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 2. China 3. India 4. South Africa

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.

South Asia has seen significant reduction in maternal mortality in the last decade. However, despite the target based push provided by MDGs, the maternal health crisis is far from over in the region. This

panel, organised by Oxfam India, will bring together eminent public health experts from the region to discuss the challenges that lay ahead in improving maternal health, best practices and lessons that can

be learnt from better performing countries such as Sri Lanka and Bangladesh. Panelists: Dr. Halida Akhter (Bangladesh) Dr. Aruna Uprety (Nepal) Dr. Aditi Iyer (India) Dr. Vinya Ariyaratne (Sri Lanka) – TBC Ms.

Pallavi Gupta and Dr. Anjali Bhardwaj (India)

• Chair/Moderator- Dr Damodar Bachani
• Co-Chair- Dr Anindiya Chatterjee
• Speakers

- Dr Binod Regmi

- Dr Damodar Bachani

- Dr Tewabech Bishaw

- Dr Rima Afifi

- Dr Monika Arora

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. 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.

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.

Background:
Health indices in Nigeria remain unfavourable despite concerted efforts led by the government with inputs from all stakeholders to reverse the declining trends. These indices include one of the highest

maternal and child mortality rates in the world and a very low life expectancy. Although maternal and child health outcomes have gradually improved in the country over the years, the situation constitutes a

huge global concern, and suggests the need to deploy urgent solutions including addressing the myriad of challenges inhibiting the optimal performance of the country’s health system.

Funded by the UKAID through DFID and implemented in partnership with the Government of Nigeria, the Partnership for Transforming Health System II (PATHS2) programme has since 2008 embarked on an

approach that combined the strengthening of health governance and management systems, delivery of pro-poor maternal, new-born and child health (MNCH) services, and enhancing responsiveness of the

health systems to priority needs based on citizens’ perspectives.

Over the six years of programme implementation, PATHS2 supported all three tiers of government in Nigeria (federal, as well as state and local authorities in five states) to cascade innovations and translate

national policies to state and local realities thus resulting in remarkable improvements in key health system governance and functions, services and health outcomes, and community engagement. The

PATHS2 experience and lessons can be scaled up within Nigeria and other settings to improve health systems performance.

Speakers:
- Setting the stage for stakeholder engagement and partnership building – Mr. Mike Egboh
- A Framework for Strengthening Governance and Health Management Systems – Mr. Benson Obonyo
- Innovative Service Delivery Strategy for Promoting Equity and Increased Access to Maternal, Newborn and Child Health Services – Dr. Amina Aminu
- Building Community Participation and Ownership – Dr. Yisa Ibrahim
- Catalysing Change and Sustaining Interventions: Case Study of Kaduna State – Dr. Paul Dogo

Session Objective:
Participants will learn about PATHS2’s experience in improving physical and financial access to quality health care services, especially for women and children residing in Nigeria’s grassroots, by strengthening

governance and health management systems for the delivery of quality healthcare services at the federal, state, local government and community levels.

Methodology:
This Session will start with the moderator presenting opening remarks. This will be followed by presentations from all speakers. Questions for all five speakers will be elicited at the end of the session.

Stage One – Introduction (5 minutes): Overview of the project – Mr. Mike Egboh – Moderator

Stage Two – Presentations (1 hr 15 minutes – 5 Presentations, 15 minutes each): Five presentations will be provided based on the following topics:
- Setting the stage for stakeholder engagement and partnership building (15 minutes): This presentation will underscore the rationale and processes culminating into the development of innovative solutions

for addressing key challenges faced in Nigeria’s health sector.
- A Framework for Strengthening Governance and Health Management Systems (15 minutes): Participants will be introduced to the PATHS2 model which facilitated coordinated improvements across all

health systems functions and levels, fostered increased community participation and translated into improved delivery of quality health services in intervention states.
- Innovative Service Delivery Strategy for Promoting Equity and Increased Access to Maternal, Newborn and Child Health Services (15 minutes): Participants will learn about the exciting six-year experience of

PATHS2 in implementing lifesaving and innovative solutions especially in five Nigerian states. Part of the learning will be how innovative service delivery solutions promoted equity and increased access to

health services.
- Building Community Participation and Ownership (15 minutes): Participants will be exposed to a series of interventions led by communities in five Nigerian states that culminated into responsiveness of

service provision, community contribution and actions to improve health care access and uptake of services.
- Catalysing Change and Sustaining Interventions: Case Study of Kaduna State (15 minutes): This presentation will led by a government official and will focus on how PATHS2 approach to partnering and

facilitating health reforms in the public sector yielded sustainable outcomes and led to replication and scale-up of innovative models using government resources.

Stage Three – Questions and Comments (20 minutes): Participants will pose questions and comments in reaction to the presentations. All questions will be elicited by the moderator and

responded to by the respective speakers.

Stage Four – Responses and Conclusions – (20 minutes): All five speakers will respond to the relevant questions and make comments as appropriate. The moderator will wrap-up with closing

remarks.

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.

Chair/Moderator : Dr Raj Mohan Singh, CD, GOAL India

Speakers :
- Dr Charulatha Banerjee (MCH and Nutrition, SEA, Terre Des Hommes, Kolkata)
- Dr Sanghamitra Ghosh (MD NHM, Kolkata)
- Dr Ajay Bhattacharya (Addl. MD NHM)
- Dr Alok Roy, Chairperson, Healthcare, Bengal Chambers Of Commerce
- Mr Raj Shankar Ghosh, Bill & Melinda Gates Foundation, Director Vaccine Delivery
- Mr Tarun Vij, CEO, PATH
- Sri Ajoy Bandopadhyaya, Director MSME

Background and Aims:
The social determinants of health are the conditions in which people are born, grow, live, work and age. Health starts in homes, schools, workplaces, neighborhoods, and communities. Health is also

determined in part by access to social and economic opportunities; rights and entitlements, the resources and supports available in homes and communities; the quality of schooling; the safety of

neighborhoods & workplaces; the cleanliness of water, food, and air; and the nature of social interactions and relationships.

GOAL India’s concurrent session highlights the importance of integrated program approach to public health through addressing social determinants of health through programs serving vulnerable and

disadvantaged. In current context, the renewed focus on vulnerable and disadvantaged population at policy level, reinforces the importance of integrating and layering interventions on livelihood, food

security, education, water & sanitation, child protection and empowerment, rights & entitlements to promote healthy people and healthy environment.

Aims:
- Explore how programs, practices, and policies in these areas affect the health of individuals, families, and communities.
- Establish common goals, complementary roles, and ongoing constructive relationships between the health sector and these areas.

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

Stage one: This stage will comprise of 45 minutes. Introduction to GOAL India Integrated Program approach and presenting two scientific studies designed on identifying the gaps
i) MCH related issues of sex workers in Sonagachi
ii) Comparison of CLTS and non-CLTS approach in Community WASH to address Open Defecation

Speakers:
Integrated Program approach by Ms Subhra Mukhopadhya, GOAL India (15 minutes) (The idea at present is to present the integrated approach through a case study in North Bengal settings).
MCH related issues of sex workers in Sonagachi by Dr Swati Chakraborty (PhD), GOAL India (10 minutes)
Comparison of CLTS and non-CLTS approach by Ms Alivia Biswas, GOAL India (10 minutes)

Stage two: This stage will have a panel discussion. The discussion will be based on the theme “Closing the Gaps- Addressing the Social Determinants of Health”

Objectives
• Explore how programs, practices, and policies in these areas affect the health of individuals, families, and communities.
• Establish common goals, complementary roles, and ongoing constructive relationships between the health sector and these areas.

Conclusions:GOAL India session reinforces the fact that social determinants of health through integrated program approach is the best bait at community level in bringing about sustained health outcomes at community level. Technical solutions in isolation do not bring about sustained health benefits. By working to establish policies that positively influence social and economic conditions and those that support changes in individual behavior, health outcomes can be augmented in ways that can be sustained over time.

Chair: Mr C K Mishra, Addl. Secretary & MD (NHM)

Speakers:

Mr Manoj Jhalani, Joint Secretary (NHM) India National Health Mission – Pioneer of an Integrated Approach for Health Care Delivery

Mr Anshu Prakash, Joint Secretary Non-Communicable Diseases – Determinants and at risk approach for prevention and management

Dr Sanjeev Kumar, ED, NHSRC Innovations in health System

Dr A C Dhariwal, Director, NVBDCP JE/AES Prevention and Control – Inter-sectoral Approach

Dr S Venkatesh, Director, NCDC Integrated Disease Surveillance

India has over two million community health workers (CHWs) in the key national health and nutrition programs. Are they on the critical path to delivering health outcomes? What does it look like on the

ground? In this session we will hear from five people about the experiences, evidence and implications to improve the performance of CHWs in diverse contexts in India. The session will bring together

innovative ways improving the performance of CHWs in delivering key maternal neonatal child health and nutrition interventions. Through this mix of speakers we will learn different approaches to improve

the last mile delivery of interventions through CHWs within Health and ICDS programs in India. Mr. Alkesh Wadhwani will describe Bill & Melinda Gates Foundation’s overall approach to supporting the

states of Bihar, UP and Karnataka in improving the performance of CHWs and share the evidence and lessons from the Ananya program in Bihar. Mr. Shamik Trehan will speak to the challenge of enhancing

the last mile delivery through creation of platforms for planning, use of data and supportive supervision in the state of Bihar followed by Mr. Siddhartha Swarup, who will describe the use of information,

communication technologies for CHWs for improving health communication in Bihar and other states. Dr. Saba Mebrahtu and Gayatri Singh from UNICEF and Ms. Manjula Singh from DFID will share their

innovative approaches, experiences and lessons from different states in improving the performance of CHWs in multiple contexts. The discussion with all speakers will examine the implications of these

experiences for the key national programs like NRHM and ICDS programs in India and more broadly for CHW program grams in other countries that seek to improve health outcomes

Speakers: 1. Mr. Alkesh Wadhwani, Head, Integrated Delivery, India Country Office, Bill & Melinda Gates Foundation 2. Mr. Shamik Trehan, Chief of Party, Bihar Technical Support Unit

3. Mr. Siddhartha Swarup, Technical Director, BBC Media Action 4. Dr. Saba Mebrathu, Section Chief, Nutrition, UNICEF 5. Ms. Manjula Singh, Health Advisor, DFID Moderator: Mr Alkesh

Wadhwani

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.

There is a growing call for evidence based interventions. But what does this really look like on the ground? In this session we’ll hear from 4 people who are using data to radically change the way we think

about health programs and progress. Through the mix of speakers we will explore how governments, doctors, health workers, and researchers, are pushing boundaries on using data to improve lives. The

session will focus on new ways of using measurement, not only to evaluate interventions but also as an intervention in itself. Two of the speakers, Dr. B.M. Ramesh and Dr. Hemant Shah, will describe their

efforts in Uttar Pradesh, and Bihar respectively. Both will describe how their teams are working with State governments to improve outcomes. Dr. Ramesh will describe efforts in Uttar Pradesh to establish a

set of tracking tools and performance dashboards. Dr Hemant Shah will speak to the challenge and opportunities of using data to improve clinical outcomes in high-load public facilities. Between them they

will discuss lessons generated from direct observations of deliveries, algorithm based simple case sheets and checklists, and the use of dashboards to drive change. Also looking at maternal health, Dr. Aditi

Iyer, will describe a set of innovative methods and tools being used to improve maternal safety and rights in Karnataka including: (i) risk assessments during pregnancy and postpartum, (ii) verbal autopsies of

maternal deaths and near misses, and (iii) community events to build collective learning and responsibility for maternal safety. Finally we will turn to Dr. Abhijit Chowdhury, who will share his experiences in

evaluating a high impact program to improve the quality of rural health care providers in West Bengal. A doctor who is immersed in evaluation, he will provide a unique perspective on how this evaluation is

helping him think through and strengthen the program and how the Government of West Bengal has begun to translate findings into policy. The discussion with all speakers will examine how advancements

in measurement tools, processes, and data use are creating opportunities and challenges in improving health. Speakers: Dr. B.M. Ramesh, Chief of Party, Uttar Pradesh Technical Support

Unit Dr. Hemant Shah, Director, State RMNCH+A Unit, Bihar; Bihar Technical Support Unit Dr. Aditi Iyer, The Gender and Health Equity (GHE) Project at the Centre for Public Policy, Indian Institute of

Management Dr. Abhijit Chowdhury, Head, Hepatology at P.G. Hospital in Kolkata. Moderator: Dr Katherine Hay, Deputy Director, Measurement Learning and Evaluation of the Bill and

Melinda Gates Foundation.

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.

Chairperson: Mr Malay kumar De, Principal Secretary, Dept of H&FW, Govt of West Bengal (TBC)
Co-Chair: Dr Genevieve Begkoyian, Chief, Health Section, Unicef, India Country Office (TBC)

Speakers:
- Dr Rathna Kumar- Senior Obstetrician and Advisor to Govt of Tamil Nadu for maternal health
- Dr Ashok Deorari- Professor , Department of Pediatrics , WHO Collaborating Centre for Education& Research in Newborn Care , All India Institute of Medical Sciences
- Dr M Prasamma- Senior nursing faculty and Executive Director at ANSWERS (Academy for Nursing Studies and Women’s Empowerment Research Studies)
- Dr Rakesh Kumar- Joint Secretary, MOHFW, Govt of India/any other representative from MOHFW (TBC)
- Dr Kaninika Mitra-Health Specialist, Unicef Office for West Bengal

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).

Chair: Dr. Penny Dawson, Senior Technical Advisor, JSI/Nepal

Speakers:
- Ms. Leela Khanal, Project Director, Chlorhexidine Navi Care Program, JSI/Nepal
- Dr. Nosa Orobaton, Chief of Party, Targeted States High Impact Project, JSI/Nigeria
- Dr. Luke Mullany, Associate Professor, Bloomberg School of Public Health, Johns Hopkins University
- Dr. Steve Wall, Newborn Health Technical Lead, Saving Newborn Lives, Save the Children

Title and session description will be available soon.

Session Overview: Digital health technology has the potential to be a powerful tool to improve population health outcomes (disease and injury prevention, health promotion and health

protection) while addressing issues of health equity. The objective of this session, sponsored by the Aetna Foundation Inc., is to raise awareness and increase knowledge among front line health workers about

the utility of digital health technology for population health improvement. This session will provide information on promising technological and digital health innovations that reach people directly where

they live, work and play, as well as the processes and partnerships needed to scale and spread these potential innovations. Examples of the use of digital technology for population health and health equity

will be drawn from several countries. Session Chair/Moderator: Dr. Gillian Barclay, Vice President, Aetna Foundation Inc. Speakers: – Dr. Denise Stevens, Professor, Yale

School of Public Health and President, MATRIX Public Health Solutions (confirmed) – Dr. Vickie M. Mays, Professor, UCLA School of Public Health & Management (invited) – Dr. Alejandro Jadad, Founding

Director, Centre for Global eHealth Innovations and Professor, Dalla Lana School of Public Health/University of Toronto (confirmed) Respondent: – Prof Laetitia Rispel, Dean, School of Public

Health/Witwatersrand University, Johannesburg, and Chair, WFPHA Global Health Equity Working Group (confirmed) Session Objective: 1. To demonstrate the utility and

potential impact of digital technologies on population health and health equity. 2. To identify potential roles for public health associations and other health NGOs in advancing innovations through the use of

digital technologies for population health improvements and health equity.

CHAIR: Dr. Mengistu Asnake, President, World Federation of Public Health Associations (WFPHA), 2014-2016, Geneva, Switzerland and Addis Ababa, Ethiopia

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

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

SYNOPSIS: Over 2,000 nuclear tests were carried out between 1945 and 1996, when the Comprehensive Test Ban Treaty (CTBT) opened for signature: by the United States (1,000+), the

Soviet Union (700+), France (200+), the United Kingdom and China (45 each). Three countries have broken the de facto moratorium and tested nuclear weapons since 1996: India and Pakistan in 1998, and

the Democratic People’s Republic of Korea (DPRK) in 2006, 2009 and 2013.

Fortunately only two nuclear weapons detonations have been used in warfare to date – the Hiroshima and Nagasaki blasts in 1945 which killed several hundred thousand Japanese. But over 500 nuclear tests,

about a quarter of nuclear tests to date, have been detonated in the atmosphere, most prior to the 1963 Limited Test Ban Treaty. The last atmospheric test was in 1980 by China. But large amounts of nuclear

radiation have been released in these tests, with long-term public health and environmental impacts.

Between 1945 and 2006, over 60 locations throughout the world were used to detonate the 2,000+ nuclear explosions for military or for peaceful purposes. The United States, the Soviet Union and

China conducted the majority of their nuclear tests within their respective continental territories. France tested in the Algerian Sahara and in French Polynesia in the South Pacific. The United Kingdom

conducted most of its tests either in a joint series with the United States or in Australia, part of the British Commonwealth.

In terms of geography, the test sites offer stunning contrasts. Seemingly idyllic South Pacific atolls served as test sites for the United States, the United Kingdom and France. Far from idyllic, Novaya

Zemlya, one of the former Soviet Union’s test sites, is a remote ice-bound archipelago in the Arctic Ocean in extreme northeastern Europe, while China’s Lop Nur test site is a landlocked salt lake marsh—the

last remnant of the post-glacial Tarim Lake, which once covered more than 10,000 square kilometers. Today the arid desert test site of southeastern Xinjiang Uygur Autonomous Region is home only to

roaming wild camels.

The demographics also differ. While some test sites were virtually uninhabited, others were densely inhabited and the local population suffered the effects of radioactive fallout on several occasions. Nuclear

testing over the past 70 years has left legacies of impacted populations including downwinders, atomic veterans, and many other innocent victims suffering from increased cancer rates, birth deformities,

and infant mortality rates.

The 1996 CTBT was a major international breakthrough to halt all nuclear testing and today 163 countries have ratified the Treaty, and another 20 countries have signed. But the Treaty still awaits

sufficient ratifications (“Annex 2 ratifications”) for it to enter into force. The CTBT already has 281 certified International Monitoring Stations across the globe for seismic, atmospheric, and underwater

measurements and has been very successful in identifying the recent North Korean nuclear tests, the Fukushima reactor meltdown, as well as natural catastrophes such as earthquakes and tsunamis.

Dr. Zerbo, as head of the CTBT in Vienna, will address the history of nuclear testing, its environmental and public health impacts, and its current status.

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: .

Chair: Amit Ghosh Speakers: 1. Raj Shankar Ghosh, BMGF 2. A.K. Mishra, GM, NHM, UP 3. N.K. Sinha, SIO, Bihar 4. Pritu Dhalaria, PATH Background and

Aims: This session will help the audience understand the global perspective on the current efforts being made on AES and JE control. It will provide the audience an insight on the new initiatives

undertaken for AES and JE control. It will also help in providing the lessons learnt and for planning and replicating similar activities for AES and JE control. Methods: Topic one: Japanese

Encephalitis – The Global Scenario Topic two: 1. AES/JE control in Uttar Pradesh – New Initiatives Topic three: JE vaccination -The Bihar Experience Topic four: PATH’s JE Project in India – An Update

Conclusions: This session will help in providing a global perspective on the efforts being made on AES and JE control.

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:

Chairperson: TBC
Co-chairperson: Dr Y. D. Pradhan, Former DGHS, Government of Nepal (*TBC)

Speakers:

1. Global-Regional Situation of Cancer Cervix and Regional Framework on Comprehensive Control of Cancer Cervix: Dr Arvind Mathur, WHO-SEARO

2. HPV Vaccination: towards Healthier Girls, Women and Future: Bhutan Country Experience: TBC

3. Country Situation of Cancer Cervix and progress in development of National guidelines for screening and management:

a. Nepal: Dr Meera Thapa Upadhyaya

b. India: Dr Lakhbir Dhaliwal, Professor and Head, Department of Obstetrics and Gynecology, Post Graduate Institute of Medical Sciences, Chandigarh and Chair of MOHFW, GOI Expert Group on Cancer

Screening Guidelines

4. Development of Regional Training Package on “Cancer Cervix Screening and Management”: Dr Partha Basu, Professor and Head, Department of Preventive Oncology, CNCI, Kolkatta

5. Audience interaction and wrap up.

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 / Child health programs. Speakers : Dr. Dean E Spears, RICE Institute Shamim Ahmed, Head of Policy WaterAid, Bangladesh Henry Northover, Global Head of Policy, WaterAid

Panelist : Sweta Patnaik, National Manager-WASH in Health & Nutrition, WaterAid in India Rabin lal Shrestha, Regional Advocacy Manager, WaterAid South Asia 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) – Dr.Dean E

Spears, RICE Institute (Invited) 2. Missing WASH from Primary Health Care: Cost and consequences – paper by WaterAid (10 mins) – Shamim Ahmed, Head of Policy WaterAid, Bangladesh 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) – Henry Northover, Global Head of Policy, WaterAid

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

Moderator: Dr. Sonali Kochhar, Country Director, USAID DELIVER Project, JSI/India

Speakers:
- Murray Aitken, Executive Director, IMS Institute for Healthcare Informatics
- John Durgavich, Regional Manager, USAID DELIVER Project, JSI
- Rahul Mullick, Senior Program Officer, Information & Communication Technology, Bill & Melinda Gates Foundation
- Dr. Rakesh Gupta (I.A.S.), Additional Principal Secretary to Chief Minister, Haryana, India

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: Oral Vaccines against Cholera: from Theory to Public Health Reality

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. Dental Public Health capacity in Oman – S. Al Bulushi (20 min) 4. Role of women in Dental Public Health – M. AlFahran (20 min) 5. Resolution on Dental Public Health Workforce Infrastructure –

M. Al Darwish (20 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.

Session Overview: 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 and Co-chair, WFPHA Tobacco

Control Working Group Speakers (invited): – Dr. Bolormaa Purevdorj, Health Promotion Department, National Center of Public Health (Mongolia) and Mongolian Public Health Professionals’

Association – Prof Julia Moorman, President, Public Health Association of South Africa – Binod Regmi, Nepal Public Health Association – Michael Moore, Vice-President & President-Elect, WFPHA and

CEO, Public Health Association of Australia and Prof Bettina Borisch, Director, WFPHA Headquarters Challenges in Tobacco Policy: International Trade Treaties, e-cigarettes and Throat Cancer 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:

.

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)

Chair: Dr. Sushma Dureja, Deputy Commissioner Adolescent Health Division, Ministry of Health & Family Welfare, Government of India

Speakers:

- Dr. Agnes Guyon, Senior Technical Advisor, JSI
- Md. Nazmul Huda, Divisional Manager, SPRING Project, JSI/Bangladesh
- Ms. Ronali Pradhan, Senior Program Manager, Digital Green

Chair: Dr. Shu-Ti Chiou:
Director-General, Health Promotion Administration, Ministry of Health and Welfare, Taiwan
Adjunct Associate Professor, School of Medicine, National Yang-Ming University, Taiwan
Global Vice Presidents, The International Union for Health Promotion and Education

Speakers :
1. The Current Status and Future Prospects of Tobacco Control in Taiwan
Dr. Shu-Ti Chiou
Director-General, Health Promotion Administration, Ministry of Health and Welfare, Taiwan
Adjunct Associate Professor, School of Medicine, National Yang-Ming University, Taiwan
Global Vice Presidents, The International Union for Health Promotion and Education

2. The Innovation and challenge of tobacco-free hospitals: the experience of Taiwan
Prof. Ying-Wei Wang
Chief, Heart Lotus Hospice, Buddhist Tzuchi General Hospital, Taiwan
Chief, Department of Medical Humanities, Tzuchi University, Taiwan

3. Second Generation Cessation Services Payment Scheme in Taiwan
Ms. Ann Tzung-Yee Feng
Former Director, Health Education and Tobacco Control Division, Health Promotion Administration, Ministry of Health and Welfare, Taiwan

4. Electronic cigarettes : why the hard sell?
Dr. Martin McKee
President, European Public Health Association
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 Services Payment Scheme” in 2012 to increase accessibility, affordability of various

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 prospects of tobacco control in Taiwan, the innovation and challenge of

tobacco-free hospitals, Second Generation Cessation Services Payment Scheme in Taiwan and the issue of electronic cigarettes.

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

Stage one: Introduction (5 minutes)
Dr. Shu-Ti Chiou

Stage two: The Current Status and Future Prospects of Tobacco Control in Taiwan (15 minutes)
Dr. Shu-Ti Chiou

Stage three: The Innovation and challenge of tobacco-free hospitals: the experience of Taiwan (15 minutes)
Prof. Ying-Wei Wang

Stage four: Second Generation Cessation Services Payment Scheme in Taiwan (15 minutes)
Ms. Ann Tzung-Yee Feng

Stage five: Electronic cigarettes: why the hard sell ? (15 minutes)
Dr. Martin Mckee

Stage six: Discussion (40 minutes)
Dr. Shu-Ti Chiou

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 promosing progress received to date, it is a challenging but achievable task with the cooperation of 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

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.

Chair: Ms. Frederika Meijer, UNFPA Representative

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

National Adolescent Health Program/ RashtriyaKishorSwaasthyaKaryakram: Vision, Key Strategies, Status and Way Forward (15 minutes)
Suggested Speaker/s:
Dr. SushmaDureja
Deputy Commissioner
Adolescent Health Division
Ministry of Health and Family Welfare

Paediatricians for Adolescents: Signature Initiatives with Adolescents(15 minutes)
Suggested Speaker/s:
Dr. SukantaChatterjee, Adolescent Health Academy

Creating Adolescent Health and Well Being Promoting Schools (15 minutes)
Suggested Speaker/s:
Ms. Prachi Khandeparkar, Program Director, Sangath

Questions from the audience and discussion (20 minutes)

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 – Dr. K Srinath Reddy, President, Publich Health Foundation of India

Chair: Representative, Ministry of Health and Family Welfare, India (15 min) Co-Chair: Prof Ramanan Laxminarayanan, Vice President, Research and Policy, Public Health

Foundation of India (Prof Ramanan) (15 min) Speakers : – Comprehensive Multi-Year Plan (cMYP) for Immunization, Dr M K Agarwal, DC(UIP) MoHFW – Ms Monica Chaturvedi, Strategic

Communication (10 min) – Dr Jyoti Joshi, Management of AEFI vaccine safety and quality (10 min) – Dr Bhrigu Kapuria, Vaccine Supply and logistics (10 min) Background and Aims: India’s

Universal Immunization Program (UIP), targets almost 26 million new borns and 30 million pregnant women through 9 million sessions each year with the goal of protecting the individual and the public

from vaccine preventable diseases. India is also the largest developing country manufacturer of vaccines in the world yet full immunization coverage at national level remains around 70%. 2012-13 was

announced as the Year for Intensification of Routine Immunization and an Immunization Technical Support Unit was established in May 2012 to support efforts to increase coverage and quality of

immunization services of India’s Universal Immunization Program. India has announced plans to introduce newer vaccines such as IPV, rubella, rotavirus in the near future to expand the immunization arsenal

for reducing vaccine preventable diseases in the country. This session is aimed at showcasing the public private partnership model of a technical support unit which works with the govt. on a day to day basis

for improving routine immunization in India. The work of the unit encompasses the different aspects of routine immunization ranging from generating demand for services, ensuring good cold chain facilities

with adequate supplies, monitoring and evaluation, data quality assessment and surveillance for vaccine preventable disease and any adverse events following immunization. Methods:

This Session will operate in a series of stages – as follows Stage one: Introduction and brief presentations by the Chairperson and co-chairperson on the need for a Technical Support unit,

building the conceptual framework, operationalization of the conceptual framework and examples of how the collaboration works between govt. and the PHFI unit. Stage two: Brief update

on the contributions of different units of ITSU towards strengthening routine immunization in India highlighting: – Developing demand for immunization services (Mission Indradhanush), – Strengthening

immunization service quality and institutionalising support structures for surveillance of adverse events following immunization (AEFI) – Building an electronic vaccine intelligence network for supplying

quality vaccines Stage three: Discussion and Future plans (Summary and conclusions from Chair and co chair) Stage four: Q&A Conclusions:

Innovative partnerships between govt, and non govt.academic /research institutions such as Public Health Foundation of India are the step forward to revitalize immunization services in the country.

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]

Chair/Moderator: Prof KJ Nath, President, Institution of Public Health Engineers, India Speakers: – Dr. Fiona Sim, Chair, Royal Society for Public Health (RSPH), UK – Anila

Gopal, Lifebuoy Global Social Mission Director, Unilever – Dr. Vibhav Sanzgiri, Global R&D Director & Head, GDC Hygiene + Personal Care Water, Unilever Background and Aims:

why the Session is important in the current scenario. what benefit attendees will get, i.e. skills, knowledge or perspective acquired Childhood deaths from preventable

diseases such as diarrhoea and pneumonia as well as neonatal child mortality remain a global public health concern. The United Nations Millenium Development Goal to reduce child mortality and the

Water, Sanitation and Hygiene (WASH) agenda aim to help provide universal access to basic amenities thereby improving health and hygiene for millions of people and children around the world. These

require universal coverage with key effective and affordable interventions to prevent infectious diseases. The most cost effective intervention to save child lives is handwashing which can save more than

600,000 child lives each year. This panel addresses the role that various organizations including the private sector can play to help in these efforts thereby aiding sustainable development of the world’s

economies. The Royal Society of Public Health (RSPH) is an independent, multi-disciplinary charity dedicated to the improvement of the public’s health and wellbeing. They work closely with their members,

the public health workforce and wider community to develop and implement a broad range of policy and projects to educate and empower individuals, effect change and celebrate excellence. As an

organisation dedicated to the promotion and protection of human health and wellbeing, the RSPH endorses campaigns that contribute to improvements in hygiene and health with campaigns rigorously

assessed in regard to their impact on positive behaviour change. Unilever, through its sustainable living plan (USLP) and Lifebuoy brand, aims to make a difference by reaching 1 billion people by 2020 by

driving handwashing behaviour change at scale thus helping reduce needless childhood deaths. Lifebuoy’s handwashing programs have now reached more than 183 million people in over 23 countries,

making it one of the largest hygiene programs in the world. The advocacy message of Help a Child Reach 5 has been carried by celebrities like Kajol to influential platforms like the World Economic Forum

and the United Nations General Assembly (UNGA). To aid in its public health efforts, Lifebuoy engages with experts and global authorities. Lifebuoy has become the first brand to receive RSPH accreditation

for its campaigns, which in conjunction with Lifebuoy products can make hygiene products easily accessible and positively impact hygiene habits. As the world’s leading germ protection soap, Lifebuoy works

to better understand the world of evolving diseases to bring effective yet affordable germ protection to its consumers and prevent childhood illnesses. Methods: This Session will operate in

a series of stages – as follows Stage one: Brief Introduction to session by Chair Stage two: 1. Public Health Challenges : Role of Simple Interventions and Behaviour Change

by Dr. Fiona Sim, Chair, Royal Society for Public Health (RSPH), UK 2. Transforming Health through Behaviour Change at Scale by Anila Gopal, Lifebuoy Global Social Mission Director, Unilever 3. Aiding

Behaviour Change through Differentiated Technology and Product Design by Dr. Vibhav Sanzgiri, Global R&D Director & Head, GDC Hygiene + Personal Care Water, Unilever Stage

three:Brief Q&A Panel Discussion Closing Remarks by Chair Conclusions: The panel will highlight the

importance of simple interventions and brand-public health partnerships to positively impact hygiene behaviours and improve health using an example of handwashing with soap. Industry contribution in

driving behaviour change at scale and the impact of such programs will be elucidated.

Moderator: Lora Shrimp, Technical Director, GAVI‐New Vaccine Introduction Project, JSI

Speakers:
- Dr. Ruhul Amin, Independent Consultant (former Chief of Party, USAID Maternal and Child Integrated Program, Timor‐Leste)
- Dr. Manish Jain, Team Leader Strategic Planning, Uttar Pradesh TA Project, JSI/India
- Dr. Samrawit Ashenafi, Technical Advisor, Universal Immunization through Improving Family Health Services, JSI Ethiopia
- Dr Gerald Ssekitto, Chief of Party, Maternal Child Survival Program, JSI/Uganda

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, USAMr. 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: .

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.

Session Overview: 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 Africa and Asia, 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 framework for a possible WFPHA policy & action 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):

- Dinesh Thakur, expert and accomplished entrepreneur in pharmaceuticals, biomedical product development, drug regulation, and information technology (confirmed)

- Roger Bate, Visiting Scholar, American Enterprise Institute (interested, available) – Shamnad Basheer, National University of Juridical Sciences/Kolkata (to be invited)

- One other person from a low/middle-income country (TBC)

Respondants (invited):

- Prof Martin McKee, Professor of European Public Health at the London School of Hygiene and Tropical Medicine and President, European Public Health Association

- Prof. Michael Asuzu, Professor of Public Health & Community Medicine, University College Hospital, Ibadan and President, Society of Public Health Professionals of Nigeria

Session Objective:

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:

.

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:

Panel Chair: Dr. Subhasish Bhattacharyya, Professor of Pediatrics & Program Director, Pediatric Center of Excellence in HIV Care and ART Center, Medical College and Hospital, Kolkata,

West Bengal

Speakers:
- Dr. Anju Seth, Medical Officer, Pediatric ART Center of Excellence, New Delhi
- Mr. Narendra Kumar Jangid, Country Representative‐India, Arms Around the Child, Jaipur, Rajasthan
- Mr. Sunil Kumar Ram, 17 years old adolescent, Kolkata, West Bengal
- Malia Duffy, Senior HIV and AIDS Advisor, JSI