Eastern Mediterranean Meeting 2018 Follow up report

A message from the Regional Director

Dear Eastern Mediterranean Region, On behalf of the Regional Team, let me take the chance, once more, to warmly thank you for attending the EMR regional Meeting 2018 in the beautiful city of Marrakech, Morocco.

It is my utmost pleasure to share with you the follow-up report of the meeting. In the next few pages, you will be able to enjoy a summary of the different sessions and topics discussed during the regional meeting.

After one week of intense work, tirelessly nights and non-ending meetings between the regional team, organizing committee and the delegations, the event was over, leaving us with only the good memories, and the chance we had to be part of an one unforgettable experience and leave with high expectations for the future.

I have attended the last 2 regional meetings and in our Regional Meeting 2018, I was really impressed with the development and engagement of our National Membership Organizations and members of the region, the motivation, enthusiasm and commitment to gain and share knowledge and to serve the region and the federation on the local, national, regional and international level.

It’s been 14 years since we had our first regional meeting. IFMSA had been working with its NMOs to provide a stage for medical students to reflect their thoughts and ideas. Extending it to sharing opportunities and capacity building in different areas. It is the time we hold our hands tighter and walk together the ladder up high.

Today we are healthcare activists, tomorrow we are healthcare providers and leaders.

From where I stand I would like to extremely thank the EMR Regional Team 2017/2018 for being dedicated to provide you with outstanding sessions and delivering high quality content during the regional meeting, but also IFMSA Team of Officials that took part in the regional meeting and its sessions and last but not least, the Organizing Committee of EMR 14.

In the end, once again thank you to all those who took part at the Eastern Mediterranean Region - Regional Meeting 2018, Marrakech. It has been a pleasure to host you there, and looking forward to meet you all in one year in the EMR15 in the magical city of Muscat, Oman.

Salma Ben Letaifa, Regional Director for the Eastern Mediterranean Region 2017/18

EMR Regional Meeting 2018 at one glance

16 9

EMR Region National Member Organizations (NMOs) NMOs represented at EMR 2018

172 Participants

Pre-Regional Meeting

58 • • • • •

Participants trained

5

Workshops

Successful first plenary of the EMR Region with regional decision making capacity Next EMR Meeting Host voted upon during the Plenary Adoption of the new EMR Regulations voted upon during the Plenary Theme Event on Adolescents Health Adoption of the first quarter of term report of the EMR Team

EMR Regional Team

EMR14 Organizing Committee

Table of Contents 1. Pre-Regional Meeting Workshops

5

2. Standing Committee and Presidents’ Sessions

10

3. Capacity Building Sessions

18

4. Joint Sessions

20

5. Theme Event

22

6. Plenary

23

7. Activities Presentation & Activities Fair

24

8. Opening & Closing Ceremony

25

9. The Regional Meeting in Numbers

26

Pre-Regional Meeting Workshops

14 External Representation and Policy Making in IFMSA Participants

Countries

9 5

Background and Goals Facilitators The vision was to train the participants on the basic skills of external Sanne de Wit, LPH representation and policy making and its usage, on international, regional Jonne Jontura, LOSO and national level; which qualify them to take an active role in these Saad Chaibi, IFMSA-Morocco processes in IFMSA. The objectives of this workshop were in line with the president EMR Priorities, IFMSA Global External Focus Areas and the IFMSA Strategy 2017-2020: 1.

Make participants understand the importance of policy-making processes.

2. Ensure the understanding of the GEFAs, how IFMSA external representation is directed by these areas and who are responsible.

3. Build capacity to implement, promote and fulfil IFMSA policy documents related to the GEFAs in all events and conferences on the regional and international levels.

4. Discuss key cross-cutting policy statements in relation to the GEFAs and their current situation in regional settings.

5. Learn about different tools and techniques in the policy process, and develop skills to prepare and present a policy brief.

6. Make participants propose strategies to address their problems in policy making and usage at a local level through tools gained in the workshop.

7. Enable the participants to play an active role in representing their NMOs and IFMSA in any external representation opportunities, Outcomes of the workshop Participants received sessions, trainings and exercises in relation to all the objectives. They will receive a follow-up with all resources used and additional reading. In the session they came up with plans to develop external representation further in their NMOs, which they will be given support on where possible and requested.

Participants will be invited to join the efforts of the EMR Team to develop an external representation framework for the region. Furthermore, we will use the input given by the participants on this first edition of the workshop to further develop it for next editions and we will explore the possibility to develop generic workshop on external representation of IFMSA to be added to IFMSA capacity building activities portfolio.

Photo: Workshop participants

Photo: External representation and policy making in IFMSA workshop

7 9 Steps to a Better Exchange Participants Background and Goals

Facilitators

Countries

6 9 5

This workshop addresses the AQ of the SCOPE and SCORE Kate Wang, SCORE-D Abdelrahman Adly, SCORE RA EMR exchanges. AQ has always been an issue in exchanges Suleiman Al-Hasni, NEO MedSCO specially in the EMR so we had the first run of this new Oman workshop to graduate exchanges officers who are fully aware of AQ and how to achieve high standards of it and how to solve the common faced problems so that when those participants go back home they can address the issue and make an impact.

Outcomes of the workshop

The outcome is mainly our graduated participants who acquired the needed knowledge to handle the AQ in their NMOs and we as trainers will follow up on them and how they perform and offer all the needed help and follow up documents

Photo: 9 steps to a better exchange workshop

11 Training Medical Education Trainers (TMET) Participants Facilitators

Countries

7 6 9 5

Background and Goals Marouane Amzil, SCOME RA for EMR A TMET is a Medical Education oriented capacity building workshop, Linah Mohamed that aims to provide participants with the basic knowledge and skills Hassanein,Development Assistant related to Medical Education issues, as well as basic training skills to Mohamed Bilel Kouki, NOME AssociaMed Tunisia pass on what they have learnt. During Pre-EMR14's TMET, sessions focused on Medical Students involvement in their Medical Education System, in order not only to create a Non Formal extracurricular learning platform, but also on the possibilities where they can be decision makers alongside of other medical education stakeholders on a local/national levels.

Outcomes of the workshop - 11 participants have graduated as TMET Trainers during DAY-3 of the Pre-EMR14 - KuMSA-Kuwait and QMSA-Qatar first ever TMET trainer - follow-up with occur with relevant NOMEs to make sure the new trainers are included in the NMOs capacity building strategy, as well as to set a new one for the NMOs who are still in development

Photo: Training Medical Education Trainers workshop

8 Women's Reproductive Health and Access to Safe Abortion

Participants

Countries

6 7 6 9 5

Facilitators Anshruta Raodeo, SCORA Director Iheb Jemel, SCORA RA EMR

Background and Goals This workshop is part of the IFMSA and IPAS strategy on women’s and adolescents’ reproductive health and safe abortion, a collective effort from both organizations that aims to increase IFMSA members' awareness of, experiences with and ability to effectively advocate for women and adolescent’s reproductive health, especially safe abortion. The focus of this workshop is to advance the development of a network of safe abortion advocates within the federation. The training covers several related topics; for example: human, sexual and reproductive rights; abortion laws and policies; barriers to access care, including stigma; safe abortion methods; and identification and referral of women with abortion-related complications. The curriculum also includes information and activities on values clarification for abortion attitude transformation, as well as youth participation and leadership. Participants will be expected to lead sessions from the curriculum and to take an active role in material delivery, additionally they will receive training on basic principles of training, peer education and adult learning.

Outcomes of the workshop The current direct follow-up occurs in the form of resource sharing (the toolkit as well as the VCAT manual and the presentations are shared right away, together with any other sources of information that arise during the workshop). The Facebook and WhatsApp groups created prior to the event allow trainers to stay in touch with and keep track of the trainees. They also serve as a tool to follow up on their progress on a local level, since it is not rare for them to share information about national activities.

Photo: Women’s reproductive health and access to safe abortion workshop participants

Training New Trainers (TNT)

18 Facilitators

10 67 69 5

Mahmoud Masoud, RA CB EMR Background and Goals Yazeed Khrais, GA EMR During the 3 days TNT workshop, participants learned to: Daniel Memarpour, RA CB Europe 1. Plan a training session using different audio and visual tools as well as different online and offline resources.

2. Select the appropriate resources for message delivery, through several real life scenarios and games to enhance understanding.

3. Understand the logistics behind planning a session taking into account a) Time limits b) number of participants c) halls and meeting room layout 4. Receive feedback to evaluate their training sessions, allowing for improvements in future sessions. Understand the need for continuous monitoring and evaluation of their own work ensure continuous self-development. This will be done through peer to peer evaluation of training session simulation done by the participants.

5. Work in groups efficiently and divide tasks appropriately, to comprehend the essence of team dynamics

Outcomes of the workshop The workshop has produced 18 motivated young members who are active in IFMSA on all levels; local, national and international.

The follow-up plans are as follows: 1- Ensured that the participants give their graduation training in the EMR, 15 have already given their training as a form of close term follow up.

2- Encouraging the trainers to go back home and deliver different trainer sessions in their LCs. 3- Introduced the newly graduated trainers to the official groups and made sure of adding them to the database.

4- We are having a 3 months follow up and a 6 months follow up to check on their progress and their experience in training, via email, WhatsApp and social media.

Photo: Training New Trainers workshop

Standing Committee and Presidents’ Sessions

27

Presidents’ Session Participants

12 Countries

Outcomes of the session - The participants to have an overview on the advancement of Facilitators the work on the AWP for the EMR -Salma Ben Letaifa: Regional Director for the - The participants to share their experience and expertise when it EMR comes to NMO management and collaboration -Satria Nur Sya'ban, Vice-President for Members -Hana Lučev, Vice-President for Activities - The participants to know better about how to deal with finances -Amela Hamidović, Vice-President for Finance - The participants to understand the different ways on how to be -Carlos Andrés Acosta Casas, President involved in IFMSA -Marian Sedlak, Liaison Officer for Human - The hosts for the EMR15 applicant hosts to defend their Rights and Peace issues candidature for hosting the next EMR meeting and the NMOs to -Jonne Juntura, Liaison Officer to Student take the time to ask questions Organisations - The participants to be aware of the voting process and the discussions about the EMR Regulations amendments The participants to understand the procedures of the plenary - The participants to have a better image when it comes to external representation - The participants to understand the importance of Programs and the different ways on how to enrol their activities into the programs system - The participants to discuss the different challenges they face when it comes to capacity building, and the way forward Topics covered The first day was more oriented on the NMOs. After a welcoming session and introduction to the agenda of the Presidents Sessions, we reviewed the first quarter of the term, since 4 months have passed since the beginning, and we used this space to share our successes, recognize our flaws and find ways forward to make the needed improvements.

We then had a session on NMO Management and Regional Collaboration before a final session on Budgeting.

The second day started with parallel sessions on how to be involved in IFMSA for head of delegations and general participants. During this day where we tried to focus on the plenary preparation, we also had the EMR15 Host presentations where MedSCO Oman, KuMSA-Kuwait and IFMSA Kurdistan presented their candidatures for hosting the next EMR, and where NMOs took the time to ask questions on their respective applications.

We also reviewed the EMR Regulations amendments, submitted on behalf on the SWG on EMR Regulations amendments, and had discussions around all the submitted changes; before ending the day with a plenary simulation to prepare better the NMOs for the plenary that happened later on Day 2.

The last day started with a session on External Representation and Policy Making including an introduction to external representation, policy document system, how to write policy statements and GEFAs. Then, we had a discussion around Alumni and their involvement in our region, as well as their participation in regional meetings and at a national level.

After the break, the VPA presented a session around Programs, which helped understanding how we can actually asses the true impact our NMOs are making, from the scheduling of the activities until the enrolment into programs. The last session on Capacity Building covered many topics from SRTs approved in the region since the beginning of the term, to how to improve the planning and presentation of the regional calendar, as well as potential regional capacity building events in the region.

We ended the day with an evaluation and wrap-up of the past 3 working days at the presidents session and a group picture with all participants.

Photo: Presidents’ Sessions

Standing Committee on Medical Education (SCOME) Participants Topics covered SCOME Non Formal Medical Education through: SCOME-related IFMSA-Programs, Academic Recognition of SCOME Educational Activities, Project Management in Medical Education Exploring Medical Education Systems in the EMR (Poster Presentations), Medical Education and Global Health issues, Public Health in the medical curricula IFMSA Medical Education Externals, Social Accountability, SCOME Capacity Building tools, and TMET Amendments brainstorming session.

18

Countries

8

Facilitators - Lina Hassanin, SCOME DA and NOME, IFMSA-Egypt - Obada Nahawi, NOME, IFMSA-Jo - Mohamed Bilel Kouki, NOME, AssociaMed-Tunisia - Daniel Memarpour, CB RA Europe, IFMSA-Spain - Marouane AMZIL, SCOME RA EMR, IFMSA-Morocco

Outcomes of the session - Day1: learning about the different actions of SCOME to create a quality Non Formal Education platform within universities, as well as to have its accreditation within the formal curriculum.

- Day2: learning about our medical education systems within our region, and how to implement learning both Global Health issues and Public Health in our curricula.

- Day3: learning about SCOME’s empowerment whether on an internal level through capacity building, or an external level through external partners, GEFAs and policy making.

Photo: SCOME Sessions

Photo: SCOME Sessions

25

Exchange Session (SCOPE & SCORE) Participants

9 Countries

Topics covered During our sessions, we discussed the most trending Facilitators topics in exchanges in our region.

-Imane Squalli Houssaini, SCOPE RA EMR, IFMSAIn day 1, we had introductions, icebreakers and we gave Morocco to the participants international and regional updates in -Abdelrahman Adly, SCORE RA EMR, IFMSA-Egypt both SCOPE and SCORE. Then we had a parallel -Kate Wang, SCORE Director, NMSA-Norway -Omar Nasr, NEO-Out, IFMSA-Egypt session, one for introduction to Exchanges for beginners -Natasha Bouran, NORE, IFMSA-Jo to give them quick orientation about exchanges and the other parallel was the perfect exchange officer which discussed how can a local or national exchange officer do their job in the best way. Then we had another parallel session about Academic Quality (AQ) where beginners just had introductions while advanced participants had a session about AQ and recognition which is a step that comes after achieving good level of AQ. In Day 2, we had a sharing session where we allowed participants to present their achievements and successes, then we had a session about financial planning and fundraising, then an orientation about how to activate both SCOPE and SCORE within NMOs and LCs. Then we had a very productive session about visa issues and how to tackle them for our outgoings mainly.

In Day 3, we had 3 SWGs on the perfect PDT, the perfect UAT and Outgoing selection. Then SCOPE participants had a session about how to implement Global Health within exchanges while SCORE participants were introduced to GAP exchanges. Then we had the famous Exchanges Fair where we had nearly 9 NMOs displaying their exchanges with posters and taking into consideration the eco friendliness recommendations that we sent them before the EMR Meeting.

Outcomes of the session It was an opportunity for one NEO and NORE from the region to work within the sessions team and improve their experience in exchanges. Participants got the exposure with their SCOPE and SCORE RAs and SCORE-D and established good communication channels for future work. They learned about how to improve their work as exchange officers, how to improve AQ and get recognition for their exchanges, how to plan their exchange budget.

They learnt how to activate exchanges in their NMO and LCs, this session was particularly important for QMSAQatar which is not active in exchanges yet. Participants learned how to help their Outgoings prevent and solve their Visa Issues. They also experienced an eco friendly Exchanges Fair with posters.

SWG

outcomes

on

topics

of

UAT,

PDT

and

outgoing

selection.

Outcomes will be followed up by continuous help provided from SCOPE and SCORE RAs and ITs on different topics discussed and also by trainings and manuals.

Photo: Exchange Sessions Photo: Exchange sessions

12

Standing Committee on Public Health (SCOPH) Participants Topics covered We started by basics in public health, NCDs and Mental health by our external, Dr.Hatem Alaa on day 1. We also had SCOPH motivational talks. On day 2, we discussed research in public health followed by activity management and joint session with SCOME on public health in the medical curriculum. Finally, we had 3 significant topics in the last day beginning with EMR's regional priority, AMR followed by leadership in PH. After lunch, we had climate change and UHC.

9 Countries

Facilitators -Omnia El Omrani, IFMSA-Egypt -Katja Cjc, Slomsic-Slovenia -Sanne De Wit, IFMSA-NL -Seri Maani, IFMSA-Jo -Maha Nasr, IFMSA-Egypt

External Outcomes of the session Dr.Hatem Alaa, Royal College of We had a standardized evaluation form for all sessions that assessed Psychiatrist Fellow.

5 aspects of the session including facilitation, organization, information, energy and time management. Participants were also asked verbally on their general feedback and suggestions at the end of the day about the sessions and how to improve it. Participants reported on day 1 lack of energy and too much content, that we ensured the improvement of day 2 and 3 with more energizers and interactive activities in each session. Additionally, I received inputs for AMR and the establishment of AMR activities within the region that was added to my AWP. I'm currently developing an activities sheet to follow up on the topics discussed in the EMR and their implementation within NMOs that attended as well as formulating a materials drive that was already used by Associa-Med's LPO for her own sessions.

Photo: SCOPH Sessions

13

Standing Committee Standing Committee on Sexual and Reproductive Health incl. HIV/AIDS (SCORA) Participants

7 Countries

Topics covered The sessions included an introduction to IFMSA and SCORA Facilitators in the beginning , a session discussing medical facts around - Iheb Jmal: SCORA RA EMR HIV and STIs, a session discussing the current status of HIV Anshruta Raodeo: SCORA Director Transmission and discrimination faced by people living with - Sohayla BenDaoued: SCORA RA for Europe HIV in the EMR which was conducted by our external : Dr - Ghada Alimi: LORA Associa-Med Tunisia - Eman Hassan Mohammed: Winter Camp Chair Kamal Alami; UNAIDS Country Director for Morocco.

IFMSA Egypt The second day covered a session on correct Sexual and Reproductive Health Terminology that should be used by Externals medical professional in respect to different communities. This Dr Kamal Alami: UNAIDS Country Director for session included the vocabulary in both English and Arabic, Morocco to make sure that participants can benefit from such terms back home. The day also contained a session on ending Gender Based Violence on the region and a session around Sex Work in accordance to the discrimination sex workers face in healthcare facilities.

Finally, the third day included a session entitled Breaking Taboo. The session was 2 hour long which we perceived as an opportunity for participants to cover topics that might not be discussed in other platforms. These topics were LGBTQI+ in the EMR, Access to Safe Abortion and Sexual Pleasure. The session also included role plays to emphasize how such sensitive topics should be addressed with patients in our region. The second session resolved around establishing Comprehensive Sexuality Education in the EMR and the steps into applying it. The final session was around different aspects of regional collaboration.

Outcomes of the session When preparing the sessions, the Sessions team and myself tried to include a variety of topics that fall into the following criteria: regional relevance, possibility of being useful back home, satisfying both basic and advanced needs of participants.

These criteria have been met.

I believe objectives set for all sessions were also satisfyingly met and that participants managed to both understand the need to tackle these topics and the importance of working on them back home with a clear idea of the way forward.

Although none of the National Officers from the region were present in the sessions, which I would have to admit was quite disappointing, many of the participants present expressed their intention on using the content back home and applying it. I plan on suggesting the names of these motivated members to their respective NORAs for future regional projects scheduled for the rest of my term.

Photo: SCORA Sessions

Standing Committee on Human Rights and Peace (SCORP)

9 Participants

Topics covered Introduction to IFMSA and SCORP Human Rights 101 Peace & Conflict Children's Rights Freedom of Speech IFMSA Programs Policy Documents 101 Human Rights Advocacy Stigma and Discrimination in Mental Health SCORP Fair (Welcoming and wrap up sessions were included as well) As well as two Joint Sessions.

6 Countries

Facilitators - Mennah ElRefaey, SCORP RA for the EMR from IFMSA-Egypt - Ali Khafaja, NORP, IFMSA-Jo. - Nour Hamzeh, LORP, LeMSICLebanon - Adham Osama, SCORPion, IFMSAEgypt - Ugonna, SCORP Director

External Dr.Hatem Alaa, Royal College of Psychiatrist Fellow

Outcomes of the session The Participants were able to have the suitable amount of content during the sessions (Mainly introductory) as almost all participants were not very experienced and it was a first time for them to attend a regional/international event.

Photo: SCORP Sessions Photo: SCORP Sessions

Capacity Building Sessions 1. Advanced Leadership Goals and Methods The participants to know: 1) Different Leadership styles. 2) Characters of a good leader. 3) Types of Authority

15 Facilitators Aamr Hamdani, IFMSA-Morroco Ghada Alimi, Asoccia-Med Tunisia

Evaluation of training session Using the five fingers technique and people stated what they like, dislike about the session.

Plans for follow-up To follow up with National TSDDs

2. Team Building Goals and Methods Participants to know: Different between Team and group.

Team Building Steps.

How to deal with conflicts within a team.

8 Facilitators Mehdi Habib, Asoccia-Med Tunisia Anthony Kiwan, LEMSIC Lebanon

Evaluation of training session Using different colours of sticky notes trainees mentioned what they liked and disliked regarding the session.

It was satisfactory for almost all of them Plans for follow-up To follow up with national TSDDs

3. Creative Thinking Goals and Methods Participants to know: 1) how to think out of the books 2) how to think creatively in a reasonable way! 3) Visualization skills Evaluation of training session Pre and post assessment of participants.

13 Facilitators Imane Squilli, IFMSA-Morroco Zaina Malhas, KUMSA Kuwait Teeba Mubaydeen, IFMSA-Jo

Plans for follow-up To follow up with national TSDDs

4. Projects Management Goals and Methods Participants to know: 1) How to start a project 2) phases of project implementation 3) Monitoring and Evaluating of Projects 4) How to write a proposal Evaluation of training session Participants to try to work on ideas for projects for our members Plans for follow-up: To follow up with national TSDDs

8 Facilitators Omar Sondoka, IFMSA-Jo Habib, Asoccia Med Tunisia

Mehdi

5. Motivation and Empowerment Goals and Methods Trainees to know: 1) Motivation vs Empowerment 2) Golden Circle 3) Self Motivation 4) Team Motivation techniques

7 Facilitators Ahmed Said, IFMSA-Egypt Zeinab Bentounsi, IFMSA-Morroco

Evaluation of training session Mirror image Game, where members were ou in situation ti talk about themselves so to implement what was said And it has a good impact on trainees Plans for follow-up To follow up with national TSDDs

6. Debating Skills Goals and Methods 1) How to be a good debater 2) Debating and persuading skills 3) Benefits of Debating

8 Facilitators Saad Uakkas, IFMSA-Morocco Mohamed Falofoul, FNESS Senegal

Evaluation of training session Trainees evaluated the session using the Fibe fingers technique and it was satisfying for them.

Plans for follow-up To follow up with national TSDDs

7. Advocacy and External Representation Goals and Methods - Introduce participants to purpose of advocacy in Medical Education Enable participants to acquire basic skills in advocacy - Introduce participants to major - stakeholders in Medical Education Have participants develop basic advocacy strategies in a Medical Education topic (Human Resources for Health) Methods: Presentations

6 Facilitators Marian Sedlak - IFMSA LRP Marouane AMZIL- SCOME RA EMR

Evaluation of training session Overall participants were satisfied with the session's content and interaction; however, it was suggested that it should have taken longer.

Plans for follow-up Following up through the NOMEs

Joint Sessions •

19

Ethics and Human Rights in Medical Curricula:

8

SCORP/SCOME Participants The aim of the joint session was to collect input for the international SWG between SCOME and SCORP, which was fulfilled completely.

•

Countries

Facilitators Mennah ElRefaey, SCORP RA for the EMR Mohamed Bilal Kouki, NOME, AssociaMed-Tunisia

16

Medical Education related Research:

9

SCORE/SCOME Participants

Countries

Topics covered Facilitators The need for research on medical education and different curricula Adly, SCORE RA EMR development and reforms. Then the tools for that and how to approach Marouane Amzil, SCOME RA EMR that on a specific and detailed way. What are the possible results of such researches and what different methodologies could be used. We explained how to write a research protocol and had an activity about applying this to medical education. We also thought of how to implement this within SCORE and maybe having incoming students participate in such research.

Outcomes of the session Protocols methodology on medical education related research. And how to write down the project form for that.

•

3

SRHR in Humanitarian Settings:

3

SCORA/ SCORP Participants Topics covered Topics discussed in the session ranged between how existing gender inequalities worsen, how discrimination and exclusion deepen, how the risks and incidents of sexual and gender-based violence increase, and how achievements, gains and progress on women’s rights retreat.

Countries

Facilitators Anshruta Raodeo - SCORA Director

Outcomes of the session Participants had a better understanding regarding the concept of vulnerability and how it increases in Humanitarian Settings. When it comes to SRHR the following rights can be at risk during these situations: · Contraceptive information and services, including emergency contraception and a range of modern contraceptive methods; · Maternity care, including antenatal and postnatal care, and delivery care, particularly skilled attendance and emergency obstetric care; · Prevention and appropriate treatment of infertility; · Safe abortion and post-abortion care; · Prevention, care, and treatment of sexually transmitted infections, HIV/ AIDS, reproductive tract infections, and reproductive cancers; · Information, education, and counselling; prevention and surveillance of violence against women (VAW), care for survivors of violence; and · Actions to eliminate harmful traditional practices such as FGM and early and forced marriage.

•

6

Orange Exchanges: SCOPH/SCOPE

Topics covered We introduced participants to Global health and discussed with them why is it important to implement Public health exchange (SCOPH exchanges).

Then we had a True/False game to introduce participants to the new SCOPH Exchanges Regulations. We had an activity to demonstrate to the participants the SCOPH Exchanges procedures and how SCOPE and SCOPH should collaborate while implementing them. Participants have been also introduced to SCOPH Exchanges documents. We ended the session by having the NPO from IFMSA-Jo sharing his NMO experience on implementing SCOPH Exchanges.

4

Facilitators -Imane Squalli Houssaini, SCOPE RA EMR, IFMSA-Morocco -Katja Čič’, SCOPH GA, SloMSIC Slovenia

Outcomes of the session Participants acquired good knowledge about SCOPH Exchanges and learned the importance of implementing them.

They learned about SCOPH Exchange regulations and procedures which will allow them to implement them after going back to their NMOs. They also had the chance to learn and get inspired from IFMSA-Jo experience in SCOPH Exchanges.

The Outcomes will be followed up by SCOPE and SCOPH RAs and ITs by assisting EMR NMOs in implementing SCOPH Exchanges

Photo: Orange Exchanges joint session

•

Applying Public Health Strategies in the HIV endemic:

4

3

SCORA/SCOPH Topics covered The chief goal of the session was to increase participant’s knowledge on Public Health approaches from prevention and control of HIV transmission to increasing access to quality healthcare for people living with HIV.

Facilitators Omnia Omrani - SCOPH RA for the EMR Iheb Jemel - SCORA RA for the EMR

Outcomes of the session Although the number of participants was low, I believe the objectives including addressing the importance , variety and challenges related to PH strategies in response to HIV endemic.

The feedback was positive and I believe that the session could be improved and given on a larger scale.

Theme Event | Adolescents Health •

The panel

The panel was made of 4 experts: Dr Kamal Alami, UNAIDS country Director for Morocco and representative of UNAIDS MENA region, Dr Dr.Hatem Alaa Marzouk, Mental Health Coordinator in Terre des Hommes, Dr Malak Shaheen, pediatrician working with NCD Child and Dr Sofia Ribeiro on behalf of Alcohol Youth Policy Network. The panellists introduced their respective topics in 10 minutes each and then answered questions from the audience.

The panel was lead by the Liaison Officer for Public Health Issues, Sanne de Wit. Photo: Panel on Adolescents Health

•

The workshops o

Sexual and Reproductive Health including HIV and AIDS The workshop was conducted by Dr Kamal Alami, UNAIDS country director for Morocco. The workshop elaborated on the importance of addressing Sexual and Reproductive rights within adolescents with a focus on restricted access to contraception within this age group, the higher mortality and morbidity rates related to early pregnancy and higher rates of HIV transmission.

The session also emphasized on the importance of intersectoral collaboration when it comes to achieving comprehensive SRHR and HIV services which requires the involvement and mobilization of a range of governmental and non-governmental stakeholders.

o

Alcohol and drugs use among Adolescents The workshops was conducted by Dr Sofia Ribeiro. She explained which strategies work when talking with adolescents about alcohol and drugs. The participants furthermore got to share their own experiences and specific challenges they face in their countries.

o

NCDs and Healthy Lifestyles The workshop was conducted by Dr Malak Shaheen. She defined NCDs in a public health context and why in relation to this it is important to work on prevention. She elaborated on 10 strategies to promote a healthy lifestyle. Furthermore, she emphasized the importance of engaging in health promotion and advocacy as doctors.

o

Adolescent Health and Refugees Workshop was conducted by Dr.Hatem Alaa Marzouk, a Specialist of Mental Health and Psychiatry. Session explored underlying determinants of adolescent refugees' mental health in a specific context of EMR region. Participants were actively engaged throughout the whole workshop, especially with several case studies and when sharing their country profiles and personal experience with adolescent refugees' mental health.

Plenary The plenary happened during Day 2 - 7th of February with the presence of all present NMOs (9 NMOs were present: Associa-Med Tunisia, IFMSA-Egypt, IFMSA-Jo, IFMSA-Morocco, KuMSA-Kuwait, Le Souk Algeria, LeMSIC Lebanon, MedSCO Oman, QMSA Qatar) with their head of delegations and the representatives of each NMO. The plenary Team was composed of: • Chairperson: Yazeed Arar Najeeb Khrais (IFMSA-Jo) • Vice-Chairperson: Aamr Hammani (IFMSA-Morocco) • Secretary: Omar Alaa ElNaggar (IFMSA-Egypt) • Secretary Assistant: Omar Bassem Ramadan Sanduka (IFMSA-Jo) • Returning Officers: Melissa Daou (LeMSIC Lebanon), Melissa Mhanna (LeMSIC Lebanon) The agenda of the Plenary: 1. Opening 2. Election of the Chairperson and Vice-Chairperson Photo: Plenary Team 3. Appointment of Secretary and Secretary-Assistant 4.Election of the Returning Officers 5. Adoption of the Agenda: The proposed agenda was adopted for this plenary.

6. Adoption of the report of EMR Regional Team: The submitted reports from the EMR Team members were adopted.

7. Changes to the IFMSA EMR Region Internal Operation Guideline: The amendments proposed on behalf of the SWG on EMR Regulations Amendments, after some amendments by the proposers, and after discussing them during the Presidents Session were voted upon.

8. Presentations of candidatures for hosting next EMR Regional Meeting: The candidates for the EMR Regional Meeting 2019 presented their candidature. The candidate had 15 minutes speaking time and 5 minutes for questions.

- MedSCO Oman - IFMSA Kurdistan - KuMSA-Kuwait has withdrawn their candidature to host the EMR15 9. Election of the host organization for next EMR Regional Meeting: Medsco Oman was elected as next host for the EMR Regional Meeting 2019.

10. Any other business: No motions were tabled until midnight before the plenary.

11. Closure of the plenary of EMR 2018: The plenary was officially closed by the Chairperson.

Activities Presentation During this EMR Meeting, we had the chance to have the Activities Presentation in Day 1. Very interesting activities were presented: ▪ SCOME Me - Associa-Med Tunisia ▪ Doctors runway - IFMSA-Jo ▪ Towards Better Medical Education - IFMSA-Egypt ▪ Stik Tik Antibiotics - IFMSA-Morocco ▪ A week of Emergencies - IFMSA-Morocco ▪ Women’s Month - IFMSA-Morocco ▪ Patient safety - KuMSA-Kuwait ▪ Med Ethics - Le Souk Alegria

8 Activities presented

During the closing ceremony, the top 3 activities according to the judges were announced: 1st Place : Towards better Medical Education - IFMSA Egypt 2nd Place : Patient Safety KUMSA Kuwait 3rd Place : Doctors Runaway - IFMSA JO

Activities Fair We also had the chance to discover activities done around our NMOs during the Activities Fair: ▪ Check your health - IFMSA-Jo ▪ Trisomy 21 - IFMSA-Morocco ▪ Stop the bleed - KuMSA-Kuwait ▪ Here I Am: The National Mental Health project IFMSA-Jo ▪ Organ Donation - IFMSA-Morocco ▪ Another brick on the wall - IFMSA- Morocco ▪ "You are important for us ... Examine and reassure us” - Le Souk-Algeria ▪ SCOME Workshops - LeMSIC- Lebanon ▪ Guide Me To Serenity - Associa-Med Tunisia ▪ SCOME BOOST - Associa-Med Tunisia Activities ▪ Mental Health Project - IFMSA-Egypt ▪ Mr. & Ms. Breastestis Project - IFMSA-Egypt presented

12

During the closing ceremony, the top 3 activities according to the judges were announced:

1st Place : Here I am: the national mental health project. - IFMSA JO 2nd Place : Mental Health Project - IFMSA Egypt 3rd Place : Organ Donation - IFMSA Morocco

Opening & Closing Ceremony The opening ceremony took place on the 5th of February with the presence of distinguished guests such as the regional director for health, deans and presidents from several Moroccan universities who honoured us with very inspirational speeches, before the one of the head of the OC, the IFMSAMorocco President, and the Regional Director for the EMR who emphasized on the importance of this regional gathering, the challenges the region is facing, and what to expect from the next days to be spent in company of the EMR Team who will be there to facilitate the sessions. During the opening, traditional Moroccan songs were also played and the participants enjoyed the folklore show from Marrakech, before ending the ceremony under the rhythm of a young group led by one of the Moroccan Medical student, and also member of the OC. The closing ceremony happened on the 8th of February and included a word from the head of the OC who thanked all the members and volunteers who devoted themselves for this event, as well as a word from the IFMSA-Morocco and Regional Director for the EMR. The closing was also the occasion for the VPA to deliver the certificates to the winners at the Activities Fair and Activities Presentation, emphasize on the importance of the work done at a local, national and regional level and deliver a strong speech on empowerment of members in the region.

The SCORE RA for the EMR, the SCOPE RA for the EMR and the SCORE Director took then the time to deliver the certificate for the best exchange poster fair winner to Associa-Med Tunisia.

The closing ceremony signed the end of the 3 intense days of hard word and dedication and all participants reunited for a final group picture for this regional meeting.

Photo: EMR final photo

The Regional Meeting in numbers Evaluation processes: • Pre- and post- knowledge evaluation • Logistics evaluation

1. PRE- AND POST- KNOWLEDGE EVALUATION Background: For the first time in IFMSA we have decided to try to measure the impact we are making to our members in terms of knowledge gained during the Regional Meetings. The process itself was discussed during TOM1, and Officials agreed that they will make sure to instruct their Regional Teams to provide the questions for the Regional Meetings.

Every session had its own set of questions, made by the Regional Assistants (with input from other relevant Officials). The questions were based on the agenda of specific morning session.

The questions for pre and post evaluation were the same, with the addition of a couple of questions regarding logistics in the post-evaluation questionnaire.

Data collection: The form for pre-evaluation was sent 3 weeks before the meeting, with the deadline of 2 weeks to fill it out. The post-evaluation was sent 1 week after the end of the meeting, also with a 2-week deadline for completion.

We received in total 93 responses for the pre-evaluation and 73 responses for the post-evaluation. One of the questions in the post-evaluation was regarding the percentage of attendance to the sessions, which was in order to make sure the consistency of their attendance and remove the participants with less than 70% attendance from the calculations.

In the end, we had 55 participants who filled out both pre- and post-evaluation and satisfied all the criteria.

The number based on the sessions is the following: • Presidents: 10; SCOME: 11; SCOPE&SCORE: 8; SCOPH: 11; SCORA: 6 and SCORP: 9 Data analysis: The method to analyse the data use was t test for dependent samples, since we cross-checked the responses in the pre- and post-evaluation to compare the difference.

We used p<0.05, as it is usually used in research in order to prevent the coincidental results.

According to it, most of the sessions have not scored in the span from 0.01 to 0.05, which means that there wasn’t a statistically significant difference in knowledge before and after the regional meeting.

Exchanges sessions had p of 0.004, which means that there has been a statistically significant difference in pre and post knowledge evaluation Conclusion: This data analysis shows that there hasn’t been statistically significant difference in knowledge of the participants of EMR Regional Meeting 2018 in almost all the sessions.

Nevertheless, while discussing the process itself in the Team of Officials, we noticed that there were some mistakes from the side of the coordination, which might have affected the result, including the lack of input from the Standing Committee Directors regarding the questions in pre and post evaluation.

We will ensure that this mistake is not repeated again, but we still felt the need to publish the results.

2. LOGISTICS EVALUATION Agenda and Sessions Evaluation

Agenda and sessions facilitation 40 35 30 25 20 15 10 5 0 Agenda Very Dissatisfied

Session facilitation Dissatisfied

Neutral

Satisfied

Very Satisfied

Comments: â&#x20AC;˘ Time management was not the best in some of the sessions, which cause disturbances in the schedule Session satisfaction

Session Satisfaction 40 35 30 25 20 15 10 5 0 Theme event

Activities Fair

Very Dissatisfied

Dissatisfied

Activities Presentation Neutral

Joint Sessions Satisfied

Training Sessions

Very Satisfied

Plenary I did not attend

Logistics satisfaction 30 25 20 15 10 5 0 1

2

3

4

5

Comments: â&#x20AC;˘ To have sessions on time, especially materials in the room before the sessions start â&#x20AC;˘ To have better organization of the transportation and the social program â&#x20AC;˘ To follow the agenda in order not to get delays

Algeria (Le Souk)

Egypt (IFMSA-Egypt)

Kuwait (KuMSA)

Saint Lucia (IFMSA-Saint Lucia)

Argentina (IFMSA-Argentina)

Latvia (LaMSA)

Senegal (FNESS)

Armenia (AMSP)

El Salvador (IFMSA-El Salvador)

Lebanon (LeMSIC)

Serbia (IFMSA-Serbia)

Aruba (IFMSA-Aruba)

Estonia (EstMSA)

Lesotho (LEMSA)

Sierra Leone (SLEMSA)

Australia (AMSA)

Ethiopia (EMSA)

Libya (LMSA)

Singapore (AMSA-Singapore)

Austria (AMSA)

Fiji (FJMSA)

Lithuania (LiMSA)

Slovakia (SloMSA)

Azerbaijan (AzerMDS)

Finland (FiMSIC)

Luxembourg (ALEM)

Slovenia (SloMSIC)

Bangladesh (BMSS)

France (ANEMF)

Malawi (UMMSA)

South Africa (SAMSA)

Belgium (BeMSA)

Gambia (UniGaMSA)

Malaysia (SMMAMS)

Spain (IFMSA-Spain)

Bolivia (IFMSA-Bolivia)

Georgia (GMSA)

Mali (APS)

Sudan (MedSIN)

Bosnia & Herzegovina (BoHeMSA)

Germany (bvmd)

Malta (MMSA)

Sweden (IFMSA-Sweden) Switzerland (swimsa)

Greece (HelMSIC)

Mexico (AMMEF-Mexico)

Bosnia & Herzegovina – Republic of Srpska (SaMSIC)

Mongolia (MMLA)

Syrian Arab Republic (SMSA)

Montenegro (MoMSIC)

Taiwan - China (FMS)

Morocco (IFMSA-Morocco)

Tajikistan (TJMSA)

Nepal (NMSS)

Thailand (IFMSA-Thailand)

The Netherlands (IFMSA NL)

The Former Yugoslav Republic of Macedonia (MMSA)

Brazil (DENEM)

Ghana (FGMSA) Grenada (IFMSA-Grenada)

Brazil (IFMSA-Brazil)

Guatemala (IFMSA-Guatemala)

Bulgaria (AMSB)

Guinea (AEM)

Burkina Faso (AEM)

Guyana (GuMSA)

Burundi (ABEM)

Haiti (AHEM)

Cameroon (CAMSA)

Honduras (IFMSA-Honduras)

Canada (CFMS)

Hungary (HuMSIRC)

Canada – Québec (IFMSA-Québec)

Iceland (IMSA)

Oman (MedSCo)

India (MSAI)

Pakistan (IFMSA-Pakistan)

Catalonia - Spain (AECS)

Indonesia (CIMSA-ISMKI)

Palestine (IFMSA-Palestine)

Chile (IFMSA-Chile)

Iran (IMSA)

Panama (IFMSA-Panama)

China (IFMSA-China)

Iraq (IFMSA-Iraq)

Paraguay (IFMSA-Paraguay)

China – Hong Kong (AMSAHK)

Iraq – Kurdistan (IFMSA-Kurdistan)

Peru (IFMSA-Peru)

Colombia (ASCEMCOL)

Ireland (AMSI)

Philippines(AMSA-Philippines)

Costa Rica (ACEM)

Israel (FIMS)

Poland (IFMSA-Poland)

Croatia (CroMSIC)

Italy (SISM)

Portugal (ANEM)

Cyprus (CyMSA)

Jamaica (JAMSA)

Qatar (QMSA)

Czech Republic (IFMSA-CZ)

Japan (IFMSA-Japan)

Republic of Moldova (ASRM)

United States of America (AMSA-USA)

Democratic Republic of the Congo (MSA-DRC)

Jordan (IFMSA-Jo)

Romania (FASMR)

Uruguay (IFMSA-URU)

Kazakhstan (KazMSA)

Russian Federation (HCCM)

Uzbekistan (Phenomenon)

Denmark (IMCC)

Kenya (MSAKE)

Venezuela (FEVESOCEM)

Dominican Republic (ODEM)

Korea (KMSA)

Russian Federation – Republic of Tatarstan (TaMSA)

Ecuador (AEMPPI)

Kosovo - Serbia (KOMS)

Rwanda (MEDSAR)

Zambia (ZaMSA)

Nicaragua (IFMSA-Nicaragua) Nigeria (NiMSA) Norway (NMSA)

Peru (APEMH)

www.ifmsa.org

medicalstudentsworldwide

Tanzania (TaMSA) Togo (AEMP) Trinidad and Tobago (TTMSA) Tunisia (Associa-Med) Turkey (TurkMSIC) Turkey – Northern Cyprus (MSANC) Uganda (FUMSA) Ukraine (UMSA) United Arab Emirates (EMSS) United Kingdom of Great Britain and Northern Ireland (SfGH)

Yemen (NAMS)