Events at the Kyiv Mohyla School of Public Health
21-25 March 2005
21-25 March 2005 the Kyiv-Mohyla School of Public Health in collaboration with Semmelweis University Health Services Management Training Center have conducted the First Ukrainian Flagship Course «Reforms and Sustainable Financing of Health Care», developed by the World Bank Institute in collaboration with the leading universities and research centers of the world. The Flagship Course was supported by the Open Society Institute, International Renaissance Foundation and the World Health Organization.
The Flagship Course opened with presentation of the National Strategy of Health Sector Reform by the Minister of Health of Ukraine Mykola Polishchuk. The Minister expressed gratitude for this opportunity for health professionals to upgrade their knowledge in the field. “This is especially important today, when we are talking about the need for profound changes in the health sector,” the Minister said.
This was the first Flagship Course implemented in Ukraine; it focused on the health reform experience in the countries of Eastern and Western Europe as well as North America. The Flagship Course covered the following topics: health sector indicators analysis, financing of health care, purchasing of health services and state/private mix in financing and provision of health services.
The training group comprised Allan Maynard, Professor of the University of York (Great Britain), Josef Kutzin, Regional Advisor, Health System Financing, WHO/Europe, Hans Maarse, Professor of the Maastricht University (the Netherlands), Tamas Evetovits, Professor of the Semmelweis University, Tetiana Semigina, Assistant Professor of the National University of “Kyiv-Mohyla Academy”.
More than 60 participants of the Flagship Course (government officials, managers of health organizations, experts of international and national programs involved in health reform process) have evaluated the health sector indicators in Ukraine, developed the action plan for improvement of health sector efficiency, and presented their own projects based on the regional experience.
2 March 2005
Licensing of the Health Care Management Master Program is an important step in establishing the Program. The state license is an important credential of trust, considering the essential social role of health care management.
Licensing is a process of reconciling the program and the learning process with the national standards. In our case this was a very complicated process because the program is absolutely novel for Ukraine. It is based on the European quality standards, though by content the program is adapted to the Ukrainian context and oriented at the countries’ needs. Therefore completely adjusting the program to the standards would ruin its innovative potential. Thus we encountered certain resistance of the medical profession and the Professional Council on Management, and experienced the inertness of the traditional educational monopoly.
The support of Mykola Polishchuk, at that time Member of Parliament, and the Head of the Committee of Verhovna Rada on Protection of Health, Motherhood and Childhood, played a pivotal role in the successful licensing process. After meeting with the participants of our program, Mr. Polishchuk has signed letters of support for licensing our program to the Deputy Minister of Education and Science of Ukraine and to the Head of the Department of Licensing, Accreditation and Nostrification of the Ministry of Education. By the time the abovementioned letters reached the addressees, Mr. Polishchuk accepted the office of the Minister of Health of Ukraine, so there was no objections to licensing the Program.
Besides, Mr. Polishchuk’s support of the Project “Establishing of Public Health Educational Programs in the NaUKMA, Ukraine” was the keystone of it’s successful start. Therefore Mykola Polishchuk can be considered a godfather of the School of Public Health.
We hope that the School will make an important contribution into the capacity building of the policymakers and managers in health care sector. Thus we have agreed with the new Minister of Health that 27 heads of Health Administrations and the Ministry of Health officials will participate in the First Ukrainian Flagship Course of the World Bank Institute “Reforms and sustainable financing of health care” organized by the School of Public Health on 21-25 March 2005. The Minister will attend the course as well, and he asked to videotape the lectures he will not be able to attend so that he can watch them later. This attitude inspires respect!
Head of the School of Public Health
January 26, 2005
On 26th of January, 2005, students of the School of Public Health had a meeting with the ministry of health care of Ukraine – Mykola Polischuk. The student of the School, Oleg Petrenko worked with Mykola Polischuk and took part in organizing his visit to the School. It is worth to mention the active work of Nitsoy Anastasia in preparation of this meeting (she is also the student of the School); she wrote a letter to Mr. Polischuk and collected signatures on it. Of course, this event took place also thanks to the head of the School – Irena Gryga, who supported this idea and helped in its implementation.
This meeting passed in very warm and friendly atmosphere, which is usual for the group; especially, when such wise and well-disposed person as Mr. Polischuk comes. But more important are results and outcomes of such a visit. It is understandable that it is early to talk about outcomes, but results can be described now. Firstly, personal acquaintance took place: Mr. Polischuk saw future professionals, whom he heard a lot about because he supported the idea of creating the School; students also had an opportunity to communicate with the person who had significant impact on the health care policy in Ukraine. Secondly, interesting discussion occurred, in which everybody expressed their views on existing problems and future reforms. It is worth to mention that thoughts of young students and experienced professional were mostly the same: need of medical organizations transformation into communal non-profit organizations with global budget, need to approve medical standards by the professional association, switching to contract based hiring of professionals for motivation of the doctors, introduction of family medicine as a basis of health care and increase of payment percentage for it, more strict ‘filters’ of entering and final estimation of graduates from medical universities – agreement was reached about these important issues.
It seems logical that at the end of the productive meeting Mr. Polischuk invited students of the School to participate actively in the reformation process and promised that the group can be present at the meetings of the committee and introduce their proposals.
So saying ‘Good bye’ to each other, everybody realized that close cooperation was started due to this visit.
August 31, 2004
On the 31st of August, 2004 important event for health system of Ukraine occurred: the first School of Public Health was opened at the University of ‘Kyiv Mohyla Academy’. But the word ‘occurred’ is not very appropriate having in view that much work, patience and inspiration was put in the School by its organizers. After all, it is not an easy task to open the first program in Ukraine, which is based on the best European practices for preparing health care managers, oriented on reforming the health system, implementation of modern methods of management for improvement the health status of population. For this reason the beginning of the Masters’ program first year became a real holiday both for teachers, students and guests.
The President of NaUKMA Vyacheslav Brukhovetskiy said in his speech, devoted to initiation of the students and beginning of academic year 2004/2005, that opening of the School of Public Health was a great achievement for the University. The partners of the School took part in celebrations: Mr. Yuriy Voronenko (the Rector of the Kyiv Medical Academy of Post-Diploma Education named after P.L.Shupyk), Mr. Anatoly Kosakovskiy (Vice-Rector for international relations, KMAPE), and Mrs. Nina Goyda (the Vice-Rector for clinical work, KMAPE). The foreign partners also came: Mr. Wim Groot (Professor of Health Economics, the Head of the Department of Health Organization, Policy and Economics of the Maastricht University, the Netherlands); Doctor Suzan Scrimshaw (the Dean of the School of Public Health, University of Illinois at Chicago), who was a chief of School of Public Health Association in USA for a long time, and the professor of the University of Illinois at Chicago Mr. Daniel Hryhorczuk.
The official part of university scale had its logical continuation in the comfortable atmosphere of the School. In the decorated hall, during the banquet students had an opportunity to communicate with their future instructors; to exchange the congratulations, memories about the summer, expectations about the studying. Students also became acquainted with each other, because the first composition of participants united really different personalities with different backgrounds. Medical and social workers, economists and lawyers, foreign students looked at each other with interest. All of them had different experience and various expectations, but the goals were similar. May be exactly that fact allowed such a diverse group to become a team of associates, which began studying the next day after opening the School.
The academic year 2004/2005 began with the public lecture ‘Investments in Health Care’ by honorary professor of NaUKMA Mr. Wim Groot, the professor of Maastricht University (the Netherlands), who takes part in implementation of the new health care management master program in Ukraine.
Afterwards Professor Suzan Scrimshaw delivered a lecture on ‘Behavioral Aspects of Health’ for the future managers; Professor Daniel Grygorchuk, the initiator of cooperation with the University of Illinois at Chicago, taught introductory unit to the SPH students during the first week of studying.
It seems natural that the new progressive educational program appeared at the National University of ‘Kyiv Mohyla Academy’ – one of the oldest and at the same time the most modern and democratic universities in Ukraine. Irena Griga, the Head of the School of Social Work (which has its own long and interesting history), became the person, who inspired the process and practically organized this innovative and challenging program. Her energy and enthusiasm helped to work out and present the new idea, to find international partners and donors, to engage Ukrainian professionals and state employees. Diversity of the team and of the individuals engaged in the activities of the program really impresses. So the good beginning is a deposit for success!
The participant of the Masters’ Program in ‘Health Care Management’
July 1-3, 2004
The Open Society Institute sponsored an international conference in Kyiv, Ukraine on "The Role of Graduate Public Health Education in Addressing Health Challenges in CEE & NIS Countries". The conference was organized by the Open Society Institute in partnership with the School of Public Health of NaUKMA, International Renaissance Foundation and Open Society Foundation - Lithuania. The main aims of this seminar were revising and defining the priorities of public health and their connection with professional education in Central and Eastern Europe and new independent states; emphasizing the role of social determinants of health and community-oriented approaches in postgraduate public health education; and also exchange of experience of new schools of public health of the region in meeting the educational needs of the region.
The seminar was attended by representatives of the schools of public health from Albania, Armenia, Bulgaria, Croatia, Kazakhstan, Latvia, Lithuania, Macedonia, Moldova, Mongolia, Netherlands, Israel, Poland, Romania, Russia, Serbia and Montenegro, Tajikistan, Great Britain, USA, Uzbekistan and Ukraine.
The following speakers and presenters took part in the plenary sessions and working groups: Irena Gryga, Dean of the School of Public Health, NaUKMA; Prof. Charles Normand, President of Administration of ASPHER; Prof. Wim Groot, Head of the Department of Health Organization, Policy and Economics, Faculty of Health Sciences, Maastricht University; Prof. Michael Thompson, Director of the Center for Health Services Research and Development, American University of Armenia; Jacek Stojgniew Sitko, Member of the Executive Board of ASPHER, Professor of the Institute of Public Health, WOZ CM Jagiellonian University; Prof. Martin Bobak, senior lecturer of the Department of Epidemiology and Public Health, University College London; Witold Zatonski, Professor of epidemiology, Cancer Epidemiology and Prevention Department of the Institute of Oncology, Poland; Professor Hans Maarse, Department of Health Organization, Policy and Economics, Faculty of Health Sciences, Maastricht University and others.
The seminar discussion topics included: changes in morbidity and mortality tendencies during the last decade in Eastern Europe; social inequalities in health during the period of social transformations; the role of Universities in meeting the needs of communities in health care and social welfare, main problems and challenges for new schools of public health, etc.
PRESENTATIONS IN ENGLISH
April 21, 2004
Discussion on the relevance of the Framework Convention on Tobacco Control for Ukraine
February 13-14, 2004
International students conference "Management in Health Care in Ukraine"
January 27, 2004
Round-table discussion "Perspectives of Development of Public Health Master Programs" within the framework of annual conference "Days of Science in NaUKMA"
December 9, 2003
Working group meeting of the project "Development and Implementation of Women's Health Educational Module"