WONCA News April 2023

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

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@WONCANET PHONE:+32(0)23290075

WONCAEDITOR

MARIADOLORESZAVALA

EMAIL:EDITOR@WONCANET

TRANSLATIONS

DRJIEGU

DRHUAYANG

WONCA & WHO NEWS

FROM THE PRESIDENT

PAGE 3

WONCA SYDNEY HOC CHAIR: APRIL 2023 PAGE 5

WONCA CONFERENCES

WONCA SYDNEY 2023

RMA 2023

WONCA EUROPE 2023 - BRUSSELS, BE

WONCA CIMF 2023

MONTEGUT SCHOLAR AWARD

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PAGE 12

TAIWAN FAMILY MEDICINE RESEARCH AWARD 2023 PAGE 13

WONCA & WHO NEWS

FIFTH GLOBAL FORUM ON HUMAN RESOURCES 2023

WONCA ENDORSES IAHPC ADVOCACY NOTE FOR PALLIATIVE CARE IN PANDEMIC TREATY

WHO UPCOMING WEBINARS ON INDIGENOUS HEALTH

“LET’S TALK PRIMARY HEALTH CARE”

WONCA REGIONS

SOUTH ASIA REGION: APRIL 2023

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PAGE 19

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WORKING PARTY ON ENVIRONMENT

WORKING PARTY ON MENTAL HEALTH

WORKING PARTY ON RESEARCH

WORKING PARTY ON WOMEN AND FAMILY MEDICINE

WORKING PARTY ON MENTAL HEALTH & YDM

WORLD FAMILY DOCTOR DAY 2023

FEATURED STORIES

WORLD HEALTH DAY

WONCA ORGANISATIONAL EQUITY

COMMITTEE: INTERNATIONAL DAY FOR THE ELIMINATION OF RACIAL DISCRIMINATION

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WORKING PARTY ON EHEALTH & YDM COLLABORATIVE WEBINARS ANNUAL REPORT PAGE 36

FROM THE PRESIDENT

A colleague recently referred to WONCA’s young doctors as “the future of Family Medicine” The young doctors’ irritation at what he had intended as praise surprised him “We’re already active – today,” they objected “We’re part of the team that’s buildingourprofessionnow”

I fully agree! Generations of young family doctors have participated in WONCA during ourorganization’sfiftyyearsandhavecome ofagealongwithus

May your hands always be busy

May your feet always be swift

May you have a strong foundation When the winds of changes shift

“Forever Young” by Bob Dylan

The impressive history of the Young Doctors inWONCAdeservestobetold:

Over the last 20 years, Young Doctors Movements(YDMs)havebeenestablishedin allofWONCA’ssevenregions,contributingto the increase in the number of member organizations. For WONCA, ‘young doctors’ arethoseintheir“firstfiveyearsofpracticing asaFamilyDoctor,ORintrainingasaFamily Doctor, OR are medical students” Anyone who meets these criteria is entitled to membership in YDMs and to attend WONCA conferences at reduced fees. WONCA memberswhodon’tfitthedefinitionarenot eligibletojoinYDMs.

Of course, there is no such exclusivity in the other direction: All members of WONCA, regardlessofage,trainingstatus,orlengthof practice, are welcome to participate in WONCA governance and professional developmentactivities.

THE YOUNG DOCTORS MOVEMENTS TAKE SHAPE

The first YDM was established in 2004 in Europe – in Lisbon, Portugal, which explains the name its members chose initially: the VascodaGamaMovement.By2009,theAsia Pacific region had established their movement,Rajakumar Thenextyear,2010, the South Asia and South America regions followed suit under the names, The Spice Route,andWaynakay In2013,ourEMRand Africa regions established their Al-Razi,and AfriWonmovements.In2014,NorthAmerica followed with their Polaris. A WONCAaffiliatednetworkfor“youngruraldoctorsin training”calledRuralSeedswaslaunchedin 2017 Then, in 2022, the Vasco da Gama Movement became the European Young DoctorsMovement.

THE YDMS DEVELOP

It became clear that, for the voice of the young doctors to be heard in our global community, they needed to be represented on the Global Executive Board After a trial periodbeganin2013,thedecisionwasmade tochangethebylaws,assigningapermanent placeontheBoardtoarepresentativeofthe YoungDoctorsinWONCA Onebyone,sixof thesevenRegionalWONCABoardsallocated aseattoaYoungDoctorsrepresentativeand changed their bylaws accordingly The only exception is WONCA North America whose regulatory system differs from those of the otherregions.

EachoftheYoungDoctorsMovementshasits own governance structure. They organize regional as well as global pre-conferences Increasingly,representativesoftheYDMsare being included in Working Parties, and in Special Interest Groups Liaison arrangements among WONCA networks and the regional YDMs have been established since 2022. We’ve also seen young doctors stepuptothepodiumaskeynotespeakersat bothregionalandglobalconferences

CONTRIBUTIONS

Even before the COVID 19 pandemic, young doctorsbeganleadingthewayasearlycyber tools adopters They organized digital webinars, meetings, forums, and conferences, enabling greater linking of the far-flungglobalWONCAnetworks.

Theyhadalreadyrecognizedthepossibilities for professional exchanges that a broad global network provides, and have gone on to make creative use of them A good example is the Family Medicine 360º (FM360º) It was established in 2013 and describedontheirwebsiteas:

a global exchange program for those in Family Medicine/General Practice training and in the first five years of Family Medicine practice. It enables participants to spend up to four weeks visiting the Primary Health Care system of a different country, and includes host practices from all over the world Itisbasedonlearningobjectives,thus providingitwitheducationalcontent

Andtherearemore Forexample,ASPIRE: a program of YDMs launched to enhance youngFamilyMedicinedoctors’connections with the global Family Medicine community by means of educational workshops, conferences, and research, [increasing] involvement with the national and regional organizations, as well as WONCA World [This allows] young doctors to contribute to improvements of Primary Care in a global setting

It’seasytoseewhyI’vededicatedthisentire NewslettertotheyoungdoctorsofWONCA!

NOW, A ‘CORE VALUES’ REQUEST

Each and every time I engage with people whoaredifferentfromme,I’mremindedjust how much diversity adds to a professional community More than we may realize, we are products of the culture and the times in which we were raised Our differing experiences create and reinforce differing perspectivesandexpectations,and,tosome extent, different values. We share a mutual responsibility to recognize, acknowledge, andrespectthisdiversityofassumptionsand priorities,includinginourprofessionallife

IntheMarchWONCANewsletter,Ilauncheda globalbrainstormingprocessfocusedonthe ‘Core Values of Family Medicine’ My requesthereisthattheYDMsplacethattopic ontheagendawhenplanningtheirmeetings andconferencesduringthistime.

Wewantourexchangestomakerelevantand useful contributions towards our aim: developing and maintaining a common understanding of our field To achieve that, all our voices must be heard I am looking forward to the input that the Young Doctors inWONCAwillbringtotheprocess!

Please share your views and reflections

WritetousatCoreValues@woncanet

Finally,Iwanttothankyou,WONCA’sYoung Doctors, for the effort you invest and the contributions you make toward building the FamilyMedicineofnow Yes,andalsoofthe future. Ours is a joint venture for Family Doctors–young,old,andin-between.

PRESIDENT

The 2023 WONCA world conference organisationisprogressingwell,andwelook forward to welcoming you to Sydney in October Darling Harbour will be bright and sunny then and surrounds the conference activities with sea life museums, boat cruises,eateries,andnightlifenearby.

We are organizing some fabulous inter practice GP visits which delegates can attend There will be a combination of approaches Thefirstisagroupofdelegates will attend a nominating GP practice in the Sydney suburbs with transport organized Some of these practices will be special interest practices in LGBTIQ and HIV medicine Delegates will travel in groups of up to ten other GPs and will be able to visit twopractices

The other opportunity is a bus trip of about two hours up into the Blue Mountains north of Sydney. This will be arranged on a minibus, and the group will visit several practicesandgainsomeruralexperienceina regional area of Australia Transport will be arrangedbackforafulldayofactivities This is being organised by Professor Charlotte HespeandAssociateProfessorRowenaIvers and is a great experience they usually share with medical students and trainee GPs. Charlotte and Rowena are on our RACGP NSW faculty council and will be a font of information regarding Australian General Practice

For expressions of interest on the inter practicevisitspleaseemail

Wonca2023@racgporgau

Next month we will showcase some of our wonderfulkeynotespeakersandtheirtopics

We have Dr Anna Stavdal, Professor Michael Kidd, Professor Enrique Falceto de Barros, Professor Sandra Eades, Professor Trish Greenhalgh, Professor Iona Heath, with a panel including Dr David Tipene-Leach, Dr Maria Neira and Associate Professor Viviana MartinezBianchi Seethewebsitefordetails astheprogramtakesshape

It will be my pleasure and honour to welcome you to the Sydney WONCA World Conference, a celebration of primary care and all your excellent work Its going to be informativeandfun!

Untilnextmonth!

Chair of the HOC WONCA Sydney Immediate past president RACGP

JOIN US AT WONCA SYDNEY 2023 FOR A JOURNEY IN PRIMARY CARE

Embark on an exciting journey to Sydney, Australia for the WONCA 2023 World Conference, proudly hosted by Royal Australian College of General Practitioners (RACGP) The world has gone through a significant shift in the last few years and the role of primary care has never been more critical Family doctors, GPs, and primary healthcare specialists have been at the forefrontofthisshiftinmanycountries.

The WONCA Sydney World Conference 2023 offers the opportunity to connect and exploretheseexperiencesfurther

Hear from keynote speakers, including Professor Michael Kidd AM, a renowned expert in primary care and the Deputy Chief MedicalOfficerandPrincipalMedicalAdvisor withtheAustralianGovernmentDepartment of Health and Aged Care, where he leads Australia’snationalprimarycareresponseto the COVID-19 pandemic. Professors Kidd’s presentation will focus on primary care contributions through the COVID-19 pandemic

The WONCA 2023 conference will provide a unique opportunity to learn from the experiences of colleagues in different cultures and contexts In addition to the conference,you'llhavethechancetoexplore Sydney's rich cultural heritage, worldfamouslandmarks,andnaturalwonders. Take a scenic ferry ride across the harbour, explore the famous Sydney Opera House, or relaxonBondiBeach-there'ssomethingfor everyone in this vibrant and cosmopolitan city

Planning to attend the Rural Medicine Australia 2023 (RMA23) conference in nipaluna(Hobart)inOctober?Theearlybird saleisonnow,meaningit'stheperfecttime to register and save up to $260* Plus, registering early is a great opportunity to purchase limited space tickets to popular events like the Presidents’ breakfast and RMA23awardsdinner.

HostedbytheAustralianCollegeofRuraland Remote Medicine (ACRRM) and the Rural Doctors Association of Australia (RDAA), RMA23 is set to be the event of the year, attractingadiverse,collaborative,andglobal community of students, doctors-in-training, educators, academics, and rural consultant specialists who are passionate about rural andremotemedicine

Not only will you hear from engaging industry experts, participate in workshops, and further enhance your clinical skills, but you’ll also network with some of the brightest minds in rural and remote medicine

What are you waiting for? Register now and secure your ticket to this year’s must-attend eventwhiletheearlybirdsaleison.

28TH WONCA EUROPE CONFERENCE

7 - 10 JUN 2023, BRUSSELS, BELGIUM

The28thWONCAEuropeconferencewillgive you chance to discuss and implement positivechangeinprimarycareinEurope

This year the conference is taking place in Brussels Asoneofthelargestconferencesin thefieldoffamilymedicineandprimarycare, it is set to bring together healthcare professionals,policymakers,andresearchers fromallaroundEuropeandbeyond.

With a theme of "Making choices in primary care", the conference promises to be a platform for exchanging knowledge, sharing best practices, and fostering collaborations inthefieldofprimarycare

The conference will feature a diverse program with a wide range of scientific sessions, workshops, and plenary lectures, covering various topics related to family medicineandprimarycare

In addition to the scientific program, the conference will also offer networking opportunities, allowing participants to connect, engage in discussions, and build meaningfulrelationships

SeeyousooninBrussels!

MONTEGUT SCHOLAR AWARD

SUPPORTED BY THE AMERICAN BOARD OF FAMILY MEDICINE FOUNDATION

We are pleased to announce that the application for the Montegut Global Scholar Program(MGSP),sponsoredbytheAmerican BoardofFamilyMedicineFoundation,isnow open!

The Montegut Global Scholars Program (MGSP) was established by the American BoardofFamilyMedicineFoundation(ABFMF) in 2010 The American Board of Family Medicine(ABFM)isamemberoftheAmerican Board of Medical Specialties (ABMS) The ABFM-F is a supporting organisation of the ABFM Its primary mission is to support the ABFM’sresearchandscholarlyactivities

ALAIN MONTEGUT MD

The Montegut Global Scholars Program (MGSP) was established by the ABFM-F in April 2010. It was named in honor of Alain Montegut, M.D., a member of the Board of Directors of the American Board of Family Medicine (ABFM) from 2005-2010 and whose career has been devoted to developing high quality family medicine practice internationally, especially in underserved and/orundevelopedcountries

A PROGRAM FOR WONCA REGIONAL MEETING ATTENDANCE.

The MGSP was established to foster international education, research, and collaboration in the specialty of family medicine. It will support the attendance of family physicians from Africa, Asia Pacific, East Mediterranean, Europe Iberoamericana, NorthAmerica,andSouthAsiaRegionsofthe international organization of family physicians (WONCA) to any WONCA regional conferenceof2022

For further information on the MGSP click here.

APPLICATION PROCESS

InterestedcandidatesmustfillouttheMGSP Application and send it to their respective WONCARegion.

The application deadline is Friday 19 May 2023 at 17:00 UTC No applications will be acceptedafterthedeadline

Applications will be reviewed by the MGSP Regional Committees and the selected regionalcandidateswillbesharedwithABFM forfinalapprovaloftheScholarshipwinners

WONCA REGIONS’ CONTACTS WONCAAfrica PresidentAFRICA@woncanet

WONCAAsiaPacific Reg.PresidentAPR@wonca.net

WONCAEastMediterranean PresidentEMR@woncanet

WONCAEurope SecretariatEurope@wonca.net

WONCAIberoamericana-CIMF presidentcimf@woncanet

WONCANorthAmerica PresidentNAmerica@woncanet

WONCASouthAsia PresidentSAR@wonca.net

CALL FOR APPLICATIONS

TAIWAN FAMILY MEDICINE RESEARCHAWARD2023

TheTaiwanFamilyMedicineResearchAward (TFMRA) was established by the Chinese Taipei Association of Family Medicine (CTAFM) in 2008 It is to support travel expense for three junior family physicians to attend each WONCA World Conference. The purpose of TFMRA was to encourage junior family physicians to conduct research in the specialtyfieldoffamilymedicine

THE AWARD

The TFMRA is a prize of USD 1,500 to each youngfamilyphysiciansfortheexcellenceof theirresearch.

CTAFMwillgiveatotalofUSD4,500tojunior family physicians for them to attend the WONCA World Conference in Sydney, Australia Three junior family physicians will bechosenbytheselectioncommittee

Winners should attend the WONCA World Conference2023inpersonorbyanofficially approved representative by the selection committee to receive the award from the PresidentoftheChineseTaipeiAssociationof FamilyMedicine

*AtleastonewinnershouldbefromtheAsia Pacificregion.

ELIGIBILITY FOR APPLICANTS

1 The applicant must fulfill one of the following qualifications: a practicing family physi-cian; an attending physician at an academic institute, a resident in a formal training program, or a graduate student in therelatedspecialtyoffamilymedicine.

2 Theapplicantshouldbeunder40yearsof age and in the first three years of their researchcareer.

3 No more than one applicant from each WONCAMemberOrganisation

4 The applicant should submit a full paper that is unpublished and unpresented elsewhere

5 Thesubmittedpapershouldhavereceived nofundingfromanyresourcesoraward

6 The award paper should be presented at theWONCAWorldConference2023

CRITERIA FOR SELECTION

1 Relevance of the research topic to the familymedicineofthecountrywheretheresearchwasconducted

2 The originality of the article and compliancetothecodesofresearchethics

3 Rigoroftheresearchmethodology

4 Contribution of the research to clinical practice

5 QualityofEnglishwritingincludingbutnot limited to abstract, introduction/background,literaturereview,materials andmethods,results,anddiscussion

TO APPLY

Please send submissions, including a covering letter to Chinese Taipei Association ofFamilyMedicineandacopyofarecentCV, by the closing date of Friday 19 May 2023 at 17:00 UTC to the WONCA Secretariat at secretariat@wonca.net.

FIFTH GLOBAL FORUM ON HUMAN RESOURCES 2023

TheFifthGlobalForumonHumanResources for Health was successfully held from 3 to 5 April2023,duringWorldHealthWorkerWeek

Under the theme of "Protecting, safeguarding,andinvestinginthehealthand careworkforce,"theForummarkedoverfive years since the adoption of the Global Strategy on Human Resources for Health: Workforce 2030. It provided updates on the progress of its implementation and shared evidence and experiences on workforce development, along with opportunities for the post-COVID-19 era that will inform the implementation of the Working for Health 2022-2030 Action Plan The Forum delved into the required policy solutions, investments,andmulti-sectoralpartnerships to address health and care workforce challenges and advance health systems towards universal health coverage and health security The outcomes of the Forum will inform the United Nations General Assembly's High-Level Meeting on UHC in September2023.

The Forum was intersectoral in nature, engaging participation from a diverse range of actors, including high-impact decisionmakers from the education, finance, gender, health, labour/employment, and migration sectors TheformatoftheForumwashybrid, with in-person participation limited to speakers participating in the high-level roundtable dialogue. Parallel sessions and otherlearningandnetworkingactivitieswere held virtually and made available upon registration through a dedicated IT platform for the Forum Simultaneous interpretation in English was provided for the high-level roundtables

WONCAexpertsparticipatedmultipleparallel sessions, icluding the "Rural Pathways: Advancing Equitable Access for Health WorkersinRuralandRemoteAreas"session, which featured distinguished speakers, including Dr Özden Gökdemir, Chair of the WONCA Working Party on Environment, and Prof. Bruce Chater, Chair for the WONCA WorkingPartyonRuralPractice.Thesession also had notable participation from researchers such as Delphin Kolie from the Maferinyah Research Centre in Guinea, Andrea Nove from the research and knowledge management consultancy NovametricsintheUK,andPrabirChatterjee fromtheStateHealthResourceCentreRapulr in India. The session was effectively moderated by Remco Van de Pas, a Public Health Doctor for the Centre of Planetary HealthPolicyinGermany

WONCA ENDORSES IAHPC ADVOCACY NOTE FOR PALLIATIVE CARE IN PANDEMIC TREATY

WONCAsupportsandendorsestheAdvocacy note by the International Association for Hospice & Palliative Care (IAHPC) for the inclusion of palliative care language in the responsetreaty.

Thefollowingsuggestionsareproposedtobe added to the Zero Draft of the Pandemic Treaty:

I. GENERAL COMMENTS:

1) “Primary health care” is referenced twice, whileUHCismentioned17times.

a. We suggest reinserting PHC as per textual suggestions below and including the WHO definitionofPHCinthedefinitionsArticle

2)Theword“suffering”appearsnowhere We suggestwhereitcanbeinserted

3) The word “rehabilitation” appears nowhereinthedocument

4) Treaty language with page numbers from the Zero Draft is copied and pasted below with suggested text changes highlighted in red

II. PREAMBLE P. 4

28 Reiterating the need to work towards building and strengthening resilient health systems to advance universal health coverage, with primary health care as an integral component, as an essential foundation for effective pandemic prevention, preparedness, response and recovery of health systems, and to adopt an equitable approach to prevention, preparedness, response and recovery activities, including to mitigate the risk that pandemics exacerbate existing inequities in serious health-related suffering, particularly amongvulnerablepopulations.

33 Deeplyconcernedbythegrossinequities that hindered timely access to medical and other COVID-19 pandemic-related products, notably vaccines, oxygen supplies, personal protective equipment, diagnostics, therapeutics and internationally controlled essentialmedicines P6(UNODC,WHO,INCB JointStatements2020and2021)

35.Emphasizingthat,inordertomakehealth forallareality,individualsandcommunities need:equitableaccesstohighqualityhealth services, namely promotion, prevention, treatment, rehabilitation and palliative care, without financial hardship; well-trained, skilled health workers providing quality, people-centred care; and committed policymakers with adequate investment in health toachieveuniversalhealthcoverage,p 7

III CHAPTER I DEFINITIONS AND USE OF TERMS

Article1 P9

Suggestion:Define“primaryhealthcare”per WHOdefinition

"PHC is a whole-of-society approach to health that aims at ensuring the highest possible level of health and well-being and their equitable distribution by focusing on people’sneedsandasearlyaspossiblealong the continuum from health promotion and disease prevention to treatment, rehabilitation and palliative care, and as close as feasible to people’s everyday environment"

Suggestion: Define “serious health-related suffering”perIAHPCdefinition

“Suffering is health-related when it is associated with illness or injury of any kind. Health related suffering is serious when it cannot be relieved without medical intervention and when it compromises physical, social, spiritual and/or emotional functioning” http://pallipediaorg/serioushealth-related-suffering-shs/

Suggestion: Add definition of “health services”: encompasses promotion, prevention, curative, rehabilitation and palliative https://www.who.int/teams/integratedhealth-services/about

IV Operationalparagraphs

ARTICLES RELATED

What Is the Intergovernmental Negotiating Body(INB)?

GUIDING PRINCIPLES AND RIGHTS

ChapterIIArticleVI,P12

15 Universalhealthcoverage–TheWHOCA+ will be guided by the aim of achieving universal health coverage, for which strong and resilient health systems that integrate promotion, prevention, treatment, rehabilitation and palliative care, are of key importance, as a fundamental aspect of achieving the Sustainable Development Goals through promoting health and wellbeingforallatallages

ChapterIIIArticleVIP.13

Article62 TheWHOGlobalPandemicSupply ChainandLogisticsNetwork(the“Network”) is hereby established Controlled essential medicines in all routinely used formularies must be included in planning and execution per UNODC, WHO, INCB Joint Statements 2020and2021

ChapterIV,Article11.P.19

4 (a) continued provision of quality routine and essential health services during pandemics, including clinical and mental health care and immunization, with a focus onprimaryhealthcareandcommunity-level interventions, and management of the backlogofandwaitinglistsforthediagnosis and treatment of, and interventions for, other illnesses, including rehabilitation, palliative care and care for patients with long-termeffectsfromthepandemicdisease

Chapter V, Article 16. Whole of GovernmentApproachp.22

The Parties recognize that pandemics begin andendincommunitiesandareencouraged to adopt a whole-of-government and wholeof-society, primary health care approach, including to empower and ensure communities’ownershipof,andcontribution to, community readiness and resilience for pandemic prevention, preparedness, responseandrecoveryofhealthsystems

ChapterVI,Article19,FinancingP25

(b) plan and provide adequate financial support in line with its national fiscal capacities for: (i) strengthening pandemic prevention, preparedness, response and recoveryofhealthsystems;(ii)implementing its national plans, programmes and priorities; and (iii) strengthening health systems and progressive realization of universalhealthcoverage,minimisingoutof pocketspendingforpatientsandfamilies.s

video Credit: International Association for Hospice & Palliative Care (IAHPC) FindmoreinformationattheIAHPCwebsite

WHO UPCOMING WEBINARS ON INDIGENOUS HEALTH

WONCA encourages you to join our WHO colleagues on an important webinar this weekonIndigenoushealth

The event on "Indigenous Peoples’ Mental Health " will take place on 20 April from 14hr00 to 15h30 CET. This event is being organized by the GDER Department (Health Equity team), WHO/HQ Mental Health Department,andPAHOEGCOffice Theevent willexplorepossibleinterventionstoaddress the root causes of Indigenous Peoples’ mental health problems, including through the full recognition and exercise of Indigenous Peoples’ collective rights and self-determination.

Chairs: Devora Kestel, WHO Director, Mental HealthandSubstanceUse.

PROGRAMME

OpeningremarksbytheChairs.

Presentation by Denise Kingi-Uluave, leader of LeVa – an indigenous mental health organisation from New Zealand (TBC)

Presentation by Amina H Salaton, psychiatric nurse in Kenya, Subcounty RH Coordinator speaking on “mental healthinKenya”

Presentation by Aimée DuBois, PAHO national Consultant; and Enrique Cachiguango, medical doctor and traditional healer from Otavalo people speaking on “cultural adaptation of the WHO Mental Health Gap Action Programme(mhGAP)inEcuador”.

Presentation by Petter Stoor, University ofUmea,Sweden,andcoordinatorofthe Lávvuo - Research and education for Sámi Health speaking speaking on “suicide prevention and interventions among Sámi in Norway, Sweden and Finland”

Closingremarks.

Geoffrey Roth, Vice-Chair for the United NationsPermanentForumonIndigenous Issues

20April

Time:14h00to15h30CET

VirtualmeetingLink: https://whozoomus/j/98608682378

WONCA EXPERTS JOIN

“LET’S TALK PRIMARY HEALTH CARE”

The WHO European Centre for Primary HealthCarehostsamonthlytalkshowcalled Let’s Talk Primary Health Care. The show is targeted at policy-makers, influencers, implementers and health managers primarilyintheWHOEuropeanRegion

These dynamic, conversation-style, actively moderated, 1-hour online events explore a giventopicrelatedtostrengtheningprimary healthcare.

Thepaneltypicallyincludes1moderatorand upto4guestswhoareeitherprimaryhealth care experts or national/subnational decision-makers/implementers from MemberStatesoftheWHOEuropeanRegion.

Therehasbeenatotalof11showswhichare availableHERE

The latest episode of "Lets Talk Primary Health Care" took place on Tuesday, March 7th, from. The session focused on the challenges facing primary healthcare and featured a panel of experts, including Dr María Pilar Astier-Peña, family doctor and WONCA Executive Member at Largewho sharedherownexperiences

The panel was moderated by Dr Melitta Jakab and Dr Joseph Figeras, and also included Dr Katherine Rouleau, the Global PHC lead for the Office of Health Systems PartnershipattheDepartmentofFamilyand Community Medicine at the University of Toronto, and Dr. Kristina Zutielene, a family doctor and assistant professor at the Lithuanian University Hospital Kaunas Clinic inLithuania

ThisisnotthefirsttimethatWONCAexperts havecollaboratedonthesebroadcasts.

WONCA Europe Past President, Prof Dr Mehmet Ungan was part of the first episode “Priority setting of PHC services during the pandemic”,whichairedinApril2021

SOUTH ASIA REGION: APRIL 2023

Authors:

Dr Tariq Aziz, President WONCA South Asia Region (SAR)

Dr. Hina Jawaid, Chair WONCA SAR Primary Care Research Network

Dr Ramakrishna Prasad, Editor WONCA SAR Journal

WONCA WORKING PARTY ON WOMEN AND FAMILY MEDICINE(WWPWFM) SOUTH ASIA REGION (SAR)

Authors: Dr Sharmeen Shiraz, General Practitioner in Sri Lanka & Secretary Spice Route YDM, Sri Lanka & Dr Hina Jawaid, Associate Professor & Head of Department Family Medicine at University of Health Lahore, Pakistan.

The Inaugural session took place on the 8th March at 2 – 3PM Pakistan standard time, 2:30 PM India & Sri Lanka, 2:45 PM Nepal, 3:00PMBangladesh&Bhutanstandardtime asscheduled

Dr Hina Jawaid welcomed all participants and thanked all panelists for their valuable time

Prof Karen Flegg, President Elect WONCA, congratulated all the participants including thegentlemen Shespokeaboutthisspecial day as a day to celebrate Women/Doctors andleaders Shealsoemphasizedongender equalityandhopestoseesomeofthefaces on today’s session at Sydney WONCA Conference2023.

ProfAmandaHowePastChairWWPWFMand Past President of WONCA, mentioned that she was familiarized with WONCA through the women working party. She is convinced that together as a working party we can do somethinginthefuture

Prof Amanda Barnard, Past Chair of WWPWFM,wasournextspeakerandshewas impressed to see so many young women She can definitely see a change in the working party as she was part of the early phaseofthispartyandwishesthebestinthe future

Dr Tariq Aziz, SAR President, also congratulatedDrHinaandallthepanelists

Dr Elizabeth Reji Chair of WWPWFM gave an elaboratepresentation.

Shecongratulatedeverywoman,amother,a child, leader, trainer on this Women’s Day and mentioned that it is also a day to celebrate the advancement of technology which has brought such great individuals togetherontheforumtoday

She delved into the rich history and background of the Wonca Working Party on WomenandFamilyMedicine(WWPWFM).

She spoke that it is forums and sessions of thisnaturethathelptoconnect,makegreat friends, advisers, mentors, and overtime brings about changes in oneself through learning from others and this helps with behaviortowardspatients

She emphasized the importance of being a woman and the need to raise our voices to bringaboutchange Furthermore,shespoke about the inspiring vision of the Wonca Working Party on Women and Family Medicine(WWPWFM).

Shethenprovidedanoverviewofthisyear's vision,whichincludestheestablishmentofa Regional team and a Communication team She expressed her admiration for Dr Hina, the recently appointed Regional Lead for South Asia, who successfully formed a team of 28 members from countries such as Sri Lanka,Pakistan,Nepal,Bhutan,Bangladesh, and India in just 10 days. She was also thrilled to learn that out of the 18 abstracts submitted for the upcoming Wonca Sydney conference in 2023, 8 were from the South AsiaRegion(SAR)

She got familiar with the WWPWFM SAR: Introduced the regional lead, communication rep, young doctor rep and nationalleadforeachcountry Sheofficially announced the opening of the new chapter intheSouthAsiaRegion:TheWWPWFM:SAR.

RegionalLead:DrHinaJawaid

CommunicationLead:DrSharmeenShiraz

YoungDrLead:DrGunjanJha

Nationalleads:

Bangladesh–DrParamitaKarim

Bhutan–DrKinleyBhutti

India–DrSrividhyaRaghavendran

Nepal–DrRajaniGiri

Pakistan–DrHinaJawaid

SriLanka–DrDiliniIllapperumaBaranage

The session then ended with the introductionoftheparticipants

DrJyotikaGupta

DrSrividhyaRaghavendran

DrSharmeenShiraz

DrGunjanJha

DrNaseemBasit

DrDiliniIllapperumaBaranage

DrArunaVinod

DrSaadiaMustafa

DrSerinKuriakose

DrAkshayaNagaraj

DrKabitaBatooja

DrSabaGul

DrZainabHafeez

DrZaraMohamed

DrSankhaRandenikumara

DrGobithRatnam

DrMarjorieCross

DrTehzeebZulfiqar

TRAINING AND EDUCATIONAL ACTIVITIES FOR FAMILY PHYSICIANS IN SAR

Authors: Dr Srividhya Raghavendran, Family Physician and Head of Department Family Medicine, Bangalore Baptist Hospital, India, Dr Hina Jawaid Associate Professor & Head of Department of Family Medicine at University of Health Lahore, Pakistan

1- Online sessions arranged by Primary CareResearchNetworkSAR

(a)-CommunitybasedPrimaryCareactivities and promoting Basic Life Support at undergraduate level by Dr Abdul Jalil Khan on17thJan2023

(b)-CommunitybasedPrimarycare-sharing experiences from South Punjab, Pakistan by DrMuhammadRazaon24thMarch2023

2- Communication skills workshop for post-graduates enrolled in the Fellowship programme in Family Medicine was held on 17th March 2023 at St John’s Medical College,India Thisfellowshipprogrammeis a one-year distance education programme with 2 weeks of contact session for face-to facelearning.

3. Training Workshop on Family Planning andContraception

A training workshop was conducted for the MCGP trainees (Member of College Practitioners) on the 18th of March at the FamilyPlanningAssociation(FPA)SriLanka.

Resourceperson

DrNuzrathNazoordeen(DirectorFPASri Lanka)

DrAyshaZiauddin(MRCOG,MRCGP)

Representatives

Dr Dilini Illapperuma Baranage (Secretary College of General PractitionersofSriLanka)

Dr Sharmeen Shiraz ( Secretary Spice Route Young Doctor’s Movement Sri Lanka)

Atotalof30participantswereinattendance. Itcommencedat8amandendedat2pmand trainees got hands-on experience with the use of models to insert Intrauterine device and ImplantsPaticipants were given a certificateattheendoftheprogram

WORKING PARTY ON THE ENVIRONMENT STATEMENT TO PROTECT HEALTH BY COMMITTING TO FOSSIL FUEL NON-PROLIFERATION AND CLIMATE ACTION

Theburningoffossilfuels(coal,oilandgas) has profound health impacts. It contributes to air pollution and is the major driver of climate change Air pollution from burning fossilfuelshasbeenestimatedtocontribute to approximately 1 in 5 deaths globally Climate change is already affecting health and remains the greatest global health threat of the 21st century. Our reliance on coal,oilandgasthreatens lives, livelihoods, and the ability of the planet to sustain humanwellbeing

In 2019 WONCA declared aclimate emergency However, greenhouse gas emissions (GHG) and global temperatures have continued to rise. Rising global temperatures are driving increasingly frequentandsevereextremeweatherevents andrapidlyescalatinghealthimpacts

Limiting average global temperature rise to 1.5°C (2.7°F), compared to the pre-industrial era,isnecessarytosafeguardhumanhealth from potentially catastrophic climate change To achieve this, the world will need to reduce GHG emissions by at least 6% annually between 2020 and 2030 Limiting heating to 1.5°C requires an end to the development of any new fossil fuel supply projects. Yet fossil fuel companies continue to develop new coal, oil and gas projects, and receive government subsidies This undermineseffortsbytheglobalcommunity to limit warming to 15°C and safeguard humanhealth

The World Health Organization (WHO) has called for an end to fossil fuel subsidies and greaterinvestmentincleanenergyasurgent public health interventions WHO and leading health organisations around the world have endorsed a fossil fuel nonproliferationtreatythatcallsfor:

an end to all new coal, oil and gas explorationandproduction; phase-outofexistingproductionoffossil fuelsinlinewiththe15Cglobalclimate goal;and ajusttransitionthataddressestheneeds of individuals, communities and countries to move away from fossil fuel energy systems towards more diverse, resilient and inclusive economies poweredbyrenewableenergy.

Health practitioners globally must show leadership in joining this callTherefore, the World Organization of Family Doctors (WONCA):

1. Recognises that to have any chance of limiting warming to 1.5°C, there can be no newfossilfuelprojects

2. Recognises the morbidity and mortality caused by fossil fuel air pollution and the health benefits from transitioning to clean energysources

3 Endorses the call for a Fossil Fuel NonProliferation Treaty, including: nonproliferation of new coal, oil and gas developments; a phase out of existing fossil fuel production; and just support for individuals and communities impacted by thetransitiontorenewableenergysystems.

4 Callsfortheremovalofsubsidiesforfossil fuel developments that undermine human health.

5. Adopts sustainability as a core value in organisational operations, and in the deliveryofhealthcarearoundtheworld.

6. Invites WONCA Member Organisations to recommit to the actions suggested in the WONCA2019ClimateEmergencystatement.

7. Calls on all global health organisations, medical colleges, and medical schools to endorse the call for a Fossil Fuel NonProliferationTreaty

ACCOMPANYING NOTES

Thesehavebeendevelopedtosupportthose considering the adoption of this position statement

GLOSSARY

Fossilfuelisatermforcoal,oilandnatural gas, carbon rich fuels formed from the remains of plants and animals buried in the earth’s crust When burned fossil fuels releasegreenhousegases

Greenhouse gases (GHG) are gases that trap heat in the atmosphere This drives global warmingandchangestotheworld’sclimate system that can be dangerous to human health (climate change). The main greenhouse gases are carbon dioxide (CO2), methane (CH4), nitrous oxide (N20) and fluorinated gases (as found in some anaestheticgasesandrespiratoryinhalers)

Climate change impacts health in many different ways Information on the health impacts can be found on the World Health Organization site with different language options

The 15°C target is the goal of theParis Agreement, which was endorsed by 196 countries at the UN climate meeting COP21 in 2015 This goal was identified because beyond 1.5°C of warming the health and other impacts of climate change are expected to dramatically escalate The Paris Agreement calls for countries to take meaningful climate action to reduce greenhouse gas emissions and limit global warming ThereisafixedamountofGHGwe canburnifwearetokeeptemperaturerises within certain limits. This is known as the carbon budget. If human activities around theglobecontinuetoproduceCO2atcurrent rates, we will deplete the remaining carbon budgetinalittlemorethan10years Thereis a 50% chance that we will exceed the 15°C targetinthenext5years

Subsidies are an amount of money given to anindustryorbusinesstodeliveraproduct. Subsidies are usually given by governments and may be given in different forms (eg direct payment or lower taxes) Globally, in 2020 subsidies were $59 trillion or 68% of Gross Domestic Product (GDP) Fossil fuel subsidies almost doubled in 2021, slowing progress towards climate goals and are expectedtoincreaseto7.4%ofGDPin2025.

The Fossil Fuel Non-Proliferation Treatyis a campaign to create an agreement to stop fossil fuel exploration and expansion and phase out production in line with the Paris Agreement It has been supported by the World Health Organisation, European Parliament, the Global Climate and Health AllianceandHealthcareWithoutHarm

EXPLANATORY NOTES

Emissionsfromfossilfuelcombustionresult in harmful air pollution Global mortality from outdoor fine particle pollution attributed to fossil fuel combustion is estimatedtobeashighas87milliondeaths annually Aside from fine particulates, the burning of fossil fuel results in a range of toxic pollutants including nitrogen dioxide, sulphur dioxide, ozone, and carbon monoxide These are linked to a range of poor health outcomes including cardiovascular disease, respiratory disease, lung cancer, diabetes, premature births and cognitivedecline

Climate change and health impacts are well described These include those arising from increasingly frequent and severe extreme weather events (such as heatwaves, storms and floods), disruption to food systems, increases in vector borne diseases and mentalhealthimpacts Furthermore,climate change impacts undermine many of the social determinants of health including reducing poverty, ensuring access to healthcare, ending hunger and achieving gender equality. Climate change worsens inequity and disproportionately impacts those already experiencing disadvantage andmarginalisation

Fossil fuel proliferation has profound negativehealthimpacts

FOSSIL FUEL SUBSIDIES AND EMISSION GAPS

Globally,fossil fuel subsidies in 2020 were $59 trillion or 68 percent of GDP They are expectedtoincreaseto74%ofGDPin2025 Subsidies are given to companies to deliver products Fossil fuel subsidies encourage pollution (contributing to climate change and premature deaths from local air pollution), and are poorly targeted to support those with the greatest financial need Removing subsidies and investing in renewable energy would promote more healthy, sustainable and equitable outcomes

The Emissions Gap Reportmeasures the differencebetweencountries'pledgestocut greenhouse gas emissions, and the amount ofemissionreductionneededtolimitglobal temperatureriseto15°Cbytheyear2100 If countries achieved their current pledges undertheParisAgreement,25°Cofwarming is expected to occur by the end of the century

HEALTHCARE SUSTAINABILITY AND OUR CARBON FOOTPRINT

The healthcare sector contributes approximately 44% of total global carbon emissions or the equivalent emissions from 514 coal-fired power stations Energy (primarily the combustion of fossil fuels) contributes more than half of healthcare’s climate footprint. Over 70% of health sector emissions are primarily derived from supply chains. This refers to the production, transport,anddisposalofgoodsandservices required to deliver healthcare (eg medical devices, pharmaceuticals, food and hospital equipment) The healthcare sector has an opportunity to lead by example to reduce our GHG emissions and reliance on fossil fuels.Wecandothisbytransitioningtolowcarbon models of care and embedding sustainabilityasacorevalue

FIRST MEETING OF MASTER FACULTY

OnMarch13,2023,theMasterFacultyofthe MDD Minds project convened for their inauguralmeeting,wheretheywereofficially onboarded to guide the development, design, and implementation of the curriculumandcontent.

The members of the Master Faculty are specialistsinPrimaryMentalHealthCareand understand the particularities and challengesoftheregionwheretheypractice.

TheMDDMindsforPrimaryCareProjectwill require the development of a core curriculum and its adaptation to the different geographical regions where it will beimplemented

We were pleased to have experts from 9 countries who will provide their mentorship alongthisimportantjourney.

Joined the meeting, specialist from Brazil, Greece, Hong Kong, Indonesia, Japan, Kenya,Nigeria,Peru,SaudiArabia,Sri-Lanka, UnitedKingdom,andUnitedStates.

Theirinvolvementintheprojectiscrucialto generate quality content that will make it possible to reach the goals of the project of improving the quality of care for patients sufferingfrommajordepressivedisordersin Africa-Middle East, Asia Pacific, and Latin America.

WORKING PARTY ON RESEARCH

CORE VALUE OF FAMILY MEDICINE & PRIMARY CARE

LEARNING FROM AUSTRALIA, INDONESIA AND SINGAPORE AND THE NETHERLANDS

Join the 3rd session of the WONCA WP Research Webinar "Core Value of Family Medicine and Primary Care" on April 24, 2023, at 10 AM CET This session will delve into the core value of family medicine and primary care, with insights from experts in the field from Australia, Indonesia, Singapore,andtheNetherlands

The distinguished speakers for this session include:

Prof.ChristinePhillips(Australia)

Professor, Social Foundations of Medicine | ANU School of Medicine and Psychology, AustralianNationalUniversity

DrTrevinoA.Pakasi,MS,PhD,Indonesia

Department of Community Medicine, Faculty of Medicine Universitas Indonesia, Jakarta,Indonesia

Prof. Jose Maria Valderas Martinez, Singapore

Prof Medicine, Division of Family Medicine, Yong Loo Lin School of Medicine, Head, Department of Family Medicine (DFM) and Director, Centre for Research in Health System Performance (CRiHSP), National UniversityHealthSystem:Singapore

Prof. Dr. Maria van den Muijsenbergh, ChairoftheEFPC,Netherlands

Professor of Health Disparities and personcentred integrated primary care General Practitioner – huisarts, Radboud University Medical Center, Department of Primary and CommunityCare,theNetherlands

The session will also feature as commentator, Prof. Amanda Howe, who served as the President of WONCA in 2018, and as the President of the Royal College of General Practitioners from 2019 to 2021 Prof Howe has a wealth of experience as a familydoctorfor40yearsintheUKandhas held various leadership roles in the field of familymedicine

The webinar promises to be a thoughtprovoking discussion on the core value of family medicine and primary care, with perspectives from different countries and regions It is a unique opportunity for healthcare professionals, researchers, and policymakers interested in family medicine and primary care to learn from esteemed expertsinthefield.

Don't miss this opportunity to join the WONCAWPResearchWebinarandengagein stimulating discussions on the core value of familymedicineandprimarycare

WORKING PARTY ON WOMEN AND FAMILY MEDICINE

SPREADING THE WINGS TO THE WONCA REGIONS

Background: Wonca Working Party on WomenandFamilyMedicine(WWPWFM)was established at the 16th International Conference of WONCA in Durban, South Africa in 2001 under the leadership of Prof Cheryl LevittThe working party initially started as a Special Interest Group (SIG) in Australia in 1998, under the leadership of Prof MarilynMcMurchie,withtheagendato promote female family doctors in WONCA. Otherleaderswhotransformedthisworking partyintoitscurrentshapearethefollowing:

Prof Amanda Howe (2007- 09), Amanda Barnard(2009-13),Prof Z L Dada(2013-16), Dr Kate Anteyi (2016-18), Dr Aileen RielEspina (2018-20), Dr Noemi Mimi Doohan (2021-22) and other colleagues like Prof LucyCandibandDr.A.DAtaiOmorutu.

The vision is to support /promote women doctors in WONCA to reach their full potential to contribute to patient care, especially women’s health, to education, training, research, mentorship, leadership andWoncainitiativesaroundtheworld.Itis also meant to ensure equity and transparency in implementing Wonca policies, procedures at conferences and to identifykeyissueswithinWoncaforwomen Wealsoaimatreducingthebarriersfacedby women and to highlight their special contributions

The current objectives for this year are to rebuildtheworkingpartyintotheregions:To establish regional teams at the WONCA regions and a communication team for the workingparty

A regional team of the WONCA Working Party on Women and Family Medicine (WWPWFM) should consist of at least the following members: Lead, communications representative, young doctors’ representative,andacountryrepresentative.

As per the WONCA world’s guidelines, a criterion was developed for the regional lead, communication rep, young doctor rep andcountryrep

LEAD OF THE REGIONAL WONCA WORKING PARTY OF WOMEN AND FAMILY MEDICINE

Criteriaandfunctions:

Mustbeafamilydoctor

Must be an active member of the workingparty.

Must be a member of the member organisation of the region or a direct memberofWONCA

Term:Twoyearsandcanbeextendedfor onemoreterm Maxtimeis4years

Willbeaccountableforthegroup

Nofinancialbenefits

Develop a Two-year work plan for the region.

Haveatouchbasewithyourmembersin theworkingparty,atleastaminimumof 4timesayear

Attend regional meetings and preconferences conducted by the chair of theworkingparty

Know the number of members in your region.

Organize webinars & pre-conferences during the regional conferences and Ongoingactivities

Participate in writing Wonca news articlesandworldconferences Writesix(6)monthlyreportstothechair oftheworkingparty.

Steps taken to ensure gender balance and involvement in activities of WONCA regions

Offeringopportunityfornewmembersof thegroup(newideas,projects,portfolio etc)

COMMUNICATION REPRESENTATIVE OF THE REGIONAL WONCA WORKING PARTY OF WOMEN AND FAMILY MEDICINE

Criteriaandfunctions

Mustbeafamilydoctor,

Must be an active member of the workingparty.

Must be a member of the member organisation of the region or a direct memberofWONCA

Term:Twoyearsandcanbeextendedfor onemoreterm Maxtimeis4years

Nofinancialbenefits

Will be accountable for the communication within the working party.

Will be member of the world WWPWFM communicationgroup

Attend regional meetings conducted by thechairoftheworkingparty

Assist with communication within the regionsandWorld.

Assist with improving the number of membersinyourregion.

Assist with updating the WONCA portal andwebsite

YOUNG DOCTOR’S REPRESENTATIVE OF THE REGIONAL WONCA WORKING PARTY OF WOMEN AND FAMILY MEDICINE

Criteriaandfunctions:

Must be a Family Medicine registrar or Family Doctor with less than 5 years of experience.

Must be a member of wonca young doctor’smovement

Must be an active member of the working party/member organisation of theregion

Term:Twoyearsandcanbeextendedfor onemoreterm.Maxtimeis4years.

Nofinancialbenefits

Will be accountable for the young doctor’s activities within the party and bring new ideas from a young doctor perspective

COUNTRY REPRESENTATIVE OF THE REGIONAL WONCA WORKING PARTY OF WOMEN AND FAMILY MEDICINE

Criteriaandfunctions:

Mustbeafamilydoctor,

Must be a member of the member organisation of the region or a direct memberofWONCA

Must be an active member of the workingparty.

Term:Twoyearsandcanbeextendedfor onemoreterm Maxtimeis4years

Will be accountable for the activities of theworkingpartywithinthecountry

Nofinancialbenefits

Assist with the lead with regional activitieswithintheworkingparty. Have meetings with women in your country during conferences and activities

TheabovestandardswillenhanceWONCAto identifywomenwithpotentialexpertisewho can be developed into leadership roles to ensure equity The working party humbly requests WONCA executives and WONCA regional presidents to assist us in achieving theseobjectives.

It will be highly appreciated if we will be supported in these objectives in all the WONCAregions

Kind regards,

ELIZABETH Reji Dr Elizabeth Reji Chair: WWPWFM

INTEGRATING CARE LEADERSHIP & ADVOCACY PROGRAM

Practice transformation requires systemic approaches. We need to persuade policymakers that primary care can deliver effective behavioural and mental health care, and so invest sufficient resource in infrastructureandcapacitybuilding Wealso need to be mindful of the transferability of knowledge and skills across multiple geographies and health system delivery models.

TheIntegratingCareLeadership&Advocacy Program is an educational program delivered by the WONCA Working Party on Mental Health, in collaboration with The Farley Health Policy Centre in Colorado and the Columbia University. It is designed to equipmotivatedfamilydoctorswhowishto enable practice transformation that integrates behavioral health care into routineprimarycarepractice

Following the success of our pilot in 2020 , and to build the evidence for a grant applicationforasubstantivefive-yearrolling program,weproposetoimplementasecond project with an independent evaluation, to assess feasibility of recruitment and acceptabilityofrevisedcontentanddelivery

We are now looking for eight enthusiastic young family doctors, practising in low- or middle-incomecountries,tosetupavirtual learning community to test our revised program

OUR OFFER

• An initial survey of participants, including the declaration of a particular behavioural/mental health issue that they wanttoaddressintheirlocalsituation,anda brief assessment of their level of knowledge inadvocacyskills

•Sevenmonthly90-minutevirtualmeetings, with interval homework assignments requiringtwotofourhoursofpersonalwork byeachlearner

• Mentoring by Faculty members for the project developed and undertaken by each learnerintheirownlocality.

•e-versionsofGold&Green(eds):Integrated Behavioral Health in Primary Care; and Dowrick (ed): Global Primary Mental Health Care

• A certificate of completion of the program carrying the WONCA seal and the marks of the FHPC at the University of Colorado (for those meeting 80% participation requirement)

• can demonstrate working knowledge of andexperienceinbehavioralhealth/primary mentalhealthcare;

• can demonstrate leadership experience; and

• are willing to commit (by letter of agreement) to the project from July 2023 through March 2024 to approximately six hours per month for nine months, plus participation in an imbedded program evaluationincludinginterviewsatmid-point andconclusionofprogram.

HOW TO APPLY

Please send your curriculum vitae, together with a motivational letter explaining how you meet our selection criteria, to Christopher Dowrick on cfd@liverpoolacuk and to Sankha Randenikumara on youngdoctor@woncanet OUR SELECTION CRITERIA

•AnhonorariumofUS$200.

We are looking for young family doctors (doctors who are in the first five years of familypractice)who:

• are identified through WONCA Young Doctors’ Movement and WONCA Working PartyonMentalHealth.

• are practising in low-or middle-income countries(LMICs):

o NB: we will give priority to family doctors from LMICs not represented in the previous cohort (ie Ghana, Guyana, Indonesia, Kenya, Nepal, Peru, Sri Lanka or Tunisia); nevertheless, applicants with outstanding qualifications from any of these countries willbeconsidered.

Deadline for applications: Friday 19 May 2023.

WORKING PARTY ON eHEALTH & YDM COLLABORATIVE WEBINARS

In March 2023, Polaris and the WP on EHealth collaborated to develop a successful YDM Webinar on the role of digital health in FamilyMedicine

Thiswebinarincludeddiscussionsontherise of digital technology throughout the COVID19Pandemic,itsutilizationsacrossdifferent types of family medicine settings, the types of digital health/apps physicians can utilize, and a comparison of digital health use in variouscountries

This webinar would not have been possible withoutourpanelists(Dr AdelYsky,Prof Dr NickGuldemond,Dr NaWeiLun,Dr Shakera Carroll), translators (Dr Hew Sitt Yin, Dr ChanHiangNgee,Dr.BrandoCantu),andour moderator(NikitaPasricha).

Ourwebinarrecordingcanbeviewedhere:

WorldFamilyDoctorDay(WFDD),on19May, isasignificantoccasiontohighlightthevital role and contribution of family doctors and primary care teams in healthcare systems worldwide. Since its declaration by WONCA in 2010, WFDD has become an annual celebration that recognizes the central role of Family Doctors in delivering personal, comprehensive, and continuous health care topatients

This day is an excellent opportunity to acknowledge and appreciate the progress madeinfamilymedicineandtheexceptional contributionsofprimarycareteamsglobally.

On 19 May, let's honour and appreciate the tirelesseffortsoffamilydoctorsandprimary care teams in improving healthcare outcomes and creating healthier communitiesworldwide

We are now thrilled to announce this year’s theme

THE OF HEALTHCARE

Why are Family Doctors ?

Familydoctorsareoftenperceivedasthe heartofhealthcareforseveralreasons:

Long-termrelationship:Familydoctorsare typicallythefirstpointofcontactforpatients seeking medical care They provide continuous and comprehensive care to patients throughout their lives, building long-term relationships with them This allows them to understand their patients' medical history, lifestyle, and social circumstances, and offer personalized care andsupport.

Holistic approach: Family doctors take a holistic approach to healthcare, considering not just a patient's physical health, but also their emotional, social, and psychological well-being. They focus on preventive care, screening,andearlydetectionofillnessesto help patients maintain good health and preventchronicdiseases

Coordination of care: Family doctors serve as a central point of coordination for a patient's healthcare needs They work with other healthcare providers, such as specialists and hospitals, to ensure that patients receive the best possible care and avoidduplicationofservices

Advocacy and education: Family doctors are advocates for their patients, helping them navigate the healthcare system and access the resources they need They also educate patients about their health, includinghowtomanagechronicconditions, make healthy lifestyle choices, and prevent illness

Family doctors provide comprehensive and compassionate care to patients across the lifespan, from infants to elderly adults

Family doctors understand the importance of building strong relationships with their patients and are committed to providing empathetic care

Family doctors play a critical role in coordinating care across different settings, including hospitals, specialists, and other health

Family doctors are advocates for their communities and work to address systemic barriers to accessing quality health

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GIFS

WORLD HEALTH DAY

WorldHealthDayiscelebratedeveryyearon April 7th to raise awareness about global health issues and promote healthier lifestyles This year’s theme, "achieving HealthForAll"andmarksthe75anniversary oftheWorldHealthOrganization.Thisyear's campaign also calls for increased access to primary healthcare services and the reductionofhealthinequalitiesworldwide

WONCA joined World Health Day as primary careisessentialinachievingthesegoals!

Primary care is the first point of contact for patients seeking medical attention, and family doctors play a vital role in providing thisservice.Theyareuniquelypositionedto provide comprehensive, patient-centered care that is tailored to individual needs, taking into account not only physical health but also psychological and social factors This approach is essential for promoting healthequity,asitaddressestherootcauses of health disparities and ensures that all patients have access to quality care regardless of their socioeconomic status or geographiclocation

This World Health Day, WONCA encourages governments, healthcare providers, and patientstoprioritiseprimarycareasameans of building a fairer, healthier world By investing in primary care services and ensuring that they are accessible to all, we can improve health outcomes, reduce healthcarecosts,andpromotehealthequity. Family doctors have a critical role to play in thiseffort,andtheircontributionsshouldbe recognized and supported By working together, we can create a world where everyonehasaccesstothecaretheyneedto livehealthy,fulfillinglives

INTERNATIONAL DAY FOR THE ELIMINATION OF RACIAL DISCRIMINATION

March21markstheInternationalDayforthe Elimination of Racial Discrimination. It commemorates the 1960 Sharpville massacreinSouthAfrica Observedannually, it reminds us of the sacrifices made by our forbears and those fighting within hostile institutions and systems to dismantle and eradicateracism

Today, it’s also a call to action to increase our efforts to fight racism As the World Organization of Family Doctors, the world’s frontline primary care institution, we are committedtoracialequityandtheliberation ofracialisedpeople

We challenge our colleagues, allies and our institutionstobeboldintheircommitments and move beyond tokenism. Let’s continue to assess our policies practices and particularlyourindividualbiases

Let’s use our power, influence and privilege to accelerate change and to continue to challengethestatusquo

DISCOVEROUR

ANNUAL REPORT 2022

Thisreportisacomprehensiveoverviewof theWONCAglobalcommunity'scollective achievementsandhighlightsoverthepast year.

Together,wecancontinueto buildastrongerglobal community!

MENTAL HEALTH TOOLS FOR FAMILY PHYSICIANS IN A POST-COVID WORLD

THE BESROUR CENTRE FOR GLOBAL FAMILY MEDICINE ANNOUNCES THE LAUNCH OF THE LEARNING MODULE “MENTAL HEALTH TOOLS FOR FAMILY PHYSICIANS IN A POSTCOVID WORLD”

The COVID-19 pandemic has caused the largest and most rapid disruption to the practicesandtrainingoffamilyphysicians It has revealed gaps in the capacity of our health care systems, but it has also led to a surge in resiliency, innovation, and gained experience as primary care providers and educators adapt to this new paradigm. This FM Pivot educational initiative has been developed by a team of global Besrour Centrepartnerstohelpfamilyphysiciansand family medicine educators prepare for similar challenges in the future within their own contexts Our module “Mental Health Tools for Family Physicians in a Post-COVID World” is now available for free. This online moduleaimstoapplypracticalknowledgeto improve the quality and efficiency of care duringthepandemic

Startthislearningmodulehere.

Seriesoffivemodulesfocusonglobalhealth emergency competencies with five themes The modules; Community-based research, chronicdiseaseandmentalhealthhavebeen released. Final 2 modules; virtual education anddisasterpreparednesswillbereleasedin thecomingmonths

Modulesavailableforfreehere

WHAT IS FM PIVOT?

DiscovertheBesrourCentreforGlobalFamily Medicine:FMPivotModules

THE BESROUR CENTRE: GLOBAL COVID-19 PANDEMIC RESPONSE AND IMPACT GRANT

BACKGROUND

The Besrour Centre for Global Family Medicine (Besrour Centre) at the College of Family Physicians of Canada (CFPC), thanks to the generous support of the CFPC’s Foundation for the Advancement of Family Medicine (FAFM) and the Fondation Docteur Sadok Besrour, is seeking proposals for a Global COVID-19 pandemic innovation response

This initiative is a response to the long-term effects of the COVID-19 pandemic on the health and well being of nations The pandemic has put immense pressure on health systems and as we move towards a post-pandemic phase, the focus is shifting towards building resilient primary health care.

The goal of Phase II of Global Co-RIG is to support family practice / primary care innovations that improve access to services and respond to the long-term effects of the pandemic, such as mental health, especially for the most vulnerable communities and thoselivinginremoteareas

The family practice innovations that are likelytohaveahighdegreeofimpactinclude education innovations, practice innovations, use of technology, and responses that addressequityandinclusion Therequestfor proposal will contribute to the achievement of how family innovative practice will likely haveahighdegreeofimpactinreducingthe long-termharmsofCOVID-19

To achieve this, the Besrour Centre will support two proposals with different targets or approaches that fall into one of the followingcategories:

•New,innovativepracticeduringtheCOVID19 pandemic in family medicine training including curricular changes, interdisciplinary education, or use of virtual curriculumdelivery

• Practice-level innovations that respond to theneedsofkeypopulationsthatlackaccess to care or that the pandemic is targeting unequally

•Innovationstoreducetheimpactofphases threeandfourofthepandemic theburden of delayed and neglected chronic disease, and the mental and other social determinants of health impacts of the pandemic

• Increased effectiveness to advocate for evidence-based, accountable, and equitable healthcarepolicies,policyframeworks,and services

•Projectsonmentalhealthintegrationusing a team-based approach are especially encouraged.

ELIGIBILITY CRITERIA

•Submitter(s)mustbeafamilyphysicianora group of family physicians from a low- and middle-income country (LMIC) including fromdiversecontextslinkedtoauniversity

• Proposed innovations must take place in a primary care setting, and may take a variety offormats

• Submissions may not be for drug trials but may involve innovation for therapeutic delivery/remotesettings

PROJECT FUNDS AND GRANTS

The Besrour Centre aims to support a grant, valued up to C$50,000 in Canadian Dollars (CDN),in2023.

Anexampleofafundableeducationalproject is developing and evaluating virtual educational modules for countries where recentlylaunchedfamilymedicineprograms areatriskofstagnationorregressiondueto thepandemic

Another example is the collation of contextspecific family medicine data at the country granular level and the attempt to correlate with COVID-19 outcomes to extract lessons about the importance of primary care strengthening in the face of pandemics. We needtobetterunderstandhowprimarycare should be integrated with the larger health system in order to be nimble and able to pivotinthefaceofcrisis

Applications are open to known Besrour Centre actors as well as potential new academic partners. Applications should not be geared to learners or fellows, but to experiencedacademicsandresearchersfrom LMICs Applications that have academics collaboratingacrosscontextsarefavorable

Furthermore, proposals should outline how we can best increase capacity building for dealing with both emergencies and chronic lack of access to care in view of strengthening health care system resilience The aim is to realize a sustainable initiative where best practices and lessons can be appliedtovariouscontextsinanemergency setting.

DISCOVER THE EUROPREV ELEARNING WEBINARS 2023

Discover the EUROPREV e-learning webinars 2023, a FREE medical education activity EUROPREV e-learning aims to debate interesting topics related to preventive medicine from a very practical perspective With a focus on preventive medicine, these webinars will offer practical insights and encourage open discussion on a variety of relevant topics. You'll have the chance to engage with other participants and share yourthoughtsandquestionsthroughthelive chatfunction

Eachmodulewilllastfor90minutes Thiswill be a continuing medical education activity andforcolleaguesattendingthe4Modules,a CertificateofAttendancecorrespondingtoa 6-hourtrainingactivitywillbeissued. FIND

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 seminar series that will run from October 2022toJuly2023.

The series provides an overview of the key features and functions of PHC, the potential of PHC in all health systems and its role in achievinguniversalhealthcoverage Sessions drawonexamplesacrossdifferentsettings

For more details and joining instructions follow links" with "For more details, joining instructions and recordings of previous eventsfollowlinks:

1245 – 1345, Wed 5 Oct 2022: Panel Discussion. Primary Health Care: The heartofeveryhealthsystem?

1245 – 1345, Wed 2 Nov 2022, What is PrimaryHealthCare?

12.45–13.45,Wed7Dec2020,Achieving Primary Health Care through MultisectoralActionandPolicy

1245–1345,WedJan2023,Empowering PeopleandCommunities

Feb 2023, Integrating Primary Care and PublicHealth -RE-SCHEDULED

1245–1345,Wed8Mar2023,Financing PrimaryCare

UPCOMING SESSIONS

1245–1345,Wed26Apr2023,GettingthePrimaryCare Workforceright

May 2023, Holding it together: Primary Care Infrastructure

Jun2023,Measuring,regulating,andimprovingPrimary Care

Jul23,PanelDiscussion:PrimaryHealthCareattheheart ofeveryhealthsystem-anachievabledream?