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Executive Summary Making Tangible Improvements Toward Global Health Equity Explore opportunities and challenges within communities Inform public and private opinion about the right to health Support sustainable healthcare capacity based on practical knowledge Make tangible improvements toward global health equity Impartiality in treatment Equality of opportunity to access healthcare, health education, and prevention services Mission Global Health Equity Geneva, Switzerland 2012 Health equity is a critical issue. Equity gaps are a global concern. Recent research focusing on social determinants of health confirms that equity is seriously compromised by discrimination against minority groups, and by a lack of equity in healthcare funding. GHEF provides an opportunity to discuss how health inequities arise, to present new methods for analysing equity gaps, and to devise strategies for addressing equity gaps. The goal is to share knowledge that leads to practical solutions. Chris Heginbotham OBE, Emeritus Professor, University of Central Lancashire

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Executive SummaryMaking Tangible Improvements Toward Global Health Equity

• Exploreopportunitiesandchallengeswithincommunities• Informpublicandprivateopinionabouttherighttohealth• Supportsustainablehealthcarecapacitybasedonpracticalknowledge• Maketangibleimprovementstowardglobalhealthequity

• Impartialityintreatment• Equalityofopportunitytoaccesshealthcare,healtheducation,andpreventionservices

Mission

Global Health Equity

“ “

Geneva, Switzerland2012

Health equity is a critical issue. Equity gaps are a global concern. Recent research focusing on social determinants of health confirms that equity is seriously compromised by discrimination against minority groups, and by a lack of equity in healthcare funding. GHEF provides an opportunity to discuss how health inequities arise, to present new methods for analysing equity gaps, and to devise strategies for addressing equity gaps.The goal is to share knowledge that leads to practical solutions.

Chris Heginbotham OBE, Emeritus Professor, University of Central Lancashire

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About Global Health Equity Foundation

GlobalHealthEquityFoundationisanon-profitorganizationthatadvocatesonbehalfofpeoplewholackaccesstohealtheducation,preventionservices,andhealthcare.TheFoundationisaprimarysourceforknowledgeonhealthequityandintegratesitsresearchintoadvocacyandcapacitybuildingprojectsforimprovedhealthequityworldwide.

Since2007,theFoundationhassponsoredprojectsintheUnitedStatesasa501(c)(3)organization.InOctober2012,GHEFopeneditsheadquartersinGeneva,Switzerlandasaregisterednon-profit.

An Integrative Approach toResearch, Advocacy, and Capacity Building

ResearchGHEF’sresearchprogramisbasedonEquityGapAnalysis(EGA).Thisingeniousmethodologybringsindividualandcommunityvaluestotheforefrontofanyinvestigationandintervention.EGAbuildsabetterfoundationofunderstandingandrespectforcultureandformoralcodes.Foranyapproachtosucceed,itmustbespecificallyorientedtowardagivencontext.EGAiseffectivebecauseitfosterscustomizedadvocacyandcapacitybuilding..

AdvocacyToaccomplishouradvocacygoals,researchfindingsarechannelledintoeducationalandpromotionalcampaigns.GHEFraisespublicawarenessofhealthinequitiesandeducatespeopleaboutcurrentandpotentialsolutionsforinequities.TheFoundationusesaproprietary,multilateralframeworkcalledDisplacementaXis.Thisframeworkcombinesresearchfindingswithanecdotalevidencetoproduceadvocacycampaigns.Focusedadvocacyproduceseffectivemediathatutilizescontemporaryoutletsfordistribution,suchassocialmediatechnologies.

Capacity BuildingCommunityengagementandempowermentpavethewayforeffectivecapacitybuilding.Increasingcommunity-basedknowledgeandskillleadstosuccess.Technologyplaysacrucialroleincapacitybuilding,andGHEFhasbeensuccessfulinaddinginnovativetechnologycomponentstoprojectsservingdisadvantagedpopulationsintheUSA.

GlobalHealthEquityFoundationwasfoundedtomaketangibleimprovementstowardglobalhealthequity,specificallyintheconditionsfordisplacedanddisadvantagedpopulations.GHEFiscommittedtoadvancinghealthequitywithinthesecommunitiesviathreestrategies:

ByMail:GlobalHealthEquityFoundation6,ChemindesPluviersCh-1228Plans-les-OuatesGeneva,Switzerland

ByMail,USA:GlobalHealthEquityFoundation615MainStreetMilesCity,MT59301USA

GHEFispartiallyfundedbyGlobalHealthcareAdvisory.http://globalhealthcareadvisory.com

Research, Advocacy, Capacity Building

Donateonline:http://ghef.org/fr.php

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Highlights from Current Activities

GHEFsponsorsacommunity-basedmediaprojectfocusedonsuicidepreventionineasternMontana,USA.Thisproject,whichbeganin2011,isongoing.GHEFsponsorshipisexpectedtocontinueforseveralyears,oruntilthecommunityisabletoassumealloftheleadershiproles.

SarahMosdal:“I feel like we can make an impact, it’s not like we started a fire, but we definitely made a spark in the community!”

SamanthaMosdalposesbyaphotohersisterSarahtookaspartofasummerphotographyworkshop.Workshopsintheartsgiveteensachancetointeractwitheachother,todeveloptheirskills,andtostrengthentheirself-esteem.Partofthecommunity-basedsuicidepreventionprogramfocusesonpopulationsatrisk,suchashighschoolstudents.GraduatestudentsfromMontanaStateUniversityBillingsserveasmentorsandteachersintheworkshops.

“I really liked the experience of helping others talk about such a touchy subject.” –AmandaLetke

Teenageactorsposeforagroupportraitbeforeperforminginvignettesrelatedtothesubjectofsuicidepreventionandawareness.ThetheaterworkshopwassponsoredbyGHEF,andtaughtbygraduatestudentsfromnearbyuniversities.Fromtop,lefttoright:CarrieBloxom,

NeekaGackle,SamanthaMosdal,SavannahTailleur,KyleMcGuire,SarahMosdal,AmandaLetke,VictoriaMosdal.

In2011,GHEFsponsoredafilmdramatizingissuessurroundingsuicide,andeachyearGHEFhelpstoorganizeworkshopsandanOut of the Darkness Walk.InJanuary2012,theprojectearnednationalrecognitionfromtheAmericanFoundationforSuicidePrevention,andithasattractedgrantsandoffersofassistancefromotherorganizations.Fundinghasbeenobtainedtomaintainawebsite,andtotrainlocalleaders.

Making Tangible Improvements Toward Global Health Equity

Community Based Media Project and Montana landscape photos © Leland Howard, www.lelandhoward.com

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Highlights from Current Activities (continued)

InMontanacrediblepublichealthinformationisnotbeingeffectivelycommunicatedtoadolescentsintheareasof:reproductivehealth,familyplanning,sexuallytransmitteddiseases,andcommunicablediseases.

• SocialMediatechnologyreachesandeducateschildren• Technologyplatformscommunicateusingaccurate,credibleinformationsources• Knowledgeimprovesinagroupcurrentlyreceivinginformationfrompeers• Trainedworkshopleadersusecreativeartstobuildcohesivesupportgroups• Publichealthrisksthatarecostlybothmonetarilyandsociallydecrease

Partners in the Community Based Media Project

• MontanaHealthNetwork• LocalAdvisoryCouncilforMentalHealth• HolyRosaryHealthcareFoundation• McConeCountyHealthCenter• CusterCountyPublicHealthDepartment• MontanaDepartmentofPublicHealthandHuman

Services

••• GlobalHealthEquityFoundation-USA• GlobalHealthEquityFoundation-

Switzerland• MontanaStateUniversityBillings• SynapticHealthcare,LLC• GlobalHealthcareAdvisory,SA

Research, Advocacy, Capacity Building

In2012communitymemberschoseLet’s TalkasthebrandnamefortheirsuicideawarenesscampaignandfortheirGHEF-sponsoredwebsite: http://letstalkmilescity.org

Thiswebsiteisthecenterpieceofthecampaign.Thesite’ssocialmediacomponentcreatesanon-linecommunitythatraisesawareness;providesahavenforthoseseekinghelp;andfacilitatesconnectionsamongpeopleandorganizations.ItwasdeterminedthroughinterviewswithanumberofresidentsthatgettingpeopleintheMilesCitycommunitytocommunicatewitheachotheropenlyandhonestlyaboutmentalhealthissueswasasignificantobstacletopreventionefforts.Theslogan“Let’s Talk”isdesignedtogetcommunitymembersmorecomfortabletalkingwitheachotheraboutdepressionandsuicide.

Dr.SarahKellerofMontanaStateUniversityBillingsisleadingasocialscienceresearchprojectinvolvingathree-prongedapproachtoidentifyingstrategiesforsuicidepreventioninMontana:

• Aquantitativesurveytoevaluatethecommunity-basedmediainterventiontopromoteawarenessanduseofsuicidepreventionresources

• Aqualitativestudyofthebarrierstopublichealthmodelsforsuicidepreventionandmodificationsneededtoimprovecommunityinterventions

• Aquantitativesurveytoidentifysocialsupportfactorsrelatedtosuicideideationamongyouth

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Making Tangible Improvements Toward Global Health Equity

Consensus Building Forums

TheConsensusBuildingForumstrategywasdevelopedbyGlobalHealthEquityFoundationforthepurposeofsharingknowledge,increasingconnectivityamongstpeersanddisciplines,anddevelopingpracticalsolutionsforachievableobjectives.Participantsfocusoncriticalissues,identifychallengesandopportunities,generatepossiblesolutions,andprovideguidelinesforimplementationofthosesolutions.

June 2012:GHEFsponsoredaconsensus-buildingforuminLondon,New Methodology: Analysing Health Equity Gaps.Themainpurposeoftheforumwastosharewhathasbeendonetobridgehealthequitygapsandtooutlineongoingorfutureplans,whilebuildingconsensusonaresearchpathandmethodologyforGHEF.No Magic Bullet? Health Equity Gap Analysis proposals for GHEFbyChrisHeginbothamisjustoneofthepromisingoutcomesofthisforum.Thispaperiscurrentlybeingamendedandpreparedforpublication.Byofferingpracticalstepsbasedonrealisticanalysis,thispaper,whencompleted,willserveasguidelinesfor2013projects.ChrisHeginbotham,MScMAMPhil,isProfessorofMentalHealthPolicyandManagementattheUniversityofCentralLancashire,whereheisActingHeadoftheInternationalSchoolforCommunities,RightsandInclusions.

July 2012: GHEFsponsoredaconsensus-buildingforuminIstanbul,SyrianInternationalCoalitionforHealth.

“The Syrian International Coalition for Health (SICH) is a consortium of organizations and individuals who are committed to improving health and healthcare delivery in Syria. SICH was formed in 2012 in response to increasingly urgent calls for comprehensive reform. The coalition adopted five principles: quality, equity, education, broad participation, and shared responsibility. Global Health Equity Foundation, as a major contributor to human and community development worldwide, combines its core strategies of research, advocacy, and capacity building to host this coalition. From administrative headquarters in Geneva, GHEF supports the SICH agenda in an equitable and neutral fashion.”

Mazen Kherallah, MD, FCP, President, Middle East Critical Care Assembly

Consensus Building Forums and Symposia

• Identifyandmaplocalandnationalassets• Utilizeandcoordinateexistingresources• Educate–raisingawarenessandengagingall• segmentsofthepopulation• Identifyopportunitiesforimprovingaccess• Identifychallengesfacinghealthcareproviders• Analysehealthequityissuesandoffersolutions

October 2012: GHEFsponsoredasymposiuminGeneva, Global Health Equity in Times of Crisis.

“The purpose of the symposium is to provide a platform for dissemination of information and for debate concerning the impact of crises on equity in health and in healthcare. Crisis and conflict affect both the distribution of health and access to healthcare. The resulting inequities, as well as

policies and actions to address those inequities, are the focus of the October symposium.

“Attendees and presenters represent a multidisciplinary group of senior researchers and professionals from academic and international organizations. Their contributions will allow us to view health equity from different perspectives. The Symposium will look at a wide range of crisis situations, including economic, global food-systems, societal models, socio-political conflicts, and military conflicts.

“Symposium participants will work together throughout November to write a consensus paper that will provide a framework for advocacy and capacity building. GHEF will publish and disseminate the paper.”

Eduardo Missoni, Coordinator, Global Health and Development, Department of Policy Analysis and Public Management and CERGAS, Università Bocconi, Milano, Italia - GHEF Scientific Coordinator

Past Forums

• May 2010:Geneva-Making Tangible Improvements Toward Global Health Equity.GlobalHealthEquityFoundationhelditsfirstinternationalsymposiumtocoincidewiththeannualWorldHealthAssembly.TheWorldHealthOrganizationwelcomedGlobalHealthEquityFoundationasitsguestspeakerrepresentingtheDepartmentofEthics,Trade,HumanRights,andHealthLaw.

• March 2011:Montana-Priorities in Healthcare Delivery in Eastern Montana.• June 2011:Montana–Priorities in Healthcare Delivery in Eastern Montana.• September 2011:Montana-Knowledge Management Projects.

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Syrian International Coalition for Health

Research, Advocacy, Capacity Building

TheinternalconflictintheSyrianArabRepublicthatbeganin2011hasputincreasingstrainonthehealthsystem.Overthepastthreedecades,Syria’shealthindicatorsdemonstratedcontinuedimprovementinhealthcareandaccesstohealthcare,especiallyamongruralpopulations.Challenges

tohealthcaresystems,however,persisted,includinglackoftransparency,healthinequityacrossregions,unevendistributionofresources,andinadequatecoordinationbetweenhealthserviceproviders.Today,thegrowingnumberofSyriansinternallyandexternallydisplacedbytheconflicthasexposedandexacerbatedtheseexistingweaknesses.Inresponsetoincreasinglyurgentcallsforcomprehensivereformandinanattempttopreserveprogressmadethusfar,theSyrian International Coalition for Health (SICH)wasformedin2012.

The Syrian International Coalition for HealthisaconsortiumoforganizationsandhealthprofessionalswhoarecommittedtoimprovinghealthcareandhealthcaredeliveryinSyria.Thecoalitionadoptedfourprinciplestoguidetheirobjectives:quality,equity,sustainability,andbroadparticipation.GlobalHealthEquityFoundation(GHEF)—amajorcontributortohumanandcommunitydevelopment

worldwide—combinesitscorestrategiesofresearch,advocacy,andcapacitybuildingtohostthiscoalition.FromadministrativeheadquartersinGeneva,Switzerland,GHEFsupportstheSICHagendafromanequitableandneutralposition.

MissionSICH’smissionistostrengthenhealth-relatedministriesandorganizationsthroughaprocessofimmediatecoalitionbuilding.TheCoalitionbelievesthatthisgoalcanbeachievedbyimprovingcoordinationandcommunicationamongdifferentSyrianmedicalorganizations,andbyprovidinghealthcareleadershipandstrategicplanning.Statement of CommitmentTheCoalitionworksforthegoodofall,irrespectiveofrace,religion,creedorpoliticalconvictions.Coalitionmembersobserveneutralityandimpartialityinthenameofuniversalmedicalethicsandtherighttohumanitarianassistance.TheCoalitionmaintainscompleteindependencefrompolitical,economic,orreligiouspowers.

ObjectivesThecoalition’smainobjectivesaretoprovidehealthcareleadershipandstrategichealthcareplanningatthecountrylevel,andtostrengthenandimprovecommunicationandcoordinationbetweenSyrianmedicalorganizations.

Communication and CoordinationThecoalitionmaintainsanopenandcentralizedcommunicationplatformheadquarteredinGeneva,Switzerlandinorderto:

• DefineastrategicframeworkforcooperationamongSyrianmedicalassociationsinorganizationalwork,education,andcaredeliveryacrossthehealthcarecontinuum.

• Developandstrengthenthehealthinformationsysteminordertocollate,prepare,anddisseminatehealthinformation,trends,activities,andoutcomes.

• Partnerwithlocal,regional,andinternationalorganizationsandotherstakeholderstocoordinateahealthcareresponsetoachievepredictability,timing,effectiveness,andaccountability.Theresponsewillalsoaddressclosinggapsinkeyareasofmedicalresponseandimprovingstrategicfieldlevelcoordinationandprioritization.

• Connectorganizations,mobilizeresources,andserveasanadvocatetobetterinternalandexternalhealthresources.• Coordinateresponsesforcasualtymanagement,communicableandnon-communicablediseases,outbreakmonitoring,mental

health,long-termcareforthedisabled,accesstosecondaryandtertiarycare,andpreventionprograms.Preventionprogramswillincludematernal,child,andnewbornhealthandvaccines.

• Partnerwithexperiencedorganizationstoprovidesecurityforhealthcareworkersandvolunteers.

Publication:“Health care in Syria before and during the crisis” (availableonline)Onlineinformation:http://ghef.org/sich.php

Dr. Tayeb Al-Hafez

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Making Tangible Improvements Toward Global Health Equity

Letter from the Founder

Thegreatestgainsinoverallhealthhavebeenachievedbydevelopednations,withnoconcomitantgainsindevelopingorunder-developedcountries.DespitetheambitionoftheUnitedNationsanditsestablishmentoftheMillenniumDevelopmentGoals,itisunlikelythatwewillseeequitablegainsinhealthoutcomesacrossallnationsby2015.

“Globalcommunity”meanseverypersononearth,andweaskthatyouconsideryourroleasamemberoftheglobalcommunity.Inordertofulfillourpotentialforestablishingequity,wemustfirstacceptthatthestateofglobalhealthaffectsallpeopleandallcountries.

Gapsinhealthequityarecommonlyfoundinunderservedanddisadvantagedpopulationsaroundtheglobe,whetherthosepopulationsaredefinedbyethnicity,geopolitics,culture,environment,ordisplacement.Thisunevendistributionincludesmedicine,publichealthpolicy,humanitarianaid,education,shelter,andinfrastructure.

Withsomanyofusworkingtowardsimprovingglobalhealthoutcomes,whywillwefailtomeettheMillenniumDevelopmentGoalsby2015?Tograpplewiththisquestion,wemustidentifyourglobalstrengths,suchasadvancementsintechnology,andwemustnotignoreourweaknesses,suchasthefailuretoadapttechnologiestoservetheneedsofdiversepopulations.Conventionalchannelsofdistributionarenotworkingwellfordisadvantagedpopulations.

Theconcentrationofknowledgeinthemindsofarelativefewratherthaninthewholeoftheglobalpopulationisanhistoricaltrendthatmustbechanged.Asspecialists,scholars,leaders,andpractitioners,weareresponsibleforapplyinganddisseminatingourknowledge.Thisiskeytotransformingunderservedanddisadvantagecommunitiesintocontemporarycivilsocieties,theprecursortodevelopedcountries.

Traditionalleadership,intheformofahierarchical,top-downmodel,isincreasinglyinadequatetodealwiththecomplexitiesofinequitiesacrossnationsandcultures.GlobalHealthEquityFoundationfacilitatesthedistributionofleadershipinthesamewayanorganizationmaydistributehealthcareandsupplies.Promotingacollaborativeanddistributiveformofleadershipisessentialtocapturingtheexpertiseandskillsoftheglobalhealthcommunity.

Successfulinteractionwithorganizationsandindividualsrestsonourabilitytothinkbeyondconventionalexpectations,andbeyondthecomfortofourspecialty.Byengaginginopenleadershipwecreateanopportunityfortranscendingtheboundariesofinterest,ofspecialty,andofgeography.

Socialresponsibilityisnolongertheprovinceofphilanthropistsandnon-governmentalorganizationsalone.Itisintegratedintothecorestructureofanyorganization.Thematrixoffor-profitorganizationscanandoftendoesaccommodateadvocacy;andfor-profitcompaniesprovidesupportforphilanthropicorganizationsthatcanextendthereachandeffectivenessoftheirhumanitarianactivities.

Balancingvisionarygoalswithpracticalstrategieswillalwaysbejustthat—abalancingact.Theactimproveswithcoachingandwithtime.Let’sjointogethertorefineandredefineourbalancingact.

TayebAl-Hafez,MD,FACPFounderandPresident

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Tayeb Al-Hafez, MD, FACP, Founder and PresidentTayebAl-Hafez,MD,isapracticingphysicianandhealthcarestrategist.HehasservedasaRegionalMedicalDirectorwhileworkingwithahealthcaredeliveryorganization.Hefosteredcommunicationandknowledgesharingamongmedicaldirectorsinseveralhospitals,andprovidedmentoringandcoachingthathelpedthemexcelintheirleadershippositions.Hisworkhelpedthemimprovetheirrelationshipswiththeirhospitalsandaffiliatedphysicians.Dr.Al-Hafezhasexperienceleadingsuccessfulinpatienthospitalprogramsinnon-profit,for-profitandacademichealthcaresettings.Hetakesonawiderangeofresponsibilitiesforimprovingcareandcontrollingcosts.HehaspracticedinNorthCarolina,Alaska,Hawaii,SouthCarolina,Oregon,Idaho,MontanaandCalifornia.Heiscontinuouslyworkingtosharehisknowledgeandexpertiseintheareasofstrategicplanningandpolicydevelopment.InSeptember2011,Dr.Al-HafezwaselectedtoFellowshipintheAmericanCollegeofPhysicians.

Peter SaladinPeterSaladinlivesinKöniz,Switzerland.HeisConsultantinPublicHealth.From1990-2003hewasCEOoftheUniversityHospitalInselspitalinBerne,from1998–2006PresidentoftheSwissHospitalAssociation.HeheldthefunctionasaprojectleaderoftheSwissNationalProjectonMigrantFriendlyHospitals2004–2006andiseditorofthebook“Diversityandchancesforequality,fundamentalsforeffectiveactioninthemicrocosmofthehealthcareinstitution”(2006).PriortothesefunctionshemadeacareerintheFederalMinistryforEconomicAffairs(internationaltrade,financeanddevelopmentcooperation)whereheheldthepostofSecretaryGeneral.HegraduatedfromtheUniversityofSt.Gallen,Switzerland.HeisDoctorHonoriscausaattheMedicalUniversityofVarna–Bulgaria.

Chris Heginbotham, OBE, BSc, MSc, MA, MPhilProfChrisHeginbothamMScMAMPhilisProfessorofMentalHealthPolicyandManagementattheUniversityofCentralLancashire,whereheisActingHeadoftheInternationalSchoolforCommunities,RightsandInclusion.UntilMarch2008hewasalsoChiefExecutiveoftheMentalHealthActCommissioninEnglandandWales(from2003).Hehasworkedatseniorlevelwithinthepublicandthirdsectorsforover40yearsincludingaperiodasNationalDirectorofMind(theNationalAssociationforMentalHealth),andChiefExecutiveoftwohealthauthoritiesandtwoNHSTrusts.Hehasheldvariousnon-executiveappointmentsandispresentlyaNon-ExecutiveDirectorofLancashireCareNHSFoundationTrust.

Paul R. Cook, MD, MHA, CPE, SCLA, Board MemberPaulR.CookisPresidentandCEOofRockyMountainHealthNetwork,Inc.Heisresponsiblefortheexecutiveleadership,strategicdirection,andoversightfora530-plusmemberprovider-hospitalorganizationinMontanaandWyoming.ThePHOprovidedadvancedmedicalandbusinessmanagementservicesforitmembers,whichincludedover260physicians,over250ofallotheralliedhealthprofessionals,sevenhospitals,includingSt.VincentHealthcarewhichisoneoftwotertiarycarehealthsystemsinthestateofMontana,surgerycenters,homehealth,andotherorganizations.Providedprincipalinteractionswithhealthplans,stateandfederallegislators,andvarioushealthinterestsacrossthestateandregion.

Khaldoun Dia-EddineKhaldounDia-Eddine,originallyanelectricalengineer,isalectureratZurichUniversityofAppliedSciencesinSwitzerland.Heteachesstrategicmanagement,internationalbusinessandinternationalnegotiationsaswellasIslamicfinance.HeisalsoaconsultantonbehalfoftheuniversitytocompaniesactiveintherenewableenergysectorandintheMiddle-Eastregion.Alonginternationalcareerasmanagerandconsultanthasseenhimworkindifferentfieldsfromengineeringdevelopmenttoleadinghumanitarianorganizationsthroughfinance,insurance,IT,andindustry.Heisactivelyinvolvedinvariousprojectswiththinktanks,associations,andministriesbothinSwitzerlandandabroad.

Todorka Ignatova Kostadinova, PhDMs.KostadinovaisaprofessorattheUniversityofMedicineinBulgaria.SheholdsaPh.D.inEconomyandManagementofSocialandCulturalActivitiesfromtheUniversityofNationalandWorldEconomyinSofia,Bulgaria.ProfessorKostadinovaisDeanofFacultyforPublicHealthattheMedicalUniversityofVarna,Bulgaria.SheisanexpertattheNationalCivilCounciltotheEUCommissionerforConsumerProtection.Ms.Kostadinovahasworkedwithmanynationalandinternationalagenciesaroundtheworld,includingWHO,UNICEF,HOPE,UN,andtheAssociationofBulgarianHospitals.ShehasservedasaprofessorofglobalhealthatTheGeorgeWashingtonUniversity.

Michel HirsigMichelHirsigisaneconomist,presentlytheDeputyManageroftheEconomicDevelopmentOfficeoftheRepublicandStateofGeneva.UntilDecember1990,hewasMarketing,Sales&OperationsManagerinRussia,intheMiddleEast,AfricaandNorthAmericaforSwissAirlinesLtd,thenGeneralManagerofKuoniMedicalCongressesDeptuptoMarch1992.HethenjoinedthepublicadministrationoftheStateofGenevawherehewasinchargeofthePublicTransportSystembeforehemovedtohispresentactivity10yearsago.HeteachesMarketingandTQMinseveralspecializedschoolsanduniversitiesinSwitzerland.HeisthefounderandGeneralManagerofRobertsonBusinessAdvisory,aHongKongbasedcompanywithbranchesinSwitzerlandandUSA.

Eduardo MissoniEduardoMissoni,MD,MSc(LondonSchoolofHygieneandTropicalMedicine)withaSpecializationinTropicalMedicine(RomeLaSapienzaUniversity),isaprofessorattheBocconiUniversityinMilan(Italy)andatitsPost-graduateManagementSchool(SDA-Bocconi).HisteachingsandresearchactivitiesincludeManagementofInternationalInstitutionsandNon-profitOrganizations,andGlobalHealthandDevelopment.Since2001,healsoholdsaGlobalHealthcourseattheFacultyofSociologyoftheBicoccaUniversityinMilan(Italy),andintheyears2009-2010wasvisitingprofessorattheUniversityofGeneva(Switzerland)whereheheldacourseinEthicsandInternationalOrganizations.From1987to2002,hewasanAdvisertotheDirectorateGeneralforDevelopmentCooperationintheItalianMinistryofForeignAffairs.DuringthesameperiodheactedastheliaisonofficerwiththeWorldHealthOrganization(WHO)andthePanamericanHealthOrganization(PAHO),andrepresentedItalyatinternationalmeetings(includingWHOExecutiveBoardandWorldHealthAssembly)andexpertgroups(includingtheG8healthgroup,whichhechairedin2001).

Peter GollnowPeterGollnowisthetreasurerforGlobalHealthEquityFoundation.HeisFounderandCEOofGenevaServicesGroup,andthefounderofGlobalHealthcareAdvisorySAinGeneva.Mr.GollnowstartedaneconomicdevelopmentprogramforGermanyandEasternEurope.Hespecializesincustomersatisfactionmeasurement,serviceaudits,TotalQualityMeasurement,businessprocessreengineering,andeconomicdevelopment.

Board of Trustees