G L O B A L H E A L T H Global Health Strategies for Security "The idea of human security, though simple, is likely to revolutionize society in the 21st century" UNDP’s 1994 Human Development Report W E L C O M E ! Dear Students, Welcome to the Global Health Strategies for Security (GHSS) Course. This two-week course is designed to enhance programs and efforts in order to conduct global health activities and provide a comprehensive framework for understanding and action. This course will review and assess policy and explore various entities' roles in global health and Department of Defense Global Health Engagement in particular. This course was developed and facilitated by the Uniformed Services University's Center for Global Health Engagement (CGHE). As part of CGHE's mission, GHSS falls within the center's goal to integrate, synchronize, educate, train and support the Department of Defense (DoD) Global Health Engagement (GHE) enterprise to meet objectives of the Joint Force, Combatant Commands (CCMDs), Services, the Military Health System (MHS) and national security. Within this workbook you will find an overview of the course, bios for each of the speakers, an agenda, a list of acronyms, and questions to guide the group discussion. is intended to facilitate the learning process. As with all components of this course, feedback and recommendations are welcome to benefit future efforts. Enjoy the course, GHSS Course Staff/Instructors Center for Global Health Engagement Uniformed Services University 4301 Jones Bridge Road, Bethesda, Maryland 20814 Website: https://www.usuhs.edu/cghe Email: [email protected] ABOUT GHSS Purpose: To enable success for global health programs planned and conducted by U.S. Government Agencies. This course is designed to develop an understanding of the civil and military considerations at the nexus of global health and security, and enhance competency to develop whole-of-government strategies and programs to strengthen health systems and counter transnational health threats. Participants will build and strengthen their understanding of the global health arena and their capacity to use strategic guidance to develop effective global health strategies and programs. Instruction and exercises will provide the understanding and skill set needed to plan and execute programs that support the National Security Strategy, US Global Health Security Agenda, Combatant Command Theater Cooperation Plans, and country-specific campaign plans. Participants will learn to collect and analyze health information to identify and plan appropriate health engagement strategies to meet the needs of the partner country and fit within USG priorities and guidance From a DoD perspective, this course is designed to provide the CCMD GHE Program Manager with the understanding and tools necessary to plan and execute a Command’s GHE Program. This task/mission being to develop and manage a program where the CCMD is providing the strategic/long term level oversight and guidance to shape the use of health as a military engagement tool. This includes the development of processes and products to guide the shaping and execution of the tactical level health engagement activities conducted under the authority of the CCMD and the Service Components. This will be accomplished through a process of building a contextual understanding of the global health space (week 1) and then applying this understanding to enable the conduct of health engagement activities (week 2). The GHSS course was first conducted in August of 2012 at the Johns Hopkins University Rockville campus. This first iteration was a 4-week in residence effort developed and conducted in collaboration with Dr. Gil Burnham of Johns Hopkins University. Subsequent iterations of the course were reduced to two weeks and conducted annually since 2014. Each of these iterations was conducted in partnership with the Division of International Health Security under the Office of the Assistant Secretary for Preparedness and Response at the Department of Health and Human Services. The course has been conducted via a combination of lecture, group discussion, and small group activities designed to help participants apply the lessons discussed in the course to produce a country-specific global health engagement plan. ACRONYMS DoD-related Non-DoD global health stakeholders AOR: Area of responsibility (in reference to CCMD CDC: US Centers for Disease Control and AORs) Prevention APRRP: African Peacekeeping Rapid Response CSO: Civil society organization Partnership DHHS: US Department of Health and Human CBEP: Cooperative Biological Engagement Program Services CCMD: Combatant Command; DoS: US Department of State Geographic CCMDs include: US Northern Command FAO: Food and Agriculture Organization (of the (NORTHCOM), US Southern Command UN) (SOUTHCOM), US European Command (EUCOM), HN: Host nation US Africa Command (AFRICOM), US Pacific MOH: Ministry of Health Command (PACOM) and US Central Command NGO: Non-governmental organization (CENTCOM) OFDA: (USAID’s) Office for Foreign Disaster CGHE: Center for Global Health Engagement (your Assistance course facilitators) OIE: World Organization for Animal Health COIN: Counterinsurgency PN: Partner nation DHAPP: Defense HIV/AIDS Prevention Program RC/RC: International Red Cross/Red Crescent DIMO: Defense Institute for Medical Operations Movement DSCA: Defense Security Cooperation Agency UN: United Nations DTRA: Defense Threat Reduction Agency UNOCHA: UN Office for the Coordination of FHA: Foreign Humanitarian Assistance Humanitarian Affairs FHP: Force health protection USAID: United States Agency for International FMF: Foreign military financing Development FMS: Foreign military sales USDA: US Department of Agriculture GEF: Guidance for Employment of the Force WHO: World Health Organization GVE: Global veterinary engagement Non-specific HCA: Humanitarian and civil assistance AME: Assessment, monitoring, and evaluation IMET: International military education and training GHSA: Global Health Security Agenda JTF: Joint task force GHSI: Global Health Security Initiative MHS: Military Health System HA: Humanitarian assistance NMS: National Military Strategy HA/DR: humanitarian assistance and disaster relief ODACHA: Overseas humanitarian, disaster and civic ID: Infectious disease aid IDP: Internally displaced person OHASIS: Overseas Humanitarian Assistance Shared M&E: Monitoring and evaluation Information System MOE: Measure of effectiveness SCO: Security Cooperation Office (housed in US MOP: Measure of performance embassies) NCD: Non-communicable disease TCCC: Tactical combat casualty care NSS: National Security Strategy TCP: Theater campaign plan PEPFAR: President’s Emergency Plan for AIDS Relief TSCMIS: Theater Security Cooperation SDGs: Sustainable Development Goals (previously Management Information System Millennium Development Goals (MDGs)) USUHS: Uniformed Services University of the Health TAD: Transboundary animal disease Sciences WASH: Water, sanitation and hygiene Concepts, Strategy, and Cooperation Introduction to Global Health Day 1: Monday, 01 April 0900-0950: Senior Leader Perspective Mr. Thomas McCaffery Office of the Assistant Secretary of Defense for Health Affairs Mr. Tom McCaffery was sworn in as the Principal Deputy Assistant Secretary of Defense for Health Affairs on August 23, 2017. In this role, Mr. McCaffery is the principal medical advisor to the Secretary of Defense. He administers the Military Health System (MHS) $50 billion Defense Health Program (DHP) budget and is responsible for ensuring the global delivery of quality, cost effective health care to 9.4 million Service Members, retirees, and their families. Mr. McCaffery oversees the Defense Health Agency and the Uniformed Services University of the Health Sciences. Mr. McCaffery has extensive experience in the health care industry. Most recently, he served as Vice President, California State Partnerships at Blue Shield of California. Prior to his tenure at Blue Shield, he served as Chief Deputy Director of the California Department of Health Services, California’s public health and health care services agency. Mr. McCaffery also served as Senior Vice President / Chief Operating Officer at the Alliance of Catholic Health Care, the public policy and advocacy organization representing California’s Catholic health systems and hospitals. 1000-1050: Introduction/Current Issues Mr. Joshua Michaud Associate Director of Global Health Policy Team, Kaiser Family Foundation Josh Michaud is an Associate Director with the Global Health Policy team at the Kaiser Family Foundation, where he directs a variety of research projects. Dr. Michaud is an authority on the role of the Department of Defense in global health, innovative financing, and global health diplomacy, among other topics. He has published numerous articles and book chapters and teaches graduate-level courses as a Professorial Lecturer with the International Development department at the Johns Hopkins University School of Advanced International Studies (SAIS), in Washington D.C. 1100-1200: Course Overview and Participant Introductions CAPT Carolyn Currie Director of Training, Professional Development Center for Global Health Engagement Dr. Burnham founded the Center for Refugee and Disaster Response at Johns Hopkins in 1998, which was renamed to the Center for Humanitarian Health on September 1, 2017. He has extensive experience in emergency preparedness and response, particularly in humanitarian needs assessment, program planning, and