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March 28 - March 31, 2012<br />

New Frontiers<br />

in <strong>Global</strong> <strong>Health</strong><br />

Leadership:<br />

Building Strong <strong>Health</strong> Systems to<br />

Respond to Non-Communicable Diseases<br />

Invest – Innovate – Impact<br />

Funded by Henkel<br />

www.ghi.arizona.edu<br />

1


Welcome<br />

Iman Hakim, MD, PhD, MPH<br />

Dean and Pr<strong>of</strong>essor<br />

2<br />

Welcome to the Inaugural Forum <strong>of</strong> the <strong>Global</strong> <strong>Health</strong> <strong>Institute</strong>,<br />

Mel and Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong> at<br />

the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong>!<br />

The <strong>Global</strong> <strong>Health</strong> <strong>Institute</strong> is proud to partner with Henkel, Tohono O’odham Nation, the U.S.-Mexico<br />

Border <strong>Health</strong> Commission and the <strong>Arizona</strong> Public <strong>Health</strong> Training Center to host this inaugural event.<br />

The forum aims to share global, bi-cultural, border region, and indigenous health models in response to<br />

non-communicable diseases through health systems strengthening and quality improvement. The four<br />

day program features presentations by global experts and case studies <strong>of</strong> global and local models for NCD<br />

prevention and health systems strengthening; including quality assurance, health work force development,<br />

integration and health information systems & referral.<br />

<strong>Arizona</strong> is one <strong>of</strong> the most culturally rich and diverse environments in the United States. Located just 70<br />

miles from the U.S.-Mexico border, surrounded by Native American reservations and hosting the largest<br />

proportion <strong>of</strong> Peace Corps graduates in the country, Tucson and the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong> provide a<br />

particularly appropriate site for the study <strong>of</strong> global, local, culture, community and integrated prevention<br />

and health care systems. Each day, participants will travel to local case study field sites and engage in<br />

conversations and service learning with implementing partners, health care providers, and consumers.<br />

This experience will assist participants in developing health systems strengthening strategies for use in<br />

their respective programs and communities around the world.<br />

The <strong>Global</strong> <strong>Health</strong> <strong>Institute</strong>’s Vision & Mission:<br />

The <strong>Global</strong> <strong>Health</strong> <strong>Institute</strong>’s goal is to provide a comprehensive and integrated focal point for innovative<br />

public health education, scholarship, research, advocacy, and leadership training for the UA Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong>, UA and GHI partners. The GHI is dedicated to finding evidence-based solutions<br />

to global health problems through the education and training <strong>of</strong> tomorrow’s global health leaders. The<br />

overall mission <strong>of</strong> GHI is to promote the health <strong>of</strong> individuals and communities in <strong>Arizona</strong>, the Southwest<br />

and globally through excellence in education, research & service. Our <strong>Global</strong> <strong>Health</strong> <strong>Institute</strong>’s <strong>of</strong>ferings<br />

include a Master <strong>of</strong> Public <strong>Health</strong> in Family and Child <strong>Health</strong> – <strong>Global</strong> <strong>Health</strong> Specialization <strong>of</strong>fered by<br />

the Division <strong>of</strong> <strong>Health</strong> Promotion Sciences. This year we launched the new Graduate Certificate in <strong>Global</strong><br />

<strong>Health</strong> and Development. This online postgraduate program is a flagship <strong>of</strong>fering <strong>of</strong> the <strong>Global</strong> <strong>Health</strong><br />

<strong>Institute</strong>. Designed for pr<strong>of</strong>essionals and those entering the field <strong>of</strong> global health, this online program is<br />

a flexible, academically rigorous option for those who wish to balance coursework and career. http://grad.<br />

arizona.edu/admissions/. Our <strong>Global</strong> <strong>Health</strong> Alliance (GHA) is student-led to enhance students’ knowledge<br />

<strong>of</strong> public health in a global context by providing opportunities for students and faculty to connect to local<br />

organizations and community service projects, facilitating discussion <strong>of</strong> global health and social justice<br />

relevant in the Southwest, and promoting internships in global health and multicultural settings. Finally<br />

we now have several Memoranda <strong>of</strong> Understanding several universities in China, Taiwan and Saudi Arabia<br />

to collaborate in public health research, undergraduate and postgraduate curriculum development and<br />

community service learning.<br />

Welcome! Experience our unique environment and join the global initiative to fight NCDs!


Dr. Ned Norris, Jr.<br />

Chairman, Tohono O’odham<br />

Nation<br />

Welcome!<br />

Welcome to Southern <strong>Arizona</strong>! The Tohono O’odham Nation is pleased to be a part <strong>of</strong> the New Frontiers<br />

in <strong>Global</strong> <strong>Health</strong> Leadership inaugural forum on Building Strong <strong>Health</strong> Systems to Respond to Non-<br />

Communicable Diseases.<br />

The Tohono O’odham Nation is a federally recognized Tribe located in southwestern and central <strong>Arizona</strong>.<br />

Tohono O’odham translates as “desert people” and our people have lived in the region since time<br />

immemorial. We have a rich history and culture that continues to thrive today.<br />

With approximately 30,000 members living both on and <strong>of</strong>f the reservation and 2.8 million acres <strong>of</strong><br />

reservation lands divided into 11 distinct districts, our Nation has the second largest tribal land base in the<br />

country. The size <strong>of</strong> our reservation and enrollment numbers also make us one <strong>of</strong> the largest tribes in the<br />

southwest.<br />

The Tohono O’odham Nation’s fight against diabetes<br />

The Tohono O’odham Nation faces significant health care challenges, which have been exacerbated by a<br />

lack <strong>of</strong> infrastructure and resources. The Nation suffers from one <strong>of</strong> the highest rates <strong>of</strong> adult onset diabetes<br />

in the world. Approximately 50 percent <strong>of</strong> Tohono O’odham adults have adult-onset diabetes compared<br />

with 4-6 percent <strong>of</strong> the overall U.S. population. Until 1960, virtually no members <strong>of</strong> the Nation had diabetes<br />

because they ate a diet <strong>of</strong> traditional foods which helped prevent the disease. But with the introduction <strong>of</strong><br />

processed foods high in fat and calories, which supplanted the traditional diet, diabetes and obesity became<br />

widespread.<br />

Diabetes is a reality many O’odham children now face. During the 1990’s, an epidemic began to rise with<br />

the onset <strong>of</strong> type-2 diabetes in children. Tohono O’odham children as young as seven years old were being<br />

diagnosed as obese or diabetic. Currently, 76% <strong>of</strong> Tohono O’odham 6th-8th graders are overweight or<br />

obese.<br />

Traditionally, the Tohono O’odham were farmers harvesting food from the surrounding desert and living <strong>of</strong>f<br />

the land. Studies have shown that many traditional O’odham foods, such as tepary beans, cholla buds, and<br />

wild spinach, have been historically associated with good health. These traditional foods can help with the<br />

regulation <strong>of</strong> blood sugar and reduce the effects <strong>of</strong> diabetes.<br />

Today, Tohono O’odham are being encouraged to return to a more traditional diet, through efforts that<br />

promote both the health impacts and cultural value <strong>of</strong> traditional foods. The Nation is committed to<br />

combating diabetes among the O’odham and to providing the best possible care and support for those<br />

already grappling with the disease.<br />

3


Welcome<br />

Jennie F. Becenti, MPH, BA<br />

Executive Director<br />

4<br />

Tohono O’odham Department <strong>of</strong> <strong>Health</strong> and Human Services<br />

On behalf <strong>of</strong> the Tohono O’odham Department <strong>of</strong> <strong>Health</strong> and Human Services (TODHHS), I would like to welcome<br />

you to our beautiful land <strong>of</strong> desert. It is an honor to have you here and be given the opportunity for the Tohono<br />

O’odham Nation to take part in the New Frontiers in <strong>Global</strong> <strong>Health</strong> Leadership in partnership with our friends at<br />

the Mel and Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong> at the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong>. The Tohono O’odham Nation is<br />

faced with great health disparities especially in regard to Type 2 diabetes. Although, the Tohono O’odham Nation<br />

has the highest prevalence <strong>of</strong> diabetes in Indian Country, the Nation is taking many positive steps to reverse this<br />

trend by building on our strengths and assets with existing resources such as the use <strong>of</strong> traditional foods that are<br />

produced and grown here on our land. We believe that these traditional foods produce the best possible results in<br />

preventing diabetes and promoting healthy lifestyles that reduce the main risk factors.<br />

We at TODHHS believe addressing chronic disease (or non-communicable diseases) must begin by addressing<br />

our social, economic and environmental conditions as well as the lifestyle patterns that contribute to poor health,<br />

within the individual and at the community level. We are pleased to present our two case-studies on the efforts<br />

being undertaken by our programs to make inroads into reducing the incidence and prevalence <strong>of</strong> Diabetes and<br />

Cancer. The <strong>Health</strong>y O’odham Promotion Program (HOPP) and the Tohono O’odham Cancer Partnership, in<br />

partnership with other entities, are creating comprehensive plans and programs in the area <strong>of</strong> prevention, health<br />

promotion and systems improvement that will engage, educate and empower our Nation’s members in furthering<br />

their well-being. We hope that you will find inspiration while you are here and new ways to create local and<br />

community based solutions to the health concerns that you are addressing in your own communities.<br />

The TODHHS has many diverse programs that address the health and social needs across the lifespan for<br />

O’odham members and communities. The Department’s goal is to assist in educating, supporting and bringing<br />

out good health and wellness from within our members <strong>of</strong> the Tohono O’odham Nation through the following<br />

service areas: Senior Services, Adult Protection, Behavioral <strong>Health</strong>, Special Needs, Community <strong>Health</strong>, <strong>Health</strong><br />

Transportation, Child Welfare, <strong>Health</strong> Promotion and Family Assistance.<br />

Vision Statement:<br />

“By 2030, the Tohono O’odham Department <strong>of</strong> <strong>Health</strong> and Human Services will have achieved a state <strong>of</strong><br />

health and wellness in our communities which promotes Himdag”<br />

Mission Statement:<br />

The Department <strong>of</strong> <strong>Health</strong> and Human Services is leading, developing and managing effective quality<br />

programs by responding to needs <strong>of</strong> the Hemajkam (people).


Henkel is the name behind some <strong>of</strong> America’s favorite<br />

brands. From Dial® soaps to Purex® laundry<br />

detergents, Right Guard® antiperspirants, göt2b® hair<br />

styling products, and Loctite® adhesives, Henkel brands<br />

are part <strong>of</strong> your daily life.<br />

Henkel is committed to public health by developing<br />

innovative technologies and products that promote<br />

health and hygiene and safeguard against the transmittal<br />

<strong>of</strong> illness and disease. For Henkel, being innovative<br />

means finding and implementing new and better, even<br />

revolutionary solutions.<br />

Continuing Education Credits<br />

This activity has been submitted to the <strong>Arizona</strong> Nurses<br />

Association for approval to award contact hours. The<br />

<strong>Arizona</strong> Nurses Association is accredited as an approver<br />

<strong>of</strong> continuing nursing education by the American Nurses<br />

Credentialing Center’s Commission on Accreditation.<br />

<strong>Arizona</strong> Public <strong>Health</strong><br />

Training Center (AzPHTC)<br />

The <strong>Arizona</strong> Public <strong>Health</strong> Training Center (AzPHTC) is part<br />

<strong>of</strong> a network <strong>of</strong> 37 Public <strong>Health</strong> Training Centers nationwide,<br />

funded by <strong>Health</strong> and Human Resources and Services<br />

Administration (HRSA).<br />

The Public <strong>Health</strong> Training Centers (PHTCs) are one <strong>of</strong> many<br />

programs sponsored by <strong>Health</strong> and Human Resources and<br />

Services Administration (HRSA). HRSA works to respond to<br />

critical health system needs.<br />

PHTCs are supported by HRSA’s Bureau <strong>of</strong> <strong>Health</strong><br />

Pr<strong>of</strong>essions (BHPr), Center for Public <strong>Health</strong>. The goals <strong>of</strong><br />

the BHPr are to eliminate barriers to care, eliminate health<br />

disparities, assure quality <strong>of</strong> care, and improve public health<br />

and health care systems.<br />

Most other pr<strong>of</strong>essional healthcare entities will provide<br />

reciprocal continuing education hours, such as for Diabetes<br />

Educators and Community <strong>Health</strong> Specialists.<br />

5


6<br />

The Establishment <strong>of</strong> the United States-México Border <strong>Health</strong> Commission<br />

In recognition <strong>of</strong> the need for an international commission to address border health problems, the United States<br />

Congress passed Public Law 103-400 in October 1994. This law authorized the president <strong>of</strong> the United States<br />

to reach an agreement with México to establish a bi-national commission to address the unique and severe<br />

health problems <strong>of</strong> the border region. In 1997, Congress approved funding for a commission through the U.S.<br />

Department <strong>of</strong> <strong>Health</strong> and Human Services, Office <strong>of</strong> International and Refugee <strong>Health</strong>. In July 2000, the U.S.-<br />

México Border <strong>Health</strong> Commission was created by the signing <strong>of</strong> an agreement by the U.S. Secretary <strong>of</strong> <strong>Health</strong><br />

and Human Services and the Secretary <strong>of</strong> <strong>Health</strong> <strong>of</strong> México.<br />

The mission <strong>of</strong> the United States-México Border <strong>Health</strong> Commission (BHC) is to provide international leadership<br />

to optimize health and quality <strong>of</strong> life along the U.S.-México border. The Commission is comprised <strong>of</strong> twenty-six<br />

members who are deeply committed to border health improvement and include the federal secretaries <strong>of</strong> health,<br />

the chief health <strong>of</strong>ficers <strong>of</strong> the ten border states, and prominent community health pr<strong>of</strong>essionals from both<br />

nations. Each section, one for the United States and one for México, has thirteen members. The Commissioner<br />

<strong>of</strong> each section is the Secretary <strong>of</strong> <strong>Health</strong> from that nation. Each Commissioner may designate a delegate. The<br />

chief state health <strong>of</strong>ficer <strong>of</strong> the ten border states is a statutory member <strong>of</strong> the Commission, and the other fourteen<br />

members are appointed by the government <strong>of</strong> each nation. BHC has the unique opportunity to bring together the<br />

two countries and its border states to solve border health problems. The Commission provides the necessary<br />

leadership to develop coordinated and bi-national actions that will improve the health and quality <strong>of</strong> life on the<br />

border.<br />

The United States-México Border<br />

The BHC was created to serve all the people who reside within 100 kilometers, or 62 miles, on either side <strong>of</strong> this<br />

international boundary line. The border area is comprised <strong>of</strong> six Mexican states and four states in the United<br />

States. The border between the United States and México in some places is marked by a river, in other areas it is<br />

merely a line in the sands <strong>of</strong> the desert. Throughout history the border has been remapped by wars, politics, and<br />

nature. It has gone from an isolated, nearly uninhabited environment, to a bustling region <strong>of</strong> commerce and activity<br />

with a total combined population <strong>of</strong> nearly 12 million.<br />

On a normal day, millions <strong>of</strong> trade items cross the line north and south. More than 800,000 people crisscross<br />

legally every day, not counting the thousands who find illegal ways to enter the United States. Those who do find<br />

their way may risk their lives to rattlesnakes, scorpions and blistering heat or extreme cold. The lure <strong>of</strong> the north<br />

has brought millions <strong>of</strong> residents from the interior <strong>of</strong> México and other Latin American countries, to swell the<br />

border region past its economic limits and resources. The economic burden on the two countries is staggering.<br />

Much <strong>of</strong> the border is poor and health resources are scarce.<br />

This rapid population growth is putting further pressure on an already inadequate medical care infrastructure,<br />

which further decreases access to health care. The border is impoverished and has a double burden <strong>of</strong> disease<br />

to bear. Like many emerging nations, it struggles with serious chronic diseases such as respiratory and<br />

gastrointestinal ailments. The large and diverse migrant population increases the incidence <strong>of</strong> communicable<br />

diseases such as HIV/AIDS and tuberculosis, as well as chronic illnesses such as diabetes, certain cancers, and<br />

hypertension. In addition, the problems and concerns affecting the border region have broad repercussions for<br />

both nations. Travelers, migrants and immigrants, who are crossing the border every day, are taking their health<br />

problems with them to other parts <strong>of</strong> the United States and México. Although both nations cooperate in specific<br />

health areas such as tuberculosis and immunizations, until now, the border region lacked a sustainable process<br />

for addressing and improving the health <strong>of</strong> its population. A high-level bi-national commission was needed to<br />

effectively address these issues.


New Frontiers in <strong>Global</strong> <strong>Health</strong> Leadership:<br />

Building Strong <strong>Health</strong> Systems to Respond to Non Communicable Diseases – Inaugural Forum<br />

<strong>Global</strong> <strong>Health</strong> <strong>Institute</strong>, Mel & Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong>, <strong>University</strong> <strong>of</strong> <strong>Arizona</strong> - March 28 – March 31, 2012<br />

Time Schedule<br />

REGISTRATION<br />

Day 1<br />

6:00-7:00am<br />

Marriott<br />

<strong>University</strong> Park Hotel<br />

Day 2<br />

8:00am<br />

Mel & Enid Zuckerman<br />

College <strong>of</strong> Public<br />

<strong>Health</strong>, Drachman Hall,<br />

Walkway <strong>of</strong> Wellness<br />

OPENING<br />

CEREMONIES<br />

Day 1 & 4<br />

9:00am<br />

Days 2 & 3<br />

8:30am<br />

Day 1<br />

WEDNESDAY<br />

March 28<br />

<strong>Health</strong> Information &<br />

Referral Systems<br />

7:00 am Shuttle departs<br />

from Marriott <strong>University</strong><br />

Park Hotel<br />

880 East Second Street<br />

Tucson<br />

Tohono O’odham Nation<br />

Cultural Center & Museum<br />

Patio<br />

Facilitator<br />

Pr<strong>of</strong>essor Douglas Taren,<br />

PhD, Associate Dean <strong>of</strong><br />

Academic Affairs<br />

Juanita Homer<br />

Traditional Opening<br />

Blessing<br />

Tohono O’odham Nation<br />

Dr. Ned Norris Jr., Chairman<br />

Tohono O’odham Nation<br />

Timothy Joaquin<br />

Legislative Council<br />

Chairman<br />

Dean Iman A. Hakim, MD, PhD<br />

Mel and Enid Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong><br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Day 2<br />

THURSDAY<br />

March 29<br />

<strong>Health</strong> Workforce<br />

Development<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Cancer Center<br />

Kiewit Auditorium<br />

1515 N. Campbell Avenue<br />

Tucson<br />

Facilitator<br />

Jill de Zapien, Associate<br />

Dean <strong>of</strong> Community<br />

Programs<br />

Leadership<br />

Dialogue<br />

Day 3<br />

FRIDAY<br />

March 30<br />

Integration<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Medical Center<br />

DuVal Auditorium<br />

1501 N. Campbell Avenue<br />

Tucson<br />

Facilitator<br />

John Ehiri, PhD, MSc<br />

Director, Division <strong>of</strong> <strong>Health</strong><br />

Promotion Sciences<br />

Leadership<br />

Dialogue<br />

Day 4<br />

SATURDAY<br />

March 31<br />

Quality Assurance &<br />

Quality Improvement<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Medical Research Building<br />

Room 102<br />

1656 E. Mabel Street<br />

Tucson<br />

(OR Kiewit Auditorium)<br />

Facilitator<br />

Cecilia Rosales, MD, MS,<br />

Director, Public <strong>Health</strong><br />

Practice, Phoenix<br />

Leadership<br />

Dialogue<br />

7


Program<br />

8<br />

Time Schedule<br />

EXPERT PLENARY<br />

Day 1<br />

10:00-10:45am<br />

Days 2 & 3<br />

9:00-10:15am<br />

Day 4<br />

9:30-10:15am<br />

Day 1<br />

WEDNESDAY<br />

March 28<br />

<strong>Health</strong> Information &<br />

Referral Systems<br />

Key Note Address<br />

Tackling NCD’s<br />

through <strong>Health</strong><br />

Systems Strengthening<br />

Strategies<br />

Richard Smith, MD<br />

Director United<strong>Health</strong><br />

Chronic Disease Initiative<br />

BREAK BREAK<br />

10:45-11am<br />

Day 2<br />

THURSDAY<br />

March 29<br />

<strong>Health</strong> Workforce<br />

Development<br />

Shared Dreams: Transborder<br />

Collaborations<br />

for <strong>Health</strong> Promotion<br />

Catalina Denman<br />

Champion, PhD<br />

Pr<strong>of</strong>essor & Researcher<br />

El Colegio de Sonora<br />

Mexico<br />

La formación de<br />

nutricionistas en<br />

México y la prevención<br />

de enfermedades<br />

crónicas no<br />

transmisibles<br />

(Nutrition curricula and<br />

non-communicable diseases<br />

prevention in Mexico)<br />

María Isabel Ortega Vélez,<br />

PhD, Nutrition Coordinator<br />

Centro de Investigacion en<br />

Alimentacion y Desarrollo<br />

A.C.<br />

BREAK<br />

10:15-10:30am<br />

Day 3<br />

FRIDAY<br />

March 30<br />

Integration<br />

The Precautionary<br />

Principle in the<br />

Assessment and<br />

Determination <strong>of</strong><br />

Indigenous Community<br />

<strong>Health</strong><br />

James Hopkins, LL.M./<br />

ITP <strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

College <strong>of</strong> Law<br />

How the United Nations<br />

has not Engaged<br />

Civil Society on<br />

Non-Communicable<br />

Diseases<br />

Jeff Meer, Special Advisor<br />

<strong>Global</strong> <strong>Health</strong> Policy<br />

Public <strong>Health</strong> <strong>Institute</strong><br />

BREAK<br />

10:15-10:30am<br />

Day 4<br />

SATURDAY<br />

March 31<br />

Quality Assurance &<br />

Quality Improvement<br />

Improving Quality <strong>of</strong><br />

Services: Integrating<br />

NCDs with Primary<br />

<strong>Health</strong> Care Services<br />

to Improve Patient<br />

Outcomes<br />

Neeraj Kak, PhD<br />

Senior Vice President<br />

<strong>University</strong> Research Corp.,<br />

LLC<br />

BREAK<br />

10:15-10:30am


Time Schedule<br />

CASE STUDIES<br />

Day 1<br />

11:00-12:30pm<br />

Days 2, 3 & 4<br />

10:30-12:00pm<br />

Day 1<br />

12:30-1:30 pm<br />

Days 2, 3, 4<br />

12:00-1:00pm<br />

Day 1<br />

WEDNESDAY<br />

March 28<br />

<strong>Health</strong> Information &<br />

Referral Systems<br />

Tohono O’odham Nation<br />

Cultural Center & Museum<br />

Large Conference Room<br />

Bernard Siquieros, Curator<br />

Tohono O’odham Nation<br />

Cultural Center & Museum<br />

Tohono O’odham Nation<br />

History Presentation<br />

Panel Chair, Andrew<br />

Lorentine, Manager,<br />

Community <strong>Health</strong><br />

Tohono O’odham Nation<br />

Department <strong>of</strong> <strong>Health</strong> &<br />

Human Services<br />

<strong>Health</strong>y O’odham<br />

Promotion Program<br />

(HOPP)<br />

Tina M. Aguilar, Interim<br />

Program Manager<br />

Faith Pablo, Diabetes<br />

Counselor<br />

Tohono O’odham Nation<br />

Comprehensive Cancer<br />

Prevention and Control<br />

Plan<br />

Gary Chavez, Program<br />

Supervisor; Tohono<br />

O’odham Cancer<br />

Partnership<br />

Day 2<br />

THURSDAY<br />

March 29<br />

<strong>Health</strong> Workforce<br />

Development<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Cancer Center<br />

Kiewit Auditorium<br />

<strong>Global</strong> Case Study<br />

Strengthening<br />

Community Systems<br />

to improve the<br />

performance <strong>of</strong><br />

Community <strong>Health</strong><br />

Workers through<br />

Community Quality<br />

Improvement Approach<br />

Ram Shrestha, MS, MSc<br />

URC/HCI Community<br />

<strong>Health</strong> Advisor<br />

Local Case<br />

Studies Panel<br />

Within our Midst–<br />

Building Indigenous<br />

Leadership Capacity<br />

Panel Chair, Susan Kunz,<br />

MPH Director <strong>of</strong> <strong>Health</strong><br />

Promotion & Disease<br />

Prevention Platicamos<br />

Salud, Mariposa<br />

Community <strong>Health</strong> Center<br />

Martha Moore-Monroy, MA<br />

Director, Pima County<br />

REACH Program, Center<br />

<strong>of</strong> Excellence in Women’s<br />

<strong>Health</strong><br />

Mel & Enid Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong><br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

LUNCH at Elders Patio Roundtable lunch<br />

with Promotores<br />

Day 3<br />

FRIDAY<br />

March 30<br />

Integration<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Medical Center<br />

DuVal Auditorium<br />

<strong>Global</strong> Case Study<br />

Decentralization and<br />

Integration: the pillars<br />

<strong>of</strong> health system design<br />

for NCDs in rural sub-<br />

Saharan Africa<br />

Gene Bukhman, MD, PhD<br />

Harvard Medical School<br />

Director, Program in <strong>Global</strong><br />

Non-Communicable<br />

Diseases and Social<br />

Change<br />

Partners in <strong>Health</strong><br />

Local Case Study<br />

Challenges for the<br />

Integration <strong>of</strong> Cervical<br />

Cancer Prevention<br />

Services in Border<br />

Communities<br />

Francisco Garcia, MD,<br />

MPH, Pr<strong>of</strong>essor, Family and<br />

Child <strong>Health</strong> & Director,<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Center <strong>of</strong> Excellence in<br />

Women’s <strong>Health</strong>, Mel &<br />

Enid Zuckerman College <strong>of</strong><br />

Public <strong>Health</strong>, <strong>University</strong> <strong>of</strong><br />

<strong>Arizona</strong><br />

Day 4<br />

SATURDAY<br />

March 31<br />

Quality Assurance &<br />

Quality Improvement<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Medical Research Building<br />

Room 102<br />

(OR Kiewit Auditorium)<br />

Plenary Presentation<br />

Quality Improvement<br />

and Patient Safety<br />

from an International<br />

Perspective<br />

Neil MacKinnon, PhD<br />

Pr<strong>of</strong>essor & Director<br />

Center for Rural <strong>Health</strong><br />

Mel & Enid Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong><br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Local Case Studies<br />

Panel<br />

Panel Chair,<br />

Neil MacKinnon, PhD,<br />

Pr<strong>of</strong>essor & Director<br />

Center for Rural <strong>Health</strong><br />

Peer Recovery Quality<br />

Management<br />

Roberta L. Howard, CEO<br />

NAZCARE, Inc.<br />

Improving Patient Care<br />

(IPC) in the Indian<br />

<strong>Health</strong> Service (IHS)<br />

Peter Ziegler, MD<br />

Chief Medical Officer,<br />

Tucson Indian <strong>Health</strong><br />

Services<br />

LUNCH LUNCH<br />

9


Program<br />

10<br />

Time Schedule<br />

APPLICATION<br />

Group Work<br />

Day 1<br />

1:30-2:30pm<br />

Days 2 & 3<br />

1:00-2:30pm<br />

Day 1<br />

WEDNESDAY<br />

March 28<br />

<strong>Health</strong> Information &<br />

Referral Systems<br />

Large Classroom<br />

Large Conference Room<br />

Large Elders Room<br />

4 Breakout Sessions<br />

Case Study Application<br />

Work Groups<br />

Lead Facilitator<br />

Andrew Lorentine, Manager<br />

Community <strong>Health</strong> Tohono<br />

O’odham Nation Department<br />

<strong>of</strong> <strong>Health</strong> & Human Services<br />

Tina Aguilar, Manager<br />

<strong>Health</strong>y O’odham Promotion<br />

Program (HOPP)<br />

Gary Chavez, Program<br />

Supervisor; Tohono<br />

O’odham Cancer<br />

Partnership<br />

Day 2<br />

THURSDAY<br />

March 29<br />

<strong>Health</strong> Workforce<br />

Development<br />

UA Medical Research<br />

Building Room 102<br />

Bio5 Room 107<br />

Bio5 Room 109<br />

College <strong>of</strong> Public <strong>Health</strong><br />

Drachman Hall<br />

Rooms A112, A123,<br />

A124, A125, A126<br />

Roundtables Continued<br />

Case Study Application<br />

Work Groups<br />

Lead Facilitator<br />

Eric Lutz, PhD<br />

Mel & Enid Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong><br />

Susan Kunz, MPH<br />

Martha Moore-Monroy, MA<br />

Day 3<br />

FRIDAY<br />

March 30<br />

Integration<br />

UA Medical Research<br />

Building Room 102<br />

Bio5 Room 107<br />

Bio5 Room 109<br />

College <strong>of</strong> Public <strong>Health</strong><br />

Drachman Hall<br />

Rooms A112, A123,<br />

A124, A125, A126<br />

4 Breakout Sessions<br />

Case Study Application<br />

Work Groups<br />

Lead Facilitator<br />

Eric Lutz, PhD &<br />

MEZCOPH Faculty<br />

James Hopkins, LL.M./ITP<br />

Jeff Meer, Special Advisor<br />

Gene Bukhman, MD, PhD<br />

Francisco Garcia, MD, MPH<br />

Day 4<br />

SATURDAY<br />

March 31<br />

Quality Assurance &<br />

Quality Improvement<br />

UA Medical Research<br />

Building Room 102<br />

(OR Kiewit Auditorium)<br />

1:00-1:30pm<br />

Prepare Presentations<br />

1:30-3:30 pm<br />

Application Group<br />

Presentations<br />

(6 total – 2 from each Day)<br />

6 Groups


Time Schedule<br />

SITE VISITS<br />

Day 1<br />

2:30-5:00pm<br />

Days 2 & 3<br />

2:30-5:00pm<br />

Day 1<br />

WEDNESDAY<br />

March 28<br />

<strong>Health</strong> Information &<br />

Referral Systems<br />

Site Visit<br />

Tina Aguilar, Manager<br />

Faith Pablo, Diabetes<br />

Counselor<br />

<strong>Health</strong>y O’odham<br />

Promotion Program<br />

(HOPP)<br />

Satellite at San Miguel<br />

U. S.-Mexico<br />

International Border<br />

Verlon Jose, Chairman,<br />

Chukut Kuk District<br />

Day 2<br />

THURSDAY<br />

March 29<br />

<strong>Health</strong> Workforce<br />

Development<br />

Site Visits<br />

El Rio Diabetes Clinic<br />

Catholic Community<br />

Services <strong>of</strong> Southern<br />

<strong>Arizona</strong>,<br />

St. Elizabeth’s <strong>Health</strong> Center<br />

San Xavier Indian <strong>Health</strong><br />

Service Clinic<br />

Community Food Bank <strong>of</strong><br />

Southern <strong>Arizona</strong><br />

Tucson Indian Center<br />

Day 3<br />

FRIDAY<br />

March 30<br />

Integration<br />

Site Visits<br />

El Rio Diabetes Clinic<br />

Catholic Community<br />

Services <strong>of</strong> Southern<br />

<strong>Arizona</strong>,<br />

St. Elizabeth’s <strong>Health</strong> Center<br />

San Xavier Indian <strong>Health</strong><br />

Service Clinic<br />

Community Food Bank <strong>of</strong><br />

Southern <strong>Arizona</strong><br />

Tucson Indian Center<br />

Day 4<br />

SATURDAY<br />

March 31<br />

Quality Assurance &<br />

Quality Improvement<br />

UA Medical Research<br />

Building Room 102<br />

Closing Address<br />

3:30-4:15pm<br />

<strong>Health</strong> Literacy and<br />

Cultural Competence:<br />

The Universal<br />

Currency for <strong>Global</strong><br />

and Local Public<br />

<strong>Health</strong> Success<br />

Richard H. Carmona, M.D.,<br />

M.P.H., FACS<br />

17th Surgeon General <strong>of</strong><br />

the United States<br />

Closing Remarks<br />

4:15-5pm<br />

Jennie Becenti, Director<br />

Tohono O’odham Nation<br />

Department <strong>of</strong> <strong>Health</strong> &<br />

Human Services<br />

Dean Iman Hakim, MD, PhD<br />

Mel & Enid Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong><br />

Juanita Homer<br />

Traditional Closing<br />

Blessing<br />

Tohono O’odham Nation<br />

11


12<br />

Time Schedule<br />

EVENING<br />

ACTIVITIES<br />

5:30-7:00pm<br />

Day 1<br />

WEDNESDAY<br />

March 28<br />

<strong>Health</strong> Information &<br />

Referral Systems<br />

Tohono O’odham<br />

Community Action (TOCA)<br />

Desert Rain Restaurant<br />

Reception<br />

Hosted by Tohono O’odham<br />

Nation Department <strong>of</strong> <strong>Health</strong><br />

and Human Services<br />

Juanita Homer<br />

Traditional Blessing<br />

Wavalene Romero<br />

Vice-Chairwoman<br />

Tohono O’odham Nation<br />

Traditional Dance Group<br />

Shuttle Departs Desert<br />

Rain Restaurant at<br />

6:30pm<br />

Day 2<br />

THURSDAY<br />

March 29<br />

<strong>Health</strong> Workforce<br />

Development<br />

UA College <strong>of</strong> Public<br />

<strong>Health</strong> Drachman Hall<br />

Room A114<br />

Movie & Mexican<br />

Appetizers<br />

Co-Hosted by<br />

L.U.C.H.A<br />

&<br />

<strong>Global</strong> <strong>Health</strong> Alliance<br />

Screening <strong>of</strong><br />

389 Miles:<br />

“Living the Border”<br />

Award-Winning<br />

Director<br />

LuisCarlos Romero-<br />

Davis<br />

Presentation & Discussion<br />

Considerations for<br />

Truly Comprehensive<br />

Immigration Reform<br />

Hannah Hafter, South East<br />

<strong>Arizona</strong> <strong>Health</strong> Education<br />

Center (SEAHEC))<br />

Day 3<br />

FRIDAY<br />

March 30<br />

Integration<br />

Day 4<br />

SATURDAY<br />

March 31<br />

Quality Assurance &<br />

Quality Improvement<br />

Open Evening UA College <strong>of</strong> Public<br />

<strong>Health</strong> Drachman Hall and<br />

Walkway <strong>of</strong> Wellness<br />

Group Work<br />

Prepare<br />

Application Group<br />

Presentations<br />

Reception 5:30-7pm<br />

Hosted by Dean Iman<br />

Hakim and the <strong>Global</strong><br />

<strong>Health</strong> <strong>Institute</strong>


Featured Speakers<br />

Richard H. Carmona<br />

MD, MPH, FACS<br />

17th Surgeon General <strong>of</strong> the U.S.<br />

Distinguished Pr<strong>of</strong>essor <strong>of</strong> Public<br />

<strong>Health</strong> at MEZCOPH<br />

Richard Smith, MD<br />

United<strong>Health</strong> Chronic<br />

Disease Initiative<br />

Catalina Denman Champion,<br />

PhD Centro de Estudio en<br />

Salud y Sociedad,<br />

El Colegio de Sonora<br />

Ram Shrestha, MS, MSc<br />

Senior Quality Improvement<br />

Advisor URC-CHS<br />

Gene Bukhman, MD, PhD<br />

Harvard <strong>University</strong> Medical School<br />

& Partners in <strong>Health</strong><br />

Richard H. Carmona, MD, MPH, FACS<br />

Richard H. Carmona completed a National <strong>Institute</strong>s <strong>of</strong> <strong>Health</strong>-sponsored fellowship in trauma, burns, and critical care. He went on to<br />

become the chairman <strong>of</strong> the State <strong>of</strong> <strong>Arizona</strong> Southern Regional Emergency Medical System, a pr<strong>of</strong>essor <strong>of</strong> surgery, public health and<br />

family and community medicine at the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong>, and the Pima County Sheriff’s Department surgeon and deputy sheriff. Dr.<br />

Carmona’s interest in public health stemmed from the realization that most <strong>of</strong> his patients’ illnesses and injuries were completely<br />

preventable. In 2002 Dr. Carmona was nominated by the president and unanimously confirmed by the United States Senate to become<br />

the 17th Surgeon General <strong>of</strong> the United States. Dr. Carmona was selected because <strong>of</strong> his extensive experience in public health, clinical<br />

sciences, health care management, preparedness, and his commitment to prevention as an effective means to improve public health<br />

and reduce health care costs while improving the quality and quantity <strong>of</strong> life. As Surgeon General, Dr. Carmona focused on<br />

prevention, preparedness, health disparities, health literacy, global health and health diplomacy. He issued many landmark Surgeon<br />

General Communications during his tenure, including the definitive Surgeon General’s Report about the dangers <strong>of</strong> second-hand<br />

smoke. Dr Carmona is Vice Chairman for Canyon Ranch and President <strong>of</strong> the nonpr<strong>of</strong>it Canyon Ranch <strong>Institute</strong>.<br />

Richard Smith, MD<br />

Richard Smith is the director <strong>of</strong> the United<strong>Health</strong> Chronic Disease Initiative which is collaborating on a global program with the<br />

National Heart, Lung and Blood <strong>Institute</strong> to create centers in the developing world to counter the pandemic <strong>of</strong> chronic disease.<br />

Previously he was the Chief Executive <strong>of</strong> United<strong>Health</strong> Europe, a subsidiary <strong>of</strong> the United<strong>Health</strong> Group that works with public<br />

health systems in Europe, and for 13 years editor <strong>of</strong> the British Medical Journal and Chief Executive <strong>of</strong> the BMJ Publishing Group.<br />

A member <strong>of</strong> the board <strong>of</strong> the Public Library <strong>of</strong> Science, he is also an honorary pr<strong>of</strong>essor at the <strong>University</strong> <strong>of</strong> Warwick, and chair<br />

<strong>of</strong> the board <strong>of</strong> Patients Know Best (a start up that uses information technology to improve doctor patient partnership). He comes<br />

from a family <strong>of</strong> comedians and loves making soup, porridge, marmalade, and trouble.<br />

Catalina Denman Champion, PhD<br />

Catalina Denman Champion is Senior Pr<strong>of</strong>essor and Researcher and former President <strong>of</strong> El Colegio de Sonora (College <strong>of</strong><br />

Sonora) in Hermosillo, Mexico. She was a Fogarty grantee working with the School <strong>of</strong> Public <strong>Health</strong> at the <strong>University</strong> <strong>of</strong><br />

Michigan and author <strong>of</strong> articles, chapters and books on health and society, including health and women’s work, gender and<br />

reproductive health, HPV, cervical cancer, and primary prevention <strong>of</strong> chronic disease in Northern Mexico and US Mexico border<br />

communities and as well as texts on qualitative research methodology. Dr Denman has served on numerous national committees<br />

and is Visiting Scholar at the <strong>University</strong> <strong>of</strong> Michigan and Adjunct Pr<strong>of</strong>essor at the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong>. Her current research is a<br />

joint project with the Mel and Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong> developing promotora based prevention models, as part<br />

<strong>of</strong> the global program to counter chronic disease funded by United<strong>Health</strong> Chronic Disease Initiative.<br />

Ram Shrestha, MS, MSc<br />

Ram Shrestha is currently Senior Advisor for Quality Improvement and Community <strong>Health</strong> & Nutrition at the <strong>University</strong> Research<br />

Co., LLC funded by USAID. He is a trained nutritionist and the former Community <strong>Health</strong> Advisor for the Ministry <strong>of</strong> <strong>Health</strong> in<br />

Nepal where he led the national initiative to successfully reduce the infant mortality rate in Nepal through community-based<br />

vitamin A distribution programs. The program boasts approximately 50,000 female community health volunteers who have<br />

helped distribute vitamin A to 3.5 million Nepalese children annually. Mr. Shrestha’s work in public health will influence Nepal<br />

for many generations to come. Mr. Shrestha has also received the following honors and awards: Frontline Award Winner, for<br />

cutting-edge work in the field <strong>of</strong> nutrition, Tufts Nutrition School, 2006; <strong>Global</strong> <strong>Health</strong> Hero, Time <strong>Global</strong> <strong>Health</strong> Summit, 2005;<br />

International Award for Best Practices in <strong>Global</strong> <strong>Health</strong>, <strong>Global</strong> <strong>Health</strong> Council, 2000.<br />

Gene Bukhman, MD, PhD<br />

Gene Bukhman is an Assistant Pr<strong>of</strong>essor in <strong>Global</strong> <strong>Health</strong> and Social Medicine at Harvard Medical School. Dr Bukhman is the<br />

Cardiology Director for Partners in <strong>Health</strong> and Director <strong>of</strong> the Program in <strong>Global</strong> Non-communicable Disease and Social<br />

Change. Dr. Bukhman is an expert on strategic planning for NCD control in populations fighting against extreme poverty. He is<br />

the Senior Technical Advisor in NCDs for the Ministry <strong>of</strong> <strong>Health</strong> <strong>of</strong> Rwanda. In this capacity, he is working closely with<br />

colleagues in the Rwandan government to integrate services into the process <strong>of</strong> health systems strengthening. Dr. Bukhman is<br />

also an advisor to the <strong>Global</strong> Taskforce on Expanded Access to Cancer Care and Control in Developing Countries.<br />

13


Featured Speakers<br />

Jeff Meer<br />

Public <strong>Health</strong> <strong>Institute</strong><br />

Maria Isabel Ortega PhD<br />

Directora, Coordinadora de<br />

Nutricion, CIAD<br />

Francisco Garcia, MD, MPH<br />

Associate Pr<strong>of</strong>. <strong>Health</strong> Promotion<br />

Sciences Division,<br />

Mel & Enid Zuckerman<br />

College <strong>of</strong> Public <strong>Health</strong><br />

James Hopkins, LL.M./ITP<br />

Associate Clinical Pr<strong>of</strong>essor<br />

UA James E. Rogers College <strong>of</strong> Law<br />

Neil MacKinnon, PhD<br />

Director, <strong>Arizona</strong> Center<br />

for Rural <strong>Health</strong><br />

Jeff Meer<br />

Jeff Meer directs the Public <strong>Health</strong> <strong>Institute</strong>’s Washington-based advocacy on global health and provides strategic direction for<br />

the organization’s participation in global health procurements by the United States Government and private donors. Prior to<br />

coming to PHI, Mr. Meer had directed Planned Parenthood Federation <strong>of</strong> America’s international advocacy program. He had<br />

previously been Director for External Relations for CHF International, a major USAID implementing agency. For five years he was<br />

Executive Director <strong>of</strong> the US Association for UNHCR, and served as founding Program Officer for Peace and Security at the UN<br />

Foundation. He had been a Foreign Service Officer with the US Department <strong>of</strong> State, serving in the People’s Republic <strong>of</strong> China and<br />

Germany. Mr. Meer began his career as a magazine journalist, and is the author <strong>of</strong> Sports and Drugs (Chelsea House, 1986).<br />

Maria Isabel Ortega Velez, PhD<br />

Maria Isabel Ortega Velez is Director <strong>of</strong> Coordinadora de Nutricion at the Centre de Investigacion en Alimentacion y Desarrollo<br />

(CIAD) in Hermosillo, Sonora, Mexico. Dr. Ortega’s research intends to study community nutrition from a holistic view. Her<br />

recent experiences involve the socio-cultural, economic and demographic variables associated with dietary risk factors in migrant<br />

women (Mexico-U.S.A). In collaboration with researchers from CIAD’s Regional Development Division, she has explored the<br />

effect <strong>of</strong> changes in productive sectors <strong>of</strong> rural environments as well as the rural-urban migration on the nutritional condition <strong>of</strong><br />

the population. Dr. Ortega also participates in various studies <strong>of</strong> nutritional diagnosis in the community at national and regional<br />

levels. Her recent work involves food security and the development <strong>of</strong> models <strong>of</strong> nutrition intervention, mainly oriented to dietary<br />

modification among agricultural migrant workers and their families in northern Mexico. The mission <strong>of</strong> CIAD is to carry out<br />

scientific and technological research in food and development, to the formation <strong>of</strong> postgraduate human resources and to the<br />

diffusion <strong>of</strong> knowledge in our areas <strong>of</strong> expertise, therefore contributing to the economic and social welfare <strong>of</strong> the country.<br />

Francisco Garcia, MD, MPH<br />

Francisco Garcia is the Director <strong>of</strong> the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong> National Center <strong>of</strong> Excellence in Women’s <strong>Health</strong>. His research expertise is in<br />

the area <strong>of</strong> pre-malignant cervical disease and human papillomavirus infection, and the evaluation <strong>of</strong> new technologies and therapeutics<br />

for cervical cancer precursors. Dr. Garcia also has a long established interest in the health <strong>of</strong> women on the US-Mexico Border. Dr. Garcia<br />

is active in the training and mentoring <strong>of</strong> residents, medical students, graduate students and international medical personnel interested in<br />

women’s health. Dr. Garcia has served as a consultant and collaborator to a variety <strong>of</strong> domestic initiatives, including <strong>Arizona</strong>’s Well<br />

Woman <strong>Health</strong> Check Program, the American Cancer Society, Western and South-Eastern <strong>Arizona</strong> Area <strong>Health</strong> Education Centers and the<br />

tribal NBCEDDP programs on Hopi and Navajo Nations. In the international arena he has worked with the Secretariat <strong>of</strong> <strong>Health</strong> <strong>of</strong> the State<br />

<strong>of</strong> Sonora, Population Council, the Pan-American <strong>Health</strong> Organization, the Instituto Nacional de Enfermedades Neoplasicas (Peruvian<br />

National Cancer <strong>Institute</strong>), IMSS-Solidaridad, Programa de Salud Reproductiva (the Mexican Social Security <strong>Institute</strong>-Reproductive<br />

<strong>Health</strong> Program), JHPIEGO, International Planned Parenthood Federation and PATH (Program for Appropriate Technology for <strong>Health</strong>).<br />

James Hopkins, LL.M./ITP<br />

James Hopkins is an Associate Clinical Pr<strong>of</strong>essor in the Indigenous Peoples Law and Policy Program at the <strong>University</strong> <strong>of</strong><br />

<strong>Arizona</strong> James E. Rogers College <strong>of</strong> Law. Pr<strong>of</strong>essor Hopkins is Algonquin/Metis from Quebec. He is a former law clerk to the<br />

Ontario Superior Court <strong>of</strong> Justice and is a member <strong>of</strong> the Ontario Bar. Prior to joining the College <strong>of</strong> Law, he was an Assistant<br />

Pr<strong>of</strong>essor with the Faculty <strong>of</strong> Law, at the <strong>University</strong> <strong>of</strong> Alberta. He graduated from Harvard Law School’s joint Masters <strong>of</strong> Laws<br />

and International Tax Program (LLM/ITP) in June 2000. Pr<strong>of</strong>essor Hopkins’ area <strong>of</strong> interest is the intersection between trade,<br />

tax and aboriginal law. He is a recipient <strong>of</strong> the Harvard <strong>University</strong> International Tax Program’s Award for Excellence in Research<br />

and Writing for his graduate thesis titled, “ Democratization by Taxation: Democratic Experimentalism in Aboriginal Canada.”<br />

Neil MacKinnon, PhD<br />

Neil MacKinnon is the Walter H. Pearce Endowed Chair and Director <strong>of</strong> the <strong>Arizona</strong> Center for Rural <strong>Health</strong> and Pr<strong>of</strong>essor in the Division for<br />

Community, Environment and Policy Division, MEZCOPH. Prior to joining the UA he was pr<strong>of</strong>essor and associate director <strong>of</strong> research at<br />

Dalhousie <strong>University</strong> College <strong>of</strong> Pharmacy in Halifax, Nova Scotia, Canada where he also served as an active member <strong>of</strong> his local community<br />

health board and for the last decade served on the drug formulary committee <strong>of</strong> a large private payer in Canada. He has worked closely with<br />

several healthcare groups, including Canada’s healthcare watchdog, the <strong>Health</strong> Council <strong>of</strong> Canada. In 2010-11 he served as President <strong>of</strong> the<br />

3000-member Canadian Society <strong>of</strong> Hospital Pharmacists. A prolific researcher with over 200 publications, MacKinnon’s research on<br />

improving the quality and safety <strong>of</strong> the medication-use system has been internationally recognized. Neil edited two textbooks and he is the<br />

co-author <strong>of</strong> the Canadian bestselling book Take as Directed: Your Prescription for Safe <strong>Health</strong> Care in Canada (Sept. 2010).


Susan Kunz, MPH Director, <strong>Health</strong><br />

Promotion & Disease Prevention<br />

Mariposa Community <strong>Health</strong> Center<br />

Neeraj Kak, PhD<br />

Senior Vice President, URC-CHS<br />

Martha Moore-Monroy, MA<br />

Director, Pima County REACH<br />

Roberta L. Howard, MA, LCS<br />

CEO NAZCARE, Inc.<br />

Jennie F. Becenti, MPH, BA<br />

Executive Director<br />

Tohono O’odham DHHS<br />

Susan Kunz, MPH<br />

Susan Kunz is the Director <strong>of</strong> <strong>Health</strong> Promotion and Disease Prevention, Platicamos Salud at the Mariposa Community <strong>Health</strong><br />

Center in Nogales. She has provided public health leadership in <strong>Arizona</strong>’s U.S.-México border region for 30 years working in<br />

partnership with community-based organizations to create, advance and replicate evidence-based practice to address social<br />

determinants <strong>of</strong> health. She has worked for the Tohono O’odham Nation as a health planner and directed the Border <strong>Health</strong><br />

Foundation coordinating projects in the four U.S. and six Mexican border states. She is Chair Elect <strong>of</strong> the National Community<br />

Committee (NCC) that advises the CDC Prevention Research Center Program nationwide. Ms. Kunz received her MPH from the<br />

<strong>University</strong> <strong>of</strong> California at Berkeley and was a Peace Corps Volunteer in Columbia, South America.<br />

Neeraj Kak, PhD<br />

Neeraj Kak is Senior Vice President at the <strong>University</strong> Research Co., LLC. Dr. Kak has more than 25 years experience assisting<br />

policy-makers and program managers in applying management and research tools to improve health systems and program<br />

effectiveness and efficiency in Asia, the New East, Eurasia and Africa by reducing costs and increasing efficiency, demand, and<br />

the involvement <strong>of</strong> private sector providers. He has extensive experience in operations research methods, survey instrument<br />

design, sampling methodology, data management, and statistical analysis. As Senior Vice President for URC, Dr. Kak oversees<br />

the Tuberculosis program as well as leads the firm’s program development unit, and supervises Chiefs <strong>of</strong> Party and technical<br />

experts around the world.<br />

Martha Moore-Monroy, MA<br />

Martha Moore-Monroy is the Program Director for the REACH Pima County Cervical Cancer Prevention Partnership based at the<br />

<strong>University</strong> <strong>of</strong> <strong>Arizona</strong>, National Center <strong>of</strong> Excellence in Women’s <strong>Health</strong>. She serves as a Regional Director for the National REACH<br />

Coalition Board <strong>of</strong> Directors, an organization dedicated to the elimination <strong>of</strong> health disparities. The primary focus <strong>of</strong> her<br />

pr<strong>of</strong>essional career has been working with promotoras/community health outreach workers and community based coalitions<br />

dedicated to the elimination <strong>of</strong> health disparities facing underserved and minority populations.<br />

Roberta L. Howard, MA, LCS<br />

Roberta L. Howard is the CEO <strong>of</strong> NAZCARE, Inc. a consumer-operated, recovery agency. Her research in the area <strong>of</strong> recovery<br />

support services and curricula in recovery, learning styles and modalities have helped NAZCARE to become a leader in recovery<br />

support services. She is the Chair <strong>of</strong> the Partners <strong>of</strong> Native American Public <strong>Health</strong>, Chair <strong>of</strong> Recovery and Wellness Committee<br />

for the AZ Council <strong>of</strong> Human Service Providers, Secretary <strong>of</strong> <strong>Arizona</strong> Community Action Association and sits on many other<br />

boards and committees. Roberta has designed best practice supportive housing curriculum for people with serious mental<br />

illness. Her evidenced based programs in peer employment training and recovery support services are implemented in ten states.<br />

Jennie F. Becenti, MPH, BA<br />

Jennie Becenti is the new Executive Director <strong>of</strong> the Tohono O’odham Nation Department <strong>of</strong> <strong>Health</strong> and Human Services. She has a<br />

Master <strong>of</strong> Public <strong>Health</strong> from the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong> Mel and Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong> and a Bachelor <strong>of</strong> Arts<br />

in Elementary Education and Bilingual Studies also from the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong>. She has over thirteen years <strong>of</strong> experience as an<br />

educator in the elementary school setting on the Tohono O’odham Nation; has worked as a Social Worker with the Indian <strong>Health</strong><br />

Service in the Sells Service Unit where she coordinated case management and medical and behavioral health support services;<br />

and has worked as a Community <strong>Health</strong> Specialist in the urban Native American community in Tucson. Ms. Becenti also has<br />

extensive experience in elder health care administration and was the Assistant Administrator at the Archie Hendrick’s Skilled<br />

Nursing Facility. From 2007-2011 Ms. Becenti was the Manager for <strong>Health</strong>y O’odham Promotion Program Division at the<br />

Department <strong>of</strong> <strong>Health</strong> and Human Service’s which provides chronic disease prevention and management services and promotes<br />

healthy lifestyles and wellness to Tohono O’odham children, adolescents, adults, elders and families.<br />

15


Featured Speakers<br />

Tina Aguilar, BCHE, C.H.E.S.<br />

<strong>Health</strong>y O’odham Promotion<br />

Program (HOPP)<br />

Peter Ziegler, MD<br />

Acting Medical Officer,<br />

Tucson Area Indian<br />

<strong>Health</strong> Service<br />

16<br />

MOVIE NIGHT<br />

Gary A. Chavez<br />

Mr. Chavez (Tohono O’odham) brings over 15 years <strong>of</strong> experience in program management, department development and<br />

assisting with tribal communities in the areas <strong>of</strong> prevention, health and fitness, and community education. His day to day<br />

responsibilities actively involve him with various committees promoting cancer prevention and education with an emphasis on<br />

general health and wellness among native populations. He is Community Cancer Prevention Program Supervisor,<br />

Tohono O’odham Department <strong>of</strong> <strong>Health</strong> & Human Services, Tohono O’odham Cancer Partnership Program.<br />

Tina Aguilar<br />

Tina Aguilar is Interim Program Manager <strong>of</strong> the <strong>Health</strong>y O’odham Promotion Program (HOPP) in Sells, AZ and has over 9 years’<br />

experience working with the Special Diabetes Program for Indians (SPDI) grant implementing and managing programs with the<br />

Tohono O’odham Nation and the Pascua Yaqui Tribe, to address diabetes prevention and education with Tribal members. She has<br />

worked for Indian <strong>Health</strong> Services as a Public <strong>Health</strong> Educator where she worked with Acoma Pueblo, Laguna Pueblo and<br />

Tohajiilee Tribal communities focusing on community health promotion. Ms. Aguilar received her degree from New Mexico State<br />

<strong>University</strong> and is a member <strong>of</strong> the Laguna/Zuni Tribes.<br />

Peter Ziegler, MD<br />

Dr. Peter Ziegler has overseen the Division <strong>of</strong> Public <strong>Health</strong> for the Area Office on an assignment since January, 2011 and with the<br />

Tucson Area Indian <strong>Health</strong> Service since 1997. From 1997 to 2005, Dr. Ziegler served as a Medical Officer in Family Medicine<br />

providing the full spectrum <strong>of</strong> patient care at the Sells Service Unit consisting <strong>of</strong> the Sells Hospital and 3 satellite <strong>Health</strong> Centers in Sax<br />

Xavier, Santa Rosa, and San Simon. Dr. Ziegler retains his position <strong>of</strong> record as the Clinical Director at the Sells Service since 2005<br />

where he directed the Division <strong>of</strong> Clinical Services and multiple aspects <strong>of</strong> patient care services at the Sells Service Unit. Dr. Ziegler<br />

earned his M.D. from Tufts <strong>University</strong> in Boston, MA in 1994. He completed his Residency in Family Medicine at Brown <strong>University</strong>,<br />

Memorial Hospital <strong>of</strong> Rhode Island in 1997. Dr. Ziegler completed a Faculty Development Fellowship at the <strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

Department <strong>of</strong> Family and Community Medicine in 1999 and has a faculty appointment at the School <strong>of</strong> Medicine as a Clinical<br />

Assistant Pr<strong>of</strong>essor <strong>of</strong> Family and Community Medicine. Dr. Ziegler is Board Certified with the American Board <strong>of</strong> Family Medicine and<br />

is a member <strong>of</strong> the American Academy <strong>of</strong> Family Physicians and the <strong>Arizona</strong> Academy <strong>of</strong> Family Physicians. In both his administrative<br />

role and clinical duties providing direct patient care, Dr. Ziegler provides leadership at the Tucson Area and Sells Service Unit in the<br />

IHS Improving Patient Care initiative toward improving the delivery <strong>of</strong> patient-centered health care to the community.<br />

LuisCarlos Davis<br />

Luis Carlos Davis is an award winning film director/producer. Davis was chosen as 2010 Man <strong>of</strong> the Year <strong>of</strong> Southern<br />

<strong>Arizona</strong>. He was recently selected by the Spanish Embassy and Fundacion Carolina as one <strong>of</strong> the fifteen Hispanic leaders<br />

from the United States to visit Madrid, Bilbao, Vitoria and San Sebastian to learn about the culture, politics, economics<br />

and social issues <strong>of</strong> Spain and explore the international relationship between the U.S. and Spain. His film projects have<br />

been exhibited in Mexico, the U.S., Chile, Colombia, and Europe.<br />

He was born and raised in the border towns <strong>of</strong> Ambos Nogales, also known<br />

as the twin sisters <strong>of</strong> Nogales, Sonora<br />

and <strong>Arizona</strong>. His life is a product <strong>of</strong> two<br />

countries, two cultures, and two languages.<br />

LuisCarlos’ current work includes the<br />

productions <strong>of</strong> two documentaries, one set<br />

in Mexico and the other in <strong>Arizona</strong>. He is<br />

also writing two screenplays with the working<br />

titles <strong>of</strong> “El Hoyo” and Gaspar.<br />

To learn more visit<br />

www.fenceproductions.net


The <strong>Global</strong> <strong>Health</strong> and Development<br />

Graduate Certificate Course<br />

The <strong>University</strong> <strong>of</strong> <strong>Arizona</strong>’s MEZCOPH is now accepting<br />

applications for its 2012 online Graduate Certificate program<br />

in <strong>Global</strong> <strong>Health</strong> & Development.<br />

www.publichealth.arizona.edu/ghd/about<br />

Designed for pr<strong>of</strong>essionals and those entering the field<br />

<strong>of</strong> global health, this 13-credit program is a flexible,<br />

academically rigorous option for those who wish to balance<br />

coursework and career. Courses meet the need for skill<br />

enhancement for foreign and domestic individuals who have<br />

limited time to pursue a campus-based degree program.<br />

The program equips participants with the core knowledge<br />

and skills necessary to function and flourish effectively in<br />

global health practice, whether at home in a diverse setting,<br />

along the border in a bi-cultural environment, working<br />

in indigenous homelands, or abroad where populations<br />

and communities are displaced and under-resourced, and<br />

where health systems are constrained. This online graduate<br />

program is intended for local, regional, national, and foreign<br />

individuals working or planning to work with organizations<br />

engage in global health and development.<br />

The program is primarily targeted at two groups <strong>of</strong><br />

participants:<br />

• Individuals with a passion for global health, but without<br />

formal academic training in global health.<br />

• <strong>Health</strong> pr<strong>of</strong>essionals who need to update and enhance their<br />

skills, but do not have the time or flexibility to undertake a<br />

strictly campus-based, academic degree program.<br />

Certificate Learning Objectives<br />

Upon completion <strong>of</strong> the certificate, students should be able to:<br />

• Analyze the relationship between health and development.<br />

• Use relevant methods to appraise global health challenges<br />

and strengthen health care systems, as well as identify<br />

resource-appropriate responses to meet these challenges.<br />

• Synthesize information from primary and secondary<br />

sources to help identify appropriate interventions and<br />

actions in the field <strong>of</strong> global health.<br />

• Use research, planning, and management methods to make<br />

efficient and effective use <strong>of</strong> available resources in field<br />

settings.<br />

• Develop pr<strong>of</strong>essional skills in program design, monitoring,<br />

and evaluation.<br />

• Appraise health care needs associated with disabilities in<br />

resource-limited settings and strategies for meeting such<br />

needs.<br />

• Acquire skills in the use <strong>of</strong> distance learning technologies<br />

for application to future pr<strong>of</strong>essional development programs.<br />

17


Thank you!<br />

Thank you to our student<br />

volunteers!<br />

Elliot Achdam<br />

Caitlin Alexander<br />

Ambereen Ameer<br />

Tara Amiri<br />

Kathryn Anderson<br />

Morgan Anderson<br />

Scott Andrighetto<br />

Sarah Au<br />

Sira Barry<br />

Anooj Bhatt<br />

Jessamyn Bowling<br />

Raquel Bravo<br />

Jesse Caballero<br />

Jamie Calvert<br />

Mario Carrasco<br />

Sherry Chen<br />

Kelley Class<br />

Lori Coletta<br />

Stephanie Corral<br />

Zinnia Daas<br />

Sarah Davis<br />

Michael Dixon<br />

Shane Ewalt<br />

Clayton Farber<br />

Cristal Gomez<br />

Karina Greenwald<br />

Emily Hochkiss<br />

Kristen Hranicka<br />

Korilynn Iha<br />

Graciela Jauregui<br />

Alex Kair<strong>of</strong>f<br />

Aman Kaur<br />

Miranda Kuwahara<br />

John Lacson<br />

Jena Lemister<br />

Andy Lemke<br />

Iliane Lepro<br />

Nicole Loakem<br />

18<br />

Andrew Lopez<br />

Chan Lwin<br />

Kristen Marquardt<br />

Grace McClain<br />

Megan McLawhorn<br />

Steve McManus<br />

Sarah Nagaratnam<br />

Courtney L’Ecuyer<br />

Brittany Neil<br />

Lindsey Nelson<br />

Leon Nguyen<br />

Ryan Nussbaum<br />

Alexis Padilla<br />

Sarah Penquite<br />

Amanda Pierson<br />

Gabrielle Price<br />

Jill Pruet<br />

Lindsay Rovner<br />

Stephanie Rullan<br />

Deanna Sagaser<br />

Nicholas Scaturo<br />

Sherry Shen<br />

Kaitlyn Shilling<br />

Neeraj Shinde<br />

Danielle Sparenga<br />

Katherine Sprague<br />

Saba Suhrwardy<br />

Emily Swivel<br />

Alex Teran<br />

Nicole Teran<br />

Olivia Trujillo<br />

Erin Tyo<br />

Rietta Wagoner<br />

Gururoop Wazir<br />

Michael Weinand<br />

Mateo Williamson<br />

David Zahn<br />

*List printed on 3/8/12. We apologize to any<br />

volunteers who were inadvertently left <strong>of</strong>f <strong>of</strong> the list.<br />

Acknowledgement<br />

Our partner, for their generosity: Tohono O’odham Nation Department <strong>of</strong> <strong>Health</strong> and<br />

Human Services<br />

Our sponsors, for their support: Henkel-Dial, The U.S.-Mexico Border <strong>Health</strong><br />

Commission, and the <strong>Arizona</strong> Public <strong>Health</strong> Training Center<br />

Our speakers for their contributions: Richard Smith, Tina Aguilar, Gary Chavez,<br />

Catalina Denman Champion, Maria Isabel Ortega Velez, Ram Shrestha, Susan Kunz, Martha<br />

Moore-Monroy, James Hopkins, Jeff Meer, Gene Bukhman, Francisco Garcia, Neeraj Kak,<br />

Neil MacKinnon, Roberta Howard, Peter Ziegler, Richard H. Carmona, Faith Pablo, Chairman<br />

Ned Norris, Bernard Siquieros, Timothy Joaquin.<br />

Our Tohono O’odham Nation Colleagues: Jennie Becenti, Rosemary Lopez, Andrew<br />

Lorentine, Juanita Homer, Verlon Jose, Wavalene Romero, TOCA and Desert Rain Café<br />

Our colleagues at Mel & Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong>:<br />

Iman Hakim, MD, PHD, MPH, Dean, Mel and Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong><br />

Eric Lutz, PhD<br />

Htay Hla, IT Director<br />

Alayna Voutsas, Administrative Associate and Katherine Sprague<br />

Marianne Hadden, Director <strong>of</strong> Development<br />

Gerri Kelly, Associate Director, Marketing & Communications<br />

Mary Dickinson, CME Specialist<br />

Linda Tumellie & Susan Hanson, Finance Office<br />

Loriann Klein, HR Specialist<br />

Lorraine Varela, Office <strong>of</strong> the Dean<br />

Andrew Gall, Work Study Student, MPH Student, Peace Corps Fellow<br />

Jaclyn Pierson, MPH Student, Peace Corps Fellow<br />

Student Planners - Andrew Gall and Jaclyn Pierson<br />

Forum Training Toolkit Team – Emily Hotchkiss, Sarah Davis & Aubri Carman<br />

Student Volunteer Coordinator – Lauren Holcomb<br />

Student Volunteer Lead – Michael Alexander Weinand<br />

Site Visit Coordinator – Stephine Baloo<br />

MOVIE Night – L.U.C.H.A – Zoila Sanchez, Martin Celaya, S<strong>of</strong>ia Gomez, Daniela Larson,<br />

Janee Walsh and <strong>Global</strong> <strong>Health</strong> Alliance and <strong>Global</strong> <strong>Health</strong> Alliance – Hilary Caitlyn<br />

Rees, Chair<br />

U.S. - Mexico Border <strong>Health</strong> Commission - Christine Young<br />

Graphic Design – Debra Bowles, AHSC BioCommunications<br />

SEAHEC – Gail Emrick and Hannah Hafter<br />

Our Community Partners; Managers, Staff & Clients – El Rio Diabetes Clinic<br />

Catholic Community Services <strong>of</strong> Southern <strong>Arizona</strong>, St. Elizabeth’s <strong>Health</strong> Center<br />

San Xavier Indian <strong>Health</strong> Service Clinic, Community Food Bank <strong>of</strong> Southern <strong>Arizona</strong>, Tucson<br />

Indian Center<br />

Forum Planning Team<br />

Karen A. Heckert, PhD, MPH, MSW, Forum Chair, <strong>Global</strong> <strong>Health</strong> <strong>Institute</strong> & Division <strong>of</strong><br />

<strong>Health</strong> Promotion Sciences<br />

John Ehiri, PhD, MSc, Director, Division <strong>of</strong> <strong>Health</strong> Promotion Sciences<br />

Jill de Zapien, MPH, Associate Dean for Community Programs<br />

Cecilia Rosales, MD, MS, Director, Public <strong>Health</strong> Practice Program in Phoenix<br />

Douglas Taren, PhD, Associate Dean for Academic Affairs<br />

Agnes Attakai, MPA, Director, <strong>Health</strong> Disparities Outreach & Prevention Education<br />

Andrew Lorentine, Manager, Community <strong>Health</strong>, Tohono O’odham Nation Department <strong>of</strong><br />

<strong>Health</strong> and Human Services


Mabel Street<br />

Highland<br />

Parking<br />

Garage<br />

U.A.<br />

Permit<br />

Parking<br />

Zone 1<br />

Lot 1018<br />

U.A. Permit<br />

Parking Zone 1<br />

Highland Lot 2021<br />

Underpass<br />

Vine Avenue<br />

Rincon Avenue<br />

Employee<br />

Parking<br />

Garage<br />

Schaefer<br />

Poetry<br />

Center Swede<br />

Johnson<br />

Cherry Avenue<br />

Visitor Pay Parking<br />

U.A.<br />

Lot Specific<br />

Permit<br />

Parking<br />

AHSC RING ROAD<br />

ER<br />

Visito r<br />

Parking<br />

Cat Tran Stop<br />

Medical Research Bldg.<br />

MRB RM102<br />

RM<br />

102<br />

Keating Bioresearch Bldg.<br />

BIO5<br />

ER Visitor<br />

Parking<br />

DuVal<br />

Auditorium<br />

RM 107<br />

RM 109<br />

Warren Avenue<br />

Security<br />

ER Visito r<br />

Parkin g<br />

Emergency<br />

Department<br />

(ER)<br />

Children's<br />

Research<br />

Center<br />

College <strong>of</strong><br />

Pharmacy<br />

College <strong>of</strong><br />

Pharmacy<br />

Pulido Center<br />

Drachman Hall<br />

Main Hallway (2nd floor)<br />

Employee<br />

Parking<br />

Garage<br />

Main Lobby<br />

Main<br />

Elevators<br />

U.A. Lot<br />

Specific<br />

Permit<br />

Parking<br />

Diamond<br />

Childrens<br />

The <strong>University</strong> <strong>of</strong><br />

<strong>Arizona</strong> Medical Center<br />

<strong>University</strong> Campus<br />

Wellness<br />

Walkway<br />

College <strong>of</strong><br />

Nursing<br />

Mel and Enid<br />

Zuckerman<br />

College <strong>of</strong><br />

Public <strong>Health</strong><br />

Kiewit<br />

Auditorium<br />

Main<br />

Entrance<br />

(2nd Floor)<br />

Martin Avenue<br />

N<br />

3rd<br />

Level<br />

Exit<br />

Surgery<br />

Visito r<br />

Parking<br />

Ring Road<br />

<strong>Arizona</strong><br />

Cancer<br />

Center<br />

Top<br />

Level<br />

Exit<br />

Patient/<br />

Visitor<br />

Pay<br />

Parking<br />

Garage<br />

Limited<br />

Participant<br />

Parking<br />

Visitor Pay<br />

Parking<br />

U.A.<br />

Permit<br />

Parking<br />

U.A.<br />

Zone 1<br />

Permit<br />

Parking<br />

Zone 1<br />

Employee<br />

<strong>Health</strong><br />

SPEEDWAY BOULEVARD<br />

Bus<br />

Stop<br />

#9<br />

#15<br />

#20<br />

19<br />

Bus<br />

Stop<br />

#9<br />

#15<br />

#20


20<br />

New Frontiers in <strong>Global</strong> <strong>Health</strong><br />

Leadership Forum Funded by Henkel<br />

For more information contact<br />

<strong>Global</strong> <strong>Health</strong> <strong>Institute</strong>:<br />

Mel and Enid Zuckerman College <strong>of</strong> Public <strong>Health</strong><br />

The <strong>University</strong> <strong>of</strong> <strong>Arizona</strong><br />

(520) 626-3877<br />

kheckert@email.arizona.edu

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