WONCA NEWS January - February 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

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WONCAEDITOR

MARIADOLORESZAVALA

EMAIL:EDITOR@WONCANET

TRANSLATIONS

DRJIEGU

DRHUAYANG

FROM THE PRESIDENT

ADJ PROFESSOR KAREN PRICE

HOC OF WONCA SYDNEY

WONCA SYDNEY 2023

PROGRAM SUBMISSIONS DEADLINE

RMA 2023 - RURAL PRE - CONFERENCE

WONCA CONFERENCES

28TH WONCA EUROPE CONFERENCE

WONCA IBEROAMERICANA CIMF CONGRESS

WONCA & WHO NEWS

WHO CONFERENCE ON PRE-SERVICE EDUCATION FOR MENTAL HEALTH

WHAT IS THE INTERGOVERNMENTAL NEGOTIATING BODY ?

CONSTITUENCY STATEMENT 152ND SESSION OF THE EXECUTIVE BOARD

WONCA REGIONS

RURAL SEEDS AFRICA AT WONCA AFRICA 2022

ADVANCING SOUTH ASIAN FAMILY MEDICINE TOWARDS A NEW PARADIGM

WONCA IBEROAMERICANA CIMF ADDRESSES CRISIS IN PERU AND THE REGION

WP & SIGS NEWS

TRANSFORMING MENTAL HEALTH CARE: WONCA INTRODUCES THE MDD MINDS PROJECT

PLANETARY HEALTH EDUCATION FOR PRIMARY CARE

WWPWFM:THERE IS NO FORCE MORE POWERFUL THAN A WOMAN DETERMINED TO RISE

FEATURED STORIES

WONCA JOINS PMNCH FOR UNIVERSAL HEALTH FOR WOMEN, CHILDREN AND ADOLESCENTS GLOBALLY

ALL HANDS ON DECK: CO-DEVELOPING THE FIRST INTERNATIONAL SURVEY OF PEOPLE LIVING WITH CHRONIC CONDITIONS

YOUNG DOCTORS' MOVEMENTS

MEMBER ORGANIZATION NEWS

ANNOUNCEMENTS & UPDATES

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FROM THE PRESIDENT

It can be an eye opener to work with professionalsfromotherdisciplines Striving to communicate how we perceive our field, our awareness of what matters to us deepens And,whatasurprise–andagift–it can be to discover how we’re perceived I highlyrecommendsuchexchanges.

I’vebeenfortunatetocooperatewith,among others, Family Therapist and author Susan Schwartz Senstad She has provided psychotherapy most of her adult life, includingtomanyphysiciansandcaregivers, and her novels, Music for the Third Ear, and Milk and Venom, delve into the personal impactofwar,andoffamilytrauma.

Throughourcontinuingdiscussions,sheand I, the therapist and the physician, keep on learningfromeachother Oursimilaritiesrun deep:atthecoreofbothourendeavorsisthe on-going relationship with the patient over time.Theframeworkoftheclinicalstancewe share, “person-centred care", places the patient at the centre by prioritizing respect for the values, experiences, needs and preferences of the patient when planning, coordinatingandprovidingcare

We have both also poited out deficiencies and inconsistencies in how the other’s field actually functions – and what such systemic problemscostusandourpatients.

I want to share something that Susan has written about how we GPs let ourselves down as we put two of our Family Medicine Core Values into practice Both could sort under one heading: “A Physician is also a Person”

• For the Core Value of “person-centred medicine”:

By not making mention of the physician as a person, you implicitly endorse the age-old but discredited stance of clinical “objectivity”. When caregivers fail to attend to and appropriately integrate their own subjective responses, the interpersonal distance that’s created reinforces the very asymmetry of power that “person-centred medicine” is designed to correct “Know your place” may be the non-verbal message that patients sense as GPs’ “objective”, objectifying gaze guides the focus safely away from themselves – as if the physicians’ own personhood weren’t an integral part of the exchange The patient may well feel devalued and the GP may come off as arrogant, unfeeling, invulnerable, inhuman, even inhumane

Indeed, doctors who are in denial of their own personal vulnerabilities and emotional needs remain ill-equipped to offer their patients adequately tuned empathy, to help them allay their fears or counteract their shame at being unwell, dependent, socially disadvantaged, etc

• For the Core Value of “continuity of care”:

Doctoring is good work, but it’s hard – on the whole person and on the lived life, especially over time Yet, instead of physicians learning “emotional awareness” to help them cope, “emotional detachment” has traditionally been mandated That potentially damaging stance requires them to downplay, neglect or even deny the impact their work has on them As you all well know, what isn’t acknowledged and dealt with doesn’t go away It smoulders Unattended, it may undermine resilience and exhaust one’s stamina. Too many GPs burn out, have breakdowns, self-medicate, quit, even commit suicide The field loses them –their patients lose them What happens, then, to “continuity of care”?

Because GPs are persons, they may be encouraged explicitly to take active and respectful care of their own physical and emotional needs, to insist that the context created by the medical system’s structures also serves the caregivers’ long-term needs, and to demand that help for them as helpers be readily available – and free of shame

These reminders become even more timely as we live through challenging circumstances.Globaltrendssuchasclimate change and financial hardship affect us all, whilemoreregionalsituationssuchasarmed conflictsaffectmany Wefrontlineworkersin healthcare observe and experience the consequencesinourlocalcommunities

WeseethattheneedfortheFamilyDoctoris greater than ever. We are privileged to be able to make a difference in our patients` lives. And we want to keep doing so – long term That means that we need to take care of ourselves and each other Might it be a good idea to make sure that all Family DoctorshaveFamilyDoctorsoftheirown?

Warning: This content may not make for comfortable reading! However, I consider it so recognizably relevant – for me and my fellow Family Doctors – that I offer it here as my Reflections for a New Year:

D R A N N A S T A V D A L WONCA PRESIDENT

Translate this content into your preferred language using the Google Translate feature on the WONCA website

ADJ PROFESSOR

KAREN PRICE

SYDNEY HOC CHAIR:

Dear Family Doctors and the Family DoctorCommunity,

As the Host Organising Committee Chair of the WONCA World conference coming to SydneyfromOctober26–29,2023,I’d like to invite our colleagues, friends, and collaborators from around the world to celebrate the wonder of Family and CommunityMedicine.

This is a friendly reminder that abstract submission for WONCA 2023 will close on February16.

WONCA 23 will challenge, enlighten, and enthuse each attending person With that in mind, we would like conference sessions to be as interactive as possible. The abstract submissionprocessrequiresadescriptionof your presentation/session in up to 300 words It asks you to identify three learning objectives

Extended Abstracts

deadline: February 16

Our peer review process will assess each abstract,lookingfortopicsrelevanttofamily doctors More traditional formats will be welcome, such as illustrated talks, debates, discussion panels, and research presentations. However, we would be pleased to receive abstracts that use innovativepresentationstylessuchasdance, poetry, song, narration, and embedded audio-visual content Let us inspire each other with the breadth of the generalist We willendeavourtoletyouknowtheoutcome ofourpeerreviewprocessby5April.

Formoredetailsonsubmissions,pleaserefer tothearticlewrittenbyScientificCommittee Chair,ProfessorMarkMorgan

ThethemesofWONCA2023are;

Conference Themes

Thethemeofrecoveryallo about the turbulent tim healthcare by the COVID and the ongoing threa climatechange,antimicro andeconomicstrain.

Thethemeofreconnectio how we work together communityoffamilydocto canachievethebesthealt ourpopulationsineverylo

The theme of revival wi future of high-quality primary care that is evide person-centred

Late Breaking research submissions

There is a separate opportuni abstract submissions closer t WONCA 2023 to allow for new researchtobepresented Weh subsequent opportunity ‘’ Abstracts may be submitted f June 8 We will attempt to l know the outcome of the revi June30.

WONCA23 provides a wonderf to share your knowledge, skil or research while interactin doctorsworldwide

“RECOVERY, RECONNECTION, AND REVIVAL A CELEBRATION OF PRIMARY CARE”

PROGRAM SUBMISSIONS DEADLINE 16 FEBRUARY LAST CHANCE

WONCASYDNEYEXTENDSPROGRAM SUBMISSIONSDEADLINE:16FEBRUARY

TheWONCAcommunityhasspoken Withtheendofyearjustaroundthecorner,theupcomingendofyear celebrations, we have revised our close date to now be in the new year. We hope this will assist you in preparingandsubmittingyourprogramsubmissionfortheWONCA2023WorldConference

PREPARE ASSEMBLE APPLY TO PRESENT

Reviewthepresentationstyles andsubmissionguidelinesbefore preparingyoursubmission

Prepareyoursubmissionfollowing thesubmissionguidelines,using eithertheclinical/educationalOR// researchguide

OnlysubmissionscompletedintheWONCA 2023submissionportalby1159pm AustralianEasternDaylightTime(AEDT),16 February2023willbereviewedand consideredforinclusionintotheprogram. Emailedandincompletesubmissionswill notbereviewed

Before WONCA World Conference in Sydney 2023, the Australian College of Rural and Remote Medicine (ACRRM) and the Rural Doctors Association of Australia (RDAA) are proud to co-host a pre-conference event for ruralandremotedoctors!

The conference will bring together a global community of Rural Generalists, rural consultant specialists, students, doctors in training, supervisors, medical educators and allied-health practitioners to celebrate your passion for delivering safe, culturally appropriate and consistent healthcare to ruralandremotecommunities

About RMA 23

We acknowledge the Muwinina people, the traditional owners of the Land on which we will gather for RMA23 at the Hobart Convention and Exhibition Centre, Hotel Grand Chancellor from Wednesday, 18 OctobertoSaturday,21October

Attending WONCA 2023 on Gadigal Country, Sydney? RMA23 is thrilled to be an official pre-event for the World Organisation of Family Doctors (WONCA) World Conference, meaningnotonlywillyoucatchupwithand meet colleagues from around Australia, but you will have the unique opportunity to network with rural specialists from around theworldwhileexperiencingtherichculture ofHobart

Join

28TH WONCA EUROPE CONFERENCE

7 - 10 JUN 2023, BRUSSELS, BELGIUM

DearFriendsandColleagues,hellotoyouall!

Let’sstartbyintroducingourselves:

My name is Aurore Girard, I am the VicePresident of Société Scientifique de Médecine Générale (member of the Belgian Society for General Practitioners) and I have the privilege to chair the Host Organising Committee for the 28th WONCA Europe conference in Brussels from 7 to 10 June 2023

My name is Ann Van den Bruel - I’m a GP in Antwerp and an Associate Professor at the KU Leuven in Belgium, and the Chair of the ScientificCommitteeofWONCAEurope2023

It is our pleasure to welcome you in the capital of more than 500 million Europeans. As the centre of European culture and institutions,Brusselshasmuchmoretooffer than most people imagine Apart from its famous chocolates and beers, there are almost 90 museums, beautiful parks, architecture,barsandmuchmore.

Our conference theme is “Making choices in primary care” The Scientific Committee is preparing an exciting programme based on original abstracts and contributions from leadinginternationalscientificnetworksand specialinterestgroups.Comingtogetherasa research community, WONCA 2023 will showcase cutting edge research to support primarycareinEurope

The conference will give us all a chance to meet, discuss choices and implement positivechange

SeeyousooninBrussels!

FIND MORE INFORMATION AND REGISTER HERE

WONCA AT THE WHO CONFERENCE ON PRESERVICE EDUCATION FOR MENTAL HEALTH

PROFESSOR

Prof Dowrick brought WONCA's expertise to the meeting, including the 2018 Core Competencies in Mental Health guidance documentandtheongoingAdvocacyproject.

Professor Christopher Dowrick, a former chairoftheWONCAWorkingPartyonMental Health, represented WONCA at the World Health Organization's conference on preservice education for mental health in Geneva, Switzerland on December 15th and 16th

TheWHOisaimingtoadvanceintheareaof pre-servicetraininginmentalhealthfornonspecialisthealthcareproviders(eg,general medicine, nursing, midwifery) To support thedevelopmentofaprioritizedprogramme ofworkinthearea,theWHOhosteda2-day in-person consultation titled ‘Preservice Training in Mental Health: Forming the right foundations’.

The objectives of the meeting were to (a) bring together experts and other key stakeholders, for the purpose of sharing informationandexchangingviewsinthefield of pre-service training in mental health, particularly for non-specialist healthcare workers, and (b) to start understanding the extent of consensus and evidence for key approaches to increasing the integration of mental health in pre-service training programmes and curricula.The outcome of themeetingwastohighlightprioritytopicsin the field of and identify and prioritize key needsandactions

ThealsoEmeritusProfessoroftheUniversity ofLiverpool,UKwrote:

"The WHO conference on pre-service education for mental health, which took place in Geneva, was very successful. There was good attendance from senior psychiatric, mental health nursing and social work colleagues from all WHO regions, as well as UNICEF, World Psychiatric Association and International Association of Medical Regulatory Authorities, and strong buy-in from the Director and other senior members of WHO Department of Mental Health and Substance Use. The meeting was ably chaired by Shekhar Saxena "

The focus was on developing guidance for low and middle income countries on why and how to include mental health in undergraduate curricula. There was also awareness of the need to develop pre-service training at postgraduate clinical level Through a series of presentations and guided workshops we refined the concept,definition and nature of effective pre-service education and offered advice to WHO on actions they needed to take to support LMICs in implementing pre-service education at scale. There were impressive presentations of achievements in, for example, Philippines, Nigeria and India, and cogent discussion of the importance of assessment and certification and of the actions needed to ensure programme endorsement

I was delighted to represent WONCA It was clear that the role of family doctors in this field is valued and appreciated, for example our guidance on core competencies, and that we are known to have considerable expertise to offer our mental health colleagues I had specific conversations with colleagues from Mexico, India and Nigeria which may lead to direct connections in these countries

The plan is for WHO to produce a practical report There will be opportunities for WONCA not only to comment on substantive drafts but also to offer organisational endorsement. I would encourage WONCA executive to pursue both of these options

CHRIS DOWRICK CONTRIBUTED WONCA'S KNOWLEDGE, FEATURING THE 2018 CORE COMPETENCIES IN MENTAL HEALTH GUIDANCE AND THE ACTIVE ADVOCACY INITIATIVE.

THE INTERGOVERNMENTAL NEGOTIATINGBODYINB

TheCOVID-19pandemichashadaprofound impact on human lives, economies, and societies To avoid a repeat of the past, the international community should collaborate to be much better prepared and aligned in responding to possible future pandemic threats.

In December 2021, the World Health Assembly Special Session (WHASS) took placeinGeneva,Switzerland Thisisonlythe second time in the history of the World Health Organization (WHO) that the Health Assembly(WHA)hasmetforasecondtimein thesameyear

The WHA established an Inte NegotiatingBody(INB)todraf a convention, agreement international instrument Constitution of the WHO pandemic prevention, prep response The INB’s work is principles of inclusiveness, efficiency, Member State leadership and consensus.

The INB should hold meetings to deliver a progressreporttothe76thWHAin2023,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,includingbyholdingpublichearingsto inform its deliberations The United Nations system bodies, non-state actors, and other relevant stakeholders can participate in the processtotheextentdecidedbytheINB

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 the INB public hearing

CONSTITUENCY STATEMENT 152ND SESSION OF THE EXECUTIVE BOARD

WONCA joins the constituency statement delivered by the World Heart Federation on behalfoftheCoalitionforCirculatoryHealth

Along the World Organization of Family Doctors, the coallition includes the Framework Convention Alliance on Tobacco Control, International Alliance of Patients’ Organizations, International Diabetes Federation, International Society of Hypertension, International Society of Nephrology, World Hypertension League, andtheWorldStrokeOrganization

The statement is in response to the World Health Organization's Report EB 152/5 and underscores the critical importance of reorienting health systems towards primary health care as a resilient foundation for universalhealthcoverage Thestatementwill be presented at the United Nations General Assembly's high-level meeting on universal health coverage, emphasizing the role of primary health care in achieving equitable accesstoqualityhealthservicesforall

152ND SESSION OF THE EXECUTIVE BOARD, 30 JANUARY7 FEBRUARY 2023

Agenda item 5: Universal Health Coverage

Reorientinghealthsystemstoprimaryhealth care as a resilient foundation for universal healthcoverageandpreparationsforahighlevelmeetingontheUnitedNationsGeneral Assembly on universal health coverage (EB152/5)

Response to WHO Report EB 152/5: https://appswhoint/gb/ebwha/pdf files/EB 152/B152 5-enpdf

This constituency statement is delivered by the World Heart Federation on behalf of the Framework Convention Alliance on Tobacco Control, International Alliance of Patients’ Organizations, International Diabetes Federation, International Society of Hypertension, International Society of Nephrology, World Hypertension League, World Organization of Family Doctors, and theWorldStrokeOrganization

Honorable Chair, Distinguished Delegates,

Thank you for the opportunity to deliver this statement on behalf of the Global Coalition for Circulatory Health

We note with disappointment the report by the Director-General recognizing that the world is not on track to achieve SDG 3 targets but welcome the valuable guidance to Member States through the four priority areas of action

Circulatory diseases, including heart disease, stroke, diabetes, and kidney disease, are the number one cause of death and disability worldwide, leading to more than 20 million deaths and 374 million healthy years of life lost every year

In the absence of UHC, the chronic nature of circulatory disease has a catastrophic impact on a country's development and is responsible for generational poverty experienced in many LMICs. As highlighted in the report, ninety per cent of essential interventions for UHC can be delivered through primary health care

Therefore, the Global Coalition for Circulatory Health calls on Member States to:

• Accelerate progress towards UHC through robust and well-financed primary health care systems, including investments in family medicine where appropriate, based on the principles of quality, equity, accessibility and affordability;

• Ensure adequate and sustained financing for and availability of circulatory health services, in the context of national UHC strategies; including for prevention, acute and chronic treatments as well as rehabilitation, additionally incorporating digital innovations in circulatory health;

• Include cost-effective circulatory health interventions that also address their risk factors into national UHC packages of essential interventions to be delivered at primary health care level, drawing on examples from Appendix 3 of the WHO Global NCD Action Plan and the HEARTS Technical Package; and

• Engage people living with NCDs and circulatory conditions to keep UHC peoplecentered

Finally, we would also like to extend our support for the Resolution on diagnostics and request Member States to consider it for the upcoming 76th WHA. Implementation of these recommendations can contribute significantly to reducing the burden of circulator diseases and bring poverty alleviation Thanlk you

Constituency members:

1 Framework Convention Alliance on Tobacco Control (FCA)

2 International Alliance of Patients’ Organizations (IAPO)

3 International Diabetes Federation (IDF)

4 International Society of Hypertension (ISH)

5 International Society of Nephrology (ISN)

6 World Heart Federation (WHF)

7 World Hypertension League (WHL)

8 World Organization of Family Doctors (WONCA)

9 World Stroke Organization (WSO)

BY: DR MERCY NAFULA WANJALA- RURAL SEEDS AMBASSADOR, AFRICA REGION

Rural Family Medicine Café Abuja Edition:

“The Role of African Health Care Students and young professionals in pandemic preparednessandresponse”.

The COVID-19 pandemic unearthed a few ethical dilemmas and challenges in its management and response One of these predicamentsinvolvedmedicalstudentsand residents. At the start and peak of the pandemic, the threat and fear of death resulted in lockdowns, social distancing and isolation, leading to the closure of medical schools, among other institutions Health care and medicine is a profession where the learners depend about 70% on apprenticeshipandpracticalexperience.This learning process was interrupted with students and residents being sent home to attend virtual lectures, even as the biting shortage in the healthcare workforce- of whichtheyareacrucialpart,ragedon,which begs the question: “Do the students and residents have a role in pandemic preparedness and response? Should they havearole?Ifso,whichone?”

The topic generated an interesting discussion around the involvement of medical students in health care and health careservicesdelivery Therewasaclearsplit in the room, with one group calling for exclusion, and if they must be included, parental consent was needed since we are speaking of minors within the African context The other school of thought was about the importance of students gaining experience in practical emergency response topandemicsandhealthemergencies

RURAL SEEDS AFRICA AT WONCA AFRICA CONFERENCE 2022

A great example was given from Nigeria on the effects of sending students home during the pandemic Parents demanded that the students be sent home for fear of their childrenbeingexposedtotheCOVID-19virus and probably dying During school reopening, 50% of the COVID-19 antigen test appliedtostudentswerepositive,attributed to community transmission, weakened the argument that attending class and clinical rotationswouldexposestudentstothevirus Eitherway,atschoolorhome,theywerestill atrisk,mostlywhenpublichealthandsafety measuresweredisregarded

Inconclusion,thegroupagreedthatthereis a need to develop a framework for the engagement and involvement of healthcare students in the emergency pandemic preparednessandresponse,aslongasthere are protective measures in place and parents'areinvolvedinthedecision-making process.

ADVANCING SOUTH ASIAN FAMILY MEDICINE TOWARDS A NEW PARADIGM

COMMUNITY, GOVERNMENT & ACADEMIA COLLABORATION

AUTHORS:

DR TARIQ AZIZ, PRESIDENT

WONCA SOUTH ASIA REGION

DR HINA JAWAID, CHAIR

WONCA SAR PRIMARY CARE RESEARCH NETWORK

DR. RAMAKRISHNA PRASAD, EDITOR WONCA SAR JOURNAL

Exemplar 1: Family Physicians (General Practitioners) of Pakistan supporting community oriented primary care and promotingevidencebasedpractices.

Written by Dr Muhammad Hassam Khan, Lecturer Family Medicine

Pakistan’s infant mortality rate as of 2022 is 5688 per 1000 live births, a reduction of 191% from 20211 According to estimates, the infant mortality rate in Khyber Pakhtunkhwa, Northwest region, is 58 per 1000,whilethematernalmortalityrateis206 per 10000. In particular, women see Lady Health Visitors for consultations and checkups. Lady Health Visitors (LHVs) are trained in a number of safe maternity methods in addition to effective family planning

Much training in healthcare settings is concentrated on doctors, nurses and other paramedics in hospitals and LHVs are often overlookedinspiteoftheirsignificantrolein a mother and a newborn child's health The highratioofmaternalandnewbornmortality canbegreatlyloweredifLadyHealthvisitors are adequately trained and informed on standardsandsafeprocedures

Recognizing the significance of LHVs in our society who have direct patient contact, the department of family medicine at Khyber MedicalUniversityhastakenaproactivestep and, in collaboration with MERF and DKT organizations, has conducted a three day, twosessiontrainingforladyhealthvisitorsin Khyber Pakhtunkhwa (Mardan and Peshawar) from 27 August, 2022 to 5 September, 2022 on topics including the importanceofsafepractices,safedeliveries,

recognition of emergency conditions, referring in emergency cases, consultation skills, how to deal with common gynecological and obstetrical problems, child and mother health promotion and infectionprevention TheseLHVscontinueto play a key role in the health of mothers and children, thus the department of family medicine at Khyber Medical University is looking forward to continuing the training andeducationofLHVs

Another successful medical camp was held by the family medicine department Khyber MedicalUniversity(KMU)attheZamungKor State Institute, where street children and orphans are supported with basic needs of life, skills and an education. KMU's Department of Family Medicine is taking the responsibility and offering the best medical examinationsandcareforcommonillnesses

A multidisciplinary team, including family physicians, dentists, optometrists, pharmacists, nutritionists and public health professionals participated in the camp. About 200 kids, both boys and girls, under thedirectionofDepartmentHead,Dr.Abdul JalilKhan,wereprovidedfreemedicalcheck ups and medications at the camp Dr Abdul Jalil received a shield from "zamung kor" in recognition of his unwavering support and dedicationonthedayofcampalongwithhis team.The department of family medicine is determined to continue to offer assistance andservicestothestate’schildren.

Department of family medicine at Khyber Medical University, in collaboration with PakistanLifeSaversProgrammeandStudent Welfare Society (SWS) arranged basic life support workshop for final year medical studentsatoneofthemedicalcollegesKMU InstituteofmedicalSciencesinKohat Hands on workshop was conducted by a team of basic life support trainers, comprising of a familyphysicianandacardiologist.

Proceeding to the Punjab province in Pakistan, a number of community-based activitieswereconductedbythedepartment of Family Medicine at University of Health Sciences (UHS) Lahore Dr Hina Jawaid conductedbreastcancerawarenesssessions in multiple institutions (Medical and Allied health,otheruniversities)forundergraduate medical and non-medical students. These sessionswereheldthroughoutthemonthof October and were open for people from every walk of life A free session was held during these awareness talks on how to do breast self-examination, know what is normal and what abnormalities to look for Breast cancer survivors were also invited to these sessions who shared their stories of pain,strengthandperseverance.Information leafletsinthelocallanguageweredeveloped and distributed among participants A pinkotobereventatasoftwaredevelopment companywasarrangedonthesamelines

An original article titled “Breast Cancer Knowledge Among Health Professionals: a pre-post knowledge based intervention study” has been published recently in Journal of Family Medicine and Primary care2.

An interactive session was conducted on World Heart Day, 29th Sept, 2022, by the Department of Family Medicine at UHS The target group was undergraduate and postgraduate students of UHS Risk factors leading to cardiovascular diseases were discussed The focus was primarily on preventing diseases and early death due to non-communicable diseases. On random checking of blood pressures, 2 students in their early 20’s were found to have high BP Furtherinvestigationsandmanagementwas arranged

Figure 1: Medical camp organized by Family Medicine department at Zamung Kor instutute

In addition to above, an already established FamilyMedicinehealthcenterinaperi-urban area of Lahore was made functional by the department of Family Medicine, UHS in September2022.Ithasanout-patientclinic, atreatmentroomwithsupplyofmedications (oral and intravenous) and equipment for minor trauma, basic life support, cardiac arrest etc There are mannequins for teaching basic life support to healthcare workers A mental health counselor and nutritionist have been included to offer help and support for mental health and malnutrition related issues. The health center also focuses on prevention and early identification of non-communicable and communicablediseases

References:

1 Macrotrends, Infant Mortality Rate, https://www macrotrends net/countries/PAK/ pakistan/infant-mortality-rate

2. Rehman, Huma T.1; Jawaid, Hina2; Tahir, Aisha3,; Imtiaz, Misha4; Zulfiqar, Tehzeeb5; Aziz, Tariq6. Breast cancer knowledge among health professionals: A pre–post-knowledgebased intervention study Journal of Family Medicine and Primary Care: September 2022Volume 11 - Issue 9 - p 5649-5655 doi: 10 4103/jfmpc jfmpc 1226 22

Education of masses and Primary care advocacythroughprintmedia

Written by Dr Hina Jawaid & Dr Abdul Jalil Khan

The Faculty of Family Medicine continues to highlighttheimportanceanddireneedfora well-established primary care health system intheregion

A glimpse into advocacy efforts, public awareness&education:

1 Dengue: what causes dengue fever, its symptoms & measures to be taken for preventionandcontrol

2 Childhood cancer awareness month ( September) focuses on early detection of pediatric cancers. In Low middle income countries only 20–30 percent of children survive, compared to more than 80 per cent in high-income countries This inequity makes it difficult to achieve sustainable development goals and universal health coverage

3. Osteoporosis, measures to prevent and manageosteoporosis

4 Uppingprimaryhealthcare

5 AddressingHIV/AIDSinprimarycare

Exemplar 2: Arogya Arali, a partnership with local government to systemically strengthen rural primary health care in Karnataka,India

Written by Nymisha Herrera Nimmagadda, Public Health Consultant

Participating in a 3 day family medicine conference, academicians shared their teaching and training experiences of post graduates in family medicine over the past years Evidence based practices in primary care, outcome of 1 year bridging training programmeinfamilymedicineweresomeof the talks in the session held on 30th Oct 2022

Arogya Arali aims to strengthen the delivery of rural primary care through enhanced convergence of Gram Panchayats (GPs) and Primary Health Centers (PHCs) This would beachievedthroughasystemthatintegrates community health profiles to improve healthcare planning and bring home-based primary care to the communities as well as empower local bodies and existing partnerships at the panchayat level It is a multistakeholder partnership among the Karnataka Rural Development and Panchayat Raj Department, the Academy of Family Physicians of India (AFPI) Karnataka, andcivilsocietyandprivateorganizationsto achieve greater coordination in improving thehealthofcommunities.

Figure 3: Medical centre run by department of Family Medicine at Jinnah Campus, UHS

This process of decentralization of populationandcommunityhealthwillmake development locally sensitive and participatory thereby, improving health equity,resilienceandefficiency.

The pilot includes 6 intervention and 6 controlGPsintheChamarajanagardistrictto accurately measure whether the initiative can improve the Panchayat Raj Institution’s capacity to gauge public health requirements, expand access to healthcare services and leverage community networks to meet the needs of the most vulnerable populations in their communities. After 6 months, a strategic and operational report willbedevelopedwithin-depthprocessesto expand the program to a larger number of villagesstatewide

Focus group discussions have been held across 12 Gram Panchayats and 3 PHCs as a qualitative approach to gain an in-depth understanding of the health status of the community The meetings were attended by all healthcare staff including ASHA workers, Field Nurses, Community Health Officers, HealthInspectorsandPrimaryCareDoctors. The discussions were focused on staff experiences across different regions, community trust, observations in health patternsandbehaviorsandfeedbackonhow to improve health service delivery The engagement was overwhelmingly positive and the staff are energized about the initiative and its potential to support local administration in improving health outcomes

A preliminary data process was developed and shared with the health teams for data entry. The community health data has been analyzedagainststateandnationalaverages to understand disease prevalence and comparativehealthoutcomes,anddevelopa situation analysis In addition, meetings are scheduled with the Gram Panchayat Task Forces that include government representatives, GP elected members and community leaders and representatives to enhance data-driven decision making at the village level Sonata software is providing automation of data entry and availability of data at frequent intervals for real-time decisionmaking

Additionally, the initiative will bring homebased primary care for early childhood disability, adolescent girls, maternal health, elderly,andmembersofthecommunitywith limited ability to access health centers Protocolshavebeendevelopedbasedonthe data and feedback from GPs and PHCs, and training will be led by the AFPI clinical team with a focus on cross-functional mutual learning.Implementationofthehome-based carewillbeledbythePHCclinicalstaffwith periodic meetings across PHCs to discuss successfulstrategiesandprovidefeedbackto AFPIteams

Figure 5: An image of AFPI team and Gumballi PHC staff after a focus group discussion in Gumballi, Karnataka

Figure 4: Image of MOU - Purpose of crosssector initiative to strengthen local governments towards delivery of decentralized primary care

Due to Arogya Aali, a village health profile and dashboard will be available across multiple domains including demographics, health insurance enrollment, NCDs, infectious diseases, maternal and child health,disabilityandmortality Theinitiative will lead to greater convergence of GPs and PHCs with communities at the center of the decision making process. It would also enableGPstobetteridentifyandaddressthe health needs of their communities and facilitate health systems learning from one anotheratthevillagelevel

The multidisciplinary AFPI team includes Dr Ramakrishna Prasad (President, AFPI, Karnataka), Dr Ashoojit Kaur Anand (Lead, Arogya Arali), Pawan Kaipa (Director, Operations), Nymisha Herrera Nimmagadda (Lead,PublicHealthConsultant),NiraliPatel (PhD Student, Biostatistics, University of Minnesota), Dr Prathamesh Sawant (Clinical Pharmacist) and Dr Praneeth Pillala (Family Physician)

Exemplar3:Improvingcollaborationswith academic institutions and family physicians to promote healthy aging - 3rd AFPICON,Karnataka

Written by Dr Harshapriya Jyothinagar,

Family Physician and Palliative Medicine consultant with special interest in Geriatrics; General Secretary, AFPI Karnataka

In2019,thenumberofpeopleaged60years andolderwas1billionglobally Thisnumber will increase to 14 billion by 2030 and 21 billion by 2050 (WHO). This increase is occurringatanunprecedentedpaceandwill accelerateincomingdecades,particularlyin developing countries India is considered a young country but according to the United Nations, the number of Indians aged 60 and over will double by 2050, constituting about 20%ofthetotalpopulation

Aging presents both challenges and opportunities. It will increase demand for primary health care and long-term care, requirealargerandbettertrainedworkforce, intensify the need for physical and social environmentstobemademoreage-friendly In addition, aging has significant social and economic implications in terms of direct medical and social care costs, and the costs of informal care. According the WHO Global StrategyonAgingandHealth,2016-2020,the keyareasoffocusare:

change how we think, feel and act towardsageandaging ensure that communities foster the abilitiesofolderpeople deliver person-centered integrated care and primary health services responsive toolderpeople provide access to long-term care for olderpeoplewhoneedit

Family Physicians are the first point of contactandcanproactivelyassisttheelderly in facilitating health and positive aging. Throughpreventivecareandearlydiagnosis, serious illnesses can be avoided, thereby reducing financial and economic burden on thepopulation

To highlight and enhance this process, AFPI Karnataka,oneofthelargeststatechapters, is organizing the 3rd State conference of Academy of Family Physicians of India, Karnataka (AFPICON KA), where healthy agingisacentraltheme

The AFPI team identified the key areas of focus including dementia, positive and healthy aging and physical therapy in geriatrics and forged close collaborations with Dr Prathibha Peirera, Professor & Head of Department of Geriatrics at JSS Medical College, Mysuru, India, to develop the framework for learning and knowledge sharing. In addition, multidisciplinary panel discussions with neurology, psychiatry, orthopedics and physical therapy, family medicine and geriatrics are being held to further discuss the observed health patterns inthispopulation

Theconferencewillserveasanexampleofa multidisciplinary approach to better understand and support the aging population The focus of Family Physicians on the 6 pillars of Aging (Physical,Nutritional,Spiritual,Emotional,Me ntal and Intellectual), with the support of academiacanfacilitatethedevelopmentofa robustmodelthatwouldsupportindividuals and communities This process will instill a great deal of confidence in an aging individual, which is beneficial to their wellbeing This approach will enable aging withgraceinspiteofcomorbiditiesandlead tohealthyprogressionofage.

WONCA IBEROAMERICANA CIMF ADDRESSES CRISIS IN PERU AND THE REGION

From the Ibero-American Confederation of Family and Community Medicine (WONCA Iberoamericana-CIMF), we deeply regret the loss of human lives in the context of social mobilizationsinvariousregionsofPerusince December 2022 and express our concern about the violence increase We offer our heartfelt condolences to the communities andfamiliesofthedeceased

As care professionals dedicated to the population's well-being and health being a right threatened by the country's serious situation, we urge the authorities and security forces to take measures and ensure adequate care safely and prevent the increasing deaths in the population due to the cessation of health services in multiple parts of the country and relieve the difficultiesfacedbyhealthcareprofessionals tocarryouttheirwork

Similarly, we call on individuals and social organizationstoexercisetherighttoprotest peacefully,avoidviolentacts,respectlifeand maintain serenity We call on all parties to protectallpeople'srights,especiallythosein vulnerablesituationsandensurethatinjured andsickpeoplecanreceivemedicalcareina timelymanner.

As CIMF, we offer support and help so that the right to health, life, and universal health care prevail. We express our commitment andwillingnesstosupportthegenerationof dialogue and listening processes for peace. Our countries chronically experience violenceandrightsviolationsthatinevitably have health repercussions and take lives Based on this situation, we periodically witness crises of a social, political or economic order that deteriorate our living conditions and health. The recent attack on democracy in Brazil, the wage demands of doctorsinVenezuelaandthemobilizationsin Spainindefenceofthepublichealthsystem and the right to quality medical care are recentexamplesofarealitythathasbecome increasingly unstable and permanent if we visualizeourselvesasaregion.

Oursolidarityiswiththehealthteams,family and community doctors, the population of ourcountries,theirchildrenandadolescents, the elderly, and adults who, in apparent good health, carry the weight of supporting families and society with their work and see theirmentalhealthfalter Withthemalsoour commitment to contribute to the construction of peace, equity and health in ourIbero-Americanregion.

CIMFExecutiveCommittee

PresidenciaRegional: JacquelinePonzo

CIMFCEO ThomasMeoñoMartín

HonoraryTreasurer MarinaAlmenas

SouthernVicePresidency MarcelaCuadrado

MesoamericaVicePresidency SoniaOrtiz

AndeanCountriesVicePresidency RosaVillanuevaCarrasco

VicePresidencyofIberia MariaFernandezGarcia

WaynakayRepresentative GabrielaDiCroce

NationalAssociations

FederaciónArgentinade MedicinaFamiliaryGeneral

SociedadBolivianade MedicinaFamiliar

SociedadeBrasileirade MedicinadeFamíliaeComunidade

SociedadColombianade MedicinaFamiliar

AsociaciónCostarricensede EspecialistasenMedicina FamiliaryComunitaria

SociedadCubanade MedicinaFamiliar

SociedadChilenade MedicinaFamiliar

SociedadEcuatorianade MedicinaFamiliar

SociedadSalvadoreñade MedicinaFamiliar

SociedadEspañolade MedicinadeFamiliayComunitaria

FederaciónMexicanadeEspecialistas yResidentesenMedicinaFamiliar

AsociaciónNicaragüensede MedicinaFamiliar

SociedadPanameñade MedicinaFamiliar

SociedadParaguayade MedicinaFamiliar

SociedadPeruanade MedicinaFamiliaryComunitaria AssociaçãoPortuguesade MedicinaGeneraleFamiliar

AcademiadeMédicosde FamiliadePuertoRico

SociedadDominicanade MedicinaFamiliaryComunitaria

SociedadUruguayade MedicinaFamiliaryComunitaria

SociedadVenezolanade MedicinaFamiliar

LEA AQUÍ LA DECLARACIÓN ORIGINAL EN ESPAÑOL

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STARTSURVEY

TRANSFORMING MENTAL HEALTH CARE:

WONCA INTRODUCES THE MDD MINDS PROJECT

WONCA is proud to announce the launch of the MDD Minds project in collaboration with theWONCAWorkingPartyonMentalHealth, andMosaicaSolutions.Theoverarchinggoal of this initiative is to improve the quality of care for patients suffering from major depressive disorders in Africa-Middle East, AsiaPacific,andLatinAmerica

Fortwodays,theSteeringCommitteeofthe Project met to establish milestones, timelines, and plans for the successful executionoftheproject Asaresult,thefirst stageoftheprojectisnowunderway

Representing the WONCA Working Party on Mental Health at the meeting were Chris Dowrick and Christos Lionis. Mary Ales and Shelly Rodrigues represented Mosaica Solutions, while WONCA CEO, Dr Harris LygidakisandRobertoMunoz,SeniorProject & Fundraising Officer coordinated the meetingatWONCAheadquartersinBrussels, Belgium.

Depression is a global issue, as it is now the leading cause of disability worldwide Unfortunately, between 50% and 90% of people suffering from depression are not diagnosed or treated properly The integration of mental health care into primary care, particularly within the field of familymedicine,isapriorityforinternational agencies

The MDD Minds Project aims to strengthen physicians’ competencies and confidence in managing mental health problems while enablingshareddecision-makingfortreating majordepressivedisorders

MDD MINDS FOR PRIMARY CARE

FAQS

Q. WHAT IS MDD MINDS?

MDD stands for Major Depressive Disorder

WONCA is implementing MDD Minds for Primary Care Project, a 30-month project, in collaborationwiththeWONCAWorkingParty onMentalHealth,andMosaicaSolutions

Q. WHAT IS THE GOAL OF THE PROJECT?

The overall goal of this program is to enhance the quality of care for major depressive disorders delivered by family doctorsinAfrica/MiddleEast,Asia,andLatin America

Q. WHY IS IT IMPORTANT?

Depression is a global issue, as it is now the leading cause of disability worldwide

Unfortunately, between 50% and 90% of people suffering from depression are not diagnosed or treated properly The integration of mental health care into primary care, particularly within the field of familymedicine,isapriorityforinternational agencies

The MDD Minds Project aims to strengthen physicians’ competencies and confidence in managing mental health problems while enablingshareddecision-makingfortreating majordepressivedisorders

Q. WHO ARE THE BENEFICIARIES OF THE PROJECT?

The ultimate beneficiaries are the patients Their family doctor will acquire knowledge, develop skills, and be empowered in the diagnosisandmanagementofMDD

Q. HOW DO YOU PLAN TO ACHIEVE THE GOAL?

By implementing a training course together with a train-the-trainer program and a performanceinpracticeschemetoapplythe acquiredknowledgeandskills.

The training is aimed to increase physician competence in identifying depression and anxiety, educating patients, and employing shared decision-making, selecting appropriate pharmacologic and nonpharmacologictherapy,communicatingwith specialistsinmakingreferrals,andfollow-up withpatientstorevaluatecare.

Becauseofthis,thetrainedphysicianswillbe better equipped to help patients suffering fromdepressionandanxiety

Q. HOW IS THE PROJECT FUNDED?

The funds come from an unrestricted educationalgrantfromPfizer

Q. HAS THE DONOR ANY INFLUENCE ON THE PROJECT?

No,themaincharacteristicofanunrestricted grant is that the donor, in this case Pfizer, cannot influence any part or stage of the project (including its design, development, implementation, monitoring and dissemination phases), thus always guaranteeingitscompleteindependencyand autonomy

PLANETARY HEALTH EDUCATION FOR PRIMARY CARE

THEME OF A RECENT ARTICLE PUBLICATION AT LANCET

Planetary Health challenges are rising and primary healthcare professionals should be prepared for dealing with it. In February 2023, the article“An international planetary health for primary care massive open online course” was published by Floss et al at Lancet Planetary Health and analyzed the MOOC Planetary Health for Primary Care created by WONCA Environment and Telessaúde-RS.

The publication argues that cost-free, accredited planetary health education for primary care practitioners, like the MOOC, shouldbeprovidedasapublicgoodthatalso fulfils individual professionals The course waswrittencollaborativelybymanyauthors, committed family doctors and other health professionalsfromallregionsoftheworld,so therearedifferentworldperspectivesunited inthematerial.

The authors also argue that: “targeting primarycarepractitionersisimportantsince primarycarewillbethefirstlineofresponse forpeopleseekingcarewhenenvironmental change, destruction, and pollution intensify intersecting risks such as disasters, extreme temperatures, zoonotic disease, and food insecurity”

It also describes the importance of decommodify planetary health education, and theemphasisoftheprincipleofeducationas apublicgood.Thearticleisopenandfreeto access

A big thanks by the authors to the WONCA communitythathelpedithappenspecifically totheWONCAEnvironmentgroup

REFERENCE

Floss, M , Abelsohn, A , Kirk, A , Khoo, S -M , Saldiva, P H N , Umpierre, R N , McGushin, A , & Yoon, S (2023) An international planetary health for primary care massive open online course The Lancet Planetary Health, 7(2), e172–e178 https://doi org/10 1016/S25425196(22)00307-2

THERE IS NO FORCE MORE POWERFUL THAN A WOMAN DETERMINED TO RISE #EmbraceEquity

Everyyearonthe8thofMarch,International women's day is celebrated to uplift, encourage, and influence women across the globe to rise and be the best versions of themselves within every field including social, political, cultural, economic and scientific activities This year's theme emphasizestheachievementofwomenwho havestrived,workedhardandmadeaname in the field of innovation and technology removinganybiasesandestablishinggender equality There are so many unsung female heroes that have made significant contributions within innovation and technologyandthiswomen'sday,wewould liketorememberalloftheseheroes

Ihaveseeninspiringstorieseverydayonthe internetincludingwomenwhohavebounced back into careers after being stay at home mothersforyears:LauraBoccanfusogother PhD in computer sciences and has been the forerunner in creating Al enabled classroom tutors for students to assist children with learning disabilities Similarly, in the field of science, Jennifer Doudna solved the most complex biological structures using X-ray crystallography and was awarded the Nobel prizeinChemistry

Amongst the youngsters, we have women who have started businesses and upskilled more women to join the workforce through innovation and technology Cristina Junqueria cofounded Nubank within fintech to provide services to over 53 million customers Allthesewomenstrivetowardsa common goal: Creating a world where womencandreamandmaketheirdreamsa reality.Thisyear,letussetexamplesbutalso encourage one another to understand the importance of learning and continuously growing

On behalf of the WONCA Working Party on Women and Family Medicine (WWPWFM), I would first like to thank all female family doctors across the world for their contributionsanddedicationtowardsclinical practices especially within women's health and education. The only way we can continually progress is by constanfly challengingourselvesandfindinginspiration from each other May this women's day be ourremindertonevergiveuponourdreams andtoensurethatwecanalsobepartofthe system that breaks the biases that surround women Let WONCA set an example of women in medicine advancing and creating transparency, equality and innovation throughtheiractionsandefforts.

Let us continue dreaming together, for a dream we have together is what becomes reality

DRELIZABETHREJI WWPWFMCHAIR

WONCA JOINS PMNCH FOR UNIVERSAL HEALTH FOR WOMEN, CHILDREN AND ADOLESCENTS GLOBALLY

BY TEESTA DEY AND ILZE KALNINA

As we cross the half-way point of the Sustainable Development Goals (SDGs) Era, progress for ensuring universal access to health and well-being services for women, childrenandadolescentsacrosstheglobe,is insufficienttomeetthe2030deadline.

We are proud that World Organization of Family Doctors (WONCA) has recently become a partner of PMNCH- the world’s largest alliance of > 1,300 partner organisations across 192 countries working inpartnershiptoensuretheuniversalhealth and well-being for all women, children and adolescents globally They bring a hugely important primary health perspective to the ensuing discourse on criticality of Primary Health Care (PHC) within Universal Health Coverage(UHC)

Skilledandcompetenthealthworkersarean essential element of a robust wellfunctioninghealthsystem Front-linehealth care providers have a unique role in identifying and supporting advocacy efforts for critical issues and challenges within women’s, children’s and adolescents’ health (WCAH)andwell-being

Given their immense value, PMNCH has a dedicated constituency to the health care professional associations (HCPA) This constituency comprised of 55 member organizations from 24 countries, including severalglobalassociations,suchasIPA,ICN, ICM, FIGO, COINN, representing millions of health professionals globally. Within the HCPA constituency, organisations provide immense value in brokering knowledge, engaging with key partners and networks andprovidecriticaldirectionandvoicefrom ‘thefield’toensurethesuccessofcampaigns advocating for better services, policies and investment in WCAH. The HCPA’s are also critical in promoting accountability for safe, respectful and efficient healthcare services forWCAH

However,therealpowerofthisconstituency, lies in the ethos and spirit of crossdisciplinary way of working that has been cultivated within the HCPA constituency Organisations across cadres and disciplines haveutilisedthisplatformtocometogether, share their knowledge and ideas and collaborate. The platform has been catalytic in developing transformative ideas and opportunities to progress the agenda for WCAH

Across 2022, the HCPA has led on the development of several key initiatives includingJointstatementonRespectfulCare as a response to What Women Want and Honouring Women’s Demands paper and Joint statement on health workforce strengthening. This constituency has also provided an invaluable contribution across PMNCH’s knowledge and accountability products, including flagship accountability products,suchastheUNSecretary-General’s Global Strategy for Women, Children and Adolescents’’ Health (2016-2030) progress report“ProtectthePromise”launchedatthe WorldHealthSummitinBerlin.

The HCPA are also active advocates at international fora, and have contributed greatlytoflagshipevents,suchasLivesinthe Balance Summit in May, and the dedicated health care professional webinar series cohosted with WHO, Children in All Policies 2030, BMJ and PMNCH on marketing of formulamilkinSeptember.

Looking forward to 2023 there are several hallmark projects in the pipeline for which the HCPA constituency will be taking an active role This includes – the upcoming decadeupdatetotheBornTooSoonReport to be launched at the AlignMNH conference in Cape Town, South Africa in 8-11th May HCPA members have been actively contributing to the writing, communication andadvocacyofthisreport.TheHCPA’shave also developed statements on climate changeandrespectfulcareand2023willsee a further follow up on these statements An important hallmark event for PMNCH is 18 Billion Young People for Change campaign whichincludestheworld’slargestconvening of young people, to be held in October 2023 astheGlobalForumforAdolescents,strongly supportedbyHCPA.

Furthermore, in the year ahead, 2023, will feature a series of high-level discussions includingontheoccasionoftheUHCandthe Pandemic-PreparednessHigh-LevelSummits andSDGreviewSummitinSeptember.These high-level meetings will provide a critical opportunity for the HCPA to engage with a unified voice in promoting critical issues relatedtoWCAHandensuringthatthehealth workforceissupportedandprotected

WONCA’s participation within this dynamic constituency will be invaluable It is only by working together that we can truly deliver high quality, universal health to every women,childandadolescent.

ALL HANDS ON DECK: CO-DEVELOPING THE FIRST INTERNATIONAL SURVEY OF PEOPLE LIVING WITH CHRONIC CONDITIONS

The OECD's Patient-Reported Indicator Surveys (PaRIS) initiative aims to measure outcomes and experiences of healthcare as part of an effort to improve the value of health system investments The PaRIS survey,asurveyofpeoplelivingwithchronic conditions,iscurrentlybeingimplementedin twentycountries.ThePaRISsurveyhasbeen developed together with government officials,patients,providers,andresearchers. However, the extent of stakeholder involvementvariesbetweencountries

This paper reports on the stakeholder engagement in design, development and implementation of the PaRIS survey Field Trial in seventeen countries Engagement strategies were analysed by target group (patients, providers, or other stakeholders), and engagement level (co-designing, involving,consulting,andinforming).

The results provide valuable lessons for the implementation of the full PaRIS survey in 2023 and illustrate how stakeholders could be more actively engaged in health services researchandpolicymaking.

Author(s)

Candan Kendir, Rushay Naik, Janika Bloemeke, Katherine de Bienassis, Nicolas Larrain, Niek Klazinga, Frederico Guanais and Michael van den Berg

DOWNLOAD THE DOCUMENT AT THE OECD HEALTHWORKINGPAPERS

Young Doctors' Movements

YDM REPRESENTATIVE REPORT

June 2022 - December 2022

WONCA's Young Doctors' representative on World Executive, Dr Sankha Randenikumara (Sri Lanka) is coordinating regular news from our seven region Young Doctors' Movements

Contributions to the CPD activities

I physically attended three conferences within this period, namely WONCA Europe Conference in London, UK, WONCA EMR Conference in Muscat, Oman and WONCA APR Conference in Bali, Indonesia and, actively participated in young doctors' eventstookplaceinthoseconferences

I was invited to speak in several events and these opportunities were used to promote family medicine and YDMs among the early careerdoctors Someofthoseeventswere;

World Medical Association(WMA) Junior Doctors’Network(JDN)Fall(October)

Rural Seeds Ambassador Induction (October)

Al-Razi Preconference in WONCA EMR Conference(November)

Waynakay Preconference in WONCA IberoamericanSummit(November)

o Rajakumar Preconference in WONCA APRConference(December)

YDM collaborations with WPs/SIGs

YOUNGDOCTORLIAISONSINWPS/SIGS

As per our request, following WONCA WPs/SIGs now have young doctor liaisons in their executive committees: WPs on Education & Mental Health and SIGs on EmergencyMedicine,HealthEquity&Family Violence Youngdoctorliaisonswereselected byanopenapplicationprocess

COLLABORATIVE WEBINAR SERIES

Two joint webinars with the WONCA WPs/SIGs have been conducted in this period Waynakay Movement collaborated with the WONCA WP on the Environment in September and the Rajakumar Movement in NovemberwithSIGonAgingandHealth.

Astana Declaration Anniversary Celebrations (20th-26thofOctober2022)

Onthe4thAnniversaryofAstanaDeclaration, WONCAYDMcollaboratedwiththeWMAJDN and young doctors of African Forum for Primary Health Care (AfroPHC) to launch a social media campaign to raise awareness and increase the commitment of young doctors to strengthen primary health care through their action WONCA extended the socialmediacampaigntoallitsmembership by introducing a special ‘Astana Anniversary profilepictureframe’forsocialmediausers

The social media campaign was a great success with high number of post reaches and post engagements in all social media handles, reflecting the young doctors’ willingnesstocommittoprimaryhealthcare towardsapromisingfuture

WONCA World Conference, Sydney 2023

I am attending the RACGP-WONCA 2023 International Advisory Committee meetings continuously and contributing for the next world conference's organizingwork

YDM is getting ready for the YDM Preconference at the WONCA Sydney by appointing a committee representing all regionalYDMs

YDM-WP/SIG

Young Doctors' Movements

AL RAZI MOVEMENT

June 2022 - December 2022

Al Razi Preconference

Workshop during WONCA E Regional Conference

Muscat10-12Nov2022

Al Razi team was actively involved in preparation of the WONCA EMR Reg conference through the organization presentation of Al Razi Pre-confer Workshops A small working group has developed, led by Al Razi Chair Almohtaseb,andincludedAdelYaski,Sa Almehamdi and Hella AlOthman (S Arabia), Nouf Al Noun (UAE), Ahma Hanashi and Basim Aljahwari (Oman), Aldaghlise and Mahmoud Sqour (Jor and Tasneem Yahya (Palestine) workshops were conducted (1 hour eac thebeginningofthefirstandsecondda the conference. In Addition to that Al Chair, being a member of the Scie Committeeoftheconference,participat reviewingthesubmittedabstracts

Al Razi Members and Executive Group, WONCA E Executive Group, and YDM Lead Committee:

AlRaziCouncil:NewMembers(Sinc 2022): Marwa Alraisi (Oman), Alshammari (Kuwait), Yousef (Lebanon) ThanksforAhmadAlHan

Ahmad Fakhreddine, and Alameddine, respectively, for their during their term in Al Razi.

Membership: 1. E-Health WP: Adel

2 ASPIRE Group: Beesan M (Palestine) Al Razi Meetings: meetingsfromAugusttoDec2022

Running the series “Meeting the experts” webinars:

• Primary Care Indicators in Muscat Governorate was conducted on 4th June 2022 The webinar was prepared by Reina and Adel and presented by Ahmed Al Hanashi

Celebrating some global events

(1) Astana Declaration Anniversary: Anas, Adel, and Dana (2) Universal Health CoverageDay:Anas

Others:

Al Razi Bylaw Revision: a working group has been developed (Beesan, Adel, and Marwa) to review the bylaw, provide amendments and submit it for endorsementbyWONCAEMRCouncil

Preparation for Al Razi Council meeting and election of new Al Razi Chair: discussionshavebeenmadetocallforAl RaziCouncilmeetingwithinthenextfew months,toelectthenewchairofAlRazi, and some other executive group memberswholeftAlRazi.

Preparation and presenting the “Research Methods” training

course:

12 young family doctors from Palestine, Jordan, Egypt, and Morocco completed the 14-hour online course (7 sessions, 2 hours each) from 28th May 2022 to 20th August 2022 TheactivitywasledbyBeesanandthe trainer is Dr. Zaher Nazzal, Community Medicine Specialist at Al-Najah National University-Nabulus,Palestine.

Extra Local Teams Activities

Egypt: (1) The team conducted several scientific activities (2) participated in multiple medical campaign in rural areas, and (3) participated in three scientific publications. Palestine: (1) Growing of Al Razi/Palestine team by extra 10 members since May 2022 (total 85 members) (3) Monthly scientific day, in collaboration with PAFM and Palestinian MoH Jordan: (1) Family medicine during COVID: impact of COVID on women (a webinar) (2) Jordanian board of family medicine (an online workshop).(3)HowtomanageaGPclinic(a training course with Jordan Medical Association) (4) Community awareness campaign about breast cancer (5) participation in Family Medicine Scientific Day,organizedbyJordanianFamilyMedicine Society

Young Doctors' Movements EUROPEAN YOUNG FAMILY DOCTORS MOVEMENT

June 2022 - December 2022

EYFDM does not know how to be quiet it seems. We have had another busy time since June!

Firstly,Iwouldliketoannouncethatwehave elected our new President-Elect, Stuart Holmes from the UK, who will take over as PresidentfromNickMamoatWONCAEurope conferenceinBrusselsinJune2023.Wealso elected Aaron Poppleton from the UK to serve as the EYFDM Liaison to WONCA Europe, serving also on the WONCA Europe Executive

In June we made quite a lot of noise in London. We had a fantastic Pre-Conference with fruitful plenaries and workshops, and a lotofstrongconnectionswereformedasour communitycontinuestogrow

During the conference we had a very well received Plenary session with Marina JoticIvanovic from Bosnia&Herzegovina, Julien Artigny from Martinique/France and Nick Mamo from Malta/UK We also raised a record€4600forourBursaryFundtosupport young GPs especially from lower income countries to participate at WONCA Europe and EYFDM events, thanks especially to all those who donated, and to Marta Kurdzielewicz, our Awards and Fundraising Officer! We also had our annual Junior Researcher Award, won this year by Aaron PoppletonfromtheUK!

In September our Executive Group met in Wrocław, Poland to discuss where we are, andtoplantheyearahead.

In October, together with the other Young DoctorMovements(WONCA)wecollaborated with actively contributed to the Junior Doctors’ Network (WMA) campaign to mark theAstanaDeclarationAnniversary.

After the challenges of the COVID pandemic, our Exchange programme has been picking up again thanks to the hard work of Rocio Garcia-Gutierrez Gomez, our Exchange Officer, and her fantastic team of National Exchange Coordinators! We had a very successful pre-conference exchange in Doboj, Bosnia & Herzegovina in September and we also saw the return of the Balearic Meeting including its pre-conference exchangeinOctober.

Since the conference in London we also started advocating more strongly for better accesstoeventsforfamiliesandparentswith kids This is an ongoing process and the support we have seen for this is highly encouraging! Ana Cristina Franco Spinola, ourPolicyOfficerhastakenthisonaspartof awiderAccessibilityPolicywithgreatenergy and we look forward to the progress we can makeinthisarea

WehavealsorestartedourBridgeProject,an Exchanges-ASPIREcollaborationwithover30 newparticipantssigningupfromalloverthe worldforthisround!Wearelookingforward toseetheideasandprojectstheydevelop!

Finally,wehavebeenpreparingforacouncil meetinginJanuaryof2023wherewewillbe discussingthefutureofourorganisation,the bylaws that govern our organisation as well as our logo and website, on which Marta Kurdzielewicz (our Awards&Fundraising Officer) and Chris Rechtenwald (our Image Officer)havebothbeenworkinghard.Wewill alsobehearingfromtheteamorganisingour upcomingPre-ConferenceinBrusselsinJune 2023!Wehopetoseemanyofyouthere!

Young Doctors' Movements POLARIS

June 2022 - December 2022

Over the last six months, Family Medicine

Early Career Physicians, Residents and Medical Students in our Polaris region have continued to immerse themselves into full scope family practice, while continuing to support their patients, colleagues and local/broader communities. Our members continuetopartakeindiverseinitiativesand play various leadership roles, in addition to their clinical responsibilities, across our region Our Polaris Chair, Rohini Pasricha, shared her insights on increasing family medicine engagement and recruitment as a panelist speaker at the Family Medicine Forum 2022 in Toronto, Canada. Our USA colleagues had a successful pre-conference globalhealthsummitpriortoFMX2022held in Washington DC in September 2022 As well,theycontinuetoworkhardinpreparing aquarterlyglobalhealthwebinarseriesthat willbeavailableforeveryonetoview

To illustrate the broad scope of clinical practice in which our physicians, residents, and medical students work and learn, we have continued to develop our spotlight of the month campaign using our social media platforms (Instagram and Facebook: @woncapolaris),highlightingtheclinicaland non-clinicalactivitiesofoneindividualinour region each month. As well, we have developed a “debunking myths in family medicine” campaign to help increase awareness on what the field of family medicineentails Ourhopeistobreakdown common misconceptions and broaden our understanding of what family medicine has tooffer.

Our Polaris executive team has also continued to develop quarterly newsletters that highlight relevant topics in family medicine Our most recent issue was released in December 2022 and focuses on the theme of migrant health. In the coming year, we will be preparing a mentorship programforourPolarismembersthatallows for mentors and mentees to engage in “coffee-chat” conversations with one anotherandexchangeexperiences,interests, andlearnfromoneanother

Congratulations Brunèe Dorsett

OurveryownBrunèeDorsett(VicePresident of WONCA Polaris and Caribbean representative)hasbeenselectedtoserveas the YDM representative on the WONCA WorkingPartyonEducation.Brunèebringsa range of leadership skills and expertise to this role, previously serving as her school’s Family Medicine Chief Resident, helping to develop weekly academic resident sessions, andinitiatingaresidentmentorshipprogram for her school’s family medicine residency program We congratulate her and wish her allthebestasshetakesonthisnewrole!

Young Doctors' Movements THE RAJAKUMAR MOVEMENT

June 2022 - December 2022

The second half of the year is filled with many exciting activities The Executive and Council of The Rajakumar Movement (TRM) hasbeenworkinghardtoplanandprepare

July 2022

We had our first collaboration webinar with WONCA Working Party / Special Interest Groupforthisyear TRMishonouredtowork together with the distinguished WONCA WorkingPartyforMentalHealthinorganizing awebinaronMentalHealthinPrimaryCare: Clinical Depression on 2nd July 2022 (Saturday), 8.00pm (Malaysia Time). We had two renowned speakers Dr Darien and Dr Flaviosharedwithusondepression Patient withdepressioncanpresentwithsomaticor cultural expressions of their psychological distress Some of the challenges in identifying depression in primary care are limitation of time, competing priorities and patient agendas. We can help our patient with depression by administering Low intensity psychosocial interventions (LIPI) It issimpleandeffective!

September 2022

The Rajakumar Movement Research Group had successfully organized a Panel DiscussiononSeptember.Itwasanexcellent discussion by the expert panelists: Assoc ProfDrIndahWidyahening,Assist ProfDrTin Myo Han and Dr Maria Elinore M AlbaConcha The sharing and lessons learned wereinvaluable ThankyoutoTRMteamfor thegreatteamworkandsupport

TRM participated and supported the activity by WONCA YDM. We joined the Webinar Series 1 on The Young Family Doctor and Environmental Changes organized by Movimiento Waynakay in collaboration with the Working Party on the Environment Dr Chloe Chan, our TRM representative from Hong Kong assisted in the translation to Chinese. Well done to the team. It was a wonderfulsharingbyalltheexpertpanelists.

October 2022

Despite the unforeseen challenges, the Virtual FM360 Exchange of The Spice Route and The Rajakumar Movement (TRM) was successfullyheld.Itwasagreatcollaboration with informative presentation and video showcase of Primary Care / Family Medicine practices in India, Pakistan, Malaysia, and Thailand Thank you Dr Sankha Randenikumara for the opening remarks Special thanks to Dr Suthiwat Khumngoen andDrGobithRatnamforleadingtheevent For TRM, the presentation started with a moment of silence as a respect for the demiseofProfessorDatukDrDMMahendran Thuraiappah, who was very instrumental in theformationofTRMandcontributedvastly inPrimaryCare Hewillberememberedand misseddearly

DrTeohHongChinrepresentedMalaysiaand shared a very nice video on the Private General Practice. Dr Suthiwat Khumngoen never failed to amaze everyone with his creativityandvideoforThailand Ourfriends from The Spice Route shared wonderful videosonthePrimaryCareinIndia,Pakistan Many thanks to all presenters, facilitators andparticipants.

TRM supported and participated in the posting statements by YDM WONCA in conjunction with Astana Declaration Anniversary Global young doctors committed to strive for Universal Health Coverage and Sustainable Development Goalsbystrengtheningprimaryhealthcare!

November 2022

The Rajakumar Movement organized a wonderful collaborative webinar on Fall in older persons with WONCA Special Interest Group (SIG) on Ageing and Health. We are grateful to have the Convenor, Prof Dr Constance Dimity Pond, and SIG expert members Prof Dr Saniya Sabzwari, Dr Mercy Nafula Wanjala and Prof Dr Ngaire Kerse to share with us on the assessment of fall in olderadults,preventionoffalls:QI&Patient Safety Approach and setting up aged care andhospitals.Itwasaninformativewebinar as Family Doctors deals with falls (from prevention, treatment, audit to research) The webinar was well attended by friends, colleagues and seniors from the Asia Pacific Region as well as from other regions Thank you Dr Sankha Randenikumara for the opening remarks. Special thanks to all TRM team and translators (Dr Brando Cantu and DrChloeChan)

December 2022

TRMinBali,Indonesia

More than 3 years after the last face-to-face young doctors’ pre-conference in the AsiaPacific region in Kyoto in 2019, The Rajakumar Movement (TRM), through the Indonesian representative, Dr Marshell Timotius, successfully organized the young doctors pre-conference and networking dinner during the WONCA Asia Pacific Regional Conference in Bali on 5 December 2022withthetheme“BuildYourFutureasa FamilyMedicineSpecialist”

Associate Professor Dato’ Dr Mohammad Husni Jamal, President of the WONCA Asia PacificRegionopenedthesessionandurged TRM to continue expanding the horizon for the young family doctors in the Asia Pacific regionandintheworld

Dr Wong Ping Foo, chair of TRM delivered a welcomemessagevirtuallyandexpressedhis gratitude to the organizing committee and participants. Then, Dr. Sankha Randenikumara, young doctor representative to the WONCA World, shared his thoughts on FM speciality and about various young doctors’ movements in the world

For session 1: Young Doctors Movement in the Asia Pacific Region, Dr. Mel Anthony Acuavera, secretary of TRM, shared the mission and programs of TRM and urged youngdoctorsfromtheAsiaPacificRegionto continue supporting the activities of the movement Dr Suthiwat Khumngoen, Thailand representative, shared the numerous and amazing activities of the youngdoctorsinThailand.WhileDr.Phoebe Holdenson-Kimura and Dr Wee Sian Woon presentedvirtuallytheactivitiesoftheyoung doctors in Australia and invited all to attend the WONCA World Conference in Sydney on 26-29October2023

This was followed by session 2: Professional SharingonFamilyMedicinePractice Dr Mya Win Hnit, Myanmar representative, shared the family medicine education, its challenges, the opportunities and his practice as a young family doctor in Myanmar. Dr. Elaine Chua and Dr. Grace Chiang shared the progress of family medicine and their professional experiences asfamilydoctorsinSingapore

Additionally, Dr. Fitriana Ekawati shared the family medicine education, challenges and opportunitiesinfamilypracticeinIndonesia

This was followed by a small group discussion wherein the participants had the opportunity to share their own experiences, challengesandopportunitiesasyoungfamily doctorsintheirowncountries.

Finally, for session 3, Dr. Darien Cipta, discussed the importance of maintaining wellbeing and mental health for young doctors Dr Cipta shared steps and tips on reducing stress and taking care of mental health

Dr IstiIlmiatiFujiati,ChairoftheIndonesian Association of Family Physicians closed the sessionandformallylaunched,togetherwith Dr. Marshell Timotius, the Indonesia young doctors’movement.

To cap off the pre-conference,TRM, through Dr ErfenSuwangto,immediatepastchairof TRM, organized the networking dinner wherein the young doctors had the opportunity to get-to-know each other and shared their experiences as young family doctors They also shared their talents through song and dance presentations and enjoyedthevariousgames.

1. Important Day Celebration

The Spice Route South Asia council has selected important days to be celebrated at SouthAsialeveltoincreaseawareness Inthe second half of 2022, we celebrated World HepatitisDaybyNepal,WorldMentalHealth Day by Bhutan and World Diabetes Day by Pakistan

2. Virtual FM 360 Exchange Program

FM360exchangeprogramwasdoneon21st October between the Rajkumar movement and the Spice Route movement. Opening remark was introduction through a video by TRM and TSR. This was followed by video presentationsfromMalaysiaandThailandof theRajkumarMovementandfromIndiaand PakistanoftheSpiceRouteMovement Itwas an interactive session with Question and Answers session in the end by the participants

Young Doctors' Movements THE SPICE ROUTE MOVEMENT

June 2022 - December 2022

3. MRCGP Scholarship

The MRCGP (INT) has agreed to provide financial assistance to the young doctors of the region willing to attend WONCA Conference in Sydney, Australia provided their abstract gets accepted The flyer has been circulated in various social media platformsforyoungdoctorstoapply

4. Spice Route Exchange Guidelines

Similar to the European exchange program, conducted within the European countries, it was decided by the SAR council start having inter country exchange programs within the 6 nations of Spice Route SAR. The FM 360 Exchange team led by Gobith has devised guidelines for the Exchange Program The FM360 Exchange team led by Gobith is assignedtodeviseaguidelinecomprisingthe brief outline on the duration of exchange, amountofbursaryetc.

5. Regular meetings

TheCountryleadsoftheSpiceRouteCouncil regularly meets virtually via Skype every second Sunday of the month to discuss and plan the future activities. Also, regular CPD activities for young doctors of their respectivecountrieshavebeenorganizedby SriLanka,IndiaandPakistanbythenameof GPs’ Café, Spice Route Classroom and The Lounge,respectively

Young Doctors' Movements MOVIMIENTO WAYNAKAY

June 2022 - December 2022

The next pages gather together a compilation of the reports presented about Waynakay Movement activities during the lasttriennium

There have been multiple meetings and meetings with various countries of the movement, reinforcing the joint work with nationalassociations.

Representatives of countries incorporated into Waynakay, participated in the attention forCOVID-19

In Waynakay Mexico has focused on continuing medical education, for which a course-workshop on the development of research protocols was created, in order to supportresidentsinthedevelopmentoftheir protocols,withasynchronoussessionsanda weeklylivesessionwhereaweeklysummary wasaddressedandtheycleareddoubted,in

Being a specialist in Family Medicine, forces us to know the context in which the family develops,itstraditions,culture,history,food, whichcanberiskfactors,notonlyinMexico, but also in other Latin American countries, that is why Waynakay Mexico supports the workofourPanamanianbrothers.

Waynakay Mexico has worked with monthly academicsessions,wherethespeakersofthe sessions are members of the Waynakay movement With this we promote the early participationoftheYoungDoctor's.

In Mexico, the trimestral newsletter was carried out by the coordination of Editorial by Dr Clara Gómez, where articles are reviewed, the experiences of Waynakay members in their professional practice are written and the projects to be carried out in thenexttrimesterarereported.

ExhibitionabouttheWaynakaymovementto the teaching department of the Family MedicineResidencyProgramoftheRepublic ofPanama

Formationofnationalcommitteeswithinthe activemembersofthemovement

Presence during the XIII Panamanian Congress of Family Medicine "APS more important than ever" on May 26, 27 and 28, 2022 where an advertising banner with the Waynakay Panama logo was placed and sharedwiththeattendeesofthecongresson thephilosophyofthemovement

We participated together with authorities of the Social Security Fund of Panama in a community activity on prevention of cardiovasculardiseasesinJuly2022

Support in the organization in conjunction with the Panamanian Association of Family Medicineoftheseminartomedicalstudents that took place on July 30, 2022 where the followingtopicswere:

• Management of hypertension Choosing therapeutics

•Hypothyroidism

•Screeningforchronickidneydisease

•Workshop-integratedclinicalcase

The theme of communications throughout the movement has been reinforced, the first strengthbeingsocialnetworks,emphasizing publications on days of commemoration of some conditions such as chronic degenerativeandcancer.

In September, we participated with the organization of the WONCA YDM-WP/SIG Webinar, with the central theme of "The Young Family Physician and Environmental Challenges".

In November, the Waynakay movement participated in the VIII Ibero-American Summit of Family and Community Medicine "Family and Community Medicine, an essential specialty for the transformation of health systems in the XXI century" Active participation was carried out with interventions in presentations and work tables

6TH EMIRATES FAMILY MEDICINE SOCIETY CONGRESS

On behalf of the Emirates Family Medicine Society, we would like to heartily invite you, societymembers,annualcongressdelegates, esteemed faculty, committees and industry partners and friends to explore the society website, created as a platform to maintain connectivity and high standards among physicianswhopracticefamilymedicineand realize that a family doctor’s effectiveness depends on up-to-date continuing education.

We are proud of the exclusive scientific partnership between our society and its international scientific partners, the Royal Australian College of GPs, the American Board of Family Medicine, the Canadian College of Family Medicine, the American Academy of Family Physicians and the UK RoyalCollegeofGPs,whichisbuiltonalongtermmutualcollaboration,andwouldliketo invite all interested physicians and healthcare professionals to join us in furthering the profession of the family medicinedoctorbycontinuouslydeveloping their knowledge, skills and practice while stayingconnectedthroughtheirmembership inthesociety.

Your support towards the fulfillment of our mission to ensure that physicians in this region have access to quality continuing medical education, expertise and skills for providing comprehensive healthcare to patients of all ages, genders and diseases is of utmost importance to our society and to the vision of the Emirates Medical AssociationfortheUAEandbeyond

We sincerely hope that you will make the most out of your journey through this website and its content and look forward to meeting you all for many memorably valuable experiences as members of the society!

Yours truly,

Dr. Wadeia Sharief President of Emirates Family Medicine Society

EFMS PRESIDENT'S WELCOME MESSAGE

SINGAPORE PRIMARY CARE CONFERENCE 2023

Singapore Primary Care Conference 2023 is the first ever standalone conference for primarycareprovidersinSingapore,whichis made possible through the close collaboration between the College of Family Physicians Singapore (CFPS) and the 3 polyclinic clusters, namely National Healthcare Group Polyclinics (NHGP), National University Polyclinics (NUP) and SingHealthPolyclinics(SHP).

This is reflected in the theme of our conference,“StrengthinUnity:NewFrontiers in Primary Care”. The COVID-19 pandemic has underscored the importance of a robust primary care within the healthcare system. We have worked hand-in-hand to battle the COVID-19virus,andwehaverespondedwell tothesechallenges

WiththelaunchoftheHealthierSGstrategy, our primary care providers will be the key stakeholders to build a more robust, responsive and sustainable healthcare system for the population It is opportune thatwecometogethertolearn,networkand envisionthefutureintheseexcitingtimesof primarycaretransformation.

Ourconferencebringstogetherprimarycare physicians and other healthcare professionals working in primary care from acrosstheregionandwillcoverawiderange of topics relevant to primary care practice, now and in the future. Renowned local and international experts will share with us care models of the future, innovation and technology in primary care, together with latest clinical updates on common conditions encountered in the primary care setting

The conference dinner will be an excellent opportunity to catch up with old friends, develop new friendships and networks, and celebrate the achievements of our Primary Carecolleagues

WehopetoseeyouatourSingaporePrimary CareConference2023!

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.

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 -CANCELLED

1245–1345,Wed8Mar2023,FinancingPrimaryCare

1245–1345,Wed26Apr2023,GettingthePrimaryCareWorkforceright May2023,Holdingittogether:PrimaryCareInfrastructure Jun2023,Measuring,regulating,andimproving PrimaryCare

Jul23,PanelDiscussion:PrimaryHealthCareat theheartofeveryhealthsystem-anachievable dream?

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!