“This is a remarkable, much-needed book that fills a significant gap in the health and social care literature in the early decades of the 21st century—public, global, clinical, ecological. It is powerful, ambitious, comprehensive, and sweeping at the same time that it is visionary, focused, and deep. Its power and passion are about the potential of population health and well-being optimally applied around the globe to help in creating a world that is healthier, safer, more just, and more sustainable.”

—Barbara K. Rimer, DrPH, Alumni Distinguished Professor and Dean

UNC Gillings School of Global Public Health, University of North Carolina at Chapel Hill (From the Foreword) Drawing on current research and the expertise of world-recognized leaders in public, global, clinical, and social health in both developed and developing nations, this book delivers an evidence-based examination of 21st-century challenges in global population health and well-being.

With special attention given to major initiatives of the United Nations, especially its Sustainable Development Goals (SDGs) 2016–2030, and the priorities of the World Health Organization (WHO) and the World Bank, Dr. Lueddeke articulates an imperative to adopt a “One World, One Health” view that recognizes the interdependence of humans, animals, plants, and the environment.

The book/text promotes innovative and transformative paradigms for global public health practice, curricula, workforce training, and leadership. Intended for undergraduate and postgraduate courses in global public health, it will also be a welcome addition to the libraries of practitioners and policy-makers at all levels in the public/population/global health continuum.

KEY CONTENT AREAS INCLUDE:

• The historical context of public health from early medicine to present day
• Exemplary educational initiatives:

  WHO education guidelines; curriculum commentaries from China, South Africa, and Cuba; a proposed Global Framework for Public Health Services and Functions; and case studies from South America (PAHO/ WHO), India (IPHF), and South Africa (PHASA)

• The changing roles and educational expectations of public and global health professionals in the early decades of the 21st century
• The complex interdependence of natural, socioeconomic, and political systems at local, national, regional, and global levels
• The causes of interstate conflicts and longer-term challenges
• Leading change in a new era, transforming mind-sets, and improving and sustaining the health and well-being of the planet and its people
• An epilogue on global health, governance, and education with contributions from a think tank of 35 practitioners from 27 nations
• Supplemental materials, including text aims and objectives and a guide to research and learning resources developed by experts in the United States, Brazil, and the Netherlands, are available as digital downloads

ALSO HIGHLIGHTED:

• 65 profiles of leading global health (and health-related) organizations
• 15 profiles of highly recognized schools and institutes of public health

Contents

Foreword

Preface

Acknowledgments

Introduction: Inspiring a New Vision

1.0 A Snapshot of Public and Population Health Through the Ages

1.1 Defining and Contextualizing Public and Population Health

1.2 The New Public Health

1.3 Historical Dimensions of Public Health: A Synopsis

1.4 The Welch-Rose Report (1915)

1.5 Milestones in the 20th and Early 21st Centuries

References

2.0 Contemporary Challenges in Public Health

2.1 Children’s Lives “At a Glance”: Spotlight on Six Nations

2.2 Global Public Health: Reflections on the “Big” Picture

2.3 Population Growth: Impact of Large-Scale Urbanization

2.4 Our Fragile Ecosystems: Ensuring Planetary Health and Well-Being

2.5 Problems of Modernity: Genetic Incongruence?

2.6 Social Intolerances and Challenging Social Norms

References

3.0 Public Health: The Impending Financial Crisis

3.1 Affordability of an Aging Population: Should We Be Worried?

3.2 Funding of Public Health: Rebalancing the Equation?

References

4.0 World Health Reforms (UN, WHO, and The World Bank) in the Early Years of the 21st Century

4.1 Progress on the UN Millennium Development Goals and Post-2015 Sustainable Development Goals: “Back to the Future?”

4.2 Universal Health Coverage (UHC): “Myth or Reality?”

4.3 The Global Strategy and Plan of Action on Public Health, Innovation, and Intellectual Property (GSPA-PHI): “Grappling” With Principles and Practice

4.4 The World Bank: Historical Perspectives and Revitalizing for the 21st Century

4.5 Toward a Revitalized World Order: “The End of an Era but a Salutary Wake Up Call”?

References

5.0 Contemporary Approaches to Public Health Issues

5.1 From Horizontal Policies to Shared Societal Goals

5.2 Pervasive Influence of Health in All Policies (HiAP)

5.3 Case Examples of Preventive Strategies

5.4 Reflections on Current Interventions

5.5 Bridging the “Ingenuity Gap”

References

6.0 Community-Centered Care and Evolving “Fifth” Wave Interventions in Public Health

6.1 Professor Carl E. Taylor: Pioneer in Global Health

6.2 Origins of Community-Based Primary Care and Public Health

6.3 The Alma-Ata Declaration

6.4 “Restoring Health to Health Reform”

6.5 Integrated Service Delivery: The “Missing Link?”

6.6 Case Examples of Shifting Toward “Prevention Over Cure” in Developing and Developed Nations

6.7 Transitioning From a “Sick” Care to a “Well-Being” Culture

6.8 The Essence and Dimensions of an Integrative and Ecological Public Health Framework

6.9 Applying “Fifth” Wave Thinking to Complex Public Health Problems or Issues

6.10 Advancing Social Accountability and Human Rights at National and Community Levels—Dr. Gerald Paccione: Physician “Extraordinaire”

References

7.0 Toward a New Worldview

7.1 Rationales for Fundamental Paradigm Shifts

7.2 The “One Health” Movement

7.3 Timescaling Evolution and Rethinking Public Health Interventions

7.4 Public Health: A Force for Social Change

7.5 Leading Change in a New Era: Transforming Mindsets and “Building the New” Through One Health Research, Education, Policy, and Practice

References

8.0 Building Public Health Capacity: “Working Differently Means Learning Differently”

8.1 Disease Prevention and Health Promotion: “A Continuing Crisis of Legitimacy?”

8.2 Toward a Comprehensive Public Health Approach

8.3 Public Health Practitioners and Contemporary Public Health Competency

8.4 Competency Analysis Exemplars: Comparisons Across Seven Nations/Regions

8.5 Public Health: An Expert Occupation, a Profession, or Both?

8.6 The Lancet Commission Findings: Systemic Failures in Global Health Education, Reforms, and Enabling Actions

8.7 Applying The Lancet Commission Vision of “Health Professionals for a New Century” to the Traditional “Master of Public Health” (MPH) Degree

8.8 Emerging Innovative Health Program Models

8.9 Integrating Learning, Research, and Practice

8.10 Global Health Workforce Crisis and WHO Guidelines for Scaling Up Education and Training for Health Workers: Informing Dialogue and Enabling Action

8.11 Making a Difference to “Life as It Is Lived”

References

9.0 Global Health Workforce Capacity and Transforming the Education of Health Professionals

9.1 “Scaling Up, Saving Lives” Revisited

9.2 “A Universal Truth: No Health Without a Workforce”

9.3 Adapting Health Education and Training to Community Needs

9.4 Approaches to the Education and Training of Health Professionals: China, India, and South Africa

9.5 Personal Reflections on Future Directions in Professional Health and Social Care Education and Training

9.6 Cuba’s Health System and Latin American Medical School Model: Dr. Brea Bondi-Boyd—Affirming Social Accountability in Health Policy and Practice

References

10.0 Epilogue: Global Health, Governance, and Education

10.1 Background Information and Acknowledgments

10.2 Introduction

10.3 Epilogue Rationales and Aims

10.4 Global Governance and Structural Challenges

10.5 Decision Making in Global Public Health: Coordination and Impact

10.6 Funding of Global Public Health: The International Aid Conundrum

10.7 The Growing Role of Nongovernmental Organizations (NGOs)

10.8 Enhancing Regional Cooperation

10.9 Building Capacity for Change: Education and Training

10.10 Toward a Global Health Road Map

10.11 Addressing Global Health Challenges in the 21st Century Through One Health Collaborative Networks

References

The Past, the Present, and the Future

Snippets From the Past

Snapshot of the Present

Reflections on the Future of Population Health and Well-Being

Building a Society That Is Truly “Just and Caring”

A Pivotal Moment in Human History?

“The Rise of the Machines” and “Standing Up” for Humanity

Sustaining Humanity in a “Second Machine Age”

Addressing Intersecting Inequalities

Toward a World we Need: Global Socioeconomic and Political Transformations in This Century

“The Clock Ticks now at Just Three Minutes to Midnight”

Transcending a “Future By Inertia”

References

Appendix A: Profiles of Leading Health Organizations and Schools/Institutes of Public Health

Introduction

Appendix A1: Profiles of Leading Global, Regional, and National Health Organizations

Appendix A2: Profiles of Leading Schools/Institutes of Public Health

Appendix A3: Common Themes and Priorities Emerging From the Profiles

Appendix B: Think Tank on Global Health, Governance, and Education

Appendix C: Global Partnerships for Transformative Education Initiatives

Introduction and Acknowledgments

Index