fulbright presentation 4_19_2012
TRANSCRIPT
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Ruth C. Browne, ScD.CEO, Arthur Ashe Institute for Urban Health
Principal Investigator & Fulbright NEXUS Awardee (2011-2012)
Social Determinants of Health Internship Program: Training Program for Caribbean
Secondary School Students
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Conditions responsive to interventions that address the SDOH, such as CVD/Diabetes/HIV, are among Trinidad and Tobago’s leading causes of death
Shortage of public health care professionals remains a major cause of health sector problems in the Caribbean region, specifically Trinidad and Tobago
PROBLEM STATEMENT
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Invest in pipeline programs with proven effectiveness in developing a public sector workforce who:
• Are interested in health careers• Understand the role of socio-determinants of
health, social justice and sustainability in health equity & healthcare
• Are committed to applying these frameworks to address health equity issues
OUR APPROACH
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Strategic Partnerships
Replication & Adaptability
Sustainability
PROJECT GOAL
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NGOs’ expanded capacity to participate in research and policy advocacy
Increased knowledge of the social determinants of health & the field of public health by the youth
Youth’s Increased efficacy & awareness of themselves as agents of change.
Develop sustainable & productive Community-Academic-Government partnerships that result in:
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Encompasses all levels of socio-political structures & leverages their skills towards addressing health outcomes in Trinidad & Tobago .
Develops a grass-roots, culturally relevant, age-appropriate curriculum focused on social determinants of health and improving health equity locally & throughout the Americas.
Adapt an existing model for international replication that:
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PROJECT ACTIVITIES
Social Determinants of Health
Develop strategic
partnerships(Government,
Academic & NGOs)
Train 20 students
interested in public health (Trinidad & Tobago)
Implement student engaged
community-based research
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PROJECT ACTIVITIES (SAMPLE)
“Gender Roles, Race & Cultural Competency in Access & Health-Seeking”
“Environmental Justice”
“Clinical Overview of Chronic Diseases/Epidemics: Diabetes”
SAMPLE CURRICULUM
SAMPLE RESEARCH PROJECTS
“Profile of Patient Ethnicity & Religion in CVD”
“Waste Management in the Healthcare Sector”
“Diet & Exercise Patterns in Patients Diagnosed with Diabetes Type I & II
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Develop sustainable community-academic government partnerships
Adaptation of an existing model and international replication
Development of instructional curriculum that is relevant to Trinidad & Tobago & the Caribbean
PROJECT MILESTONES
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By leveraging the resources of UWI, government ministries, NGOs, schools, and students, the Internship Program:◦ Creates pathways for community and youth to
become engaged in health equity solutions◦ Supports a pipeline of students who are
academically prepared to pursue careers in health◦ Strengthens the region’s health system and
services by fostering the next generation of health care leaders
Public Policy Implications of Social Determinants of Health Internship Program
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BenchmarksKnowledge, Tracking, Dissemination,
Engagement• Knowledge scales of levels of
learning
• Increase motivation to pursue careers in the health care field
• Increased understanding of SDOH
• Tracking of students through college
• Presentation of students’ research to International agencies, academia, government & NGO community
Engagement:
• Joint development of research projects
• MOUs with academic partners, NGOs and schools
• Letters of endorsement from government agencies
• Faculty interaction with secondary school students
• Faculty interaction with NGOs
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Sustainability & Replication:
FUTURE DIRECTIONS
Years UWI Campuses
Students
2012 Trinidad & Tobago
20
2013 Trinidad & Tobago; Jamaica
40
2014 Trinidad & Tobago; Jamaica; Barbados
60
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Curriculum enhancement: Webinars & live broadcast (Brooklyn-T & T) Cross-cultural exchanges (Brooklyn- T &T/Regional) UWI cross-campus collaborations
Curriculum Integration: Incorporate the curriculum in existing secondary school/public health curricula
FUTURE DIRECTIONS
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CHALLENGES
Location/CommuteIT supportStaffing
Establishing linkages between NGOs & Academic
InstitutionsInfrastructure for
researchWorkshops-
SDOH, Health Equity
Increasing student
participation
LOGISTICS CAPACITY BUILDING (NGOs)
FUNDING
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Nexus Award Fund Allocation to Seed Project
Nexus Award: $30,000
23%
20%57%
RESOURCE ALLOCATION
Student support & development
NGO capacity de-velopment
Direct Replication costs
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FUNDING NEED20 students (2012)
$6,850$6,080
$17,070
37,060
11,000
15,870
$-
$5,000
$10,000
$15,000
$20,000
$25,000
$30,000
$35,000
$40,000
Student Support/Development CBO Capacity Development Direct Replication Costs
Anticipated costs
Actual Costs
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Cash Contributions: $35,000 (Current Need)In-kind Contributions:
AAIUH leadership and staff UWI leadership and Faculty NGO leadership and staff
Potential Support Sources: T&T: Government, Corporations, NGOs, UWI Private Foundations, International agencies & NGOs
Implementation Requirements
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ACKNOWLEDGEMENTS:Community partners
COMMUNITY PARTNERS (NGOS)
• Cropper Foundation• Diabetes Association of Trinidad & Tobago• Environment Tobago• Families in Action• Heartbeat International• Heart Foundation of Trinidad & Tobago• Kinds in Need of Direction• Oil Workers Trade Union• Red Cross of Trinidad & Tobago• Toco Foundation
SECONDARY SCHOOLS
• Iere High School• Naparima Girls High School• Queen’s Royal College• San Fernando Central Secondary
School• St. Joseph’s Convent, St. Joseph’s• St. Mary’s College• St. Stephen’s College• Vessigny Secondary School
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ACKNOWLEDGEMENTS:Government & Academic partners
GOVERNMENT OF TRINIDAD & TOBAGO
• Ministry of Health• Ministry of Education• Ministry of Science, Technology & Tertiary Education• Tobago House of Assembly
ACADEMIC PARTNERS
• University of the West Indies Faculty of Medical Sciences, St. Augustine Campus (Trinidad & Tobago)
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Q & A