N - Global Health Institute - University of Arizona
N - Global Health Institute - University of Arizona
N - Global Health Institute - University of Arizona
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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