Young WFPHA Working Group Chair Interview: Alessandro Berionni

Alessandro Berionni is a pivotal figure in public health. As the Chair of the Young Working Group for the World Federation of Public Health Associations (Young WFPHA), his contributions and insights shed light on the importance of young professionals in the sector. Engaging and empowering young public health professionals is crucial, as they bring fresh perspectives, innovative solutions, and the energy needed to address global health challenges.

Can you introduce yourself

Alessandro Berionni: My name is Alessandro Berionni. I am 29 and a public health medical resident at the Vita-Salute San Raffaele University in Milan. I currently live in Athens, where I work for WHO’s Athens Quality of Care and Patient Safety Office. Few people know I graduated from the conservatory as a classical pianist a few years ago. I have a deep love for music, the arts, and creatively innovative things. I also enjoy jogging with friends or walking while listening to good music in my free time.

What motivated you to pursue a career in the public health sector

Alessandro Berionni: I was a dermatology resident before moving to public health. While working in the hospital, I realized I was more interested in viewing health from a broader perspective. In clinical practice, there is often a strong focus on treating diseases without fully addressing their root causes. Public health, on the other hand, fascinated me because it focuses on the factors that lead to diseases and works to address them at their source.

I am also motivated by the sense of justice and equity in public health. I am especially drawn to making healthcare accessible and envisioning a future where everyone can achieve optimal health.

How long have you been associated with the World Federation of Public Health Associations?

Alessandro Berionni: I began working with the WFPHA in March 2023 when I became chair of the Students and Early Career Professional Working Group, which we later rebranded to Young WFPHA. Before that, I was associated with the Italian Public Health Association (SitI) and the European Network of Medical Residents in Public Health (EURONET MRPH) but not actively involved in WFPHA. 

Please elaborate on your working group’s current activities and share your vision and plans for the future.

Alessandro Berionni: Since March 2023, we’ve primarily focused on public health professional development, youth engagement, and global advocacy. One of our main projects is a survey designed to identify the challenges and needs of young public health professionals. This survey highlighted a strong desire for global impact, mentorship, and more opportunities. We’ve also researched digital and health literacy and launched various engagement activities, such as social media campaigns, webinars, and additional research opportunities.

Looking ahead, our vision includes strengthening regional and global public health networks, establishing regional representatives, enhancing communication through newsletters, expanding our membership, and providing more engaging opportunities. Our main goal is to strengthen a worldwide diverse and interconnected public health community.

How do the working group’s activities align with and support implementing the Association’s strategic plan?

Alessandro Berionni: The Young WFPHA aligns with the strategic plan through advocacy, capacity building, and fostering global health governance. We participate in local and international conferences, conduct webinars, and collaborate with organizations such as the Junior Doctors Network, International Pharmaceutical Students Federation, Health Equity Network of the Americas, the World Health Organization, etc. These activities support the strategic goals of increasing partnerships, facilitating knowledge exchange, and enhancing communication.

In what ways has being part of the Federation and its network enhanced the activities of your working group and expanded its reach?

Alessandro Berionni: The WFPHA has provided us with significant opportunities and support. It has enabled us to connect with high-level speakers and participate in key events, expanding our network and strengthening our working group. Additionally, it has facilitated our collaboration with numerous professionals and students on various research projects, enhancing our outreach and impact.

How does being part of the Federation benefit your group’s mission to represent students and young professionals in public health

Alessandro Berionni: The WFPHA provides a global platform and visibility for our initiatives, enabling us to connect with stakeholders at high-level events. This ongoing support helps us fulfill our mission of engaging young professionals across diverse disciplines. We aim to create a well-represented community that addresses public health challenges through collaboration and innovation.

What programs does the group offer to support the career development of young public health professionals

Alessandro Berionni: The Young WFPHA working group organizes networking events to develop the soft skills essential in public health. We also create specific sub-groups where students and young professionals can discuss and collaborate on projects, offering valuable exposure and knowledge exchange opportunities. We plan to launch a mentorship platform to support career growth and development further.

Any last words?

Alessandro Berionni: I always stress the importance of young people bringing fresh perspectives and creativity to public health. Every contribution, no matter how small, can make a difference. It’s about showcasing our work, fostering a positive attitude, and igniting enthusiasm for public health. The dream of a better, more equitable world leads us to achieve meaningful results with a global impact.

Alessandro Berionni’s dedication to public health and leadership within the Young underscores the critical role of young professionals in this field. Their innovative approaches and commitment to justice and equity are vital for addressing global health challenges and creating a healthier future for all.

Working Group Members:

– Alessandro Berionni, Young WFPHA Chair, Università Vita-Salute San Raffaele, Italy.

– Lwando Maki, Young WFPHA Vice Chair and Representative at the WFPHA Governing Council, Public Health Association of South Africa (PHASA), South Africa.

– Federica Castellana, Young WFPHA Secretary, Italian Red Cross, Italy.

– Duha Shellah, Young WFPHA Research Lead and Vice Chair of WHO EMRO Youth Council, Palestine Academy for Science & Technology, Palestine.

– Amilcar Juggernath, Young WFPHA Research Co-Lead, Public Health Association of South Africa (PHASA), South Africa.

– Marcello di Pumpo, Young WFPHA Research Co-Lead, Project Lead, Università Cattolica del Sacro Cuore, Italy.

– Anke Kotze, Young WFPHA Communication Lead, Cornell University, USA.

– Melissa Sawaya, Young WFPHA Communication Co-Lead, Université Paris-Saclay, France.

– Alexandria Chung, Young WPFHA Communication Co-Lead, London School of Hygiene and Tropical Medicine (LSHTM), UK.

– Mustakim, Young WFPHA Membership Lead, Indonesian Public Health Association, Indonesia.

– Luis Fernando Solis Calvo, Young WFPHA Networking Lead, The Health Equity Network of the Americas (HENA).

– David Peyre Costa, Young WPFHA Partnership Lead, University of Trosmø, Norway.

– Augusto Baron, Young WFPHA representative at the Quadripartite Working Group for Youth Engagement, Colegio Médico de Honduras, Honduras.

– Haleluya Leulseged, Young WFPHA Project Management, London School of Hygiene and Tropical Medicine (LSHTM).

– Francesco Andrea Causio, Young WPFHA Project Lead, Università Cattolica del Sacro Cuore, Italy.

– Nunzio Zotti, Young WFPHA Project Lead, Università di Pisa, Italy.

– 劉憬勲 Ching-Hsun “Walter” Liu, Young WFPHA Project Lead, Federation of Public Health Student Associations in Taiwan, Taiwan.

Professionals’ Education and Training Working Group Chair Interview: Leanne Coombe and Priscilla Robinson

We are delighted to introduce Priscilla Robinson and Leanne Coombe, the co-chairs of the World Federation of Public Health Associations (WFPHA) Working Group on Professionals’ Education and Training. This group is dedicated to enhancing the standards of public health education globally. 

Let’s dive into their insights on the group’s formation, achievements, and future goals.

Please introduce yourselves

Priscilla Robinson: My name is Priscilla Robinson. I’ve been associated with the WFPHA for about ten years and a member of the Public Health Association of Australia for nearly 35 years. I am an Adjunct Associate Professor at La Trobe University in Australia, co-chairing this working group. My career began in nursing, with training in various nursing specialties, and then moved into epidemiology and infectious disease in public health and public health education.

Leanne Coombe: I’m Leanne Coombe, employed as the Policy and Advocacy Manager at the Public Health Association of Australia, and I also co-chair the Professional Education and Training Working Group. I’ve been involved with the WFPHA and this working group since 2018. I’m also an Honorary Associate Professor at The University of Queensland. My background is in oral health, but I have focused extensively on public health, particularly Indigenous health. My career has always been oriented toward preventive health, naturally leading me to public health.

How did this working group come about?

Priscilla Robinson: About 14 years ago, during one of its strategic reviews, the Federation identified the need for a professional education and training working group. I was the second Chair of the group and later invited Leanne to co-chair, given her expertise and enthusiasm. Since then, we have focused on addressing the educational needs identified by the Federation and have made significant contributions to its overall mission.

Can you describe the current involvement and membership of the working group?

Leanne Coombe: When I joined as co-chair in 2018, the group was relatively small and inactive. Since then, we’ve garnered interest from academics worldwide and have consciously expanded our membership by recruiting early-career public health professionals, experienced practitioners, and academics. We’ve also established a successful internship program, engaging young professionals who often stay on after their internships.

Priscilla Robinson: It’s important to note that our group is also diverse globally and ethnically. We maintain an informal structure where members feel comfortable contributing regardless of their education level, significantly enhancing our work. This approach allows us to leverage the expertise and energy of our members very appropriately and effectively.

How has the working group contributed to the development of public health education?

Priscilla Robinson: Our primary focus is public health education for professional practice. We have published several peer-reviewed papers, such as analyzing public health competencies commonly used in the field. Additionally, we have been involved with the WHO’s Public Health and Emergencies Workforce Roadmap Project, contributing to its competency framework. This work will guide the development of public health education worldwide for years to come.

What initiatives is the group currently working on?

Leanne Coombe: We’re currently working on two major projects. First, we are contributing to the implementation phase of the WHO Roadmap, focusing on standardizing public health education globally. We’re engaging accrediting and regulatory agencies to adopt the competency framework. Second, we’re benchmarking public health education worldwide, analyzing course content, delivery methods, faculty training, and support. This research will inform our efforts to standardize education across different regions.

What are your plans for the future

Priscilla Robinson: Post-pandemic, we need to ensure that the advancements in public health education and workforce training remain and evolve. Only about one-fifth of the global public health workforce is formally trained in public health, which can lead to significant shortfalls in expertise. Our goal is to improve accreditation and regulation, ensuring that all professionals involved in public health understand its principles and their role in it. 

Leanne Coombe: We’re also looking to support other WFPHA working groups in implementing the WHO Roadmap within their disciplines, such as Indigenous, One Health, and Environmental health. We will continue contributing and adapting to emerging needs as the roadmap project progresses. We welcome anyone interested in joining us and helping with our mission.

Priscilla Robinson and Leanne Coombe have shown immense dedication and vision in leading the WFPHA Working Group on Professionals’ Education and Training. Their efforts are shaping the future of public health education and ensuring that the global workforce is better prepared for the challenges ahead. Their inclusive and collaborative approach invites all interested professionals to join and contribute to this vital work.

Working group members: 

Christina Severinsen, School of Health Sciences, Massey University, Palmerston North, New Zealand

Dorothy Biberman, Manager Global Health Programs ASPPH, USA

Elisabeth Mukendi, medical doctor from the Democratic Republic of Congo

Elsheikh Badr, President of the Sudanese Public Health Association, Sudan

Geri Kemper Seeley, Program Manager, Applied Public Health, Office of Applied Public Health, Milken Institute School of Public Health, The George Washington University, USA. 

Haitham Bashier, Director at The Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan

Harsha Somaroo, Public Health Association of South Africa, South Africa

Kasia Czabanowska, Professor in Public Health Leadership and Workforce Development and International Health School CAPHRI, Care & Publ Health Res In Fac. Health, Medicine and Life Sciences, the Netherlands

Laura King EdD, MPH, MCHES serves as the Executive Director of the Council on Education for Public Health, USA

Laura Magaña, PhD, MS, President and Chief Executive Officer, Association of Schools and Programs of Public Health, USA

Leanne Coombe, Faculty of Medicine, University of Queensland, Herston, Queensland

Linda Murray, Senior Lecturer at Massey University, New Zealand

Priscilla Robinson, School of Psychology and Public Health, La Trobe University, Melbourne

Saskia Jaenecke, Fulda University of Applied Sciences, Fulda, Germany

Non-communicable Diseases (NCDs) Working Group Chair Interview: Dr. Jeremiah Mutwalante Twa-Twa and Dr. Prajjwal Pyakurel

Few challenges in the dynamic world of public health are as daunting as preventing and managing non-communicable diseases (NCDs). We sat down with two remarkable leaders in this field: Dr. Jeremiah Mutwalante Twa-Twa from Uganda and Dr. Prajjwal Pyakurel from Nepal. They serve as the Working Group Co-Chairs for NCD Prevention and Health Promotion within the World Federation of Public Health Associations (WFPHA). 

NCDs, which include cardiovascular diseases, cancers, chronic respiratory diseases, and diabetes, are responsible for a significant portion of global mortality. Unlike infectious diseases, NCDs are often driven by lifestyle factors such as poor diet, lack of exercise, tobacco use, and excessive alcohol consumption. Addressing these requires a comprehensive approach involving policy change, community engagement, and ongoing research.

Can you both introduce yourselves

Dr. Twa-Twa: I’m Dr. Jeremiah Mutwalante Twa-Twa from Uganda. I’m a medical doctor by training, with additional qualifications in public health, demography, and biostatistics. I’m a member of the Uganda National Association of Community and Occupational Health, which brought me into the World Federation of Public Health Associations (WFPHA). I am the Dean of the School of Health Sciences and lecturer at Kampala University. I’ve worked with the Ministry of Health since 1980, initially as a hospital manager and later as a district health manager. I served on the team that started the Uganda AIDS Control Program in the Ministry of Health. Later, I served as the Registrar of the Uganda Medical and Dental Practitioners Council and finally headed the Child Health Division of the Ministry of Health until 2010. After that, I ventured into politics, serving in the Parliament of Uganda for five years. In Parliament, I served as Vice Chairperson of the HIV/AIDS Standing Committee of Parliament for four years. I’m the Co-Chair of the WFPHA’s NCD Prevention and Health Promotion Working Group.

Dr. Pyakurel: I’m Dr. Prajjwal Pyakurel from Nepal. I am the General Secretary of the Nepalese Society of Community Medicine. We have over 200 members dedicated to public health in Nepal. I have a deep passion for NCD prevention globally. I was a visiting Lown Scholar at Harvard T.H. Chan School of Public Health, Boston, MA, USA, 2016 and a fellow of the International Society of Cardiovascular Epidemiology and Prevention, Nadi, Fiji. I’ve been working in NCD prevention since 2011, starting as a resident in Community Medicine. This journey led me to the WFPHA, where I was honored to be nominated as co-chair of the NCD Working Group in April 2024.

What motivated you to pursue a career in the public health sector?

Dr. Pyakurel: Serving humanity has always been my primary motivation. As an academician, service is paramount. My journey into public health began in 2011 during my residency in Community Medicine and Tropical diseases at B.P. Koirala Institute of Health Sciences, Dharan, Nepal. I researched Cardiovascular risk factors among industrial workers in Eastern Nepal. Working with these underserved populations fueled my passion for public health. They often have low education levels and face numerous challenges, making it vital for public health professionals to advocate for and support them. My goal is to conduct research that informs policy and practice changes, ultimately contributing to NCD prevention on a global scale.

Dr. Twa-Twa: My interest in public health was sparked during my medical training in the 1970s by a professor who taught preventive medicine at Makerere Medical School when I was still an undergraduate student. My career in public health began in earnest in 1980, during a period of political turmoil in Uganda. Many healthcare workers had left the country, and I was deployed to a remote hospital, quickly moving into a management role. This experience necessitated further training in public health, which the Ministry of Health facilitated. Over time, I held various administrative roles, including being part of the team that started the Uganda AIDS Control Programme in the mid-1980s and heading the Child Health Division of the Ministry of Health. These experiences solidified my commitment to public health, although I am still interested in clinical work.

How long have you been associated with the World Federation of Public Health Associations?

Dr. Pyakurel: I officially joined the WFPHA on September 29, 2022, as a working group member. I became a Chair of the NCD Working Group on April 3, 2024, alongside Dr. Twa-Twa. We’ve been actively contributing as co-chairs for the past three months.

Dr. Twa-Twa: My association with the WFPHA extends back through my involvement with the Uganda National Association of Community and Occupational Health, a member organization of the WFPHA. Our former Executive Director and founder member of UNACOH, Dr. Deogratius Kaheru Sekimpi, has been on the WFPHA board for some time. Through this connection, I was nominated to join the WFPHA, leading to my current role as co-chair of the NCD Prevention and Health Promotion Working Group.

Could you detail your working group’s current activities and share your vision and plans for the future

Dr. Pyakurel: Despite being only three months old as co-chairs of the World Federation of Public Health Associations (WFPHA) NCD Prevention and Health Promotion Working Group, we’ve hit the ground running. We’re launching monthly webinars starting July 18, 2024, and planning policy brief trainings beginning October 2024. Regular meetings are set for the third week of each month, and we’ve drafted an action plan for 2024-2026, which includes a one-year plan to be implemented from July to December 2024.

We are also seeking collaborations and funding opportunities to conduct global capacity-building programs for NCD prevention. Our vision aligns with WFPHA’s seven goals: advancing public health knowledge and promoting systematic change. For instance, we plan to conduct mass awareness campaigns, develop health promotion materials, and offer research and capacity-building training for young public health professionals worldwide. Our three-year action plan is set to be endorsed on July 25, 2024, after which we’ll begin implementing our activities.

Dr. Twa-Twa: We’re developing an inclusive action plan incorporating member feedback to address NCDs over the next three years. Our vision aligns with WFPHA’s goals and mission. I envision a vibrant working group that supports national public health associations at the grassroots level, providing guidance and coordination. Effective advocacy and addressing NCD problems through coordinated efforts will be our focus. We wish for the NCD prevention and control initiatives to take a first-line position on the health agenda at all levels globally.

How do your activities align with supporting and implementing WFPHA’s strategic plan?

Dr. Twa-Twa: Our activities are structured to address all aspects of NCDs along the WFPHA’s mission and goals. For instance, under Goal 1, we aim to develop policy briefs on issues like alcohol, drugs, and diet. Goal 2: we plan to advocate for systematic change and sustainable funding for NCDs. We’re working on strengthening the prevention and control of NCDs through robust mechanisms under Goal 3. For Goal 4, we plan to advance public health knowledge through education and research initiatives. We’re also focused on building partnerships, working closely with national Public Health Associations, and ensuring regular communication and coordination to achieve our WFPHA goals. Above all, we shall work closely with sister WFPHA-WGs to form a solid, formidable, and vibrant WFPHA team. 

How has being part of WFPHA and its network enhanced your working group’s activities and expanded its reach?

Dr. Pyakurel: WFPHA’s extensive network of over 5 million colleagues globally offers immense opportunities for collaboration and learning. Our working group benefits from this diverse pool of expertise, fostering partnerships and collaboration that enhance our efforts. Leading this group from an LMIC setup, like Nepal, is a privilege and provides us with unique perspectives to address global public health issues. This network enables us to leverage international knowledge and best practices, which can be adapted and applied to our local contexts.

Dr. Twa-Twa: We value the experience of those who have previously contributed to WFPHA-NCD-WG. In this respect, we have recently discussed with Prof Miguel Angel Royo, former Chair NCD-WG, and Professor Iidefonso Hermandez Aquado, currently Chair Policy Committee WFPHA, who have offered valuable insights. Collaboration with experienced individuals and organizations at national and international levels shall strengthen our efforts. This collective wisdom and support will help us to advocate for NCD control and prevention effectively. 

How does being part of WFPHA support your group’s efforts to promote healthy nutrition policies worldwide?

Dr. Pyakurel: Our group’s mission extends beyond nutritional policies to a broader NCD prevention and health promotion context. While we focus on food policies and healthy diets, we also aim to address other risk factors for NCDs. We plan to design vital policy documents on five major risk factors for NCDs to be advocated at the Fourth High-Level Meeting of the UN General Assembly on preventing and controlling NCDs in 2025. Raising mass awareness, especially among younger generations, about the dangers of junk food and the benefits of nutritious diets is crucial. Implementing nutritional labeling and banning unhealthy food advertisements are part of our strategy to improve global health outcomes.

Dr. Twa-Twa: Our predecessors prepared policy briefs, which we plan to continue and expand. National public health associations are crucial in influencing food standards and policies at the country level. By developing solid nutritional policies and promoting healthy eating habits, we aim to impact global health significantly. Mass awareness campaigns and educational initiatives targeting children will be essential in shifting dietary behaviors and reducing the prevalence of NCDs.

How does your working group collaborate with governments and international bodies to influence NCD prevention policies?

Dr. Pyakurel: In line with Goal 5 of the World Federation of Public Health Associations (WFPHA), we focus on strengthening partnerships with groups that share our values. Our upcoming three-year action plan includes engaging national governments, parliamentarians, and UN agencies in collaborative dialogs to control NCDs and implement relevant protocols. We aim to prepare comprehensive engagement reports, follow-up actions, and policy briefs to present to the WFPHA leadership for further advocacy at the UN Assembly. This will help elevate NCD prevention on a global scale. We’re actively involving parliamentarians, UN agencies, and government officials in our discussions to create a collaboration network for impactful work across various regions.

Dr. Twa-Twa: We’ve started this journey by engaging essential NCD control and prevention stakeholders. For example, I’ve connected with the Ministry of Health in Uganda and have been welcome to join the team developing the national NCD action plan. We’re exploring synergies at both national and international levels, seeking collaboration and partnerships with all key stakeholders to address NCDs effectively.

Dr. Pyakurel: In Nepal, I’ve worked with the Kathmandu Metropolitan City as a technical advisory group member for NCD prevention. We’re enforcing tobacco control laws and partnering with the WHO country office in Nepal for Anti-Tobacco Campaigns. Our efforts include mass school campaigns, reviewing tobacco laws, and ensuring legal coherence to counter tobacco industry challenges. 

How does the Association’s membership facilitate your group’s work with international bodies?

Dr. Pyakurel: While our focus extends beyond food labeling, we aim to engage with FAO and other bodies on broader NCD prevention policies. We plan to discuss food policies and nutritional labeling with FAO soon, ensuring our initiatives are incorporated globally.

Dr. Twa Twa: Building on past efforts, we plan to influence food policies and all NCD modifiable risk factor policy-related issues at national and international levels. This includes writing policy briefs, engaging national authorities, and ensuring the implementation of protocols for universal health coverage. NCDs and food-related issues like diet and marketing will be central to our activities.

Any last words?

Dr. Pyakurel: As part of the WFPHA’s NCD working group, our success relies heavily on team effort and leadership facilitation. We can offer technical expertise, communicate effectively, and draft proposals, but we need support from the leadership of WFPHA for collaborative initiatives and securing funding. Collaborative efforts are essential for global public health advancement.

Dr. Twa-Twa: The world must recognize that NCDs represent one of the most severe epidemics. Unlike infectious diseases, NCDs require long-term strategies to reverse their impact. International organizations, including UN agencies and the WFPHA, have a mandate and moral obligation to guide global efforts in NCD control. Immediate action is crucial, and our working group’s initiatives need the attention and support of those in positions to make a difference, not for personal gain but for the betterment of global health. Action is needed now rather than later.

In this enlightening interview, Dr. Twa-Twa and Dr. Pyakurel share their profound commitment to public health and their strategic vision for tackling NCDs. Their combined expertise and passion drive the global fight against these pervasive diseases, ensuring a healthier future for all.

Working Group Members:

Jeremiah M. Twa-Twa, Co-Chair of NCD Working Group, Member of Parliament of Uganda.

Prajjwal Pyakurel, Co-Chair of NCD Working Group, B. P. Koirala Institute of Health Sciences Nepal.

Aron Troen, member of The Hebrew University of Jerusalem, Israel.

Lidya Genene Abebe, Addis Ababa University | AAU · Department of Epidemiology and Public Health, Ethiopia.

Abigiya Wondimagegnehu Tilahun, Addis Ababa University, AAU · School of Public Health, Master of Public Health, PhD student at Martin Luther University, Ethiopia.

Abiot Mitiku Gosa, Ethiopian Red Cross Society, Addis Ababa, Ethiopia.

Sefonias Getachew, Chairperson of the research and community service committees of the public health department in Debre Berhan University (DBU), Ethiopia.

Muluken Gizaw, Addis Ababa University, AAU, Department of Preventive Medicine, School of Public Health, Ethiopia.

Zaccheous Achidi Asanga, BCH Africa.

Julienne Ngo Likeng, Governing Council of WFPHA and Executive Director of the Cameroon Public Health Association, Cameroon.

Prince T. Lamin-Boima, Njala University, Sierra Leone.

Rana Al Hamawi, Eastern Mediterranean Public Health Network, EMPHNET · Public health programs, Jordan.

Randa Saad, Eastern Mediterranean Public Health Network, EMPHNET, Center for Excellence in Applied Epidemiology BSc, MD, Lebanon.

Monika Brovč, Nacionalni inštitut za javno zdravje NIJZ, slovenia

Matthew Spiteri, (BFA) (Hons)(Melit.) in Digital Arts, University of Malta.

Nuha Fofana, Serrekunda, Kanifing Municipal Council, The Gambia Epidemiology and Disease Surveillance Officer,  Ministry of Health, The Gambia.

Ronan Payinda,  Young Health Programme (YHP) Impact Fellowship, New Zealand.

James Mckeown Amoah, national organizer for the Ghana Public Health Association.

Muhammad Aziz Rahman, a lecturer in the Institute of Health and Wellbeing at the Federation University Berwick Campus, Australia.

Sanghamitra Ghosh, Secretary General, Indian Public Health Association, India.

George Nonas, BistroMD, LLC, The Australian National University, Australia.

Expanding HPV Vaccination in Cameroon: An Interview with Chief Dominique Kondji Kondji; President, Cameroon Public Health Association (CAMPHA) and Diplomat of the Global Charter for the Public’s Health (WFPHA)

The Human Papillomavirus (HPV) is a group of viruses of more than 100 strains and is the leading cause of cervical cancer in women. HPV also causes other malignancies, including oropharyngeal, anal, penile, vulvar and vaginal. Traditionally, HPV programs take a girls-focused approach, but increasing evidence highlights the importance of vaccinating boys as well. HPV gender-neutral vaccination (GNV) provides comprehensive community protection, builds herd immunity, and improves health outcomes.

The World Federation of Public Health Associations (WFPHA) has been at the forefront of promoting HPV GNV and developing various initiatives to advance this cause. In May 2024, the WFPHA organized a high-level side event alongside the 77th World Health Assembly (WHA) in Geneva, focusing on gender-neutral HPV vaccination strategies, advocating for global implementation, and raising awareness of the critical need for these programs. Additionally, the WFPHA has expanded its outreach by launching a series of online trainings in native languages for select countries, ensuring their message reaches a broader and more diverse audience. 

Although HPV gender-neutral vaccination is standard in many high-income countries, this is not the reality in many low- and middle-income countries (LMICs). This is particularly true in Africa, where only a few countries include boys in their HPV vaccination programs. Cameroon stands out as one of the few LMICs to have successfully implemented gender-neutral HPV vaccination. In a recent conversation with Chief Dominique Kondji Kondji, President of the Cameroon Public Health Association, we delved into the country’s progressive HPV vaccination program. 

Can you tell us about the origins of the HPV vaccination program in Cameroon?

Dominique: The HPV vaccination initiative began for girls in the Cameroon Baptist Convention HospitalsServices (CBCHS) between 2010 and 2012. Good cultural influences and good support for the program led to its success in the two Anglophone regions where the vaccinations were first initiated. The Cameroon government, with the support of its partners, subsequently took over the program and conducted a successful pilot in two health districts (Edéa in the Littoral region and Foumban in the West region), both with positive results (2014-2016). The expansion of this program was mainly supported by Gavi, who played a crucial role. 

When did the program start targeting a broader population?

Dominique: In 2020, Cameroon introduced nationwide HPV vaccination for girls within its Expanded Program on Immunization (EPI). The following year, in 2022, the Cameroon government extended the vaccination program to include boys. This marked the shift towards a gender-neutral approach. Cameroon has been practising HPV Gender-Neutral Vaccination since 2022. 

What challenges did Cameroon face during the implementation

Dominique: Several problems were identified during the initial stages of the implementation process. Firstly, communities were poorly informed and did not understand the need for HPV vaccination. Secondly, the vaccination program was met with resistance from some stakeholders, including several religious institutions. The Ministry of Public Health addressed these challenges through advocacy endeavors and dialogues with stakeholders and communities, helping them understand the need for HPV gender-neutral vaccination and its benefits. GAVI-sponsored projects conducted by its local partners contributed to promoting the introduction of the HPV vaccine for girls and boys. Furthermore, the Parliament actively promoted addressing these issues by highlighting the significance of HPV vaccination and effectively communicating its importance to the public. 

How is the HPV vaccination program funded? 

Dominique: The Cameroon government provides partial funding for the HPV vaccination program. In addition, Cameroon receives support from Gavi, UNICEF, WHO, and the World Bank. Of these, Gavi is a crucial supporter of Cameroon’s HPV vaccination program, including the procurement of vaccines for boys. 

How is the vaccination program currently being implemented

Dominique: When the HPV vaccination program began, it was rolled out through schools. This lasted for about six months to 1 year. After that, we transitioned to delivering vaccinations through health facilities. The vaccination program leverages mass media, schools, decentralized councils, the Ministry of Public Health, and other allied ministries such as Education, Social Affairs, and Women’s Empowerment to ensure that parents and caregivers are advised and encouraged to get vaccinated their children and girls and boys adolescents at these health facilities. 

What improvements are needed moving forward?

Dominique: We need to enhance our communication strategies, particularly locally. Although central communication plans and materials are developed, they need to be adapted to fit local contexts to be more effective. This can be further improved to enhance understanding at a peripheral level and, in turn, vaccination rates. 

Cameroon’s experience expanding its HPV vaccination program to align with gender-neutral vaccination practices is a compelling example for other low- and middle-income countries hoping to broaden their HPV vaccination programs. By navigating cultural, logistical, and educational challenges, Cameroon has demonstrated that with strong governmental commitment, international collaboration, and community engagement, it is possible to implement inclusive and effective vaccination programs to protect populations from preventable diseases. 

Tobacco Control Working Group Chair Interview: John Gannon

John Gannon isn’t just a public health doctor from Ireland but a passionate advocate for global health. As the Working Group Chair for Tobacco Control for the World Federation of Public Health Associations (WFPHA), he has dedicated his career to combating the harms of tobacco use and promoting public health. Tobacco control involves strategies to reduce tobacco use and exposure to tobacco smoke, including legislation, education, and support for cessation efforts. 

In this engaging interview, John shares his journey, the vital work of his team, and their plans for the future.

Can you introduce yourself?

Hi! My name is John Gannon. I’m a public health doctor from Ireland and the Chair of the Tobacco Control Working Group of the WFPHA. My background is primarily in child health, and I’ve worked in pediatrics in various children’s hospitals in Ireland and Australia over the last few years. Now, I’m working full-time in public health as of this year. I also spent some time as a public health volunteer in Zambia in 2022, so global health is something that really interests me. My current role is as a specialist registrar in public health in the Health Service Executive, which is the Irish Health Service, and I’m currently based in Dublin.

What motivated you to pursue a career in the public health sector?

When I studied medicine at university, I was always fascinated by the health system, health economics, and interventions on a population scale. I found that more exciting and suited to my skills than individual patient interactions and treatments. Doing public health well can have a far more significant impact than working with one patient at a time. I enrolled in a course in the UK for a diploma in tropical medicine and hygiene, which reinforced my interest. I also had an interest in smoking cessation from quite an early stage. While at university, I wrote a book called “Time to Quit Smoking: A 100-Day Guide to Saving Your Life,” available on Amazon. It’s a guide to help smokers through the first 100 days after quitting. These experiences and more led me to pursue a full-time career in public health.

How long have you been associated with the World Federation of Public Health Associations?

I first came into contact with the WFPHA in 2020 and applied for an internship. The Federation runs fantastic internship programs, usually three months, to give a taste of what it’s like. I started in January 2021 remotely due to COVID-19 restrictions. It was a fascinating time in public health with the pandemic and the approval of the first COVID-19 vaccines. During my internship, I joined the Federation’s international immunization policy task force and researched how different countries were approaching the vaccine rollout. I published blogs and a paper on that research. Towards the end of my internship, there was a vacancy for the Tobacco Control Working Group Chair position. I applied and was selected for the role about three years ago.

Could you elaborate on your working group’s current activities and share your vision and plans for the future?

The Tobacco Control Working Group usually has around 15 members at any given time, with international representation. Our work focuses on research, education, advocacy, increasing public knowledge, and promoting public health through the lens of tobacco control. Initially, we focused on researching and writing about tobacco industry tactics, creating a casebook with seven key tactics. We presented our findings at the World Congress on Public Health in Rome in 2023 and published a paper. Currently, our main project is a survey on young adults’ opinions towards tobacco endgames and e-cigarettes. We have about 300 responses and are analyzing the data. We’ve also started collaborating with the Non-Communicable Diseases Group on an anti-tobacco campaign in Nepal. We participate in Global Public Health Week annually with webinars and other events.

How do the working group activities align with and support the implementation of the Association’s strategic plans?

The WFPHA’s strategic plan for 2023-2027 has seven goals, and goal number 4, which is to develop and advance public health knowledge, education, practice, and research, aligns most with our activities. We generate primary and secondary evidence, present at international conferences, publish research, and increase awareness about tobacco control among public health professionals and the public. Another relevant goal is number 5: to grow new and strengthen existing partnerships. We have strong connections with various groups and experts, such as the Tobacco-Free Ireland team, which has guided us in our current survey project.

How has being part of the association and its network enhanced the activities of your working group and expanded its reach?

The WFPHA’s network is incredibly powerful, providing access to international experts with various skill sets. This has been invaluable in spreading knowledge and getting contacts for our projects. For instance, we tapped into WFPHA’s networks to disseminate our current survey. We also collaborate with other working groups on projects, such as the non-communicable disease team’s anti-tobacco campaign in Nepal and the oral health working group’s review of tobacco cessation strategies in pregnancy. These collaborations allow us to expand our reach and impact significantly.

John Gannon’s dedication to public health and tobacco control shines through his leadership and collaborative efforts. His work with the WFPHA is making significant strides towards a healthier, smoke-free world. Stay tuned for more updates on the impactful initiatives John and his colleagues in the WG led in the ongoing fight against tobacco.

Latest publications and tools from the Tobacco Control Working Group: 

https://www.wfpha.org/big-tobaccos-dirty-tricks-a-casebook/

Big tobacco’s dirty tricks: Seven key tactics of the tobacco industry.

Gannon J, Bach K, Cattaruzza MS, Bar-Zeev Y, Forberger S, Kilibarda B, Azari R, Okwor U, Lomazzi M, Borisch B.Tob Prev Cessat. 2023 Dec 20;9:39. doi: 10.18332/tpc/176336. eCollection 2023.PMID: 38124801 Free PMC article. No abstract available.

A scoping review on e-cigarette environmental impacts.

Ngambo G, Hanna EG, Gannon J, Marcus H, Lomazzi M, Azari R.Tob Prev Cessat. 2023 Oct 2;9:30. doi: 10.18332/tpc/172079. eCollection 2023.PMID: 37789930 Free PMC article. Review.

Tobacco Control Working Group Members:

Michelle Jongenlis, University of Melbourne, Australia

Biljana Kilibarda, Institute of Public Health of Serbia

Mariasofia Cattaruzza, Universit of Rome “La Sapienza,” Italy

Neetu Sinha, Karkinos Healthcare, India

Sarah Forberger, Leibniz Institute for Prevention Research and Epidemiology, Germany

Yael Bar-Zeev, Hebrew University of Jerusalem, Israel

Ellen Cosgrave, Health Service Executive, Ireland

Giovanna Failla, Hospital Azienda, Ospedaliera San Camillo Forlanini in Rome, Italy

Marianna Gonzalez, King’s College London, UK

One Health Working Group Co-Chair Interview: Xiao-Nong Zhou

The concept of One Health has become crucial in the modern public health landscape, emphasizing the interconnectedness of human, animal, and environmental health. This integrated approach fosters collaboration across sectors to tackle public health challenges such as emerging infectious diseases, antimicrobial resistance, food security and climate change. In this interview, we speak with Xiao-Nong Zhou, Chief Scientist of Parasitic Disease Control at the China CDC, about his extensive public health career and leadership role in the One Health Working Group under the World Federation of Public Health Associations (WFPHA).

Introduce yourself.

Xiao-Nong Zhou: I’m Xiao-Nong Zhou, and I’ve been working at the China CDC for a long time. I’ve spent 40 years focusing on schistosomiasis epidemiology. I am serving as the China CDC’s Chief Scientist on Parasitic Disease Control for a decade after serving as Director of the National Institute of Parasitic Diseases at China CDC (Chinese Center for Tropical Diseases Research). I’m also the chairperson of the Association for Global Health under the Chinese Preventive Medicine Association (CPMA). The CPMA has a strong relationship with the World Federation of Public Health Associations (WFPHA), as the Asia-Pacific office of the Federation is located in CPMA. Earlier this year, we established the One Health Working Group, which I co-chair with Carlos Machado from Brazil. The secretariat is housed at the School of Global Health, cosponsored by Shanghai Jiao Tong University School of Medicine and the Chinese Center for Tropical Diseases in Shanghai, China. I’m excited to contribute further to the Federation’s work through this group.

What motivated you to pursue a career in the public health sector

Xiao-Nong Zhou: That’s a very important question. I grew up in a town in Kunshan County of China, a highly endemic area for schistosomiasis, a disease transmitted by snails, which significantly impacted me. The disease was widespread, especially in the Yangtze River Delta, and posed a severe public health challenge in history. After studying at university, I focused on controlling the disease, specifically targeting the infected snail populations spreading it.

For my master’s degree, I researched the ecology of snails, and for my PhD in Denmark, I delved into the biology and molecular biology of snails. After completing my studies, I focused on the epidemiology of schistosomiasis in the national control program for schistosomiasis and other tropical diseases. In 2001, I joined the National Institute of Parasitic Diseases under the China CDC and began working on tropical diseases at a global level. This led to collaborations with organizations like the World Health Organization (WHO), where I served on expert tropical diseases and malaria committees. All these experiences allowed me to view public health globally, moving from provincial to national and now to global health issues.

How long have you been associated with the World Federation of Public Health Associations?

Xiao-Nong Zhou: I first became involved with the WFPHA in 2015 when I visited Geneva to discuss collaboration between the CPMA and the Federation. This was my first exposure to the Federation. Since then, I have participated in several public health events, including during the COVID-19 pandemic, where I helped organize a webinar titled “One Health System Thinking,” which brought together international experts in the field of One Health. Through these experiences, I realized the need for a more formalized One Health Working Group within the Federation.

Could you elaborate on your working group’s current activities and share your vision and plans for the future

Xiao-Nong Zhou: The One Health Working Group has three primary objectives. First, we aim to promote global cooperation to establish One Health platforms. Second, we are enhancing dissemination efforts to influence policy and practice in the field. Lastly, we want to improve knowledge and capacity building on One Health globally. 

Our group includes members from different regions, including Europe, the Middle East, Asia, and South America. We have had several discussions and are focusing on these three objectives as our guiding principles for at least the next three years.

How do the working group’s activities align with supporting and implementing the World Federation of Public Health Associations’ Strategic Plan?

Xiao-Nong Zhou: The Federation’s mission is to protect people and the planet by preventing diseases and promoting health, well-being, and peace. This aligns directly with the One Health concept, which integrates human, animal, and environmental health. Our work improves societal well-being by addressing these interconnected factors holistically.

One Health as a concept gained prominence after the SARS outbreak in 2003, but practical implementation was lacking until the COVID-19 pandemic. Now, organizations like WHO, FAO, UNEP, and the World Organization for Animal Health (WOAH) are jointly promoting One Health by setting up platforms for action. I am fortunate to be a member of the second term of the One Health High-Level Expert Panel, which allows me to contribute directly to global efforts and bring those insights back to our working group.

How has being part of the World Federation of Public Health Associations and its network enhanced the activities of your working group and expanded its reach?

Xiao-Nong Zhou: The Federation is well-connected with WHO and other international organizations, particularly in Geneva, where many UN agencies are based. Through the Federation, our working group can engage with a broader range of human, animal, and environmental health stakeholders. This helps us provide information and guidelines and communicate and coordinate efforts with other organizations working on health-related issues.

This platform has allowed us to integrate One Health principles into broader health policies, meaningfully impacting health systems worldwide.

How does being part of the World Federation of Public Health Associations facilitate your group’s collaboration between human, animal, and environmental health sectors?

Xiao-Nong Zhou: As I mentioned earlier, the Federation provides a unique platform to connect with other organizations like the World Bank, FAO, and UNEP. This allows us to unite human, animal, and environmental health experts to work on common goals. Additionally, my position on the One Health High-Level Expert Panel Term II allows me to link our group with global experts, helping us develop case studies and promote One Health approaches across sectors.

We are already exploring ways to implement One Health principles in developing countries, where these approaches can be cost-effective in preventing future pandemics and reducing disease burdens.

How does the working group contribute to global knowledge and capacity building on One Health principles?

Xiao-Nong Zhou: Our working group has identified three main approaches to disseminating One Health knowledge. First, we use our members’ network to share knowledge globally, regionally, and nationally. We aim to set up a knowledge hub to support these efforts. Second, we are identifying new actions, lessons, and experiences from different countries that have successfully integrated One Health principles, especially by incorporating local cultures. Lastly, we plan to develop technical guidelines for One Health practice. We hope organizations like WHO or FAO will adopt these guidelines to guide national action plans.

What unique opportunities has membership in the World Federation of Public Health Associations provided for your group’s One Health initiatives?

Xiao-Nong Zhou: The Federation has allowed us to create a knowledge hub, connecting different regions and countries to share expertise. This allows our working group to provide technical guidance and advice to national governments looking to implement the One Health approach. The Federation’s global network gives us a platform to scale our initiatives and ensure that countries have access to the expertise they need to prevent pandemics and reduce disease burdens using the One Health approach.

Would you like to comment on or mention anything else we didn’t cover with the questions?

Xiao-Nong Zhou: Yes, I want to emphasize the importance of integrating One Health into efforts to combat antimicrobial resistance, global warming, and food safety. More than 65% of emerging infectious diseases originate from animals, and addressing these requires a coordinated, multisectoral approach. Our working group hopes to involve more experts from different sectors to tackle these challenges. This will require strong governance and support from the Federation, but with their help, we can significantly impact global health.

Conclusion

Xiao-Nong Zhou’s career is a testament to integrating public, animal, and environmental health into a unified approach. Through his leadership in the One Health Working Group under the WFPHA, Dr. Zhou is working to promote global cooperation, influence policy, and build capacity to address health challenges at the human-animal-environment interface. His vision for the future is clear: strong governance, collaboration across sectors, and integrating One Health principles into global health strategies are essential to ensuring a healthier world.

By embracing the One Health approach, we can prevent future pandemics, mitigate the effects of climate change on health, and protect both human and animal populations for generations to come.

Working member groups:

Prof. Xiao-Nong Zhou, Chief Scientist on parasitic disease control of China CDC; Deputy Dean of School of Global Health, Chinese Center for Tropical Diseases Research, Shanghai Jiao Tong University School of Medicine, Shanghai, PR China 

Prof. Carlos Machado, Oswaldo Cruz Foundation, Brazil 

Prof. Mayumi Wakimoto, Researcher, Evandro Chagas National Institute of Infectious Diseases, Oswaldo Cruz Foundation, Brazil 

Dr. Issam Bennis, Assistant Professor of Public Health, Mohammed VI University of Sciences, and Health Casablanca, Morocco 

Dr. Somphou Sayason, Deputy Director, Laos Tropical and Public Health Institute, Ministry of Health, Lao PDR 

Prof. Roger Frutos, Senior Researcher, French Agricultural Research Centre for International Development (CIRAD), Montpellier, France

Prof. Lee Willingham, Chair, Department of Veterinary Medicine, College of Agriculture & Veterinary Medicine, Al Ain, United Arab Emirates