath Reddy (MD, DM) – President, Public Health Foundation of India [INVITED]

Session description will be available soon.

-What does it take to smoothly introduce new vaccines at country level?
Dr. Michel Othepa, Maternal and Child Survival Project/USAID -What does it take to strengthen routine immunization?: experience from Timor-Leste
Dr. Ruhul Amin, independent consultant (formerly Chief of Party, MCHIP, Timor-Leste)

-A new approach to make supervision work: RAPID experience from Jharkhand, India
Dr. Manish Jain, John Snow India

-Transitioning from “Reaching Every District” to “Reaching Every Community” in Uganda and Ethiopia with a focus on quality
Samrawit Ashenafi (UI-FHS/JSI) and Gerald Ssekitto (Maternal and Child Survival Project/USAID)

Questions and Answers

This panel session will be moderated by JSI and addresses major themes of the Congress, primarily related to sustainable development immunization (3.2) and global public health

challenges (4.1, 4.2, 4.3). The panel will bring together thought leaders and practitioners from the immunization world representing projects funded by USAID and the BMGF. The panel will bring grounded

experience from Asian and African country programs on
how to overcome the existing barriers, make use of existing assets, and capture learning for wider dissemination within and across countries.

CHAIR: Dr. Paul F. Walker, Director, Environmental Security and Sustainability, Green Cross International, Washington DC, USA and Geneva, Switzerland

SPEAKERS:

Dr. Lassina Zerbo, Executive Secretary, Comprehensive Test Ban Treaty Organization (CTBTO), Vienna, Austria

Ambassador Bonnie Jenkins, Coordinator for Threat Reduction Programs, US Department of State, Washington DC, USA

Mr. Philippe Denier, Director, Verification Division, Organization for the Prohibition of Chemical Weapons (OPCW), The Hague, The Netherlands.

DISCUSSANT: TBD
SYNOPSIS: The recent use of chemical weapons and toxic industrial chemicals in the Syrian civil war, with thousands of innocent civilians killed and injured, has once again illustrated the threat of inhumane,

indiscriminate, and banned weapons of mass destruction to humankind, the environment, and public health. And numerous industrial accidents and occasional catastrophes such as the nuclear reactor

meltdown at Fukushima, Japan in 2011 also underline the extreme importance of safety and security for high-risk commercial sites, facilities, and transportation.

This panel includes well-known experts from the global non-proliferation and threat reduction world, including the verification director of the Chemical Weapons Convention, the director of threat reduction

and Global Partnership activities for the US State Department, and the head of the nuclear test ban organization in Vienna. It will be chaired by the director of security and sustainability at Green Cross

International who was awarded the prestigious Right Livelihood Award, otherwise known as the “Alternative Nobel Prize,” in Stockholm, Sweden in 2013.

These experts will discuss current threat assessments, covering nuclear, radioactive, chemical, biological, and related toxic materials and also address the many responses in progress, including the Chemical

Weapons Convention (CWC), the Biological and Toxin Weapons Convention (BWC), the Nuclear Non-Proliferation Treaty (NPT), and the Comprehensive Test Ban Treaty and the need for universal treaty

ratification and implementation for global security and protection of public health and the environment.

Dr. Paul Walker of Green Cross International will provide an overview of the close relationship between international security, environmental protection, public health, and sustainability, links often overlooked

in traditional academic analyses. Dr. Lassina Zerbo from the CTBTO in Vienna will address the need for a global ban on nuclear weapons testing, the challenges of universal adherence to the treaty and its

entry into force, and the impacts of radioactive fallout as we approach the 70th anniversaries of the Hiroshima and Nagasaki nuclear detonations. Ambassador Bonnie Jenkins will focus on the Global Security

Health Agenda (GSHA), especially current efforts in Africa, and relationships with the World Health Organization, disease surveillance, and public health. And Mr. Philippe Denier will address the importance

of the Chemical Weapons Convention to building a world free of chemical weapons as well as ensuring that prohibited chemical weapons never re-emerge; he will also discuss the recent destruction of

Syria’s declared chemical weapons stockpile and program.
POINT OF CONTACT: Dr. Paul F. Walker, Green Cross International, 1100 15th Street, NW, Suite 1100, Washington DC 20005, USA. Tel: +1-202-222-0700. Email: [email protected].

Creating a Pandemic of Health: A New Initiative on Global Health Equity and Innovation

S Rani Kotha, Alejandro Jadad, Abdallah Daar, Ross Upshur, Onil Bhattacharya, Zulfiqaar Bhutta, Lisa Forman, Jennifer Gibson, David Henry, Prabhat Jha, Jillian Kohler, Stephanie Nixon,

Patricia O’Campo, and Howard Hu, on behalf of the Institute for Global Health Equity & Innovation Global Health Summit planning committee and other affiliated faculty and partners.

Universities have a major role to play in generating the evidence and training the professionals needed to address global public health (hereafter referred simply as “global health”)

problems world-wide. The University of Toronto aspires to harness the “brain trust” of its faculty working in global health from a wide variety of disciplines and with many local and global partners to tackle

some of the world’s most pressing health problems. However, like many large Universities, its community of global health scholars, many of them world-leading experts, has until recently remained largely

balkanized, with relatively little in the way of integration and synergy. In 2012, a new University-wide Institute for Global Health Equity & Innovation (IGHEI) was established based in the University’s

Dalla Lana School of Public Health with the mission of focusing on “complex global health equity problem‐solving that could not otherwise be successfully addressed by a single discipline or research group.”

In this panel, we will describe the results of the Institute’s 18 month process of strategic planning culminating in its November 2014 Global Health Summit “Creating a Pandemic of Health”. Under the

foundational theme of “Creating and Spreading Health”, which emphasizes the critical importance of appreciating “health” as a concept that is far broader than simply being free of disease, subthemes were

developed that address the specific idea that “…humans are becoming an urban species plagued by non-communicable diseases (incurable by definition), financial crises, social disparities, global warming

and ineffectual polarized political structures that are threatening the sustainability of the species”. We will define and outline the integrated nature and goals of the five subthemes, “Preventing the

preventable, treating the treatable, transcending the inevitable”, “Urbanism, health, and the growth of megacities”, “Politics, privilege and power”, “Achieving convergence”, and “Global big data”. Our

overall aim is to foster a new multi-disciplinary, multi-sectoral, local and global approach to scholarship and knowledge translation, fuelled by innovative transformative initiatives that promote equity at all

levels, from the individual through the community to the planetary. The process, results and associated successes and failures may afford lessons for others involved in similar University initiatives and

partnerships with Universities.

______________________________

Proposed Event

SESSION TITLE:
Creating a Pandemic of Health: A New Initiative on Global Health Equity and Innovation.
Moderator: Howard Hu
Presentations:

• The role of and challenge to universities in advancing Global Health: the University of Toronto experience and 2014 Global Health Summit (Rani Kotha)
• Creating and spreading health: Defining health and implications for achievable goals and “health systems” in the 21st century (Alejandro Jadad)
• Megacities, global big data, and new metrics for health (Howard Hu)
• Achieving convergence: the challenges to setting and meeting development goals (Zulfiqaar Bhutta)

______________________________

¹(in alphabetical order): Shafi Bhuyian, Adalsteinn Brown, Freida Chavez, Arun Chockalingam, Andrea Cortinois, Ophira Ginsburg, Anita McGahan, Katia de Pinho Campos, Laura Rosella, Katherine

Rouleau, Arjumand Siddiqi, Daniel Sellen, Steven Verderber.

Substandard and falsified medicines represent a major global public health challenge affecting all countries. Spurious, falsified and falsely-labeled medicines weaken the effectiveness of health care systems and have a substantial impact on morbidity and mortality, especially in low- and middle-income countries where drug regulatory capacity is weak. The World Health Organization and the UN Office of Drugs and Crime are each approaching the issue from different angles, with limited progress. Drawing from the experiences in Europe, Africa and India, this session will frame the issue within public health law, and present the case for a new global treaty to address the issue. The expected output will be a WFPHA consensus statement for a public health approach to address this issue.

Session Chair/Moderator:
Dr. Amir Attaran, Associate Professor of Law and Population Health and the holder of the Canada Research Chair in Law, Population Health and Global Development Policy at the University of Ottawa

Speakers (invited):
- Dr. Martin McKee, Professor of European Public Health at the London School of Hygiene and Tropical Medicine and President, European Public Health Association
- Dinesh Thakur, expert and accomplished entrepreneur in pharmaceuticals, biomedical product development, drug regulation, and information technology
- Michael Asuzu, Professor of Public Health & Community Medicine, University College Hospital, Ibadan and President, Society of Public Health Professionals of Nigeria
- Dr. G.N. Singh, Drugs Controller General of India

Session Objective:
(At least one measurable session objective is required. “To understand” or “To learn” are not measurable objectives. Examples of measurable action words are: Explain, Demonstrate, Analyze, Formulate, Discuss, Compare, Differentiate, Describe, Name, Access, Evaluate, Identify, Design, Define and List)

1. To demonstrate the importance of medicine quality as a critical determinant of health
2. To discuss the rationale and gain support for the concept of an international treaty as a means of addressing the issue of falsified and falsely-labeled medicines

CHAIR: Judy Lewis, Professor Emeritus, Departments of Community Medicine and Pediatrics, University of Connecticut School of Medicine, Farmington, CT, USA

SPEAKERS:

• Tom Davis, MPH, Chief Program Officer, Feed the Children, Washington, DC, USA
• Janine Schooley, Senior Vice President for Programs, PCI Global, San Diego, CA, USA
• Karen LeBan, Executive Director, CORE Group, Washington, DC, USA
• Dr. Dennis Cherian, Senior Director for Health, World Vision US, Washington, DC, USA

SYNOPSIS: The Post-2015 Agenda seems to be shaping around the goal of sustainable development through four key dimensions: inclusive economic and social development,

environmental sustainability and peace and security. The first six proposed sustainable development goals (SDGs) for 2030 (Zero Draft Rev 1, June 2014) are: 1) End poverty everywhere, 2) End hunger,

improve nutrition and promote sustainable agriculture, 3) Attain healthy lives for all, 4) Provide quality education and life-long learning opportunities for all, 5) Attain gender equality, empower women and

girls everywhere, 6) Ensure availability and sustainable use of water and sanitation for all. These goals are directly related to issues of health and equity within and between countries. The 2014 maternal and

child health MDGs will not be met globally, in many countries, and even for marginalized populations in countries that are making good progress. The goal of universal primary health care, first proposed at

Alma Ata in 1978, has not been reached. This panel will address effective methodologies for improving equity, achieving primary health care coverage and increasing civil society engagement and

accountability—all of which are required for sustainable development.

These experts are all members of the CORE Group, an organization of 75 international non-governmental organizations (INGOs) working in over 180 countries and reaching 720 million

people each year. CORE receives funding from USAID, private foundations and donations. CORE Group is a global leader in community health working to end preventable maternal, newborn, and child deaths

by collaborating to develop tools and methods to engage communities and train health providers in partnership with local NGOs and ministries of health. CORE Group’s community health approach is

responsive to people’s needs, incorporating principles of quality services, government accountability, community participation and empowerment, sustainability, and linkages with other sectors such as water

and sanitation (WASH), education, and economic growth. This session will be chaired by Judy Lewis who is an Emeritus Professor at University of Connecticut School of Medicine where she has been on the

faculty for over 40 years. She is a well-recognized public health sociologist, medical educator, and MCH leader. She has served on the CORE Group Board since 2008 and has been chair since 2010.

The panelists will discuss demonstrated methods and resources for achieving CBPHC and sustainable development.

Prof. Judy Lewis will provide a brief overview of the CORE Group and primary health care.
Mr. Davis will discuss the Care Group methodology for improving child health outcomes. Care Groups are groups of 10-15 volunteer, community-based health educators who meet regularly with

health staff for training and supervision. Volunteers are selected by the mothers in their area, and are responsible for home visiting 10-15 women, providing health education and facilitating behavior change

in the household. Mr. Davis will present results from Food for the Hungry’s Care Group Project in Mozambique which reduced underweight by 42% in children Ms. LeBan will present the Reference

Guide: Developing & Strengthening Community Health Workers at Scale which includes 12 case studies of large-scale CHW programs responding to the local context in Asia, the Middle East, Africa and

South America. The Guide addresses issues for CHW training and supervision at two levels: full-time paid and part-time volunteer.
Ms. Schooley will discuss the role of economic and social empowerment in PCIs CBPHC theory of change, using examples of women’s empowerment groups in Bihar, India. Women empowered

groups were used as an entry point to teach women literacy and numeracy, investment of savings and loans, fostering leadership and learning about PHC. These women became agents of change in their

families and communities, producing results in nutrition, heath, WASH and education.
Dr. Cherian will present World Vision’s Citizen Voice and Action (CVA): transforming unjust systems and structures. This is an “agenda neutral” method that can be used to improve government

services in many areas. Using simple participatory tools, communities monitor local public facilities and compare the reality against government commitments. CVA has been successfully applied in 375

long-term WV development programs in 43 countries. Examples from Kenya, Armenia and Pakistan will be provided.

POINT OF CONTACT: Prof. Judy Lewis, Departments of Community Medicine and Pediatrics, University of Connecticut, Farmington, CT, USA. Tel: +1-860-521-8265. Email:

[email protected].

Adolescence is marked by biological, psychological and emotional changes and is influenced by social determinants impacting an individual’s health. India has 253 million adolescents

(10–19 years), accounting for 21% of the population. More than 35% of HIV infections in India are reported among young people (15-24 years) . Most adolescents living with HIV (ALHIV) are perinatally

infected, however, risk-taking behaviors and sexual violence increase risk of HIV transmission to adolescents.

Many adolescents face challenges exacerbated by adverse socio-cultural norms, poverty, poor health, and low education levels. This is particularly true for ALHIV with fewer than 20%

accessing HIV services. Those on ART are currently classified as pediatric (age 0-15) or adult (age 15+) leading to challenges in quantifying the number of adolescents on ART and in adolescent-specific

programming. There are very limited efforts catering to the specific needs of adolescents. As the number of AL¬HIV continues to grow, the need to improve adolescent friendly ser¬vices, policies, and

programs intensifies.

The following will share:
Department of AIDS Control: ALHIV programmatic opportunities and challenges.
Center of Excellence: Adolescent-specific clinical practices, transition, treatment, and scale-up issues.
A representative ALHIV: Experience as an ALHIV: guiding policy advocacy and development of an ALHIV India roadmap.
Sub-national level service delivery model: Life skills education, peer and child rights-based approaches to address treatment, disclosure and psychosocial issues.
John Snow Inc.: Global learnings from ALHIV work experience including policy and program recommendations for India.

Individual Presentation Title:

1. Programs for Adolescent, current scenario – services, accessibility and gaps, Department of AIDS Control (DAC)
2. Prospective of service providers – Issues, gaps and opportunities, Center of Excellence (ART Care) –
3. Perspectives shared by Adolescent living with HIV – service availability and access
4. Experience from Sub-national level adolescent service delivery model – pilot intervention
5. Strengthening policy and programmatic response and emphasis on reaching and supporting young people with HIV services. JSI’s experience from Sub Saharan Countries

Presenter Name/Organization for each presentation on the panel:

1. Dr Reshu Agarwal, Program Officer, Department of AIDS Control (DAC)
2. Dr Anju Seth, Center of Excellence (ART Care), Kalawati Saharan Hospital, New Delhi
3. Adolescent living with HIV, to represent issues of ALHIV in India (TBD)
4. Representation from the Sub-national level adolescent service delivery model (TBD)
5. Malia Duffy, Senior Advisor, JSI

Moderator Name/Organization: Dr B.B. Rewari, National Program Officer, Department of AIDS Control (DAC)