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  • 标题:Strengthening systems and scholarship for global health - and public health/Renforcer les systemes et l'erudition pour la sante modiale - et la sante publique.
  • 作者:Zarowsky, Christina ; Haddad, Slim ; O'Hearn, Shawna
  • 期刊名称:Canadian Journal of Public Health
  • 印刷版ISSN:0008-4263
  • 出版年度:2016
  • 期号:July
  • 出版社:Canadian Public Health Association
  • 摘要:Earlier this year, the Canadian Journal of Public Health (CJPH) shared a vision of being and offering "a window on the world" and signalled the intent that "the CJPH become a prime site to publish, read and debate engaged research and scholarship in global health--both for Canadians and internationally". (1)

    Major political shifts in the United Kingdom, the United States and elsewhere are in opposition to openness to global citizenship, diversity and solidarity, and further threaten the environment and health and social equity. We believe that the mission of the CJPH, together with an explicit commitment to learning with and from scholars and practitioners around the world, are now all the more important.

    CJPH's mission statement announces that the Journal "is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities". Advancing this mission, particularly in turbulent times, requires creative, competent, rigorous and collegial practice in research, in the field, and in policy. This, in turn, necessitates innovative and effective approaches and systems to develop and sustain such competencies. It requires that we blur the boundaries between public health, global health, health systems and services, disease control, determinants of health--without losing sight of relevant distinctions.

Strengthening systems and scholarship for global health - and public health/Renforcer les systemes et l'erudition pour la sante modiale - et la sante publique.


Zarowsky, Christina ; Haddad, Slim ; O'Hearn, Shawna 等


Strengthening systems and scholarship for global health - and public health/Renforcer les systemes et l'erudition pour la sante modiale - et la sante publique.

Earlier this year, the Canadian Journal of Public Health (CJPH) shared a vision of being and offering "a window on the world" and signalled the intent that "the CJPH become a prime site to publish, read and debate engaged research and scholarship in global health--both for Canadians and internationally". (1)

Major political shifts in the United Kingdom, the United States and elsewhere are in opposition to openness to global citizenship, diversity and solidarity, and further threaten the environment and health and social equity. We believe that the mission of the CJPH, together with an explicit commitment to learning with and from scholars and practitioners around the world, are now all the more important.

CJPH's mission statement announces that the Journal "is dedicated to fostering excellence in public health research, scholarship, policy and practice. The aim of the Journal is to advance public health research and practice in Canada and around the world, thus contributing to the improvement of the health of populations and the reduction of health inequalities". Advancing this mission, particularly in turbulent times, requires creative, competent, rigorous and collegial practice in research, in the field, and in policy. This, in turn, necessitates innovative and effective approaches and systems to develop and sustain such competencies. It requires that we blur the boundaries between public health, global health, health systems and services, disease control, determinants of health--without losing sight of relevant distinctions.

We believe that this is a moment to reflect not only on research findings about specific health problems, but on how we and others do research and practice public and global health, on how we are preparing the next generation of practitioners and scholars to address complex problems in a rapidly changing world, and on the institutions and systems and ideas which underlie training, research and practice.

In this issue of the CJPH, we publish the first of two parts of a special section focusing on "Capacity building for global health: Research and practice". (2) The set of manuscripts is based on papers presented at the November 2015 Canadian Conference on Global Health. We sought to link them to the ideas explored at the November 2016 Global Symposium on Health Systems Research (HSR2016) in Vancouver, on "Resilient and responsive health systems for a changing world". This issue's eight manuscripts include empirical qualitative, quantitative and mixed methods research on public health challenges and on capacity-strengthening initiatives; analyses of public health interventions; and critical commentaries. These papers challenge not only global health researchers, but also the broader public health and health research communities, to analyze and seriously reflect on the power dynamics and ethics of our research and practice and the funding arrangements that make them possible. Many of the manuscripts are co-authored or first-authored by researchers from low- and middle-income countries, and include policy-makers, practitioners and activists among the authors. They all invite us to engage with the specific issue and context of the paper as well as with broader challenges and cross-cutting ideas which are relevant not only for global health as a distinctive and growing field of research and practice, (3) but also for public health in and beyond Canada. Watch for the second set of papers of this special section in an upcoming CJPH issue.

This project arose from several converging conversations: a long-standing desire for closer collaboration between the Canadian Public Health Association and the Canadian Society for International Health; the decision of the CJPH Editorial Board to engage more extensively with global health as a field of scholarship and practice relevant to the Journal's readers; two major international conferences in Canada, one year apart; and the experience of a groundbreaking program to strengthen both individual and institutional capacities for global health research-- the Global Health Research Capacity Strengthening Program (GHR-CAPS--Sante CAPS). The November 2015 Canadian Conference on Global Health was a culminating event for this program.

The GHR-CAPS is an inter-university education platform and networking program that was developed to complement disciplinary training of PhD students and postdoctoral fellows. The program was developed by the University of Montreal, University of Quebec at Montreal, McGill University and Laval University, with support from the Canadian Institutes of Health Research (CIHR), the Reseau de recherche en sante des populations du Quebec (RRSPQ) and the Global Health Research Initiative (GHRI). Fellows benefited from: the involvement of 43 mentors from a range of disciplines; training and grants to promote their integration into research teams; and seed grants to develop new partnerships between young researchers from the North and the South. The program included courses, monthly interdisciplinary seminars, short courses, and annual summer schools. During its six years of activity, GHR-CAPS mobilized several funding sources and supported more than 50 doctoral students and postdoctoral fellows. The program's success, marked by the significant mobilization of Quebec global health researchers and the emergence of an effective community of practice of young researchers in global health, is further evidenced by the high number of applications received, the productivity of trainees, and their high rate of success in obtaining competitive grants.

We hope that the ideas, issues, approaches and collaborations explored in the manuscripts of this special section will engage the readers of the Canadian Journal of Public Health, whatever their disciplinary or substantive areas of focus. They inspire us to work together to strengthen capacity for and continue to undertake--and publish--excellent, transformative research and practice in global and public health. We hope that you will be inspired as well.

Christina Zarowsky, MD, MPH, PhD, Senior Editor, CJPH; Universite de Montreal; HSR2016 Programme Co-Chair; Montreal, QC

Slim Haddad, MD, PhD, Universite Laval; Director, Sante-CAPS; CCGH 2015 Co-Chair; Laval, QC

Shawna O'Hearn, MA, MSc(OT), Dalhousie University; Co-Chair, CSIH; CCGH 2015 Co-Chair; Halifax, NS

Loubna Belaid, PhD, Post-Doctoral Fellow, CR-CHUM, Section Co-editor; Montreal, QC

Federica Fregonese, MD, PhD, Sante-CAPS Fellow, Section Co-editor; Montreal, QC

Correspondence: Dr. Christina Zarowsky, E-mail: christina.zarowsky@ umontreal.ca

doi: 10.17269/CJPH.107.5986

REFERENCES

(1.) Potvin L, Zarowsky C. A window on the world. [Editorial] Can J Public Health 2016;106(8):e460-61. PMID: 26986901. doi: 10.17269/CJPH.106.5500.

(2.) Vancouver Statement for the Fourth Global Symposium on Health Systems Research. Vancouver, BC, 18 November 2016. Available at: http://healthsystemsresearch. org/hsr2016/wp-content/uploads/Vancouver-Statement-FINAL.pdf (Accessed November 22, 2016).

(3.) Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, et al. Towards a common definition of global health. Lancet 2009;373:1993- 95. PMID: 19493564. doi: 10.1016/S0140-6736(09)60332-9.

Plus tot cette annee, la Revue canadienne de sante publique (RCSP) a partage la vision d'etre et d'offrir << une ouverture sur le monde >> et signale son intention de << faire de la RCSP un lieu privilegie pour publier, lire et debattre des travaux engages de recherche et d'erudition en sante mondiale--tant pour les Canadiens que pour les etrangers (1)>>.

Les bouleversements politiques au Royaume-Uni, aux Etats-Unis et ailleurs vont a l'encontre de l'ouverture a la citoyennete mondiale, a la diversite et a la solidarite et sont une menace de plus a l'environnement, a la sante et a l'equite sociale. Nous croyons que la mission de la RCSP, avec un engagement explicite a apprendre avec et aupres des universitaires et des praticiens du monde entier, sont d'autant plus importants a present.

L'enonce de mission de la RCSP annonce que la Revue << se consacre a promouvoir l'excellence dans la recherche, les travaux d'erudition, les politiques et les pratiques de sante publique. Son but est de faire progresser la recherche et les pratiques de sante publique au Canada et dans le monde, contribuant ainsi a l'amelioration de la sante des populations et a la reduction des inegalites de sante. >> Pour promouvoir cette mission, surtout en periode de turbulences, il faut une pratique creative, competente, rigoureuse et collegiale dans la recherche, sur le terrain et en matiere de politiques. En retour, cela necessite des demarches et des systemes novateurs et efficaces pour perfectionner et soutenir de telles competences. Cela exige de brouiller les frontieres entre la sante publique, la sante mondiale, les systemes et services de sante, la lutte contre les maladies et les determinants de la sante--sans perdre de vue les distinctions pertinentes.

Nous croyons que le moment est venu de reflechir non seulement aux resultats de recherche sur des problemes de sante particuliers, mais a la facon dont nous et les autres etudions et pratiquons la sante publique et la sante mondiale, a la facon dont nous preparons la nouvelle generation de praticiens et d'universitaires a aborder les problemes complexes dans un monde en evolution rapide, et aux institutions, aux systemes et aux idees qui sous-tendent la formation, la recherche et la pratique.

Dans ce numero de la RCSP, nous publions la premiere de deux parties d'une section speciale sur le << Renforcement des capacites pour la sante mondiale : recherche et pratique (2)>>. Les manuscrits reposent sur des communications presentees en novembre 2015 a la Conference canadienne sur la sante mondiale. Nous avons cherche a les lier aux idees explorees lors du Symposium mondial sur la recherche sur les systemes de sante (HSR2016) tenu a Vancouver en novembre 2016, qui avait pour theme << Des systemes de sante resilients et adaptes aux besoins d'un monde en evolution >>. Les huit manuscrits publies dans ce numero incluent : de la recherche empirique qualitative, quantitative et a methodes mixtes sur les problemes de sante publique et sur des initiatives de renforcement des capacites; des analyses d'interventions en sante publique; et des commentaires critiques. Ces articles appellent les chercheurs en sante mondiale, mais aussi les communautes de la sante publique et de la recherche en sante en general, a analyser les rapports de force et l'ethique de nos recherches et de nos pratiques et les mecanismes de financement qui les rendent possibles, et a y reflechir serieusement. Plusieurs manuscrits sont rediges conjointement ou individuellement par des chercheurs de pays a faible revenu et a revenu intermediaire, et on compte des responsables des politiques, des praticiens et des militants parmi leurs auteurs. Tous nous invitent a nous interesser a l'enjeu et au contexte particuliers de l'article ainsi qu'aux grands defis et aux idees transversales qui importent non seulement pour la sante mondiale en tant que domaine de recherche et de pratique distinct et en croissance (3), mais aussi pour la sante publique au Canada et a l'etranger. Le deuxieme ensemble d'articles de cette section speciale paraitra dans un numero a venir de la RCSP.

Ce projet est ne de plusieurs conversations convergentes : du desir de longue date d'assurer une collaboration plus etroite entre l'Association canadienne de sante publique et la Societe canadienne de sante internationale; de la decision du comite editorial de la RCSP de s'interesser de plus pres a la sante mondiale en tant que domaine d'erudition et de pratique pertinent pour les lecteurs de la Revue; de deux grandes conferences internationales tenues au Canada a un an d'intervalle; et de l'experience d'un programme pionnier de renforcement des capacites individuelles et institutionnelles de recherche en sante mondiale--le Programme interuniversitaire de formation en recherche en sante mondiale (Sante-Cap--GHR-CAPS). La Conference canadienne sur la sante mondiale de novembre 2015 a ete l'evenement culminant de ce programme.

Sante-Cap est une plateforme de formation et un programme de reseautage interuniversitaire elabore pour completer la formation disciplinaire des etudiants au doctorat et des boursiers postdoctoraux. Le programme a ete cree par l'Universite de Montreal, l'Universite du Quebec a Montreal, l'Universite McGill et l'Universite Laval avec l'appui des Instituts de recherche en sante du Canada (IRSC), du Reseau de recherche en sante des populations du Quebec (RRSPQ) et de l'Initiative de recherche en sante mondiale (IRSM). Les boursiers ont beneficie : de la participation de 43 mentors de disciplines diverses; de formations et de subventions pour favoriser leur integration dans des equipes de recherche; et de subventions d'amorcage pour tisser de nouveaux partenariats entre jeunes chercheurs du Nord et du Sud. Le programme comprenait des cours, des seminaires interdisciplinaires mensuels, des cours acceleres et des cours d'ete. Durant ses six ans d'activite, Sante-Cap a mobilise plusieurs sources de financement et soutenu plus de 50 etudiants au doctorat et boursiers postdoctoraux. Le succes du programme, que l'on voit a la mobilisation importante des chercheurs en sante mondiale du Quebec et a l'emergence d'une communaute de pratique efficace de jeunes chercheurs en sante mondiale, est atteste aussi par le grand nombre de demandes recues, par la productivite des stagiaires et par leur taux de reussite eleve a obtenir des subventions accordees par voie de concours.

Nous esperons que les idees, les enjeux, les demarches et les collaborations explores dans les manuscrits de cette section speciale interesseront les lecteurs de la Revue canadienne de sante publique, peu importe leur discipline ou leur principal domaine d'activite. Ils nous inspirent a travailler ensemble au renforcement des capacites et a continuer d'entreprendre--et de publier--des recherches et des pratiques excellentes et transformatrices en sante mondiale et en sante publique. Nous esperons que vous serez inspires vous aussi.

Christina Zarowsky, M.D., M.S.P., Ph.D., Redactrice, RCSP; Universite de Montreal; copresidente, programme de HSR2016; Montreal (Quebec)

Slim Haddad, M.D., Ph.D., Universite Laval; directeur, Sante-Cap; copresident, CCSM 2015; Laval (Quebec)

Shawna O'Hearn, M.A., M.Sc.(OT), Universite Dalhousie; copresidente, SCSI; copresidente, CCSM 2015; Halifax (Nouvelle-Ecosse)

Loubna Belaid, Ph.D., Boursiere postdoctorale, CR-CHUM, coredactrice de la section; Montreal (Quebec)

Federica Fregonese, M.D., Ph.D., Boursiere Sante-Cap, coredactrice de la section; Montreal (Quebec)

Correspondance : Dre Christina Zarowsky, courriel : christina.zarowsky@ umontreal.ca

doi: 10.17269/CJPH.107.5986

REFERENCES BIBLIOGRAPHIQUES

(1.) Potvin L, Zarowsky C. Une ouverture sur le monde. [Editorial] Rev can saute publique 2016;106(8):e460-61. PMID: 26986901. doi: 10.17269/CJPH.106.5500.

(2.) Vancouver Statement for the Fourth Global Symposium on Health Systems Research. Vancouver, BC, 18 novembre 2016. Sur Internet : http://healthsystemsresearch. org/hsr2016/wp-content/uploads/Vancouver-Statement-FINAL.pdf (consulte le 22 novembre 2016).

(3.) Koplan JP, Bond TC, Merson MH, Reddy KS, Rodriguez MH, Sewankambo NK, et al. Towards a common definition of global health. Lancet 2009;373:1993- 95. PMID: 19493564. doi: 10.1016/S0140-6736(09)60332-9.
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