 Welcome everybody to this special session on global health, wherever you are, morning, evening, afternoon in the world. My name is Chris van Veel. I'm a past president of Wonka and I co-chair this session with Professor Amanda Bernard, who I introduce and give the floor in a moment. Professor Bernard has a long contribution to Wonka and in addition to that, only a couple of days got a very special award from the Australian National University. The Chancellor's Award, something that is special in itself, but particularly special for someone from general practice. I don't think it has happened ever before. I will coordinate the discussions and we will have three presentations, discussions at the end of the three presentations. And in the meantime, please use the Q&A box to post questions so that you don't forget it. I will pick them up. And during the discussions, please use the raise hand button if you want to intervene. That will be my contribution now, Professor Bernard, over to you. Thank you very much indeed, Chris. And again, my welcome to everybody from all over the world. We have a very distinguished panel of speakers today and I'd like to start by introducing Professor Shabia Musa. Shabia has been recently the Wonka Africa President and he's now a member at large on Wonka Council. Those of you who don't know Professor Musa, where he's from South Africa, where he has been involved in family practice and policy and changes to the health system for many, many years. He's been deeply involved in the development and research around family medicine and community orientated primary care in Africa. And I invite Shabia now to start his presentation. My name is Shabia Musa. I'm the President of Wonka Africa. I'm outgoing. I'm going to share with you the achievements of Wonka Africa over the last three years. Important elements of these achievements are the Wonka membership, Wonka Africa Conference, the Working Parties and SIGS, communication and finance, the academic focus and stakeholder engagement, where I think we've done pretty well. Membership has grown from, in 2018, from eight paid up members to 12 paid up members in 2021. We've added Cameroon, Botswana, Liberia, Zambia and I think considering the number of potential members across the continent, I think that we still have a long way to go. But this is not bad in achievement of building up membership by 50%. I think just to give you an understanding, there are 40 academic departments across 25 countries and departments of family medicine often lay the basis long term for member organizations of Wonka Africa. So I think great things are in store for Africa. In terms of the Wonka Africa Conference, it's a very important opportunity to be able to do advocacy locally and in Kampala in Uganda 2019. We had our conference there which had high level involvement of not only country stakeholders but also WHO Afro presence, which was a very important milestone for us. There were pre-conferences for everyone, as well as for the women's group and PrimaFamil. And PrimaFamil, I think, will be continually given that opportunity to have that pre-conference. I think the conference itself not only did it link up with WHO, but it brought us income where others have not really done very well before that. In terms of outcomes, I think the Kampala statement was an important document and it one really good looks at it on the Wonka Africa website. You'll see there in fact charts of what we have been busy with over the last three years. I think everybody needs to remember that there is going to be the next Wonka Africa Conference in Abuja, Nigeria 2022. So I hope to see you there. In terms of working parties, AFRI1 has been very vibrant. One of the young doctor movements and they have been very active with the pre-conference as well as with their chat groups on WhatsApp. They have also been very strong academically with the African Research Consortium, African Research Collaborative as well as the MCQs that they're developing and using amongst each other. Women in Family Medicine, certainly the women in Africa have been very busy with the pre-conference as well. They have their own lists of and communicate through that, but a lot of this is global participation in Africa. It's been somewhat challenged, especially with the COVID-19. I think there are many working parties and special interest groups, but participation in them is very difficult to assess because the working parties and SIGs don't seem to be able to share their information with us. But we have some knowledge of working parties where there's some activity, particularly mental health, rural environment and emergency medicine. But I think that this is an important step for the next Executive Committee to address. Communication in Wonka has been good and it's become consistent with the Wonka Africa website, which has been there for quite a while and provides a good portal and information for happenings around Wonka in Africa. I think emails have been going out regularly, giving people an understanding of what's been happening from myself as the President. And I think we've used the opportunity to cross-post important information on Facebook and Twitter. And there's some YouTube channel as well with some very useful resources capturing happenings within Wonka Africa. I think the family doctor today has always been an opportunity for advocacy and there are member organizations have shared their happenings on the World Wonka Facebook site. I think the important thing that has been there always for Wonka Africa is the President's Fund. It certainly emphasizes, supports the equity drive by Wonka to provide such a much larger amount to Wonka in Africa. And certainly I've been reluctant to use that for travel and certainly with the COVID, the opportunity has been for much more virtual meetings, virtual happenings. And this has really enabled us to build on it as you'll see with strong stakeholder engagement that we've been able to achieve. I think the Wonka resolution, Wonka Africa resolution to add $1 per member organization to their fees and to get that bill by the Secretary has really helped us build from nothing in 2018 to $6000 in 2021 and lays the basis for some strong action and we hope that there will be great thought given by the Wonka Africa Executive on how time can be thought of it. I think we've been able to commit to pre-funding loans for regional conferences. I think we've done it for Africa, I assume it's available for others, but when you consider that there are a handful of family physicians and some of the smaller new members, we don't want them to be prejudiced and for conferences to go to larger countries but that they have this ability to use the conference to shift the equation in their country. And so we have gotten this commitment to pre-funding of $5,000 to $10,000 based on a clear budget that's prepared. So I think this lays the basis for a great deal more movement of the conferences around African countries, especially new member organizations. I think a pleasing achievement has been the academic focus in Wonka Africa where the African Journal of Primary Health Care and Family Medicine is now the official journal of Wonka Africa. Editorials are also being used in the journal itself and Prima Famed is also the official academic of Wonka Africa and we basically sit on each other's executive committees and this has helped to build a lot stronger collaborations. Stakeholder engagement has been a particularly important issue for the Wonka Africa Executive and I think we have not been a success in negotiations except around key governance issues. We have tried to link up with Wonka world at executive advocating for the issues of low middle income countries as is typical in Africa and also to link up with other similar regions. We have tried to reach out to South America, North America and I have reached out to the Caribbean, South Asia. And I think that it's important that we build up stronger relationships for similar contexts so that we can help each other out. Certainly we need to get the working parties and special interest groups much more involved in the conversation in Wonka Africa. And we've done that through the WHO, AFRO and also especially the AFRO PhD. So in terms of Africa PhD and WHO AFRO let me just share a little bit more. WHO AFRO we in fact have been attending the regional committee meetings and tried to help you know ministers and their Quotery of understanding what family doctors are and what we want to achieve within the context of primary health care in Africa and stressing teamwork and the value of family doctors. And I think that that conversation I think has been helped considerably by the MOU between Wonka and WHO AFRO which has led to an agreement between WHO AFRO and Wonka Africa where Dr. Prostitutu Massime was being engaged in our conference and then various other engagements that are then arranged for us to get the signed document committing the WHO AFRO to engage with Wonka at meetings and also to introduce our member organizations to their WHO country representatives. And this has been achieved across Africa. The take up has not been as robust though our member organizations have not been doing as well. So these are the agreements that we would in fact present at a meeting which is a high level management meeting including the WHO country reps. We've not had that opportunity I think largely because of the COVID-19 challenge. But we have been able to get the Wonka Africa member organizations introduced to country representatives. And I think the six areas of collaboration that were identified and committed to and circulated all these WHO country representatives in Africa was that we need to build relationships and mutual understanding to strengthen the district health service through family physicians to improve the quality of PHC and district health service and to connect WHO resources with the training of family physicians and primary care research. We've not been able to take that much further largely because Dr. Tunisi resigned or retired at the end of November last year and then with the COVID there was much too difficult to get much done. But I think that we've used the last one of strengthening the development of Afro-PHC as a forum for primary health care. And I think that they have been somewhat forthcoming in supporting this effort. So let me talk a little bit about Afro-PHC. It is basically an African forum for primary health care. It was suggested by Jan de Maasner of the European Forum for Primary Care at the Wonka Africa Conference in Kampala 2019 in a workshop with the WHO Afro representative Dr. Tunisi there where we explored how we might strengthen collaborations between WHO Afro and Wonka Africa. And this idea then went further. In 2019 we basically developed a concept document that spoke to the Astana declaration in 2019 and the high level meeting at the time in 2019 and basically brought together a range of stakeholders from across the disciplines in Africa. And we were very fortunate that we had engaged with the African Interprofessional Education Network as well as a hike to be able to bring together various stakeholders as we have seen in this list of supporting organizations. And then from there we've had a number of webinars in 2020 where we tried to get the different members of the primary care team to share a bit about themselves on different occasions. Unfortunately we didn't get a strong mix of the people so nurses listened to nurses and it went like that. But I think it's there on record and I think it's a very useful set of introductions. What we did then is we were planning a workshop in June of 2020 but that got scattered by the Wonka the COVID-19. And as a result we planned a virtual workshop in September 9 to 11 of September and it was the first shot at us trying a online virtual meeting. It was very strongly interactive. We were very fortunate in having a huge amount of interest and huge participation in that meeting from a wide variety of people. And I think emerging with a consensus that the primary care team must be composed of the diversity of healthcare workers from community health workers to specialists. But that this process needs to be peeled slowly as one unpacks the layers of teamwork that might exist in primary care in Africa. We were then very fortunate in getting high level WHO speakers to a workshop on UHC in December of last year where Dr. Surya Deleel, a PhD coordinator, director at the WHO and Mr. Jim Campbell came through and were part of a workshop exploring the PhD teamwork issues essentially and how we might take that forward. And I think that we merged with both the virtual workshop and this meeting with an Afro PhD statement that was endorsed widely and that spells it out how we might move forward. It lacked some clarity but it said we need to build the primary care team in Africa and we said we needed to build the ideas much more better as we proceed. So in 2020 we set out a whole range of workshops again using the virtual format and you can see it went through a number of different issues that are important to developing a position paper on building the primary care team for UHC in Africa. Certainly human resource management issues were not clear enough. We also talked about the development of PhD clinicians, the academic development. Also the supporting of community health workers and health promotion, the funding payment reforms that we need or are happening in Africa. Exploring complexity in the primary care setting in Africa and getting people to understand and interact with those issues. Exploring how we might build PhD teamwork broadly but also how do we get primary care being taught at undergraduate level across the board in all kind of healthcare cadres. We also collaborated with Wonka on a number of occasions including quality safety, rural primary care and even digital health which is our next workshop in a few days time. So we in fact launched the Afro PhD in April of 2021 and we hope that this will be a way we get go forward. The in fact election happened with a very diverse set of members from 40 African countries which is enormous when you compare with other pan African organizations. And in fact the executive board is a very diverse set with family physicians, nurses, doctors which are public health youth activists, economists and IT as well. So I think there's a diversity. It certainly needs much more diverse set of people from the professions and I think that will hope will come in time. But also it represents the diversity with people from all parts of Africa, even though we had and we could potentially have had North Africa as one of the members of the board as well, but from East West Central and Southern Africa. In terms of Afro PhD, we have in fact said that, you know, even though these were individuals, some representing organizations on the board, we really wanted to keep that broad organizational support. And we've gone out deliberately looking for supporting organizations across the board in Africa and have 31 of them and out of which we have selected a board of 30 and I think that list of 31 is going to grow as we proceed further. And we've in fact, as you can see, stressed on finding organizations that are mostly pan African or global to support the effort in African the African forum for primary care. And I think to give strong emphasis to and support to any document or position paper on building the African primary care team for USC. I think the ideas that are coming forward, building on the objectives of the African forum for primary care, primary care is to build strong country level chapters and regional chapters that can take this and down to the ground and get them interacting with governments and to really make a dent on the equation within African primary care across the continent. With that, thank you very much. I think that there's plenty more information on the Wonka Africa website as well as the Afro PhD website simply Google them and you should find them. Thank you. I hope this has been useful. Thank you very much indeed Shabir. I think we were just a reminder that we will be having discussions at the end of all these talks. And I think I'm just about ready to introduce our next speaker so again thank you for that talk which illustrates a number of the complexities, but also, and challenges that are faced in global health in your region but also the range of Africa is responding to these. So our next speaker I would like to introduce is Dr Rahman Kumar. Dr Kumar is currently president of the Academy of Family Physicians in India. And I first got to know about him when he's in involvement as a young doctor in Wonka in the spice route, and he was the young doctors representative on Wonka executive, and most recently has been the Wonka South Asian president. Dr Kumar has a distinguished and very innovative career and he describes himself as a physician family doctor entrepreneur professional leader and journal editor which I think is an idea of his range of activities. He has a long standing interest in making a contribution to developing innovative healthcare solutions, health policy development, medical education reforms and the strengthening of primary care. So welcome and thank you very much Dr Rahman Kumar. Namaste. My name is Dr Rahman Kumar. I'm the president of Wonka South Asia region. So I'm here today to give you an overview of the achievements that we have covered during past three years in Wonka South Asia region. We all know we have been passing through a huge pandemic and the reason why we are doing this session online and not face to face. And I bring my greetings from India, from whole South Asia, all member organizations to the council member, member organizations or Wonka leaders across world. And as you know, Wonka South Asia is a relatively small region from Wonka's perspective, but we have around a quarter of human population of Earth. And we have unique challenges of global disparities, inequities in qualities, unmet needs and underdeveloped status of family medicine and primary care. And this true three years have been really challenging from the perspective of pandemic. And as you can see, this is the area, the region that I'm talking about. We have Pakistan, India, Nepal, Bhutan, Bangladesh, Sri Lanka and Maldives. And we have five countries, but we have more than seven. It's total eight member organizations in our region. I'll give you an update of the number of member organizations we have in our region. So first one is Academy of Family Physicians of India. It is in alphabetical order, College of General Practitioners, Sri Lanka, College of Family Medicine, Pakistan, Bangladesh, Academy of Family Physicians, Bangladesh College of General Practitioners, General Practitioners Association of Nepal, Indian Medical Association, College of General Practitioners and Pakistan Society of Family Physicians. And we also have Bhutan in our region, but they do not have any association. So academic members. And as of now, we do not have any active members from Maldives. So we are trying to recruit them into Wonka once we have sufficient of a members from there. And this is our executive committee myself as president. Then we have Secretary Rukupar Maniprasad, President-elect Tarik Aziz and other executive members. You can see the names of different countries of our region. And you can see member organizations representatives of Wonka Council and Executive. This is from our CEO meeting. Unfortunately, we haven't been able to meet face to face afterwards. And I'll talk briefly because like rest of the world, we have been also challenged with this pandemic and given our population and difficult situations, which are unique to our region of high population, high population density, poor financial conditions in our region. We were indeed challenged all our regions and I can only say proudly that family physicians in our region too were at the forefront of fighting the global pandemic of COVID. And we had the first wave, which was not that severe, but all of the region countries were severely impacted by second wave of COVID pandemic. It was by the time vaccinations started, but now slightly the situation is becoming better and the situation seems to be slightly under control. And travel restrictions and flu cases are being removed. In this image, you can see the current situation globally and situation in South Asia. So it looks improved at the moment as compared to many parts of the world, especially, you know, even US and Russia. But it was a very, very bad situation couple of months before around May and April of this year. And gradually there is a take off COVID vaccination. If I talk from India's perspective, we have more than 1 billion people vaccinated for first dose. And we have around 370 million people fully vaccinated. So vaccination coverage, more or less average is around 25%. I'm talking about the fully vaccinated population. And this, it was challenging though for us to continue as a team because we were not able to meet face to face, but we tried to do online meetings. And this is one of our is getting meetings video conferencing in 2020. And we also published a Solidarity Statement on COVID-19 pandemic by South Asian Family Physician on the forum of Wonka, South Asia region. And all our leaders from South Asia were signatory and authors of this statement and was published in Journal of Family and Primary Care. We continued our academic activities. And one of the testimonies is Wonka World Rural Health Conference HACA 2020. And in spite of the COVID challenge, it was temporarily postponed for some time and finally we decided to do it in a hybrid model. And it was nicely done. It was spread over few weeks starting in November and closing in February 2021. And we had some excellent academic deliberations this conference. So really happy for this event. And this was the second successive event after Wonka Rural New Delhi. This was the second one. So I'm sure this will give an impetus, a support to the rural Wonka from the low and middle income countries perspective. And we also continued other academic activities. You can see one from South Asia Young Doctors Group Spice Root where we had a celebrated mental health day. And it was challenging in the terms that we were not able to meet face to face. But on the positive side, we were able to do many of the online webinars and we were able to do it more together on online digital mode due to the pandemic. And these were the, you know, academics activities that we proposed during, but some of them were not fulfilled to the optimal desire level. And we wanted to South Asia lecture series, preparatory development workshops, and these all are work in progress. So I would briefly talk about provides for family medicine, the shift in South Asia. And in India, we had good success. Family medicine has been mandated by the National Medical Commission through an act of parliament. So it is mandatory for all medical schools to have department of family medicine. And now we have initiation of process of inclusion of family medicine specialist for employment at a specialist position public health system of India. And we had established a specialist board in family medicine, the National Board of Examination, where we kind of re-aligned our whole national curriculum of family medicine to the needs of India and define family medicine in a very, very different way. In Pakistan, it is already a recognized department and efforts are on to establish departments of family medicine across all medical schools. A new diploma program family medicine has been launched in collaboration with WHO. And they also have launched a family medicine journal in Pakistan. In Nepal, most of the medical colleges have now established department of general practice and emergency medicine. This is how it is named there because of the special needs of different terrain. Most of the specialist in general practice have been duly integrated into health system. So they have good progress from that perspective. In Sri Lanka, also academics is very strong and they have been promoting academic family medicine discipline. And regularly, they were able to do their academic programs even during the COVID pandemic. And departments of family medicine exists at various universities. Recently, they also have been trying to look at the undergraduate curriculum and integrate family medicine component into it. It is a very, very good positive sign. From Bangladesh, the Wonka Rural Conference has strengthened the support for family medicine and rural practice. And diploma in family medicine program has been offered for several years now. And because of this Wonka Rural Conference, I'm sure there will be more interest from the young doctors at Christmas into family medicine groups. Journal of Family Medicine and Primary Care continued publication. And we also published a statement in South Asia. While Family Doctors Day was celebrated across the region, you can see images from different parts of our region. Bangladesh, India. And this one event was organized by Bangladesh, where I was invited one of the speakers along with other professional leaders of South Asia. And we also tried to collaborate with other Wonka regions during the past two, three years. We had leadership and entrepreneurship workshops with Raja Kumar moment. We also did a research group workshop with Philippines Academy of Family Physicians Residents Organization and Myanmar's Primary Care Research Unit. We also had a Wonka Africa South Asia Primary Care Dialogue, which was organized on 22nd of October 2020. And most recently we had a discussion with India and Mexico Forum Dialogue. And you can see the pictures of it, the basic medical research workshop. And this one is from India, Mexico Dialogue. Spice food has been buzzing with activities and they have been doing regular webinars, online webinars and online academic activities. And they also applied the first virtual FM 360 essay program. I also got opportunity to represent South Asia in the Wonka WHO Regional Committee meetings twice. And the first one was in Bangkok and most recent was in Nepal. And you can see this meeting from Nepal. It was conducted virtually. And you can see the regional director Dr. Poonam, Heather Bal Singh. And from there, they also issued a statement because we are still passing through COVID pandemics. And lastly, the priorities has been to address COVID pandemic. But other issues and agenda related to global health is being tried to address in our region. These are the scholarships and awards in our region. Dr. Jyothi Ramik Parik Award South Asia Spice Food Delegates for Tending Conferences and MRCGP International Policy for Returning Conferences are being offered in our region. And we tried to communicate through multiple channels, mostly digital, WhatsApp groups we have in our region, Facebook page, Facebook group webinars, online panel discussions. And most recently, we launched our website during a recent Wonka Council meeting. So we are trying to bring all our activities to this website. And we hope that profiling our region on a website would help us advance the agenda of family events in primary care in our region. We also have initiated a program called Family Management Hall of Fame, where we try to recognize the efforts and contributions of the stalwarts from our region. And the first one would be Dr. Prakash Chandra Bhatla, who is one of the founders of, not only is the father of medicine in India and South Asia, but also is one of the founders of Wonka movement. He was instrumental in setting up Wonka meeting before when it was formally launched in Australia. There was a meeting in Delhi which was organized by him. So we would recognize these stalwarts through Family Management Hall of Fame. I will publish the brief profiles in the Family Management and Primary Care Journal. So I thank you all for giving time to this report. And I'm sure we will make greater progress after the pandemic is over. And this pandemic also has opened many new avenues of collaboration, partnerships and academic advancement. And we will surely win over this situation. And I wish best of achievements, happiness to all member organizations, all over family doctors fraternity, all over the world. And thank you very much for listening to this program. Thanks a lot. Namaste. Thank you very much indeed, Dr. Kumar, for that very interesting overview of the activities that have taken place in South Asia, despite the many, many challenges that your region has faced with the COVID pandemic. Before we move on to the next presentation, I'd just like to remind all the participants that after these presentations, we have a panel discussion. And we really welcome your questions coming into the Q&A box. We have some coming in already, but we would like some more. I'm sure for you like these presentations have, for me, raised many questions that we would like to have the opportunity of picking the brains of these eminent speakers and discussing the challenges of global health and how Wonka can contribute to that. So our next speaker is Professor Mengqi Li, who has been Wonka Asia Pacific Region President for two terms, and is now the Distinguished Chair, Professor and Senior Consultant Physician and the former Superintendent of Changshan Medical University and Taichang Hospital in the Ministry of Health and Welfare in Taiwan. Professor Mengqi Li has published more than 100 scientific papers on family medicine, community medicine, geriatrics and medical education, and has been a very revered and leader in the Asia Pacific Region. So I'd like to introduce Professor Mengqi Li now to give his presentation. Hi, dear Wonka colleagues and the friends. I'm Professor Mengqi Li, the President of Wonka Asia Pacific Region. It's my great honor to share with you the talk on the overview of Asia Pacific Regional Achievement. Wonka Asia Pacific Region is a very huge region across the northern and southern hemisphere of the Earth, and it is composed of 21 member organizations to serve about 2.2 billion people in this region. Wonka was founded in Melbourne, Australia in APR in 1972, and there have been five Wonka presidents from the Wonka Asia Pacific Region. You may know Michael, Dana, Mary-Weir. Also, there have been three CEO Wonka CEO from the Asia Pacific Region, and again, you may know Fab, Dr. Fab, and Dr. Low, Mary-Weir. Wonka Yajakuma Movement is one of the leading young doctor movement among the Wonka 7 regions. They are active and they do a very good job, and we nurture a lot of young doctors to be the future leader in the Asia Pacific Region. A variety of very important Wonka Working Party are led by the Asia Pacific Region CARDS. For example, Professor Goodyear Smith from New Zealand, she is now the chair of the Wonka Working Party on Research. We are grateful to the Taiwan Association of Fine Medicine in offering the Taiwan Fine Medicine Research Award and to provide financial support to the worldwide young doctors to deliver their research results and to travel to the World Wonka Conference for more than 10 years already. Wonka Asia Pacific Region is a very active and continuous promoting the fine medicine in this region, and we have very good communication with the governmental sector in this region, including Japan, Thailand, Indonesia, China, Myanmar. Particularly, APR has continuously promote fine medicine development in China since the late 1980s, and it's my great privilege that I was the first Wonka Asia Pacific Region scholar to travel to China and work in there with their Ministry of Health and the many University Departments of General Parties together to promote general practice. So far, there have been 400,000 qualified general practitioners in China to serve about 1 billion people in that country. APR always take part in Wonka publication, books, journals, and Wonka news, and in my turn of the Asia Pacific Region President, I begin to serve Wonka news to translate the English Wonka news into Chinese version to serve the reader and the colleagues from Hong Kong, China, Taiwan, Singapore, many many of the colleagues they use the Chinese. Okay, what's the next for the Asia Pacific Region? We still have a lot of work to do. And we require undergraduate education and post-graduate education training on fine medicine for every country in Asia Pacific Region, just like have been done in Australia, Hong Kong, Malaysia, New Zealand, Singapore, South Korea, Taiwan. Some of our member organization countries still not have required course and we urge each country to start their required undergraduate education on fine medicine and post-graduate year training on fine medicine. We recommend every member organization countries should have established national board of fine medicine and established accreditation system for training program like which have been done very well in our region like Australia, Hong Kong, Malaysia, New Zealand, Singapore, South Korea, Taiwan, Philippines. And to achieve care for all, health for all, we believe a national health insurance program for everyone is necessary and as a target goal for each member organization country to establish. And we really want the most large number of family doctor to care the most huge number of people where and provide them a good quality of life and not more than good quality of care in our region. One car AC Pacific Region work very close with WHO, especially Western Pacific Region office in promoting the primary healthcare and universal healthcare. And we also like have the international collaboration, especially we will make good friend and good collaboration with the region in need. For example, I have been invited as a visiting professor in Africa, in Akara and in South Africa. And I also been the consultant for our mid-perience primary healthcare high level meeting. So APR will continue this international collaboration. Thanks for your attention and the further and the future cooperation with the one car AC Pacific Region. It's really my great honor and a privilege to be the president of the one car AC Pacific Pacific Region since the year 2016 till now. It's my great honor. Keep well, God bless you and have a nice practice and life. Bye-bye. Thank you very much, Professor Min Chi Lee. That was a for for your talks about Asia Pacific Region and your initiatives there in collaborations. We're now moving on to our panel discussion. And I'm going to hand over to my co-chair, Professor Chris Van Weel to lead this discussion. Thank you very much, Amanda. I do not yet see any hands raised or questions on the Q&A, but therefore I have selected a couple of questions and probably want to put to all three of the panelists as a start. You all have talked about your relation with WHO, which I think is a very important part of global health development. And now, of course, Wonka has contacts with WHO at different levels in Geneva and you at the regional levels. Can you tell us anything of how, say, the central collaboration of Wonka in Geneva is related and how does it feed into your regional collaborations? Because in the end, much of what WHO can bring should be done on the regional level that is sensitive to special needs, to special cultural, economical and other circumstances. And maybe as you both have, and I don't see Professor Meng-Chi Li, but if he is in, he can join in. But may I start with Professor Moser? You already have unmuted so you can step in. Yeah, thanks. Thanks, Chris. I think that certainly the agreement between Wonka and WHO, the MOU that was signed in 2019 or 2018, actually served very well. I think it created a platform for the region to actually sort of take note. I know that in the discourse at Geneva that the African director general or the general, the African director wasn't very forthcoming, but we were able to pick up the conversation and fortunately get some traction. Unfortunately, in the experience we've had, you know, it then gets sent to some sort of lower level official. And, you know, we were fortunate in having Dr. Prosper Tumisime, who was very personable and came to our conference and liaised with us, but it never went further. And I think that to me I've raised it on numerous occasions, but, you know, at an executive level, but I think it's quite challenging to get sort of recourse at that level. So I think it is a problem for us. It needs a much sort of stronger relationship than just the MOU. I think the MOU is simply paper, it helps, but it does not cement a relationship which, you know, happens on the ground and needs accountability as well at a high level. Thank you. Kumar, yes. South Asia region and basically the Wonka CRO, Southeast Asian region covers almost two of the Wonka regions, the APR and the SAR region. So, you know, there's a bit of challenge. How do we cover all countries? You know, given that I represent only South Asia, we have other countries like Philippines, Thailand, which are not part of our region. This is one. Also challenging the sense that our region, South Asia, traditionally we had the selective primary care programs for decades, vertical health programs, disease based, and now the discussion is coming up on universal health coverage. So to dismantle selective primary care, you know, all together and to bring universal, you know, comprehensive primary healthcare is a big challenge. And that is one of the blocks where we face, you know, even at WHO level because even if the talk of the comprehensive primary healthcare is going on, there is no parallel discussion on dismantling or you know, what to do with the vertical program. So at the moment we are on the double burden of, you know, selective primary care and also commitment for the comprehensive primary care. And there's no clarity at that level and it does not trickle down from the top also. And it is more tilted towards not based on its system which is, you know, family doctor oriented or team which is, you know, which has family doctorate the center and having other professionals around. So that is again a challenge because lastly the discussions are going towards having the primary care managed entirely by the nurse practitioners in that, you know, political discussion. We are doing, you know, our bit of advocacy mostly with the governments because if you go through WHO it does not give any additional strength to us to, you know, pressurize any of the other institutions nationally in the regions because there is no clarity from WHO side on having role of family doctors clear. So that is again a problem. But in general, you know, it is good to be part of the WHO regional committees because we know how the things are unfolding globally in terms of global health discussions what are the key priorities areas. And lastly, you know, it's a situation where the WHO says that, you know, we help and assist the member organizations, they may intend to address the governments, the health ministers and functionaries. But at the other times, you know, when we talk to the government, they say that, you know, we try to do what comes through WHO. So, you know, that is again a problem. But we have to keep on staring through this, you know, what we want, you know, primary care team which has and the doctor because this is important in terms of the referral system which is not downregulated entirely. Okay. Yeah, I understand. And I think there is a lot to gain from interaction between what is taking place in Geneva and what is experienced in the regions and also probably, and both of you were, and Professor Manchili as well was mentioning it, the importance of collaboration between regions. We have one structure in which we have a central one kind of looks like every region is a way to download activities. I think there is much to say for being guided by principles that develop in the regions and that is, if you may allow me to go on because I don't see Professor Manchili in our panel. But it triggered, for me, the question, Rama, you were saying well top down is not the key to success. And I heard a lot from Shabir talking about developing the primary healthcare team and using education, trying to get professionals talking to each other rather than to their own group. How would that work in your region? And do you have experience with that? Shabir, maybe you then can comment on ways forward to make professionals talk to other disciplines rather than to their own. But first, Rama. We, when we do our conferences in our region and also the Wonka activities, for example, we have 15 Paul's Rural Conference in Delhi. We do engage with other professionals and our conferences even when we do over the national ones are open to all, you know, not just family doctors but to other public health professionals and other vocationally trained persons such as nurse practitioners, community health workers, even citizens we try to engage so that we get our voice integrated with what we demand on behalf of community in terms of comprehensive primary healthcare. And this is very, very important, but somehow still I feel the strength for, you know, even presence of a family doctor within this gambit of thing is, you know, we try for that but, you know, it's missing in terms of, you know, what out, you know, unfolds in the global health scenario. So I still find it a challenging thing, but we have to continue to work on that. But we are very much open to other professional practitioners and having partnership with them, especially in the context of rural remote areas, even, you know, it's a teamwork, we all understand and we're committed to this team development. Okay, yes, you can't change the world overnight. So, but Shabir, maybe you can, I'm quite sure you have been thinking of how can we make professionals better talk to other disciplines. Ah, there we have Professor Meng Chili as well, but Shabir, you continue and then we go over to Professor Meng Chili. You're on mute, Shabir. Yeah, I think you're muted. Yeah, thank you. So we've got contraction as Wonka Africa, much more than as, as, you know, in Afro PhD than in itself. And I think that was quite an amazing, you know, under sort of revelation for me, certainly. In Wonka Africa, we've strengthened the primary prima famide and work with them and have lots of people together in the same space, and it developed quite a, actually quite a large network of support systems for education and research. When we pull the Afro PhD together and got people talking to each other, invariably the issue of education became our strong point that you know what, we would be very helpful in terms of building up the education of other cadres, clinical officers, etc. And, and I think that that is an opportunity. Unfortunately, family physicians are kind of feeling very threatened. So the instinct is no no we have too much on our plates for us as well. So, and I think that's a really failed opportunity. We need to really look at how we can collaborate how we can work with each other. And one of the things we've done in Afro PhDs to pull together the potential diploma in family medicine which could be done not only by GPs who are often neglected by family physicians, but also clinical officers and, and nurse clinicians. And I think that's one really useful opportunity that I think WHO would certainly welcome. And I think we're getting all sorts of years better than we used to from WHO than than when we were talking as Wonka. Thank you. Professor Mancili, I'm happy to see you on. Yeah, yeah, some problem. Some problem in the link, sorry. But we had a, in the panel, and I, maybe you can also comment on that. It was my, the last point we addressed was moving from discipline specific family medicine into a comprehensive multidisciplinary team based primary care. And how is that in your region? How feasible and what have been your, your, your, your ambitions and your progress? Yeah, yeah, we, in AC Pacific region, we highlight two way to achieve the comprehensive care for the people for the family and for the community. The first one is integration of care and the multidisciplinary care team. And the second way is through the technology information system, because the information system in AC Pacific region is very strong and popular. So no, no matter use the, the, the, the ICT or AIOT or use the Theta medicine, and it's good for not only the urban, but also suburban or rural area. And because of we have very good infrastructure infrastructure of the informatics system in from the Japan, North South Korea, China, Taiwan, Hong Kong, Philippines, Singapore, Australia, they all have very good informatics system. So we, we, we would like to highlight use of the high technology informatics system to enhance the collaboration multidisciplinary work together. And the first one is the integration. And we think the hospital care show outreach to the community and work together with the community healthcare provider, especially the, the family doctor or general practitioner together. But also again, the information information system as a platform to link the hospital and the primary care provider is also important. We have very good experience in Taiwan, because the older primary care team, they has back up by the community hospital or the regional hospital, and they shared together the same informatics platform. So they can see the hospital data or image report or discharge report from the platform together, and they can use the mutual referral system from the platform. So I think in, in summary, in AC Particle region, we have two main ambition. One is the highlight the integration of the hospital and the community healthcare together. And the second is the use the, the information system high tech to, to help in achieving the working together. Thank you. Okay, thank you, President Mancili. As we are running to the end of this meeting, I, before I hand back to Professor Barnard for her comments, I see we have Judith Menden with a beautiful picture, but not yet participating in the discussions here on the meeting. And I was wondering, Judith, do you want to give a comment on what you've heard in this session? If so, please unmute your microphone. And if nothing is coming, I think I better hand over to Professor Barnard to, as we are the last minutes of this meeting, please, can you, can you finish it off? Yes. I certainly will. So thank you very much. And I would just like to echo your thoughts in thanking all of you for those presentations. I think we've all got a very much clearer idea of the activities in your Wonka regions. The links, as we've talked about in the panel discussion with WHO, what I thought was interesting in those two was the focus on as a count not as well as looking at communicating with our professional colleagues, but the way in which over the time your regions have strengthened family medicine training at undergraduate and postgraduate levels and involved family medicine in research and other scholarly activities. So I think we've got a really good idea of the enormous work that you have done as individuals. But as we always know, there are always huge teams of people working, whether they're our family doctors or they're our multi-disciplinary teams. So I'd just like to close by thanking you all very much and congratulating all the regions on the work that you have done and the way that you have worked with Wonka in making some of the challenges about global health. So thank you all very much. Thank you. Thank you. Thank you.