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INFECTIOUS DISEASE CLINICS OF NORTH AMERICA. 1991 Jun; 5(2):403-16.In the context of the controversial conference at Alma Ata and the emergent plan of Health for All by the Year 2000 (HFA/2000), the role of academic institutions is discussed. At the risk of expanding the controversy over HFA/2000, institutional involvement facilitates the testing of principals against real world problems of health development. Views from both sides of the debate and controversy are considered with respect to the appropriateness of institutional involvement in HFA/2000. A consultative committee to the Director General of the World Health Organization (WHO) analyzing the successes and failures of primary health care development is 1st explored. Other views from technical discussions of WHO on the roles of universities in the strategy of HFA are then examined. Traditional and progressive arguments on the roles of university in society are reviewed, with an eye to how HFA fits in. The paper concludes that institutions capable of and willing to provide substantial, institution-wide commitment are appropriate candidates for involvement in HFA/2000. The Aga Khan University's commitment orientation and health services development is cited as an example of appropriate, positive institutional participation. The Network of Community-Oriented Educational Institutions for Health Sciences addressing problem-based teaching methods, community orientation, and partnerships with governmental health services is also exemplary. In closing, the paper queries the extent to which the movement will attract institutions around the world.
In: The Graduate Education of Foreign Physicians in Public Health and Preventive Medicine. The Role of United States Teaching Institutions, edited by Wendy W. Steele and Sally F. Oesterling. Philadelphia, Pennsylvania, Educational Commission for Foreign Medical Graduates, . 26-28.The School of Public Health at Loma Linda University in California was founded in 1967, and as of December 1983 had graduated a total of 1764 students, 187 of whom were physicians. 28 countries and 45 foreign schools were represented in this enrollment. The experience at Loma Linda University is different from many others in that there has been little government sponsorship of foreign medical graduates. Of 89 foreign medical graduates, only 17 were sponsored by the US Agency for International Development or the WHO, and all 17 returned to their home countries where they are making significant contributions in Tanzania, Kenya, Thailand and Indonesia. In 1970, the Loma Linda University School of Public Health developed an evening program in which most of the course work was taught in Los Angeles 1 evening per week over a 2-year period. 10 health officers and a few others completed that program. Their success stimulated extending the program. In 1973 an experimental program teaching a general Master of Public Health (MPH) course to Canadians was initiated. In 1980, Loma Linda University also launched an extended program in the Central American-Caribbean area. In the context of a general program in public health and preventive medicine leading to a Master of Public Health Degree, the curriculum in international health seeks to prepare health workers who will be: trainers of trainers; cross-cultural communicators; managers and supervisors of primary health care services; and practitioners of the integrated approach to community development. Graduates are prepared to deal with sociocultural, environmental and economic barriers. Students not having a professional background in health are required to add an area of concentration to degree requirements. Areas of concentration include: tropical agriculture, environmental health, health administration, health promotion, maternal and child health, nutrition and quantitative methods/health planning. The goal of the International Health Department is to help people help themselves to better health. Loma Linda University has also been involved with schools in Asia, Africa, Latin America and recently in the Philippines. The preventive medicine residency program at Loma Linda is for the 2nd and 3rd years only at the present.