About the Rotarian Public Health Fellowship
By Imelda Medina, MD MPH (Health Promotion and Disease Prevention). Member of Rotary Club of Doral (District 6990, Area 7), Member of the International College of Person Centered Medicine, Rotarian Public Health Fellowship Chair
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This Rotary Fellowship shall operate in compliance with Rotary International’s policies for Rotary Fellowships, but it shall not be an agency of, or controlled by, Rotary International.
The purpose of this Rotary Fellowship is to bring together Rotarians, family members of Rotarians, Rotary program’s participants (e.g. Rotaract), Rotarian programs’ alumni, and friends (e.g. students and young professionals), interested in Public Health.
We participate in conferences and other public health initiatives with a focus on Person Centered Care (Person Centered Medicine and People Centered Public Health) to network, come together to help persons in need, learn from each other and have FUN! No membership dues.
Students pay half registration at the Geneva conferences.
OUR NEXT EVENT
The next event of the Rotarian Public Health Fellowship will be April 27-29, 2020 in Geneva, Switzerland. Please click here for details https://personcenteredmedicine.org/doc/2019-pdf/04/13-GC-Announcement.pdf
*Conference Announcement available HERE
The Rotary Foundation Areas of Focus
The Rotary Foundation - Doing Good in the World since 100 years ago.
Click here to play video https://www.youtube.com/watch?v=8NPsmwI2NYE&feature=youtu.be
The Rotary Foundation - Doing Good in the World since 100 years ago. Click here to play video https://www.youtube.com/watch?v=8NPsmwI2NYE&feature=youtu.be
What are you waiting for? Come join the Rotarian Public Health Fellowship.
This is a great opportunity to network, learn and have FUN!
ABOUT ROTARIANS, ROTARACT STUDENTS AND PERSON CENTERED CARE
Solving real problems takes real effort, commitment and vision. Rotarians and Rotaract students work to protect communities from preventable disease, keep women and children healthy, improve education and economic outcomes, create safe water and sanitation infrastructure, and make our community and the world a more peaceful place. We do so by addressing the need(s), with a focus on the wellbeing of every person and the community. By working as a family, Rotary’s global network of more than 1.2 million community leaders connect on a 1:1 basis to listen with care and compassion, and address the challenges, helping one person at a time, and then millions at a time, in a sustainable way, making an everlasting impact in their lives.
Rotary’s partners include multiple local, national and global organizations such as UNICEF, The WHO, The Bill & Melinda Gates Foundation, ShelterBox, CDC, UNESCO and The U.S. Agency for International Development. We come together to care for individuals’, families’, and communities’ perspectives as participants in and beneficiaries of our community service initiatives, which are developed to respond to their expressed unique needs and preferences in a humane and holistic way. Rotarians and Rotaract students focus on what we can do together to help. We help increase protective factors and decrease risk factors of health conditions. And our work is organized around the needs and expectations of every person and every community (rather than focusing on the disease or problem by itself, isolated from the person and his/her community), all of which is in line with the practice of Person Centered Care, People-Centered Public Health (1, 2)
In addition, through our youth programs (e.g. Rotaract, RYLA, Interact) and all work we do through Rotary Clubs, we place youth at the center, helping them in a wholehearted way, empowering them to be all they can be and make a difference in the world.
Rotary Leader
It is interesting to note that, Rotary’s organizational system is that of an upside-down pyramid, in which the individual, Rotary clubs and the communities we serve, are the principal working unit and focus of care.
Let us take for example, how UNICEF, Rotary, WHO and the Bill & Melinda Gates Foundation have been working together to successfully eradicate polio from the planet by focusing on helping one person at a time, and millions at a time, through person-centered care, people-centered public health:
What is Polio? Click here for more information and to view an interactive worldwide
map of the history of eradication of polio from the planet https://www.endpolio.org/what-is-polio
What is Polio? Click here for more information and to view an interactive worldwide map of the history of eradication of polio from the planet https://www.endpolio.org/what-is-polio
In 1988, an estimated 350,000 cases of paralytic polio occurred, and at that time, polio was endemic in 125 countries. However, thanks to the efforts of Rotarians, whom have gone to the extreme to provide the life-saving vaccine drop to every child in need, now polio is endemic in only 3 remaining countries. We work with UNICEF’s polio eradication programs, we actively participate in national immunization days, deliver the polio vaccine and train health workers. Rotary’s network of volunteers in more than 200 countries and regions has worked with UNICEF in the field to ensure that the poorest of the poor, the most isolated children are protected. And thanks to this effort, and to the person and people-centered care approach we’ve taken, polio is being eradicated from the world.
And what is Person Centered Care?
Person Centered Care (PCC) is key to delivering better health for all. It is in line with the vision of the 1978 Declaration of Alma-Ata, which was to recognize that health is not only about illness and services, but importantly, about empowering individuals and caring for the person as a whole, taking into consideration the social determinants of health, placing the person as the center of care. However, forty years later, that vision has gone largely unfulfilled, and it is imperative to renew global commitment and work together towards this end by building professionals' capacity, and creating a system where public health-clinicians-community work in collaboration to support the person and community development. Through this way, we will be able to better take action to promote health, increase protective factors/decrease risk factors, effectively address the root causes of public health problems, and provide “health for all,” especially to the most vulnerable persons worldwide.
In response, a global movement is emerging for person centered care collaboratively developed by the International College of Person Centered Medicine (ICPCM) and a number of global institutions, through annual Geneva Conferences and International Congresses, as well as scholarly publications. The conceptual bases of Person-Centered Care include the following: Broad bio-psycho-socio-cultural-spiritual theoretical framework; Attention to positive-health and ill-health as components of a broad concept of health; Enhancement of person-centered communication, diagnosis, treatment, prevention and promotion of health; Respect for the autonomy, responsibility and dignity of every person involved; Promotion of person-centered relationships and partnerships at all levels; and Articulation of person-centered clinical medicine and people-centered public health. The following key concepts underlying person-centered care have been elucidated: 1) Ethical Commitment, 2) Cultural Sensitivity, 3) Holistic scope, 4) Relational Focus, 5) Individualized Care, 6) Common Ground for Collaborative Diagnosis and Care, 7) People-centered Systems of Care, and 8) Person-Centered Education and Research. PCC is measurable and effective.
Person-Centered Care, which includes every one of the 7 pillars of Self-Care, is integrated
within our Rotarian projects. Here is an example of Person Centered Care through
Self-Care: Helping increase Physical Activity. Courtesy of https://isfglobal.org
Person-Centered Care, which includes every one of the 7 pillars of Self-Care, is integrated within our Rotarian projects. Here is an example of Person Centered Care through Self-Care: Helping increase Physical Activity. Courtesy of https://isfglobal.org
Here you may find more information about Person Centered Care (PCC) and HERE you may read an article about more examples of PCC and how to measure it.
Rotary Smiles https://www.youtube.com/watch?v=gsXmVlHJdcg&feature=youtu.be
References
1. WHO. Global status report on noncommunicable diseases 2014 [Available from: https://www.who.int/nmh/publications/ncd-status-report-2014/en/.
2. WHO. People-Centered and integrated care strategy. 2014 [Available from: https://www.who.int/servicedeliverysafety/areas/people-centred-care/en/.
3. WHO. Alma-Ata 1978 Primary Health Care. Report of the International Conference on Primary Health Care Alma-Ata, USSR, 6–12 September 1978. 1978.
4. Hone T, Macinko J, Millett C. Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals? Lancet (London, England). 2018;392(10156):1461-72.
5. Engel GL. The clinical application of the biopsychosocial model. The American journal of psychiatry. 1980;137(5):535-44.
6. Davletov K, Nurgozhin T, McKee M. Reflecting on Alma Ata 1978: forty years on. European journal of public health. 2018;28(4):587.
7. The Astana Declaration: the future of primary health care? Lancet (London, England). 2018;392(10156):1369.
8. Banarsee R, Kelly C, El-Osta A, Thomas P, Brophy C. Towards a strategic alignment of public health and primary care practices at local levels - the case of severe and enduring mental illness. London journal of primary care. 2018;10(2):19-23.
9. Juan E Mezzich MD MA MSc PhD LKP, Ihsan M Salloum MD MPH,, Jitendra K Trivedi MD SKKM, Neal Adams MD, and Janet Wallcraft PhD. Systematic Conceptualization of Person Centered Medicine and Development and Validation of a Person-centered Care Index. The International Journal of Person Centered Medicine. 2016;6(4):219-47.
10. Pirhonen L, Olofsson EH, Fors A, Ekman I, Bolin K. Effects of person-centered care on health outcomes-A randomized controlled trial in patients with acute coronary syndrome. Health policy (Amsterdam, Netherlands). 2017;121(2):169-79.
11. Li J, Porock D. Resident outcomes of person-centered care in long-term care: a narrative review of interventional research. International journal of nursing studies. 2014;51(10):1395-415.
12. Kim SK, Park M. Effectiveness of person-centered care on people with dementia: a systematic review and meta-analysis. Clinical interventions in aging. 2017;12:381-97.
13. Stewart M, Brown JB, Donner A, McWhinney IR, Oates J, Weston WW, Jordan J. The impact of patient-centered care on outcomes. The Journal of family practice. 2000;49(9):796-804.
14. International College of Person Centered Medicine Website http://personcenteredmedicine.org
15. Rotary International Website www.rotary.org
This Rotary Fellowship shall operate in compliance with Rotary International’s policies for Rotary Fellowships, but it shall not be an agency of, or controlled by, Rotary International.
Disclaimer: The opinions expressed in this article are the author’s own.
Let me know if you have any questions. Imelda Medina, MD MPH (Practices Health Promotion
and Disease Prevention) - Nicaraguan, Member of Rotary Club of Doral (District 6990, Area 7).
The email of the Rotarian Public Health Fellowship is rotarianpublichealthfellowship@gmail.com
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