The international non-governmental community has played a major role in developing schools of public health and continues to do so. Nearly a century ago, seminal investments of the Rockefeller Foundation played a pivotal role in developing schools of public health in North America and several abroad. Today, involvement of non-governmental organizations in continuing development of schools of public health is needed, as many countries throughout the world continue to battle the burden of disease with insufficient numbers and quality of trained public health workers. In this paper we discuss in particular the roles of the Open Society Institute working together with the Association of Schools of Public Health in the European Region to foster the development of schools of public health in formerly socialist countries. We describe the development process in three example countries (Ukraine, Lithuania, and Macedonia), along with the difficulties they have faced. Government support and accreditation processes are needed to sustain the efforts to launch new schools of public health and to ensure their quality. The lessons learned in these initiatives are relevant to future development of public health education to provide the workforce required to address needs of professional public health in the 21 st century.
This piece introduces the special Public Health Reviews collection on human rights in patient care (HRPC). Work on HRPC dates back to 2007 and an Open Society Foundations initiative in collaboration with partners in Eastern Europe and Central Asia. We found that for marginalized groups, health care settings often were places of coercion, punishment, and/or violence rather than of treatment or care. At the same time, health care providers often did not know of their legal obligations and how to incorporate human rights norms in their work. They themselves faced a lack of independence, unsafe working conditions, and sanctions for providing evidence-based care. Laws existed that could potentially address violations, but they were rarely enforced, and most people did not know what they were. HRPC brings human rights principles to health care delivery and addresses the rights of both patients and health care providers. It seeks to translate laws and procedures protecting rights into practical terms, linking national, regional, and international frameworks. The special collection explores various aspects of HRPC, including state responsibility in private health facilities, reproductive health, palliative care, and intersections with public health. It further explores dimensions relevant to particular populations, including Roma, people who use drugs, and transgender persons.
A critical need exists to educate the international healthcare workforce on the care of the older adult. This article describes an interdisciplinary program to address the nursing needs of older adults via a series of workshops in Russia. Strategies to bridge international healthcare and educational cultures are demonstrated. Implications for international workforce development, such as establishing collaborative partnerships, creating culturally appropriate materials, and modeling active learning strategies, are discussed.
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