Faculty of Law Iustinianus Primus and Faculty of

Faculty of Law “Iustinianus Primus” and Faculty of Medicine /Center-School of Public Health University”St. Cyril and Methodius”, Skopje, R Macedonia HOW TO TEACH TOGETHER: LAW AND PUBLIC HEALTH Teaching Law and Health: Courses on Law, Human Rights and Patient Care May 18 -21, 2010, Skopje, Macedonia

New Public Health o “organized efforts of society to develop healthy public policies : to promote health and to prevent disease at individual and population level; and to foster social equity within a framework of political governance and sustainable development”* o “The health of the individual depends on the health of the society just as the well-being of a society depends on the health of its citizens” * * Tulchinsky T, Varavikova E, “New Public health”, 2000

Law and Public Health o International and regional treaties - Basic documents (the International Covenant on Civil and Political Rights, the International Covenant on Economic, Social and Cultural Rights, and the European Convention on the Protection of Human Rights and Fundamental Freedoms etc) -Specific regulatory documents ( Strategies, Programs etc) o National legislation in the domain

Public Health and Law A Powerful Combination o Legislation and regulation : Constitutional, Administrative, Criminal, Civil law o Legal and Ethical issues: Individual and Community Rights and Responsibility o Combination of the regulatory, persuasive, and financing approaches and functions of PH ( prevention and control of diseases, health promotion, assurance of health care-equity, availability, quality)

Design and Teaching a Joint Course Faculty of Law and Faculty of Medicine/Center-School of Public Health) Target Audience o Graduate Law Students –Master’s Degree (actual 2009/2010) Elective course o Graduate Public Health Students (next step 2010/2011)

Motivation and interest to teach and to learn L&PH o actual, attractive, emerging, comprehensive, focused, demanded, new, contemporary, provocative, challenged, complex… o OSI and FOSIM- initiative and support o Faculty of Law “Iustinianus Primus” and Faculty of Medicine /Center-School of Public Healthinterest and realization

Curriculum -Bridges Law and Public Health. Basic concepts How to teach o “law for non-lawyers” o “health science for non-medical professionals” to achieve the common goal: to improve the health of the community and to promote the human rights in patients care

Curriculum: MAIN TOPICS o SYSTEM AND ORGANIZATION OF HEALTH PROTECTION IN THE REPUBLIC OF MACEDONIA (Definition and types of institutions, PH Legal framework; Administrative authorities in PH; Public health staff and medical practice : quality control, process of licensing and accreditation , Medical Chamber) o PATIENS RIGHTS PROTECTION AND HEALTH CARE WORKERS ACCOUNTABILITY ( Law for Patients’ Rights Protection ; Criminal accountability, Administrative and disciplinary accountability –HCW) o HEALTH POLICY AND PUBLIC HEALTH (Global trends in public health; Health strategies, health o PROMOTING PUBLIC HEALTH AND DISEASE PREVENTION (TOBACCO, HIV/AIDS, MENTAL o LEGAL PROBLEMS IN PRACTICING CERTAIN MEDICAL INTERVENTIONS policies and national programs; environmental, labor and social factors of health and disease-law and ethics) HEALTH, BIOTERRORISM, (TRANSPLANTATION, CLONING, BOIMEDICAL TECHNOLOGICAL AIDS FOR REPRODUCTION, BIOMEDICAL RESEARCH) o BIOETICHAL AND LEGAL MEDICAL ASPECTS OF PUBLICH HEALTH PRIORITIES (Legal and ethical aspects of human rights -European Charter of Patients Rights and the Macedonian Law on Patients Rights)

Teaching Materials o Textbook “Law and Public Health”- Davitkovski B. and all; 2009 o Additional literature: - Relevant legislative and regulatory documents in the domain Human Rights in Patient Care: A Practitioner Guide. ( in the phase of publishing) - The New Public Health. Tulchinsky H. T, Varavikova A. E; 2003 - Oxford Textbook of Public Health. 4 th edition. Detels R, and all ed. Oxford: Oxford University Press, 2004 o Relevant web sites, electronic sources

Specific methodology Lectures (interactive approach) Class discussion Group work Essay Reading brief Exercises Seminar with class presentation and handout

My experience teaching Law and Public Health (one example) To teach graduate law students-great challenge and responsibility-good feedback and great satisfaction! Specific topic o Global trends in public health: - Process of globalization (positive and negative impacts) - Changes in health determinants - Changes in global burden of diseases - Social and health inequities within and between the countries

Burden of diseases-in the picture • New communicable diseases-increased risk • Non-communicable diseases-increased prevalence o. Public Health, Law and Ethics

Challenge and threats o Alert system and health surveillance o Implementation of the international health regulations

Communicable diseases. Public Health, Law and Human Rights Tuberculosis, SARS, HIV/AIDS, Influence A (H 1 N 1)……………. . -governmental responsibilities and obligations ( respect, protect, fulfill human rights) -every person’s right to achieve the highest attainable standard of health -prevention and control of communicable diseases ( legal enforcement) -public health policies and programmes

Teaching method-Guided Discussion verbal interaction among a group of persons on a specified topic with a purpose Benefits: o active learning role o to listen to and learn from each other (cooperative learning) o high level thinking ( critical thinking skills) o exposing students to viewpoints other than their own. o develop oral advocacy o opportunity for students to bring their opinions and feelings to the study of law

PH&L –Human rights Q/A Tuberculosis, SARS, HIV/AIDS, Influence A (H 1 N 1)……………. . Examples for discussion: o o o Immunization Quarantine and isolation Availability of health services Treatment, drug administration Stigmatization Discrimination Humman rights -questions

PH&L –Humman rights Discussion and Answers Please, your opinions

ACCTING ON DIFFERENT WAYS • Authorities, agencies, ministries, government; • Advocacy in the community –academic, professional and consumers’ interest; • Companies and enterprises, insurance agencies and funds, pharmaceutical and other industries; • Media and information networks, NGOs; • Legal agencies, judicial administration etc. WORKING TOGETHER IN THE COMMUNITY