WONCA News December 2022

WONCAPRESIDENT DRANNASTAVDAL(NORWAY) EMAIL:PRESIDENT@WONCANET TWITTER:@ASTAVDAL

WONCAIMMEDIATEPAST-PRESIDENT DRDONALDLI(HONGKONG)

PRESIDENT-ELECT ASSOCPROFKARENFLEGG(AUSTRALIA)

EXECUTIVEMEMBERATLARGE& HONORARYTREASURER PROFVALWASS(UK)

EXECUTIVEMEMBERATLARGE DRMARÍAPILARASTIERPEÑA(SPAIN)

EXECUTIVEMEMBERATLARGE PROFSHABIRMOOSA(SOUTHAFRICA)

REGIONALPRESIDENT,WONCAAFRICA DRDANABUBAKAR(NIGERIA)

REGIONALPRESIDENT,WONCAASIAPACIFIC ASSOCPROFMOHAMMADHUSNIJAMAL(MALAYSIA)

REGIONALPRESIDENT,WONCAEAST MEDITERRANEAN PROFTAGHREEDMOHAMEDFARAHAT(EGYPT)

REGIONALPRESIDENT,WONCAEUROPE PROFSHLOMOVINKER (ISRAEL)

REGIONALPRESIDENT,WONCAIBEROAMERICANACIMF ADJ/PROFJACQUELINEPONZO(URUGUAY)

REGIONALPRESIDENT,WONCANORTHAMERICA DRJEFFMARKUNS(USA)

REGIONALPRESIDENT,WONCASOUTHASIA DRTARIQAZIZ(PAKISTAN)

YOUNGDOCTORS'REPRESENTATIVE DRSANKHARANDENIKUMARA(SRILANKA)

WONCACHIEFEXECUTIVEOFFICER DRHARRISLYGIDAKIS

WONCAWORLDSECRETARIAT

WORLDORGANIZATIONOFFAMILYDOCTORS AVENUEDESARTS7-8 1210BRUSSELS BELGIUM

EMAIL:SECRETARIAT@WONCA.NET PHONE:+32(0)23290075

WONCAEDITOR MARIADOLORESZAVALA EMAIL:EDITOR@WONCANET

TRANSLATIONS

DRJIEGU DRHUAYANG DRJULIENARTIGNY

CONTENT

FROM THE PRESIDENT PAGE 3

PRESIDENT ELECT THINKING OF WONCA 2023

FROM THE HEADQUARTERS

LEAN INNOVATION: DOING MORE WITH LESS

PAGE 7

PAGE 10

WHAT IS THE INTERGOVERNMENTAL NEGOTIATING BODY ?

WONCA REGIONS PAGE 16 7TH WONCA AFRICA REGION CONFERENCE WONCA ASIA PACIFIC REGION CONFERENCE

WP & SIGS NEWS PAGE 22 WP ON EDUCATION: FREE ACCESS DECEMBER WP ON ENVIRONMENT: ENVIRONMENTAL IMPACT OF INHALERS OUT OF BREATH

INAUGURAL WEBINAR OF PRIMARY CARE ASIA SERIES HELD IN SUPPORT OF WORLD MENTAL HEALTH DAY WORKING PARTY ON QUALITY & SAFETY

WONCA & WHO NEWS PAGE 15 MEMBER ORGANIZATION NEWS PAGE 20

BESROUR CENTRE FOR GLOBAL FAMILY MEDICINE SOCIEDAD CHILENA DE MEDICINA FAMILIAR (SOCHIMEF)

FEATURED STORIES

WONCA FIVE-STAR DOCTORS 2022 UNIVERSAL HEALTH COVERAGE DAY 2022 PRIMARY HEALTH CARE FOR UNIVERSAL HEALTH COVERAGE, CAIRO, EGYPT 16 DAYS OF ACTIVISM AGAINST GENDERBASED VIOLENCE

WONCA CONFERENCES

PAGE 29

PAGE 44 SUPPORT THE REVIEW OF PROGRAM SUBMISSIONS! 28TH WONCA EUROPE CONFERENCE

ANNOUNCEMENTS & UPDATES PAGE 46

FROM THE PRESIDENT

As a physician, I’ve always liked makinghousecalls.Theynurturethe patient-doctor relationship. When meeting in the patient’s home context, we both recognize and share other aspects of ourselves. I findthattherealitiesofmypatients’ lives come more clearly into focus onceI’vemetthemwheretheylive.

Aftertwoyearsoflifesavingisolation during the pandemic, of being deprived of meeting each other in person, our various types of ‘home visits’carryanewpoignancy.Andan added enthusiasm. At this stage of thepandemic,everyone,allatonce, seemseagertoorganizeface-to-face meetings.

HOME VISITS

Now, in November and December, I’vebeeninvitedtovisitthe‘homes’ of four, far-flung WONCA regions. From my Scandinavian Norway, I’ve been to Central America’s Guatemala,NorthAmerica’sArizona, Africa’s Nigeria, and now, as I write, I’mheadingtoIndonesia’sBali!

Abrieftravelogue:

Early in November, WONCA Iberoamericana held their Health Summit, the eighth in the region since 2007, this time in Guatemala. The region has developed a method for“LaCumbre”,which,bytheway, means both the summit and a pinnacleinSpanish.I’venowseen–in person – how worthwhile their Summit method would be for other WONCAregionsaswell.

The Summit was organized and conductedbytheCIMFleadershipin collaboration both with regional colleagues and various National Health authorities The aim is to identify areas for development, and toagreeonjointactions.Guatemala has neither training schemes for Family Medicine nor a basic system for Primary Health Care. During just two intense days, the Summit produced the “Guatemala Declaration”andan“ActionPlan”.

Whataprivilegeitwastoparticipate in that intense process. I’m certain thattheSummitbuiltamomentum, helping to hold the Ministers of Health and Social Welfare accountable for the development of Primary Health Care. WONCA will play a task force role, exerting appropriatepressurefromoutside.

This conference was a case-in-point of the beauty of international solidarityinaction.

And of the gift of ‘home visits’! My excursions into the countryside and to health facilities in the Capitol left mewiththesortofinsightintotheir need for Primary Health Care that only a face-to-face visit could have afforded Nextstop,Phoenix,Arizona,U.S.A.:

Some days after the Summit concluded,NAPCRG(NorthAmerican Primary Care Research Group) celebratedits50thanniversary.Iwas invited to give the opening keynote address. My ‘home visit’ to that contextenabledmetorecognizeand discuss future collaboration opportunities between WONCA and NAPCRG.

My visit confirmed what may not always be apparent: clinicians and researchers do share a common goal, and our constituencies do overlaptosomedegree

WONCA President Anna Stavdal and Dr. Tochi Iroku-Malize, President of the AAFP at the NAPCRG meeting in Arizona.

Quite a few NAPCRG members are based outside North America, and nourishing the potential synergies within the international Family Medicine community is a priority for both our organizations. It’s increasingly important to make the case for Family Medicine and Primary Health Care, and such joint actions are a powerful tool to increasetheimpactofouradvocacy. Some NAPCRG members have already decided to attend the WONCAWorldConferenceinSydney nextyear,andI‘mlookingforwardto developingourrelationshipfurther

OntoAfrica:

WONCA Africa held their conference at the end of November, in Abuja, Nigeria, where our CEO, Harris Lygidakis,andIrepresentedWONCA World. Even before the conference, theprogramwasextensive.

We visited several health facilities and the Department of Family Medicine in Abuja And, we were there to help celebrate the 25th anniversary of SOFPON, one of Nigeria’s three WONCA member organizations Then began the regional conference’s impressive program.Theenthusiasmamongthe participants was energizing to experience.

Thanks to this ‘home visit, we made contactwithcolleaguesfromAfrican countries that do not have WONCA member organizations – yet. My hope is that we can develop these relationships, and grow our membership, including among FrancophoneAfricancountries.

Another highlight from our days in Abuja was our meeting with Dame Pauline Tallen, Nigeria’s Minister of Women Affairs and Social Development.

She underlined the importance that Primary Health Care carries for her population of more than 200 million people We agreed to take joint action during the annual, global campaign against gender-based violence, which started the day we leftNigeria.

WONCA Africa Region Conference in Abuja, Nigeria

Now, as I write, I’m on my way to Indonesia:

The final ‘home visit’ of this journey bringsmetotheWONCAAsiaPacific RegionalConferenceinBali.Theirsis yet another carefully planned program. People have been working for months to make sure the Family Doctors of the region get to meet, learnfrom,andsupporteachother.I amhumbledandhappytobeinvited to experience the results of their efforts.

I hereby send a big Thank You to all our hosts! For your kind hospitality – and your work.

It has now been a year since the Executive Board and I took office. With one year left before we hand the baton on to our next WONCA relay team, this would be a good momentforeachofustotakestock and review our work What have we achieved? Where might we work evenharder?

As we celebrate International Universal Health Coverage Day this December 12th, we remember that ‘Health for All’ and ’A Family Doctor for Every Family’ are our goals Primary Health Care is our political instrument as we work to improve people’slives.

ThetitleDr AkimMoseschoseforhis main keynote address at SOFPONs 25th anniversary celebration says it sowell: “TheFamilyPhysician:TheShepherd of Humane and Compassionate Care.”

Now, at the close of 2022, I send warm greetings to all of you, my fellow shepherds, Family Doctors of the World Thank you for your support, your companionship, and yourinspiration.

DR ANNA STAVDAL

WONCA APR Conference 2022 in Bali, Indonesia

PRESIDENT-ELECT: THINKING OF WONCA 2023

During the last week of November I attended the annual conference of my own college - the Royal Australian College of GPs (RACGP) Nextyear,theRACGPishonouredto be hosting the world conference of WONCA,inconjunctionwithourown conference Insomeways,thisyear’s conferencefeltlikeatrialrunforour WONCA2023event.

I’mpleasedtoreportthingsranvery smoothly As a participant, I did some of the same things that we all treasure about WONCA conferences: chat with eminent colleagues, and meet old and new friends from overseas.

As I walked back from my morning teaoneday,IencounteredProfJohn Murtagh, perhaps our most famous Australian GP through being the author of “Murtagh’s General Practice”. Young doctors were starting to line up for photos with him Heisalwayssoobligingandhas an encouraging word for those who want photographs and autographs. Our hope is that we will see him in Sydney,nextyear.

Lucky to meet with Prof John Murtagh

ProfMichaelKiddalsohumouredme with a photograph, but in the WONCA 2023 conference frame with a kangaroo. Michael is one of our keynotespeakersfortheconference.

Atlastweek’sconference,Iwasalso lucky enough to catch up with colleagues from the Royal New Zealand College of General Practitioners’ (RNZCGP), the Academy of Family Physicians of Malaysia(AFPM),andtheFijiCollege ofGPs(FCGP).

I have always treasured the social and learning interactions with international colleagues at WONCA conferences. Your Australian colleagues are starting to look forwardtothisasanopportunityfor themnextyear.

Onethingthatwillbequitedifferent next year is the scientific program with our international presenters. Exchanging ideas with colleagues from overseas is one of those wonderful things of WONCA conferences. The themes of WONCA2023 are “Recovery, reconnection and revival. A celebrationofprimarycare”.

NZ colleagues – Dr Kylie McQuellin (RNZCGP head of membership services), Dr Samantha Murton (RNZCGP President); Dr Kerryn Lum (RNZCGP Censor-in-Chief) and Lynne Hayman (RNZCGP CEO)

Prof Michael Kidd, WONCA Past President

Malaysian colleagues - Dr Lee Cheng Yew (president AFPM) and WONCA Asia-Pacific region secretary, Dr “Kavi” Sailin

We hope many of you submit abstracts and note the closing date has now extended until February 9, 2023

Prof Mark Morgan is our Scientific Committeechair.

Mark’s messages for those consideringabstractsubmissionare:

We hope WONCA2023 will challenge, enlighten and enthuse each person who attends, so we would like conference sessions to be as interactiveaspossible

Theabstractsubmissionprocess asks for a description of your presentation/session in up to 300 words. It also asks you to identify three learning objectives.

We would be pleased to receive abstracts that use innovative presentation styles such as dance, poetry, song, narration, imbeddedaudio-visualcontent

More traditional formats such as illustrated talks, debates, discussion panels, research presentations will also be welcome.

Our peer review process will assess each abstract looking for topicsthatarerelevanttofamily doctors

Mark reminds us that to allow for new and emerging research to be presented, there is a separate opportunity for research abstract submissions closer to the dates of WONCA23 We have called this subsequent opportunity ‘’latebreaking”.Abstractsofthistypemay besubmittedfromMay24toJune8 Abstractsubmissioninformationcan befoundhere.

My Australian colleagues and I look forward to welcoming so many of you to my country and home town Sydneynextyear.

Fijian colleague - Dr Shanita Sen(Vice president FCGP) and Prof Frank Jones (RACGP WONCA representative)

Prof Mark Morgan is our Scientific Committee chair.

FROM THE HEADQUARTERS

LEANINNOVATION: DOING MORE WITH LESS

DR HARRIS LYGIDAKIS

W O N C A C E O

Have you ever heard of the concept of ‘Jugaad’?NeitherhadI, untilveryrecently.But

Ihavecertainlyencountereditinthe world, and you probably have too JugaadisaHindiwordwhichcanbe roughlytranslatedtomeanfindinga makeshift solution, an ingenious hack, improvising with limited resources or creating something useful out of adversity You may have heard to the related term ‘frugalinnovation’.

Many people and organisations across the globe facing limited resourcesareengaginginit,seeking bold solutions to big problems, withoutmuchinvestment

A few years ago, while doing research in Rwanda, I was lucky enoughtoseesuchaninnovationin action Ididn’tknowthetermatthe time, but I could see something impressivewasgoingon.Iwasthere to study how community health workers were operating, and what theirchallengeswere

To overcome the difficulty in data collection and reporting due to a lack of infrastructure and a widely dispersed population, community health workers were using a simple but powerful solution; text messages Theywouldsendupdates to the Ministry of Health via SMS. This innovation was smart and certainlyfrugal,anditdemonstrated ‘Jugaad’ because they looked at the resourcestheyalreadyhadavailable (their cell phones) and devised a commssystemaroundthem.Genius.

However, an unexpected problem emerged. In some areas, there were frequent power outages. The community health workers weren’t able to charge their phones. As a result, some could face up to sixhour walks to find the nearest ‘charging station’ (often a savvy entrepreneurchargingdevicesoutof their car another great example of ‘frugal innovation’). This meant less time serving their communities, and morefrustrationfortheworkers

It strikes me, years later, that this notion of ‘frugal innovation’ could benefit from an innovation of its own,onewhichbuildsinafeedback and development process For me, this is where the principles of the ‘Lean Startup’ [1] approach are the perfect fit: it is about doing more with less and in the world of primary care and non-profits the limitedresourcesoftencompelsuch approach while focusing on engaging stakeholders and looking atabottom-upapproach

So, in the interests of bringing together these ideas to help our community find creative and affordable solutions to problems theyface,hereareasetofprinciples toinnovateby

1. KEEP IT SIMPLE

In low resource environments, knowledgeistrulythemostvaluable currency available. Here comes perhaps the most fundamental part oftheleanapproach:theconceptof buildinga‘minimumviableproduct’ to test an idea Don’t worry – this isn’t as complicated as it might sound!

Youhaveahypotheticalsolutiontoa problem. The most critical step in the entire process is to get something out in front of potential users (your target audience: your patients, fellow team members or decision-makers) as quickly as possible.

Thismeanscomingupwiththemost basic, rudimentary, low-cost version of a deliverable (a ‘product’ or ‘service’) which will still allow users to experience it, or the idea of it, enough for them to give meaningful feedback. In lean terminology, this means getting out of the planning stage and into the ‘Build Measure Learn’circleassoonaspossible.

This ‘product’ could be anything from a new website to a newsletter, toasysteminplaceatyourclinic,to a basic service. It can even be a mock-up or a prototype of the idea, not the real deal, as long as it is enough to get feedback from. Dropbox, for example, got started with a simple three-minute video from the CEO explaining the idea which, at that time, was difficult to beexplainedtoinvestors.Theygota hugelypositiveresponseandhelpful input, which ultimately led to the successofthecompany

You can follow this process and identifythiskindof‘minimumviable product’ whenever you are testing out an idea or service in your workplace, in your clinics, university departments, or even in your wider advocacywork.Thekeyistofindthe simplestversion,notobsessoverthe detailsormakingit‘perfect’andget it out there so that you can learn fast!

Involving as many stakeholders as possibleinideagenerationissucha criticalcomponentofthisapproach, crucially because it increases how much knowledge and insight you gain; the wider the net, the more feedback you receive. This means doing everything possible to engage with the users or people affected by the change you want to make. In a family practice, this can include doctors, nurses, support staff, patients, accountants, the wider communityandbeyond.

Key takeaway: knowledge is power;focusonfeedbackfirst,and youwillreaptherewards.

2. FAIL CHEAPLY, AND ADAPT QUICKLY

The big draw of a ‘minimum viable product’isthatitisincrediblycheap, which suits environments with limited resources It is quick and easy to get off the ground and if it doesn’t work, it doesn’t matter too much Themostimportantthingisto get something out there, and get feedback on it, so you can make changes and try again. Even a ‘failure’ is not really a failure – it’s just a form of feedback. Once you havegainedthis,youcanadaptand improve your offer It is all about low-costexperimentation.

At WONCA, we were exposed to a toughchallengewhenCOVIDhit,and wehadtomoveourCouncilMeeting to a virtual space for the first time. Themostcriticalthingwastogetthe business of the Council done, follow the relevant processes, convey key information and get the voting completed.Throughouttheprocess, we encouraged and listened to feedback We soon discovered that deprioritising the interactive part of the meeting was strongly criticised. As a result, a workshop a longstanding WONCA tradition was added during our latest hybrid Councilmeetingandithasbeenvery positively received Other small changes, like online voting, online check-in and the weekly dedicated newsletter conveying key information in advance of the meetings,receivedpositivefeedback andareheretostay

Keytakeaway:innovationismessy and iterative takes lots of attempts to make it really work. So the best way through it is to keep experimenting with the idea andadaptingitoften.

3. DON’T REINVENT THE WHEEL

Sooften,wefaceproblemsthathave been faced by many before us and will continue to be tackled by many to come. Yet we tend to silo ourselves into communities, sectors or groups, and feel that we need a brand-new response to a problem, when in reality there are many out there who have already come up withgreatinnovations.

Many solutions remain ‘undiscovered’ simply because people don’t realise their solutions already exist elsewhere A great example of this is when health care takes inspiration from the aviation sector about the way they use thorough and exhaustive checklists asacorepartoftheirsafetyprocess

[2] When they applied similar checklists,itledtoadrasticdecrease inerrorsinperformances.

Key takeaway: don’t just think outside the box, but look outside of it. Take inspiration from other working groups, other members, other countries, or even other sectors.

4. USE WHAT IS IN ABUNDANCE

Whenfacinglimitedresources,itcan feel like nothing is possible But the concept of ‘Jugaad’ teaches us that there are always clever solutions to befound Oneapproachtothisisby focusing instead on what resources areplentifulandavailable.Thismay beintheformofphysicalresources, such as in the case of ‘Conceptos Plasticos’, a Colombian company which aims to tackle the housing crisisbyusingwhatisinabundance–plastic–and turning it into durable, cheap, and brilliantly self-insulating brickstobuildhouses.

It also may be in the form of less obvious resources, such as people, community support, time, or expertise. On this front, we have an example from within WONCA itself. We have been facing a challenge around our website: it is difficult to navigateanduse,andthishasledto missed opportunities for communication with and between members as a result. However, building and migrating to a new website is very expensive, and with inflation rising, this cannot be prioritisednow.

We have also chosen to launch one group at a time, as a form of ‘minimumviableproduct’sothatwe can receive feedback, learn, and adapt for the next group. The Working Party on Research has already launched its group on the Membership Portal, and other groupsarecomingverysoon.

2 Clay-WilliamsR,ColliganLBacktobasics: checklistsinaviationandhealthcareBMJQuality& Safety2015;24:428-431 Availablefrom: https://qualitysafetybmjcom/content/24/7/428

So we asked instead, what does WONCA have in abundance? One answer, aside from the enormous levelofexpertise,iscommunity.This inspired us to work on the MembershipPortal,whichisaspace formemberstoparticipateingroups and communicate easily within them

The emphasis on ‘low cost’ or ‘limited resource’ innovation can leadsometobelievethattheyareof inferior quality This is simply not true, and it’s important to challenge these assumptions. An example of this is Safari Comm’s ‘Empesa’ business,launchedinKenyain2007, which used the widely available cell phones to facilitate money transfers by developing a simple mobile moneysystem.

This is such a powerful example becausenotonlywasitaningenious and low-cost innovation, but it has also been adopted globally since, including inspiring higher income countries to do the same, proving the cheap innovation doesn’t mean sub-standardinnovation.

Key takeaway: focus on what is available and plentiful, and use it to help solve your biggest problems.

5. DON’T BE VAIN!

Often, when companies and NGOs alike launch innovations and seek feedback, they do so using vanity metrics rather than meaningful measures. This means that while they can give themselves a pat on thebackforajobwelldone,orlook good to their investors and donors, they haven’t actually got useful feedback which will help improve the product or service they are providing.

To provide a different example: communication campaigns often measure the ‘reach’ (the number of users that are exposed to the messageofthecampaign).Butwait, how much of an impact indicator is this? Does the number of users that have(passively)readamessageona newsletter or a social media platformindicatehowmanyofthem have increased their knowledge of your advocacy message or changed theirbehaviour?

It’scrucialtoaskforfeedbackwhich istrulyrelevant,andwhichwillhelp pushforwardchangeandnewideas, even if that feedback might be negativeorhardtoreceive

Key takeaway: focus on meaningful indicators to build somethinggreat.

6. KEEP YOUR EYE ON THE PRIZE!

This is something we have mentioned before when discussing effectivecommunication:itiscrucial to ensure that alongside the small experiments and quick adaptations, there is a long-term vision and strategy in place It is key to have some clear goals and objectives to keep you moving towards a desired outcome,andtoidentifyallrelevant stakeholders and channels required as part of the process, and to keep checking in against this longer-term strategy. Of course, this can be adapted over time, but it is key to ensure that it doesn’t become a haphazard or random approach to tryingthings.

At WONCA, we are planning to start doing more fundraising in the form of crowdfunding campaigns We are mapping out a long-term strategy, including our assets and areas of expertise, and what is already available to us We are developing a set of clear objectives we are working to. From this place, we will start running small pilot programmes to test different ideas, experiment and learn from what does/doesn’twork

Key takeaway: think long term, testshortterm.

We would love to hear from you about your experiences good and bad with innovation. What problems have you faced, and how haveyousolvedthem?Whatareyou working on now which could use a little extra direction from others? How have you coped when facing limited resources in response to a challenge? Where have you failed? Andsucceeded?Thesedon’thaveto bebigorcomplex,theycanbesmall, simple and cheap changes you have made in response to problems and adaptedbasedonneed Theycanbe around communication, processes or systems in your practice or institution, practices you have adopted, or products you have introduced.

We want to showcase examples to our membership, highlight what works and learn from what doesn’t, and build more support across our community to step in when individuals or groups are stuck on a complex problem. We look forward tohearingfromyou!

WHAT IS THE INTERGOVERNMENTAL NEGOTIATING BODY ?

INB

The WHA established an IntergovernmentalNegotiatingBody (INB) to draft and negotiate a vention, agreement, or other ernational instrument under the nstitution of the WHO to ngthen pandemic prevention, paredness and response. The INB’sworkisbasedontheprinciples of inclusiveness, transparency, efficiency, Member State leadership andconsensus

COVID-19 pandemic has had a ound impact on human lives, omies,andsocieties.Toavoida at of the past, the international munityshouldcollaboratetobe muchbetterpreparedandalignedin responding to possible future pandemicthreats

In December 2021, the World Health Assembly Special Session (WHASS) took place in Geneva, Switzerland This is only the second time in the history of the World Health Organization (WHO) that the Health Assembly (WHA) has met for a secondtimeinthesameyear.

The INB should hold meetings to deliveraprogressreporttothe76th WHA in 2023, with the aim to adopt the instrument by 2024. In the decision establishing the INB, the WHA also requested the WHO Director-General to convene the INB meetings and support its work, includingbyholdingpublichearings to inform its deliberations The United Nations system bodies, nonstate actors, and other relevant stakeholders can participate in the processtotheextentdecidedbythe INB.

Together with other non-state actors, including the International Federation of Social Workers (IFSW), the International Hospital Federation (IHF), and the World Organization of Family Doctors (WONCA), the World Federation of Public Health Associations WFPHA provided several statements during theINBpublichearing

ABUJA, NIGERIA

7TH WONCA AFRICA REGION CONFERENCE

The 7th WONCA Africa Region Conference was organised in Abuja, Nigeria on 24–26 November

WONCA Africa President Dr Dan Abubakar, and his team Dr Austin Aipoh, Dr Blessing Chukwukelu,DrDakoMamudu, and Dr Olusola Oluwasuen worked with passion and determination for a successful conference. The three WONCA Member Organisations of Nigeria and their leaders r Kayode Adesola, Dr Nicholas Baamlong and Prof Musa Dankyau, were united by the efforttobringtogetherthe

The Hon Minister for Women Affairs and Social Development, Her Excellency Dame Pauline Tallen giving a gift to Dr Anna Stavdal

African community for the first timein-personaftertheonsetof thepandemic.

During the preconference day, there were sessions organised by the African Chapter of the WONCA Working Party on Women in Family Medicine and theAfriwonMovement

Dr Anna Stavdal, WONCA President, and Dr Harris Lygidakis, WONCA CEO, visited Abuja to support the region Prior to the conference they met with the residents at the Family Medicine Department at theAbujaNationalHospital;

visited practices where they gained insight into the context, challenges and aspirations of the Nigerian colleagues; and spoke with colleagues and leaders of the broader Africa region

They also had the opportunity to the meet with Dame Pauline Tallen, Minister for Women Affairs and Social Development of Nigeria, who was about to launchthecampaignof16days of Activism against GenderBasedViolence.

Dr Kayode Adesola, president ANPMP & Dr Jane Namatovu, President elect WONCA Africa Region

Dr John Borowski and Dr Dan Abubakar, Dan, president Africa Region

BALI INDONESIA

WONCA ASIA PACIFIC REGION CONFERENCE

More than 600 family doctors and health care professionals from Asia Pacificandtheworldgatheredatthe WONCA Asia Pacific Conference 2022,heldinBali,Indonesia,on5-7 December2022.

Theevent,hostedbytheIndonesian Association of Family Physicians, focused on Primary Health Care Transformation, addressing the currentchallengesandopportunities forfamilymedicine.

The conference represented a perfect opportunity to exchange knowledgeandexperiencesafterthe covid-19 pandemic. The programme includedapre-conferencededicated to young doctors, followed by the three-day event, with multiple workshops, plenary sessions, symposiums, and oral and poster presentations, along with various representations of Indonesian culture that captivated the attendees.

ProfessorMeng-ChihLee,formerregional presidentofWONCAAsiaPacific,was recognisedasthe5StarDoctor

The opening ceremony included speechesbyDrBudiGunadiSadikin, Minister of Health of Indonesia, Dr Isti Fujiati, Chair of the Indonesian Association of Family Physicians, Dr Trevino Pakasi, Chair of the Host Organizing committee HOC, WONCA President, Dr Anna Stavdal, and Associate Professor Mohammad Husni Jamal, WONCA Regional PresidentfortheAsiaPacificRegion.

At the opening ceremony, Professor Meng-Chih Lee, former regional presidentofWONCAAsiaPacific,was recognisedasthe5StarDoctor.

DrIstiFujiatiasChairoftheIndonesian AssociationofFamilyPhysiciansand ProfessorMohammadHusniJamal, WONCARegionalPresidentfortheAsia PacificRegion

During her presentation, WONCA President, Dr Anna Stavdal focused on the Role of Family Medicine in achievingUHC

“Now, more than ever, what the world needs is High-quality Primary Care. A close-to-home, healthcare hub, that functions in seamless collaboration with Social Care and Public Health services, as well as with hospitals. That requires a strong, interprofessional team, with aqualifiedFamilyDoctoronboard”

ProfessorMohammadHusniJamal,WONCARegionalPresidentfortheAsiaPacificRegion

WONCA APR Council Meeting 2022

After the conference, WONCA President, Dr Anna Stavdal thanked the conferences organisers with an emotivemessage:

To Dr Isti Fujiati as Chair of the Indonesian Association of Family Physicians, Dr Trevino Pakasi as Chair of the Host Organising committee HOC, and Dr Putri Eyanoer as ViceChair of the HOC of the WONCA Asia Pacific Conference in Bali December 2022:

It was a humbling and heartwarming experience to join you. I learned a lot, a lot of informal learning

And I was reassured that companionship, collaboration and unity are the only way forward we shall achieve recognition of family medicine in all countries of the world.

I am looking forward to the continuation of the development of primary care and family medicine in Indonesia I will support you as best as I can, and to do that, you must keep us posted and make sure you keep each other posted on developments and actions.

You built momentum, now it is up to us together to make the most of it.

My best wishes to you all and a big thank you on behalf of WONCA World.

From the WONCA Secretariat, we would like to express our deepest gratitude to Dr Isti Fujiati, Chair of theIndonesianAssociationofFamily Physicians, Dr Trevino Pakasi, Chair of the Host Organizing committee HOC, Associate Professor Mohammad Husni Jamal, WONCA Regional President for Asia Pacific, and Dr Putri Eyanoer, Vice-Chair of the HOC of the Asia Pacific Conference for your all your attentions and congratulations on suchasuccessfulconference!

WORKING PARTY ON EDUCATION EDUCATION FOR PRIMARY CARE FREE ACCESS DECEMBER

The annual meeting of Education for Primary Care,ouraffiliatedWONCAjournal,tookplacelast week DrVictorNg,ChairoftheWONCAEducation Working Party is on the Editorial Board joined virtually. Thepublishers,TaylorandFrancis,reportedgood and steady progress as paper views and downloads increase, international submissions rise and there is evidence of impact This is so important as, to address the shortfall of Family MedicineDoctors,theroleofEducationinPrimary Care in workforce development becomes of paramountimportance.

WORKING PARTY ON ENVIRONMENT ENVIRONMENTAL IMPACT OF INHALERS

The WONCA Working Party on the Environment Statement on sustainable inhaled therapies for healthierpeopleandtheplanet Peoplearewellawareofairpollution being a risk factor for the development and exacerbations of chronic respiratory diseases, but generally do not know that inhaled therapytotreatrespiratorydiseases can contribute to climate change In turn, climate change contributes to respiratorydiseaseincludingasthma due to increasing intensity and duration of pollen seasons and risks ofwildfires.

ENVIRONMENTAL IMPACT OF INHALERS

The health sector is responsible for 7-8% of the carbon footprint worldwide. Pharmaceuticals are in the top 3 of carbon emissions in health care. Commonly-prescribed metered-dose inhalers (MDIs) for chronic respiratory diseases contain hydrofluorocarbons (HFCs) that are strong greenhouse gases and a significantcauseofclimatechange

AlthoughalldevicescausesomeCO2 pollution in their manufacture, it is the HFA propellant gases that contribute the large majority of the climate impact of inhalers. A typical salbutamol MDI supplying 200 puffs is responsible for a global warming equivalent effect comparable to driving250kminamid-sizecar.The global warming impact of other inhaler types, such as dry powder inhalers (DPIs), is negligible. At this moment, less harmful alternatives (mainly DPI) for MDIs are available andaffordableinmanycountries.

KIGALI AGREEMENT

In 1995 MDIs contained chlorofluorocarbons (CFCs) that caused the ozone hole in the stratosphere. Under the strict regulation of the 1987 Montreal Protocol CFCs were replaced by HFCs in 30 years In 2016 the Kigali agreement (an amendment to the Montrealprotocol)wasdevelopedto phase out HFCs from 2020-2050 and wassignedby170countries.

However,theregulationislessstrict, countries are free to choose how to phase out HFCs during this period and most countries have chosen to start with regulations for refrigeratorsandairconditioners.

Recommendation to policy advocacy:

Request GINA to consider healthcare systems’ carbon footprint when developing their guidelines.

Reducingairpollutionexposure, both indoors and outdoors, is cost-effective to reduce asthma burden, and externalities affectingplanetaryhealth

Developregulationregardingthe useofpotentHFCsinMDIs

Make DPIs more accessible to vulnerablepopulations.

AccesstoDPIsshouldbepartof health equity strategies and climateaction

Consider WHO´s recommendation on green procurement.

Consideradjustingcost-effective analysis to account for climate changeandplanetaryhealth

Recommendationtopharmaceutical companies

Progress development of MDIs which use alternate propellant gases with a lower global warmingpotential(suchasHFC152a)

PhaseoutMDIswithHFCswitha high global warming potential accordingto“racetozero”.

Further research and development of DPIs and soft mistinhalers,includingreducing the cost of these inhalers internationally to improve their availability.

Include dose counters on all MDIstoreducewastedresources when inhalers are disposed of beforetheyareempty.

Stop including polluting HFCs in placebodevices.

Work with health services and governments to develop programs to recycle plastic and metal components of inhalers and to capture unspent HFC gases

This policy statement is in line with WONCA´s call for planetary health action.

OUT OF BREATH

THE DOCUMENTARY ABOUT THE PANDEMIC IN THE BRAZILIAN PUBLIC HEALTH SYSTEM ELIGIBLE FOR OSCAR

It is common for family doctors during conferences to search for art inspirations to translate the challenges of Primary Healthcare When the pandemic started, everything was new but also unequal, like access to health, masks, respirators, and oxygen The Brazilian Public Health System (acronym in Portuguese, SUS) was challenged in many ways as one of the major health systems in the worldandalsowithoneoftheworst governments in our history When the pandemic arrived in Brazil, we had heavy financial cuts in our systemandwerealsoreallyfragileto fight the pandemic and a disinfodemic.

W O N C A W P O N E N V I R O N M E N T

DR MAYARA FLOSS

Community health work features at a Brazilian “favela”

Image credits: Victor Juca

Health team dislocating in Amazon Image credits: Tarso Sarraf

Before the vaccines were available, two sisters, Helena Petta and Ana Petta decided to do a risky thing: to document how the SUS was dealing with the pandemic. Helena had a baby just at the beginning of the pandemic and started to work from home, seeing patients online and discussing cases with students. However, it was a burden for her to listen to their colleagues and feel that she was doing nothing, so she decided to start recording some testimonies. She shared some ideas with her sister Ana, an actress, and they decided to document the pandemicthroughtheroutineofthe health system with a highlight on Primary Care and the role of family doctors

The“OutofBreath”(Quandofaltao ar, in Portuguese) movie includes scenes of prisons, “favelas” (slums) and ICUs It tells the story of the frontline,mainlythroughthefemale healthcareworkforce.

It does not look like a traditional documentary with different people talking about an issue in front of a camera The film truly follows the routine of community healthcare workers, the steps of patients recovering from COVID-19, and the tears and challenges of living in a necropolitical environment. The documentary is a masterpiece The soundtrack, camera movements, and sound capture are flawless, and itiseasytostarttocryjustwiththe trailer.

Imagine the challenge and responsibility to bring the technical team over ten thousand kilometres crossing the country from southeast to north, from São Paulo to remote Amazon. “Out of Breath” is a precious memory for all the world And we, as family doctors, should not miss the opportunity to watch andsupportthisartpiece.

Ana Petta and Helena Petta behind the scenes

Image credits: Victor Juca

Women in the frontline are one of the highlights of the documentary Out of Breath A scene with Conceição, a community health worker Image credits: Victor Juca

The filmmakers Helena and Ana are doing an organic campaign about the documentary due to financial constraints, as we could expect of a smallproduction However,because of its sensible narrative, on December 6th, Out of Breath was shortlisted as one of the 145 incrediblemoviescompetingforthis year’sOscarsedition

I have personally been involved, trying to raise the promotion of the movie through the hashtag #SUSnoOSCAR (Portuguese) or #SUSatOSCAR.SoItrulyrecommend all family doctors and health professionalsoftheworldtojointhis campaign and use our social media to make this movie reach the final listofOscars.

The documentary beign short-listed for the Oscars represents a reward for us, as frontline health professionalsandsurvivorsofoneof the worst political management of the pandemic in the globe. It also has a powerful meaning of art: we survived, and we won't forget the scars and teachings of the COVID-19 pandemic. And surely, the movie's messagewillalwaysremindusofthe importanceofahealthsystemforall, everywhereintheworld.

Follow more information about the movieexhibitions: Twitter Instagram LinktreeOutofBreathinformation

Mayara Floss and the hashtag #SUSnoOSCAR or #SUSatOSCAR

Movie director and actor Wagner Moura with the hashtag #SUSnoOSCAR

INAUGURAL WEBINAR OF PRIMARY CARE ASIA SERIES HELD IN SUPPORT OF WORLD MENTAL HEALTH DAY

Around 250 doctors from Hong Kong,Singapore,Malaysiaandthe Philippines attended a #webinar on “Optimizing Mental Health Management in Primary Care” on October13th

MIMS,incollaborationwithexperts from the World Organization of Family Doctors (WONCA), held the event in time to mark #WorldMentalHealthDay (October 10) and support its objective to “EnsureMentalHealth&Well-Being becomesaGlobalPriorityforAll”.

Chaired by Dr Nazrila Hairn binti Nasir, a Family Medicine Specialist from Malaysia, the webinar gathered esteemed #experts from the#WONCAworldcommunityto

talk on diagnosing and treating #depression, #anxiety and related #mentalhealth conditions, focusing on the latest developmentsandthinkingaround mental health #primarycare, as well as on how to address the clinical practice challenges wrought by the #COVID19 pandemic

Theexpertsincluded:

Professor Christos Lionis, Chair, WONCA Working Party onMentalHealth(Speaker)

Dr Ferdinando Petrazzuoli, European Regional Vice Chair, WONCA Working Party on MentalHealth(Speaker)

Dr Flávio Dias Silva, Professor, Federal University of Tocantins,Brazil(Presenter)

Juan Manuel Mandive, Secretary, WONCA Working Party on Mental Health (Presenter)

Dr Helen Sigua, Fellow, Philippine Academy of Family Physicians(Panelist)

Dr Syed Harun Alhabsyi, HonorarySecretary,Singapore Psychiatric Association (Panelist)

The webinar is the first in the Primary Care Asia Webinar Series and is brought to you by the Philippine Academy of Family Physicians, the Malaysian Family Medicine Specialists' Association, the Singapore Psychiatric Association,theHongKongSociety of Psychiatrists, and MIMS Education.

WORKING PARTY ON QUALITY & SAFETY

INTRODUCING HUMAN FACTOR SCIENCE IN PRIMARY HEALTH CARE

The WONCA Working Party on Quality and Safety held a 15-hour webinar on introduction to human factorsandtheroleofthissciencein primaryhealthcare

To implement the WHO Global PatientSafetyActionPlan2021-2030 strategy2.4requiresastrongHuman Factors perspective and input from primary health care in order to strengthen the resilience of primary care organizations and clinical practices

This free webinar for healthcare professionals, policy makers, researchers, and medical educators, aimedtoexplainwhathumanfactor science is, how it affects primary health care and Understand shared lessonsonhumanfactorsfromother high-riskindustries,suchasaviation.

ThesessionwashostedbyProf.Jose MValderas,ChairofWONCAWorking Party on Quality and Safety, Head Division of Family Medicine, Yong Loo Lin School of Medicine Singapore, and Dr Maud Nauta, GP and WONCA Working Party on Quality and Safety lead on Human Factors

Theprogrammeincluded: Introduction: Human factors in Primary Health Care-what does it mean?

Speaker:DrMaudNautaMRCGPMAS Patient Safety and Healthcare Quality, Human Factor Trainer and WONCA Working Party on Quality and Safety lead on Human Factors, Affiliate Member Chartered Institute ofErgonomicsandHumanFactors.

Using a Human Factors Approach to Improve Electronic Health Record(EHR)useinPrimaryCare.

Speaker: John W. Beasley MD, Professor Emeritus, Department of Family Medicine, and Community Health, University of Wisconsin and Honorary Associate University of Wisconsin School of Engineering, Department of Industrial and SystemsEngineering.

Lessons learned from Human FactorintegrationinAviation.

Speaker: Peter Nataraj, Senior First Officer, and Human Factor Trainer CommercialAviation.

PROF. JOSE M VALDERAS

DR MAUD NAUTA

A second webinar is planned for 2023:onhowpracticialhumanfactor toolkits can help in day-to-day primary health care practice Stay tunned for more information and registrationdetails.

EVEN A CHILD CAN SEE

COLLABORATION IS ESSENTIAL TO SAVE THE CANADIAN HEALTHCARE SYSTEM

By David Ponka, Director of the Besrour Centre for

Now that international work travel has resumed, my three daughters looked at me quizzically as I frantically packed my bags on a recent evening. They were still fighting with their vegetables when my eldest daughter, Ella, took the commotionasanexcusetohelpme.

“Where are you going, daddy?” she asked.

“IhavetotalkaboutCanadianhealth careinBrussels,sweetie.”

“Whatareyougoingtoteachthem?” (Ella thinks that because I teach medical students and family medicine residents, that’s all I do anywhereIgo)

“Well, they asked me to talk, and learn, about inter-professional primaryhealthcare.”

“What’sthat?”sheasked.

Goodquestion

It’seasytoconfusemulti-andinterprofessional medical care. In Canada,andinmostoftheworld,we are either working in solo practices (mono-professionally) or, if we are luckier, in multi-professional clinics where we share space with nurses and allied health professionals such as physiotherapists and social workers, allowing us to meet the needs of our aging population and address the prevalence of complex multi-morbidity increasingly commoninourcommunities

Butmostofthetime,whilewework in parallel with these other disciplines, occupying the same space, we are not really working together.

We typically share a medical record, but don’t always find ways to schedule and see patients either in tandem or at the same time The idea was right, but it has not led to the efficient or coordinated level of carewehadhopedtoprovide

What we need instead is truly interprofessional and increasingly transprofessionalcare

This becomes critical as more patientsageinplaceandhomecare againregainsimportance.Yet,wedo notyethaveageographiccatchment system to deliver health care in Canada. I am a family physician in Ottawa but have patients in Kanata and Orleans (I have one that travels fromCornwallbecauseshecan’tfind afamilyphysicianthere)

Global Family Medicine at the College of Family Physicians of Canada

ThisiswhattheydoinBelgium.Not only for home visits, but primary care in general If an average physicianhas2,000patients,thereis no reason that the physician will need to see them for every one of their needs, every time The team canhelptriage,seewellbabies,and offer routine care such as Pap smears so that the physician can devotemoretimetoepisodicillness, new diagnoses and management of complexchroniccare

AtthispointEllawasstaringbackat meblankly So,Isaid,“OK,let’sdrawapicture.”

“Imagine yourself in school and you are trying to learn about a subject –say climate change You probably want to get all kinds of different teachersteachingyoudifferentparts of it, like geography, chemistry, health. Maybe history. Interdisciplinary means taking in all those things together, rather than studyingthemallseparately.”

I added: we call t only thin changea together thefutur Ellaproc I have u given s increasin into the canvas.I in a wa relate, a conceptsimply.

There are many examples of where trans-disciplinary collaboration is important In some sectors, it has already happened. Take transportation, with its truck-railship-plane-back to truck chain The pandemic has highlighted how disciplines and sectors should be collaborating better, even the deliverysupplychain

In health care, as we continue to oscillate between the acute infectious waves of a pandemic and the more chronic additive impacts on individuals and community wellbeing, we need a more stable, unifiedapproach.

Every parent remembers the torment of trying to balance protecting their children and loved ones from COVID-19 and ensuring their children’s well-being and education.Weshouldbedoingboth, yetthehealthandeducationsectors remainsiloed

The health sector itself is siloed: In experiencebecomesmoreseamless

Imagine this scenario: Mrs A, an 80year-old breast-cancer survivor with multiple chronic diseases including diabetes, arthritis, and pulmonary fibrosis, desperately wants to stay independent and avoid institutionalization She visits her integrated patient medical home clinic a 10-minute walk from her apartment This makes her feel secure, and the proximity and exercise make her wonder whether she still needs her increasingly unuseddriver’slicense.Shehasa90minuteappointmentscheduledwith multiple providers to monitor her use of medication (pharmacist), her diabetes (diabetic educator and podiatrist) and her mobility (physiotherapist) Her family physician sees her to maintain a long-term trusting relationship and to coordinate her care All her providerssharedhermedicalrecord and exchanged opinions ahead of time

Illustration info: A picto representation by 10-yearElla, the author’s daughter, to explain where we are falling short in interdisciplinary collaboration in our health-care system, and why this is important for other sectors emerging out of the pandemic.

p yp makeiteasierforherandprotectthe environment (switching to a drypowder inhaler could save the equivalent emissions of 54 km of driving per patient per month) She istreatedforafootconditionbefore it can get worse, and her physiotherapist and family doctor work together to treat a shoulder injury so that she can stay independent The family doctor notices a new mole but can get a quick consultation as several specialties have begun working out of the same clinic Mrs A also receivesherannualfluandCOVID-19 shots thanks to an integrated public health centre in the same building On the way home, she makes her weeklyvisittotheschoolassociated withthatintegratedhealthcentreto interact and read with the kindergartenchildren.

leadership While there are many examplesofinnovativeclinics,these remaintheexception:Weneedmore transformative models moving forward. We need to put patients firstwhileseekingefficiencies.Above all,weneedprimarycareandpublic healthtojoinforcestoprepareusfor the next big challenge – climate change

Society is entrenched in a very Cartesian, subspecialized approach to human problems. We see increasing specialization and the increasing use of technologies as inherently good, but the pandemic shouldmakeuspauseandreassess The current polycrisis in multiple sectors of society is a reminder that everythingisrelated;solutionsmust onceagainbealigned,locallyscaled andhumancentred.

SOCIEDAD CHILENA DE MEDICINA FAMILIAR (SOCHIMEF)

LOS TRES PILARES DE LA MEDICINA FAMILIAR,

PRESENTES EN EL XXIII CONGRESO CHILENO DE MEDICINA FAMILIAR

La Sociedad Chilena de Medicina Familiar (SOCHIMEF) organiza cada año un congreso sin marca, sin apoyo de la industria. El XXIII Congreso Chileno de Medicina Familiar con el lema “Personas Cuidando Personas” se realizó en modalidadvirtuallosdías17,18y19 de noviembre de 2022, con sede “virtual” en la Región de Aysén, al Sur de Chile. La idea fuerza es que las personas somos el capital más importante en salud y que hay un aspecto comunitario que se refleja en el lema, como lo comentó la presidenta de esta versión, la Dra Sandra Paredes, en su discurso de bienvenida.

En el discurso de cierre la Dra. Roxana Sepúlveda, presidenta de la Sociedad Chilena de Medicina Familiar,enconsonanciaconunade las plenarias, destacó que los y las especialistas en Medicina Familiar, somos los únicos médicos especialistas en la estrategia de atención primaria y, por tanto, los que debemos encabezar los procesos de transformación tendientes hacia la universalización estaestrategia

El Comité Congreso, que reúne a un grupo de Médicos Familiares entusiasmadosengenerarañoaaño un espacio de encuentro, plasma la importancia de reconocer el capital humano

que conforma cada territorio y dispositivodesalud,comentalaDra. Gina Brun La particularidad de este comité,comentalaDra.GladysCaro, esqueestáabiertoacualquiersocio que desee participar, todos tienen derechoaopiniónyvoto,incluyendo a todas las regiones del país, logrando que la experiencia y el conocimiento local alcancen un lugarmuyrelevanteenelCongreso.

Desde la Coordinación del Grupo de Trabajo de Bioética, la Dra. Carmen Nadal, destaca el interés generado por los bloques de discusión Bioética. Se abordaron temas como la organización de los comités de ética en Atención Primaria, el modelo de atención con enfoque centrado en las personas con múltiples patologías crónicas y la nutrición e hidratación en cuidados de fin de vida. Surgiendo las ideas fuerzadelrespetoporlaautonomía, las decisiones compartidas y la importancia de la educación en salud,paraapoyaralaspersonasen decisiones basadas en sus preferencias.

Las grandes temáticas de este congreso se plasmaron en las Plenarias que abordaron el Desarrollo de la Atención Primaria y laSaludFamiliarenAysén(regiónde lasedevirtual), enunaexcelente

presentación del Dr Iván Lemus, Médico Familiar de la región; la EficienciaenlaGestióndelaAPSen Chile, con José Luis Contreras, IngenierodelaComisiónNacionalde Evaluación y Productividad; el Monitoreo de los sistemas de salud, atravésdellentedelaAPS,conuna presentación orientadora del Dr. Hernán Montenegro, Médico Salubrista de la OMS/OPS; el Abordaje de la Salud Mental en el personal de APS: Saludablemente, una nueva estrategia, en una maravillosa presentación de Viviana Harcha, Psicóloga, del Servicio de Salud De Reloncaví, respecto del cómosepuedecuidaralaspersonas que cuidan personas; para finalizar conlaplenariadelaUniversalización delaAtenciónPrimariadeSaludcon el Dr. Ricardo Fábrega, Médico GestorPúblico,AsesordelMinisterio deSalud.

Esta última plenaria tiene particular relevancia en cuanto a que es el camino que quiere emprender Chile en el desarrollo de una atención centrada en las personas, con integralidad y continuidad, tres pilares fundamentales de la Medicina Familiar, comenta la Dra Macarena Moral, Coordinadora del Comité Congreso. Sin olvidar la importancia de generar espacios para la reflexión conjunta y el abordaje de temas clínicos de relevanciaparalaMedicinaFamiliar

Previo al Congreso se desarrolló la Jornada Pre-Congreso Waynakay (residentes y médicos de familia jóvenes) Su coordinador, Dr Patricio Thieme, Residente de MF destaca que asistieron más de 140 personas que analizaron la importancia de las organizaciones deresidentesyMédicosdeFamilia;y losdesafíosactualesyfuturos,como sonlaformaciónenlaespecialidady el trabajo comunitario desde la experiencia

Es importante recordar que SOCHIMEF, no podría abordar tamaña aventura sin el aporte permanente de sus socios, que financian este Congreso sin marca y sinelgenerosoaportedelosmásde 80 expositores, que entregan su conocimiento y experiencia para el desarrollo de este y anteriores Congresos.

Autoras: Periodista Andrea Gómez, Médica Familiar Macarena Moral

DISCOVER THE 2022 WONCA FIVE-STAR DOCTORS

WONCA’s award of Excellence in Health Care is called the Five Star Doctor Award It can be awarded annually by each region, with all regional winners going forward for considerationfortheGlobalFiveStar Doctoraward,madeeachbiennium, with the winner receiving his or her award at the WONCA World Conference.

The concept of the Five Star Doctor was first described by Dr Charles Boelen,thenofWHO,in2000,andis judgedonthefollowingfivecriteria:

a CARE PROVIDER, who considersthepatientholistically as an individual and as an integral part of a family and the community, and provides highquality, comprehensive, continuous, and personalized carewithinalong-term,trusting relationship.

a DECISION MAKER, who makes scientifically sound judgments aboutinvestigations,treatments anduseoftechnologiesthat

take into account the person’s wishes,ethicalvalues,cost-effective considerations, and the best possiblecareforthepatient.

a COMMUNICATOR, who is able to promote healthy lifestyles by effective explanation and advocacy, thereby empowering individuals and groups to enhance and protect their health.

a COMMUNITY LEADER, who, having won the trust of the people among whom he or she works, can reconcile individual and community health requirements, advise citizen groups, and initiate action on behalfofthecommunity.

a MANAGER, who can work harmoniously with individuals and organizations both within andoutsidethehealthsystemto meet the needs of individual patients and communities, making appropriate use of availablehealthdata.

A HEALTHY FUTURE FOR ALL BUILDTHEWORLDWEWANT

UNIVERSAL HEALTH COVERAGE DAY

On 12 December 2012, the United Nations General Assembly endorsed a resolution urging countries to accelerateprogresstowarduniversal health coverage (UHC) – the idea that everyone, everywhere should have access to quality, affordable health care. On 12 December 2017, the United Nations proclaimed 12 DecemberasInternationalUniversal Health Coverage Day (UHC Day) by resolution72/138.

International Universal Health Coverage Day aims to raise awarenessoftheneedforstrongand resilient health systems and universalhealthcoveragewithmultistakeholder partners. Each year on 12 December, UHC advocates raise their voices to share the stories of themillionsofpeoplestillwaitingfor health, champion what we have achieved so far, call on leaders to make bigger and smarter investments in health, and encourage diverse groups to make commitments to help move the worldclosertoUHCby2030

The COVID-19 pandemic has again shown us that UHC and health security are intertwined goals to protect everyone, everywhere, that weachievethroughthesamehealth system – in crisis and calm. For health systems to work, they must work for everyone – no matter who they are, where they live, or how much money they have Equitable health coverage puts women, children, adolescents, and the most vulnerable first because they face the most significant barriers to essentialcare.

On 12 December, WONCA joined Universal Health Coverage Day with a social media campaign that included several videos and quotes fromourcolleaguesandmembersof theWONCAfamilytodemandaction on universal health coverage and investinhealthsystemsandprimary healthcareforall.

CAIRO, EGYPT PRIMARY HEALTH CARE FOR UNIVERSAL HEALTH COVERAGE

On 12 December 2017, the United Nations officially designated 12 December as the International UniversalHealthCoverage(UHC)Day to commemorate the endorsement of a historic resolution in 2012 that urged all countries to accelerate progresstowardUHCasanessential priority for international development.

UHC means that all people have access to the health services they need, in good quality, when and where they need them, without financial hardship. UHC should be based on strong, people-centred primary health care (PHC) with health systems rooted in the communities they serve. Many countries are making progress towards UHC but achieving UHC requires strengthening health systems in all countries and investmentinqualityPHCwillbethe cornerstoneforachievingthis.

In line with the theme of this year’s Day “Build the World We Want: A Healthy Future for All”, the WHO EMRO Regional Office carried out a regionalmeetingon“Primaryhealth care for universal health coverage and health security in the Eastern Mediterranean Region” on 11–15 DecemberattheFourSeasonshotel attheFirstResidence,Cairo,Egypt

EMRO leaders at the “Primary health care for universal health coverage and health security in the Eastern Mediterranean Region”

WONCA President, Dr Anna Stavdal, Prof Taghreed Farahat, WONCA EMR president, and Dr Nagwa Nashat, WONCA EMR Honorary Secretary, joined the event during the sessions on the 14 and 15 December 2022. Duringthosedates,theEMRregional professional diploma steering committee was held on Wednesday asaparallelsession.

On 15th of December,2022, health leaders from across the Region will signed a call for action for the national recognition of the regional Professional Diploma in Family Medicine. The aim is to build the WorldWeWant:AHealthyFuturefor All The Diploma was delivered through a partnership with the Arab Board of Health Specializations (ABHS), WHOEMRO, WONCA EMR regional office, the UNAIDSMENA, UNFPA,UNHCRandUNICEFmena.

14 Member States signed the Cairo Call for Action for the national recognition of the regional Professional Diploma in Family Medicine.

-Djibouti -Egypt -IslamicRepublicofIran -Jordan -Lebanon -Libya

-MoroccoPakistan -Palestine -Somalia -Sudan -Syria -Tunisia -Yemen

Call for action for the national recognition of the regional Professional Diploma in Family Medicine

Prof.Taghreed Farahat WONCA EMR president signed on behalf of WONCAEMR

Morethan100participantsattended to the meeting, bringing together a range of stakeholders from government, the private sector, donors, academia and the health sectorto:

Discussion focused on establishing the link between PHC and the regional priorities outlined in the Sixty-ninth session of the Regional Committee(RC69)paperon‘Building resilient health systems to advance UHC and ensure health security in the Eastern Mediterranean Region’ to inform the development of a regionalroadmaptoputintoaction the key strategic and operational levers outlined in the PHC Operational Framework. The meeting also served as an opportunity to prepare for the UN High-Level Meeting on UHC that is scheduled to take place in September2023.

DrAwadMataria,Director,UHS,WHOEMROArwaHany

IFMSA,regionaldirectorEMR,DrAnnaStavdaland Dr NagwaNashat

Prof Taghreed Farahat WONCA EMR president signed on behalf of WONCA EMR

16DAYSOFACTIVISM AGAINSTGENDERBASEDVIOLENCE

The 16 Days of Activism against Gender-Based Violence is an annual campaign that begins on 25 November, the International Day for the Elimination of Violence against Women, and runs through International Human Rights Day on 10December.

Led by civil society, the campaign is supported by the United Nations through the Secretary General’s UNiTE by 2030 to End Violence against Women initiative. This year, theUNmarksthe16Daysunderthe theme “UNiTE! Activism to end violenceagainstwomenandgirls”.

Violence against women and girls remains the most pervasive human rights violation around the world. Already heightened by the COVID-19 pandemic, its prevalence is now being further increased by the intersectingcrisesofclimatechange, global conflict and economic instability.

Against this setting, a backlash against women’s rights is underway around the world Anti-feminist movements are on the rise, attacks against women human rights defenders and activists are up, and the legal status of women’s rights is increasingly imperiled in many countries. Regressive new laws are exacerbating impunity for perpetrators of domestic violence, governmentsareusingforceagainst femicide and gender-based violence protestors, and women’s rights organizations are being increasingly marginalized

With information of www unwomen org

Despite these discouraging trends, there is more proof than ever that violence against women and girls is preventable. Evidence shows that the single most important driver of policy change is a strong and autonomous women’s movement making feminist mobilization in the face of anti-rights backlash a literal matteroflifeanddeath.

This 16 Days, we’re encouraging everyone to get involved: from amplifying the voices of survivors andactiviststosupportingwomen’s organizations and strengthening feminist movements, we can all act to empower survivors, reduce and preventviolenceagainstwomenand girls,andprotectwomen’srights.

As part of the #16days of activism against #genderviolence, women family doctors from Latin America discussed the role of Family Medicine in eradicating violence againstwomen.

Relivethisdialogue(inSpanish)with Dr Jacqueline Ponzo, President of Wonca Iberoamericana CIMF, as a special guest. Watch the session here.

PROGRAM SUBMISSIONS DEADLINE EXTENDED

APPLY

PREPARE

28TH WONCA EUROPE CONFERENCE

7 - 10 JUN 2023, BRUSSELS, BELGIUM

The 28th WONCA Europe conference will be held inBrussels,Belgium,fromJune7thto10th2023

The theme will be “Making Choices in Primary Care”. The abstract submission deadline is January10th2023.

Registrationisopen!Donothesitateandtake thechancetogetanearlybirdpriceandsave. Pleasecontributewithyourparticipationand registerHERE

Still,hesitatingaboutsubmittinganabstract? We encourage you to contribute with your knowledge.Followtheguidelinesforabstract submission

We are happy to introduce to you the members of the Scientific and Organising Committees. Findthecompletelisthere.

UNIVERSITY OF TORONTO DEPARTMENT OF FAMILY AND COMMUNITY MEDICINE

VIRTUAL TORONTO INTERNATIONAL PROGRAM TO STRENGTHEN FAMILY MEDICINE AND PRIMARY CARE (V-TIPS)

PROGRAM DESCRIPTION

The virtual edition of the Toronto International Program to Strengthen Family Medicine and Primary Care (V-TIPS) is informed by nearly a decade of engagement with international family medicine leaders and champions through our yearly in-person TIPs-FM program. The virtual program provides an overview of how to leverage excellence in education, research, clinical services and leadership to deliver high quality family medicine globally, by sharing experience and building on lessons learned at theDFCM,inCanadaandaroundtheworld.

Taught by faculty leaders from the Department of Family and Community Medicine (DFCM) and international guest faculty, this year's program willrunfromMarch29-June14,2023

V-TIPS is delivered over 12 weeks through asynchronous and synchronous sessions with a focus on collaborative learning. The program includes weekly readings, pre-recorded videos, andaweekly90-minutesessiondeliveredliveon Zoom on Wednesdays at 7am EST Where indicated, weekly synchronous sessions are recorded for future reference. In addition, biweeklydrop-insessionswillbeoffere

PROGRAM GOAL

This program will enable participants to strengthen family medicine (FM) and comprehensive primary care (CPC) in their own setting through state-of-the-art education, evidence-informed high-quality care and transformativeleadership.

AUDIENCE

V-TIPS is a program for current and emerging leaders in the areas of health services delivery, policy and academia interested in strengthening familymedicineandcomprehensiveprimarycare asacoreelementofhealthsystems

FIND MORE INFORMATION AND REGISTER NOW!

LSHTM WEBINAR SERIERS: PRIMARY HEALTH CARE: THE HEART OF EVERY HEALTH SYSTEM

The London School of Hygiene & Tropical Medicine (LSHTM) invites you to a ten-part seminarseriesthatwillrunfromOctober2022to July2023.

The series provides an overview of the key features and functions of PHC, the potential of PHCinallhealthsystemsanditsroleinachieving universal health coverage Sessions draw on examplesacrossdifferentsettings

For more details and joining instructions follow links"with"Formoredetails,joininginstructions andrecordingsofpreviouseventsfollowlinks:

12.45–13.45,Wed5Oct2022:PanelDiscussion.PrimaryHealthCare:Theheartofeveryhealthsystem? 12.45–13.45,Wed2Nov2022,WhatisPrimaryHealthCare?

12.45–13.45,Wed7Dec2020,AchievingPrimaryHealthCarethroughMultisectoralActionandPolicy 12.45–13.45,WedJan2023,EmpoweringPeopleandCommunities

Feb2023,IntegratingPrimaryCareandPublicHealth

Mar2023,FinancingPrimaryCare

Apr2023,GettingthePrimaryCareWorkforceright May2023,Holdingittogether:PrimaryCareInfrastructure Jun2023,Measuring,regulating,andimproving PrimaryCare

Jul23,PanelDiscussion:PrimaryHealthCareat theheartofeveryhealthsystem-anachievable dream?