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International Reflections

Reflections from the 6th Trilateral Meeting by Academy of Health Centers
“Health as an Instrument of Foreign Policy: Challenges for Academic Centers”:

Source: Dean Afaf Meleis

Delegates from U.S., Canada, and U.K. met for a three-day weekend to discuss ways of making health an effective tool for Foreign Policy. The thoughtful presentations from the three countries created vigorous dialogues about the role of AHC in fostering a global dialogue on workforce issues, in creating an agenda to influence foreign policy and in fostering global education, practice and research in the health fields. The delegates met in three work groups: education, research, and service. We also met within our own country delegations. The goals were to define an AHC-driven action plan by the U.K., U.S. and Canada regarding foreign policies in education, research and service as well as an action plan by each country. The work groups generated action plan recommendations. Among them (not in any particular order):

1.
Develop concepts, competencies, and objectives in global health to be integrated all through educational curricula in the health fields.
2.
Establish incentives for faculty and students to participate in global health.
3.
Encourage the development of scholarship for students, “global caregivers”, to spend time to study and work abroad.
4.
Develop a forum to share models of excellence and failure in studying and implementing global health program.
5.
Empower developing countries in building their research capacity.
6.
Develop and support collaborative partnerships to address global health issues.
7.
Ensure the utilization of evidence-based practice and support through foreign policy.
8.
Develop and support such infrastructures as information technology to enlarge international partnerships and collaboration.
9.
Address and develop recommendations regarding workforce issues, export and import of health professionals, develop standards for quality education.
10.
Develop frameworks for rebuilding health care forces internationally through training and better understanding of health care systems.

The U.S. delegation discussed ways by which we can influence a friendlier foreign policy by using health initiatives. Preliminary summary is:

1.
Encourage institutions to create opportunities for students to learn about, and to experience, global health care.
2.
Develop mechanisms to institute national policies to support scholarships, loan forgiveness mechanisms, incentives for students participating in global health initiatives.
3.
Develop mechanisms to share existing AHC successful and not-so-successful programs and frameworks related to global health care.

This is just a preliminary report reflecting my own summary as a chair and participant in the sessions.

Being with leaders of AHC institutions and international foundations and participating in the dialogue about globalization and its place in our institution and in foreign policy affirmed the global strategic goals that we have been pursuing in our school and at the University of Pennsylvania. There will be an edited book summarizing our meeting dialogues and recommendations.

April 5, 2004



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