! t i k p u Follow
Mahdia Tunisia
WHAT'S INSIDE
PHLT kit Follow-up
1- Letter from SCOPH RA for EMR 2- Letter from the PHLT Coordinator 3- About IFMSA 4- About SCOPH 5- About PHLT 6- About AntiMicrobialResistance 7- The Program 8- DAY 1 9- DAY 2 10- DAY 3 11- DAY 4 12- Sharing materials 13- Messages from the Trainers 14- Messages from the Participants 15- Abbreviations
Welcome Again !
LETTER FROM SCOPH RA Dear SCOPHeroes, I hope that the PHLT was an enriching and unforgettable experience for all of you. I’m certain that you were inspired by the uniqueness of each aspect of this training that enables you to confidently act within the realm of public health. The follow up kit is the perfect conclusion to an awe-inspiring training, composed to recall all that you learnt from this great opportunity and give it back to capacity building in SCOPH within your NMOs. I would also like to dedicate the last part of this message to your astonishing NPO, PHLT facilitators and the mind-blowing efforts they have done to make this happen. All of this wouldn’t have been possible without their expertise and absolute dedication. Don’t forget to always keep that exhilarating SCOPH spirit! Orange hugs, Omnia
Omnia Omrani SCOPH RA for EMR
LETTER FROMÂ THE PHLT COORDINATOR Dear SCOPHeroes, Being an eternal lover of the SCOPH committee, a committee I've seen growing bigger and better over the years, I immediately took the opportunity to become the coordinator of the PHLT. Seeing how successful this PHLT, I was truly filled with joy and pride. This training involved all of us and everyone gave as much as he could to ensure a quality training that allowed all our active members to benefit from. The preparation was fluid, the atmosphere was at the rendezvous, this new group of educators filled with a tremendous amount of motivation and new ideas allowed us to see the 3 associations all united for one and only purpose: a fierce fight against antimicrobial resistance, a theme that was chosen regarding the situation and the place of antibiotics in the public health sector in Tunisia and in the world! My hope for the future is that this kind of training will only increase, I hope that we will see more motivation and involvement of our members each time. It is only together that we will be able to progress, advance and build a committee full of love for public health. A committee that will thrive to bring more to our community everyday with our constant support and dedication. Yours, Chedlia
Chedlia Jammeli PHLT coordinator
ABOUT IFMSA The International Federation of Medical Students’ Associations (IFMSA) is a non-profit, non-governmental organization representing associations of medical students worldwide. IFMSA was founded in 1951 and currently maintains 136 National Member Organizations from 127 countries across six continents, representing a network of more than 1.3 million medical students. IFMSA envisions a world in which medical students unite for global health and are equipped with the knowledge, skills and values to take on health leadership roles locally and globally, so to shape a sustainable and healthy future. IFMSA is recognized as a nongovernmental organization within the United Nations’ system and the World Health Organization; and works in collaboration with the World Medical Association.
STRUCTURE
IFMSA Standing committees SCOPH/SCORA/SCORP/SCOME/SCOPE/SCORE
SCOPH Director
LPH
RAs (Asia pacific / Africa / EMR / Europe / Americas)
NPO
LPO
IFMSA
WELCOME TO SCOPH FAMILY
The Standing Committee on Public Health (SCOPH) brings together medical students from all over the world to learn, build skills, cooperate, explore and share ideas when it comes to addressing all issues related to public health, including global health issues, health policies, health promotion and education, activities.
History 1952
SCOSH the Standing Committee on Students Health
IFMSA Vision 1963
SCOH Standing Committee on Health
1983
SCOPH Standing Committee on Public Health
A world in which all medical students unite for global health and are equipped with the knowledge, skills and values to take on health leadership roles locally and globally.
SCOPH Mission To follow the vision, the SCOPH works to empower future leaders, and to promote health on the Local and Global levels.
INTRODUCTION
WHAT IS PHLT? Public Health Leadership Training : Based on the World Health Students’ Alliance (WHSA) on Antimicrobial Resistance (AMR), we have decided to bring the alliance to a national level by working with other Tunisian Associations such as TADS, ATEP and IVSA. Therefore, achieve a better impact on the Tunisian society through working on a large scale. This is the reason why we have chosen AMR, which is a very challenging Public Health area in Tunisia, as the theme of our PHLT. The main issue in our country is antimicrobial misuse: self-medication with antimicrobials (antibiotics in particular), being over-the-counter medications obtained without a prescription, or by irrational prescription by physicians. All the mentioned factors are key contributors to Antimicrobial Resistance, which is increasing dramatically with multidrug resistant strains being more common throughout the word. This PHLT had participants from different organizations:
IFMSA International Federation of Medical Students' Associations
IVSA
ATEP
TADS
International Association Tunisian Veterinary Students' Tunisienne des Association of Association Etudiants en Pharmacie Dental Students
THE PHLT PUT EMPHASIS ON ANTIMICROBIAL RESISTANCE Being part of the EMR region, Tunisia it still strongly affected by Antimicrobial resistance, despite the low rate of antimicrobials use in animals (farming, etc.) comparing to other world regions. The main issue in our country is antimicrobial misuse : self-medication with antimicrobials (antibiotics in particular), availability of over-thecounter medications without a prescription, or by irrational prescription by physicians. In Tunisia, antibiotics are easily accessible, you can purchase them from Drug Stores without the need of a Doctor’s prescription and that's usually what people do. Even Medical Students (Future Medical Doctors) aren't aware of the threat of misuse of antibiotics. We believe it's of our duty as a Health Organization to raise awareness of Antimicrobial Resistance. All the mentioned factors are key contributors to Antimicrobial Resistance, which is increasing dramatically with multidrug resistant strains being more common throughout the world.
WHAT IS THE AIM OF PHLT? This workshop aims to train SCOPHians and others to actively take leadership roles within the field of Public Health. Moreover, it will train participants in specific fields closely related to IFMSA and Public Health work, such as specifics on Activity management. Complementary to this, it will aim to aid the participants build knowledge about themes that are priorities to their Regions so they will be able to apply what they have learned not only on a ‘theoretical’, but also on a practical local level.
THE PROGRAM
Let's live it again !
DAY 1
01
Basics of Public Health What is Public Health? The art and science of preventing disease, prolonging life and promoting health through the organized efforts of society. - WHO 1988 What is Health? Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.
02
03
Leadership Activity: Find 5 words that describe leadership within groups of 2 people then 4 then 8. Leadership is the ability of an individual or a group of individuals to influence and guide followers or other members of an organization. Describe a leader A leader is the one in charge, the person who convinces other people to follow. A great leader inspires confidence in other people and moves them to action.
John Snow : the father of epidemiology!
In 1854, there was an outbreak of cholera in the Soho district in London. Luckily, the physician John Snow was around at the time to investigate the case. He concluded that the reason for the spread of cholera wasn’t the air, but rather a contaminated water. This was one of the greatest discoveries of the century and led to a massive overhaul of the public health system, as well as much improved sanitation infrastructure. The discovery was also meaningful for doctor Snow, who is today known as one of the fathers of epidemiology.
What is Global, International and Regional Health ?
04 One Health is an approach to designing and implementing programmes, policies, legislation and research in which multiple sectors communicate and work together to achieve better public health outcomes.
Health systems Did you meet Maya? https://www.youtube.com/watch? v=PFVCNUOM5Us A good health system delivers quality services to all people, when and where they need them. The components of a Health system are: -Health workforce -Service delivery -Medical products -Human resources for health -Health financing.
Teamwork and reflection groups
05
06
07
The participants were divided into 4 teams that worked together during the 4 days.
WHO works closely with the Food and Agriculture Organization of the United Nations (FAO) and the World Organisation for Animal Health (OIE) to promote multi-sectoral responses to food safety hazards, risks from zoonoses, and other public health threats at the humananimal-ecosystem interface and provide guidance on how to reduce these risks.
Communication skills
4 TEAMS SCOPH FISH
FANTASTIC 5
IFMAY
NAMAS-T
Fasten your seatbelts
DAYÂ 2
Team dynamics stages and Team building LOST AT SEA If you want to know more about this case, click here. Activity : If your yacht went on fire, what 4 items would you take with you among the following list : Items: A sextant / A shaving mirror / A quantity of mosquito netting / A 25 liter container of water / A case of army rations / Maps of the Atlantic Ocean / A floating seat cushion / A can of shark repellent / A 10 liter can of oil/petrol mixture / A small transistor radio / 20 square feet of opaque plastic sheeting / One bottle of 160 proof rum / 15 feet of nylon rope / 2 boxes of chocolate bars / An ocean fishing kit & pole. Task: Rank in term of importance within your group and then individually. Output: On top of the list: 1/ Shaving mirror 2/ Oil [...] 15/ Sextant
08
Life is Activity management 1 Activity: Each participant has a different role written down on a post-it and has to advocate for it, in order to be picked among the top 5 people on a spaceship. Watch out! There are two apocalypse guys who has the potential to kill you all!
Basics of Public Health
09
Presentation about AntiMicrobialResistance by Pr Rim Abdelmalek, Infectiologist and member of the Technical Committee for Tackling Antibioresistance in Tunisia. Click Here to see the presentation.
10
Golden circle (what?how?why?) Discussion mission and vision: Vision Mission Goals Objectives Goals Objectives. An objective must be SMART : -Specific -Measurable -Achievable -Relevant -Time-bound
BIO FEEDBACK -Behaviour (Unbiased) -Impact (Biased) -Observation Other methods : -The sandwich -The five finger -Pizza method (360 Degrees method)
11
Conflict management Level of assertiveness : Passive Agressive Level of attention : Task focus People focus Time : Get it right Get it Done Experience : Get along Get appreciated
Teamwork (AMR)
12
Each team should define : -1 Vision -2 Goals -2 Objectives per goal Duration : 1H 30
13
What would you do in order to solve a conflict ? 1-Leave 2-Stay and do nothing 3-Change your attitude and behaviour A/ Listening to understand: 1-Blending 3-Clarifying 5-Confirm 2-Backtracking 4-Summurize B/ Speak to be understood: 1-State of intention 2-BIO model feedback
Presentations Reflections groups
DAYÂ 3
14
Activity management 2 1-SWOT Announcement : -Strengths -Weaknesses -Opportunities -Threats 2-Risk management 3-Timeline for the activity
Teamwork + Presentations
15
Applying the activity management tools in order to define a SWOT analysis, the risk matrix and the timeline for each group’s vision and mission.
16
Basics of PH Disease history and levels of intervention in PH
17
Fundraising and Public Relations Who funds us? -Individuals -Organizations Why they fund us ? -People: Belief,crisis,Benefits... -Foundations (To fulfill their mission)
Advocacy: How to pitch? Advocacy Lobying Levels of advocacy -International -Regional -National -Local authority -Family interpersonal Models of advocacy - Self advocacy (internal) - Groups - Peer - Professional - Citizen - Statutory - Family / friends Advocacy Activity : Stakeholder Analysis (Between interest and influence)
18
19
How to fund ? -Public institutions -Crowdfunding -Fundraising activities Method: Storytelling and Logic train
Advocacy: How to pitch?
Roles: empowerment Module1: Set your priorities Module2: Map your network: Stakeholder analysis Module3: Build your Timeline Module4: Pick your targets Module5: Make your case Module6: Choose your activities Module7: Take Stock and review progress Module8: Develop your roadmap DON'T FORGET TO CRAFT THE MESSAGE! Activity: The elevator pitch You have exactly 30 sec to convince someone.
Click here to see the PHLT outcome
20
Teamwork Each team should prepare : -A 10-minute presentation -An infographic or a Poster -A 2-minute video Each participant should make a 30second pitch .
Risk management
21
-ACCEPT the risk -AVOID the risk -TRANSFER the risk -MITIGATE the risk: Risk reducation -EXPLOIT the risk: Make it beneficial
22
Reflection groups
DAYÂ 4
23
Press conference The press conference is composed of journalists and one of the 4 teams that has been working on a specific virtual situation related to AMR.
D-DAY
24
It’s all about performing! Group work presentations Individual work: How to pitch?
Pitch ?
25
Activity: The journalists' task is to ask questions to which the selected group should bring answers. The team members must advocate for their project and clarify everything to the journalists such as the risks the project may encounter or the impact of that project on society or patients etc.
Open hour to wrap up!
SHARING MATERIALS Click here to see the Sessions' photosÂ
our o t s ' e r e H memories!
Check The Training Camp photos Here.
Join us on Associa-Med Tunisia - SCOPH group here. IFMSA SCOPH group here.
FEEDBACK
MESSAGES FROM THE TRAINERSÂ
PR. RIM ABDELMALEK “Exige beaucoup de toi-même et attends peu des autres. Ainsi beaucoup d'ennuis te seront épargnés.” - Confucius
KATJA CIC To my dearest llamas! (You know who you are ;))
The PHLT on AMR in Tunisia was one of the most amazing experiences I ever got to be a part of. Not that I could expect anything less with : - the awesome participants, who were always so positive and prepared to learn, - the helpful OC, who provided us with everything we needed and were always there for us - and the wonderful venue to hold the training sessions in. The participants were an inspiration and it was a joy seeing them come together as teams and for their amazing activities to take shape. I am sincerely thankful to everyone for sharing their time and, most importantly, personal stories with me – I hope you had a wonderful time, that you learned a lot and that the PHLT experience will prove to be a helpful tool in the future. All the best to my darling llamas and cheers to the orange spirit of SCOPH! Always yours, Katja
TAREK EZZINE
The PHLT on AMR Tunisia 2018 was a life-changing experience for me. I had the honor to be part of a wonderful group that made magic out of the sessions! Thanks to their participation, their diversity and their way of being, they made this experience memorable. Never had I witnessed such a diverse group uniting together for a Health issue and make out of a rising difficult and complex Health Challenge, a simple yet serious dedication. I hope you learned a lot from this PHLT and I hope you will enlighten others around you with the beauty of your beliefs. Bacteriaciao to you all, Warm Hugs, Tarek
FEEDBACK
MESSAGES FROM THE PARTICIPANTS
GHAYA BAROUNI
Here is the fact: I changed. My perception haschanged as well as my reactions. And just for that, I can never be thankful enough. Not only have I learnt more about AMR but also learnt about myself, about managing conflicts and IMPOSE ONESELF. To every single participant and trainer who helped me evolve and make a change, I will never forget you! Always in my heart!
HELA KTARI
PHLT was a lifetime experience. An investment from both participants and trainers that lead to a perfect journey. 4 different organizations reunited to plead the same cause can’t be other than wonderful. I cannot describe how excited I was during the 4 days of this journey. Rare are the ones where we can make good connections, enjoy each other’s experiences and be fully concerned all day long. I can only thank the trainers for the hard work that they made, the participants for their input and the persons that made this training come to reality. Being a trainer is good but belonging to such a family is life dreaming.
SALMA SAHNOUN
The PHLT experience was of a paramount importance in my life, it was a golden opportunity to acquire new skills in various subjects such as Risk management, conflict management, Leadership and Communication. I even had deeper knowledge about the AMR issues. Besides, I reckon that training objectives were clearly explained and achieved thanks to Katja and Tarek who were able to explain difficult-to-understand subjects in simple terms. I should also mention the fact that through PHLT, I have known a lot of affable, gregarious and dynamic people; 4 days were largely enough to strengthen the bonds and to ensure a well-formed team building.
AMAL ABAYED
I felt extremely happy to see this workshop happening and I cannot wait to witness its impact in the near and far future. The idea of putting all health students together is one of a kind choice, where each one of us embraced diversity and looked for having a valuable input on the sessions. Therefore, never have I been proud of my freshly new 24 Public Health trainers. From now on, I look forward to having more intersectorial collaborations with health students. I think this is the best formula to change in the field of public health. We are the challenge itself! Let’s just go for it. Antimicrobial Resistance is eating us out! Time to say “Bacteria ciao, ciao, ciao!”
ABBREVIATIONS PH : Public Health SCOPH: Standing Committee on Public Health IFMSA: International Federation of Medical Students Associations GA / DA / RA : General /Development / Regional. Assistant WHO: World Health Organization (OMS) NMO: National Member Organization PHLT: Public Health Leadership Training LOSO: Liaison Officer for Student Organizations LPH: Liaison Officer for Public Health issues NPO: National Public health Officer LPO: Local Public health Officer EMR: Eastern Mediterranean Region IVSA: International Veterinary Students’ Association ATEP: l’Association Tunisienne des Etudiants en Pharmacie TADS: Tunisian Association of Dental Students AMR: Antimicrobial Resistance
We Made it memorable !
Be a SCOPHERO !
On behalf of the SCOPH National Team
Special Thanks to SARRA HABIBI CHEDLIA JEMMALI KAIS CHEOUR AZZA FAYACHE YASSIN ZOUARI TRAINING CAMP OC KATJA CIC TAREK EZZINE NISHWA AZEEM OMNIA EL OMRANI PR RIM ABDELMALEK FARES MARMERCH (ATEP) WAEL SAAD (TADS) MOHAMED BALTAGI (IVSA) TRAINING CAMP SPONSORS ASSOCIA-MED NATIONAL BOARD