UNESCO Chair GHE

Global Community Health Annual Workshop – Second edition

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Day 1 – Resilience: giving voice to the voiceless, 28 June 2022

11.30 – 11.55 CEST : Welcome

MODERATOR

Goof Buijs is the manager of UNESCO Chair / WHO Collaborating Centre Global Health & Education. From 2019 he is director of Global Health & Education Consultancy. His field of expertise is bringing health and education together. He is an experienced networker, expert in creating and leading international projects focused on prevention and youth, innovator, trainer and facilitator of events and conferences. He supports cooperation among people, focusing on everyone’s talents and uniqueness.

Didier Jourdan is full Professor and the Chair Holder of the UNESCO Chair “Global Health and Education” and Head of the WHO Collaborating Centre for “Research in Education and Health” which are focused on knowledge production and sharing from an intersectoral perspective. He is the former Director of the Prevention and Health Promotion Division of the French National Public Health Agency. He has formally held positions as Director of the Graduate School of Teaching and Education (ESPE), Head of the Centre for lifelong learning and Vice-President of Blaise Pascal University. In addition, he held the position as President of the “Prevention, Education and Health Promotion” Commission of the French High Council for Public Health and President of the Network “Universities for training in health education”.

Laurent Chambaud is a public health doctor and director of the École des hautes études en santé publique (EHESP). He has extensive professional experience at all levels of decision-making: local, regional, national and international. He has also published books on different public health-related questions.

Liane Comeau has been the Executive Director of the International Union for Health Promotion and Health Education since April 2018. She has worked in a pan-Canadian NGO, Invest in Kids, as Director of Research and Evaluation, and as Specialized Scientific Advisor at the “Institut national de santé publique du Québec” (INSPQ), focusing on health promotion initiatives targeting children, adolescents and families. She holds a doctorate in developmental psychology from McGill University (2004). She has published scientific papers on various topics including mental health and child development, and co-authored several reports on policy-relevant public health topics while at the INSPQ.

11.55 – 12.25 CEST : Towards a new paradigm of unity in diversity: Building lasting resilience as one human family

As one of the converging global challenges that are confronting humanity today, Covid-19 reminds us that we are inherently interdependent, and that we must collaborate across our diversity if we are to be resilient as individual communities and as a global community. I will explore the idea that effectively addressing the converging global challenges that human communities around the world are facing today lies in our ability to elevate our collective consciousness to our inter-connectedness as members of one human family on a one common home, Mother Earth. From a scientific and indigenous systems perspectives, I will discuss the notion of a new paradigm of complementarity across unity in diversity of cultures, colours, creeds, and classes that can provide a sound foundation for building lasting resilience and wellbeing at the local and global levels.

Sione Tu’itahi is the Executive Director of the Health Promotion Forum of New Zealand, RunangaWhakapiki Ake I Te Hauora o Aotearoa (HPF). He is also the Global President of the International Union for Health Promotion and Education (IUHPE) for 2022-2025. An educator, writer, and international health promotion leader, his areas of interest in health promotion include planetary health, determinants of health, human rights, community development, public policy, and workforce development. Under his leadership, HPF successfully co-hosted the 23rd World Conference on Health Promotion in Rotorua in 2019 with IUHPE. This was the largest public health conference to be held in Aotearoa New Zealand. He was also instrumental in establishing HPF as a national accreditation organisation under the IUHPE global framework for health promotion accreditation in 2021. Sione’s work is informed by his life-long learning in three, broad knowledge systems:  indigenous, spiritual, and western education. In recognition of his significant contributions to health promotion and public health at the national and international levels, Sione was given the 2019 New Zealand Public Health Champion Award by the Public Health Association.

12.30 – 13.30 CEST : Setting the scene – an introduction to community resilience

Eric Breton, a Canadian, is professor of health promotion at the EHESP School of public health. Before settling in France, he acquired a broad international experience in research in Canada, Australia and the United Arab Emirates. His main research interests focus on policy advocacy strategies in the prevention of NCDs, evaluation of complex community-based interventions, and on local capacity building strategies for health and equity. He is an affiliated researcher of the UNESCO Chair Global Health & Education, and sits on different national and regional expert groups such as the High Council for Public Health (HCSP). In 2020, he published with three other editors the second edition of the first health promotion handbook in French, a publication that has mobilized contributions from 40 authors from 6 countries.

13.00 – 13.30 CEST : Examination of risk perception, condom compliance and healthcare seeking behavior of male and transgender sex workers in India: Health disparities, structural challenges and the road ahead

Male and transgender sex workers comprise 15% of the sex workers’ population in India, yet they are an invisible group in the commercial sex sector. Male and transgender sex workers in India have limited access to healthcare and suffer from poorer quality of care. Marginalization, discrimination, socioeconomic and institutional inequalities act as barriers in attaining health among this population. Additionally, male and transgender sex workers face pervasive and deep-seated stigma at multiple levels for their gender non-conformity and for their involvement in sex work. Such stigma intersects with factors like financial stress, housing insecurity, and employment discrimination, thus precipitating health disparities. The current study examines the sexual health belief, risk perception, and decision-making behavior of male and transgender commercial sex workers in India. The study was conducted in the red-light districts of Kolkata, and also in the rural subdivisions of West Bengal, India. The study findings hope to contribute to recommendations and best practices to reduce STI/HIV transmission, increase adherence to screening/testing and improve healthcare seeking behavior among this population. Much of the research on sex work has focused on the health needs and behavior of female sex workers with relatively little information available on male and transgender sex workers. This study aims to fill this gap in research by drawing attention to a hyper-marginalized population —male and transgender commercial sex workers in India.

Satarupa Dasgupta is an Assistant Professor of Applied Communication at Ramapo College of New Jersey. Her research focuses on health communication program development and implementation, with her experience spanning academia and the not-for-profit sector. She has worked on HIV/STI intervention development among commercial sex workers, on prevention of sex trafficking and rehabilitation of sex trafficking survivors in international settings, and also on intimate partner violence prevention among immigrant communities in the US. She has also served as a voluntary sexual assault advocate, and has worked in the implementation of federally funded victim advocacy programs among immigrant populations. She has published her research in peer reviewed journal articles, book chapters, special issues of journals, essays and blog posts etc. and has won several awards and grants. She has also served on several national and international organizations as program chair, and she is on the editorial board for several journals.

13.35 – 13.45 CEST : Voices from the field

13.45 – 15.00 CEST : Community health hubs

Day 2 – Building resilience within health systems, 29 June 2022

11.30 – 12.00 CEST : Development vs. Strategic Communication in the Context of Global and Community Health

This presentation will explore the application of the core principles of development communication in global health and risk communication. It will then focus on the strategic communication as the way forward in communicating about health risks and preventive measures.  Gaps between development and health communication practice will be discussed. 

Dr. Nancy Muturi is a professor at the A.Q. Miller School of Media and Communications at Kansas State University with specialization and academic training in health and development communication. She teaches health and risk/crisis communication, communication theory, strategic communication, and gender/diversity-related courses. Her research focus is in health and development communication specifically in Africa, Caribbean and among the rural and ethnic minorities in the United States. Dr. Muturi has several years of professional experience in health and development communication in Kenya, Caribbean and in the United States. She was a health communication fellow at the Centers for Disease Control and Prevention (CDC) and has consulted with CIDA, UNESCO and several other local, international and federal agencies as a researcher, trainer, grant reviewer, program evaluator and in quality assurance assessment. Her research has appeared in several international journals including the Journal of Development Communication, Journal of Health Communication, Journal of Communication and Healthcare, Health Communication, Journal of International Communication, and Journal of Nutrition Education and Behavior, Frontiers Health Communication Journal, Journal of Mass Communication Educator, among others.  A full bio can be found here.

12.00 – 12.30 CEST : Maternal health in Morocco: time to rethink local action

Saloua Abouchadi, MD, MPH, PhD in Public Health Sciences (ULB, Brussels) is a lecturer-researcher at National School of Public Health (ENSP), Rabat, Morocco from 2013. She has over twenty years of professional experience, of which seven years as a general practitioner and in charge of the School and University Health Program in a rural district. She served as a health program manager for five years at the Directorate of Hospitals and Ambulatory Care, and later as head of the ambulatory care service. She was directly engaged in the implementation of the maternal and neonatal mortality reduction action plan and the maternal death surveillance system from 2009 to 2018. She also contributed to the development and implementation of other health programs within the Ministry of Health. In addition to contributing to and coordinating several courses, she has been a team research member of FEMHealth project (fee exemption for maternal health care) and PRD research project on Integrated approach for the sustainable control of morbidity and mortality of infectious causes in the mother-child couple in Morocco. Her areas of interest focus are maternal and newborn health, maternal mortality surveillance, patient experience, primary health care and health promotion interventions.

12.35 – 13.05 CEST : Empowering spaces for health

Collective control by communities – how much influence they have over their lives – is an important determinant of health. It shapes inequalities in health. This presentation outlines an intervention designed to improve the collective control of disadvantaged communities across England. It describes a long-term research study designed to evaluate the intervention. It presents the findings on how collective control can be measured and how communities can be supported to increase their collective control.  

Katie Powell is a sociologist with 15 years’ experience in public health research. She has three major interlinked research interests: Exploring processes of inequity as they relate to health with reference to the role of place and social spaces. The implementation and evaluation of community-based health improvement interventions. Social networks and their influence on health. Katie has contributed to the development of the public health workforce through teaching in higher education, developing and delivering workforce training relating to evaluation and co-producing evaluations with community organizations to support knowledge exchange. Katie is currently developing ways to integrate sociological perspectives in public health practice to support a greater emphasis on inequality. 

Amy Barnes has 15 years of experience in developing, leading, and evaluating a range of policy-relevant research programmes; working in close partnership with local government, voluntary sector organisations, public health specialists and other stakeholders (in the UK and internationally) to improve wider determinants of health: the conditions in which people live, grow, play, work, and age. Amy works in embedded ways to support the design and delivery of a range of policy initiatives, including producing ‘real-time’ evaluative feedback to support learning and implementation. She has worked on a range of important policy topics, including community power and influence as a determinant of health, co-production in commissioning, public engagement in strategic local planning, neighbourhood planning, healthy food environments (including food trade) and the prevention of adult labour and sexual exploitation.

13.05 – 13.30 CEST : The role of pharmacies in building resilience in communities

Dr Catherine Duggan is the Chief Executive Officer of the International Pharmaceutical Federation and is responsible for visionary leadership, support, development, advocacy and growth across the 150 member organisations and the four million members FIP represents. In 2019, Catherine chaired the World Professions Health Alliance (represents 35 million health professionals across medicine, nursing, dentistry, physiotherapy and pharmacy) and signed the FIP MOU with WHO in May 2019 at the World Health Assembly meeting. The MoU builds on the formal established relationship WHO and FIP have held since 1948 and secures how pharmacy contributes globally to Primary Health Care to deliver Universal Health Coverage.

Until April 2018, Dr Catherine Duggan was the Director of Professional Development at the Royal Pharmaceutical Society of Great Britain. From 2012, Catherine led the development, implementation and strategic embedding of RPS Faculty and Foundation programmes into continuing professional development. Catherine has worked in community, primary care, hospital and academia.  Between 2007 and 2009, Catherine was the Chair of the United Kingdom Clinical Pharmacy Association and then an elected member of the Council of the RPSGB.

13.35 – 13.45 CEST : Voices from the field

13.45 – 15.00 CEST : Community health hubs

Day 3 – Emergency Health, 30 June 2022

11.30 – 12.15 CEST : Epidemic Control Toolkit. Website Presentation

Infectious diseases and the risk of epidemics and pandemics are a cause of concern to the global health community. Climate change and urbanization increase the risk of crises, which in turn strain health systems and widen health disparities. The IFRC recognizes that communities and individuals can play a key role in better preparing for these risks, and has developed epidemics.ifrc.org, a website where volunteers can easily find information to prevent and respond to different outbreaks, and where managers have access to evidence-based guidance for health programming

Maya Schaerer has worked with the International Federation of Red Cross and Red Crescent Societies (IFRC) network since 2003 to design and implement disaster risk reduction, climate change adaptation and epidemic preparedness activities. Since 2017, she has been involved in IFRC’s Community Epidemic and Pandemic Preparedness Programme, supporting communities, National Societies and other partners to prevent, detect and respond to disease threats.

Wbeimar Sánchez studied medicine, emergency management, and public/environmental health. He has been involved with the Red Cross Red Crescent Movement for several years, starting with the Colombian Red Cross and subsequently with the International Federation of Red Cross and Red Crescent Societies (IFRC) in various positions. He has worked in several emergency response operations ranging from the West Africa Ebola outbreak to the current COVID-19 pandemic. Currently he works as senior officer, epidemic preparedness and readiness at the IFRC in Geneva.

12.15 – 12.45 CEST : S.A.L.T. : Daring to Listen

For nearly 20 years the Constellation ASBL network accompanies communities using its strengths based approach called SALT. Luc will share the overall experience; Jean-Louis will emphasize the need for health and social workers to dare to listen without judgment.

Jean-Louis Lamboray – For some mysterious reason, I have always felt that at their core, people were good, and that they could achieve a lot if they were engulfed with trust. If there is a red line in my life, it must be my passion for local responses, what people do to realize their dreams once they realize their potential. At the Constellation I keep being amazed by the power of a positive outlook on people and situations. That power not only transforms the situation, it has transformed me. Barriers between work and life have been shattered. I now live for a world where communities, families, individuals become aware of their potential and mobilise it fully to realise their dream. I can’t call that work anymore. Nor can I say that I have become an expert at anything.

Luc Barriere-Constantin was formerly a UNAIDS staff until 2014 when he retired. Currently Voting Member and Chairperson of The Constellation. He is also one of the co-funders of that organization. Luc’s main focus is now the development of partnerships and projects/programs for the dissemination of the SALT-CLCP methodology, research & development of the method as well as training new facilitators. Luc is a Medical Doctor by training with an MPH in epidemiology and international Public Health from the Johns Hopkins School of Hygiene and Public Health. After field experience with MSF France, he spent most of his career with UNICEF and UNAIDS where he could share and strengthen his experience in many African countries and various situations. Before retirement, he was posted as Senior Planning & Operation Adviser in UNAIDS HQ. Luc is a French/Swiss citizen and currently living in France; he is the father of three children.

12.45 – 13.15 CEST : Building Community Resilience on COVID-19 Prevention and Control: Some Best Practices from India

As you are aware, the COVID-19 pandemic has exposed the fault lines in the health care systems around the world. It highlights the critical need of the hour, a ‘health promotion linked roadmap’, to boost the nation’s capacity. It requires coordinated intervention, which is a collective action of the government and other stakeholders, including local communities.

VHAI has implemented an innovative community-based health promotion programme with the objective of building the capacity and resilience of the local underserved communities and health systems and developing a sustainable roadmap for COVID-19 prevention. This programme focused on underserved communities in one State of India , which has 32.59% of its population below poverty line. This programme is based on a Risk Communication and Community Engagement (RCCE) approach model of WHO, UNICEF and IRC.

Central to this health promotion approach is active community involvement employing a peer educator model to build public trust and collective responsibility for population health promotion and protection which will be discussed in detail in the presentation

Bhavna Mukhopadhyay is currently working as the Chief Executive of Voluntary Health Association of India, New Delhi & Executive Board Member of IUHPE. She has an experience of over 25 years of experience in non-profit sector, with many accolades to her credit and competency in several domains of public health & development. She is recognized as a strategic leader and thinker, who has contributed to advance public health policy change in India by building strong technical partnerships with the Government. She serves on several technical advisory committees of the Central and State Governments. She has extensive experience in designing & implementing large-scale programmes with a strong connect at grassroots, creating multi-sectoral coalitions, strategy formulation, policy & media advocacy, managing donor relations and resource mobilization. She is well known for outstanding contribution to Tobacco control policies & its implementation. A sought-after expert & a speaker in national, international conferences  & television debates. Authored, edited & contributed to several publications, research reports, policy papers & articles, print and online news stories.

13.30 – 13.45 CEST : Voices from the field

13.45 – 15.00 CEST : Community health hubs


Voices from the field

Viola Cassetti is a public health researcher and anthropologist, specialised in community health promotion initiatives, in particular with a focus on qualitative and participatory methodologies. She has worked in community development in Latin America and in applied research in primary care and public health in the UK and Spain. She completed her PhD in Public Health at the University of Sheffield (UK) on asset-based approaches in communities. She currently works in a project to evaluate the implementation of community engagement guidelines in Spain and collaborates with local authorities to promote community action in health from a participatory and interdisciplinary approach.

Maiyshla Chunwan – Lecturer, programme manager, Open University of Mauritius

Dr Steven Markham is a Research Fellow at the Nuffield Department of Primary Care Health Sciences, at the University of Oxford, UK. He supports a National Institute for Health Research (NIHR) funded realist evaluation to understand the implementation of Link Workers employed to facilitate Social Prescribing in Primary Care; informing current practice and future policy. His career began in 2002 as a Community Development Worker and as a Public Health Specialist working for the UK National Health Service (NHS) and local authorities. He designed and managed (primary) prevention based, social interventions to support community-based health and wellbeing. 

In 2013, he moved into academia to train the next generation of Public Health and Health Promotion specialists and conduct research programmes and evaluation projects to support public health/health promotion practice. His PhD used Scientific Realism to understand what characteristics of men’s sheds enhance health and wellbeing, for whom, in what circumstances, how and why. He found that men’s sheds are community hubs facilitating opportunities for men to engage in meaningful occupation and pool resources which enhances their lives with impacts on personal and community health and wellbeing. In the future, he intends to work with people to coproduce social interventions that bring people together and support community health through primary prevention strategies.

Sylvio Van Der Pijl is the customary chief of the village Balaté in Saint-Laurent (French Guyana) and special advisor to the City of Saint-Laurent. He is the former president and now is vice-president of the Grand Customary Council of the Amerindian and Bushinenge populations of French Guyana.


Facilitators

Saloua Abouchadi, MD, MPH, PhD in Public Health Sciences (ULB, Brussels) is a lecturer-researcher at National School of Public Health (ENSP), Rabat, Morocco from 2013. She has over twenty years of professional experience, of which seven years as a general practitioner and in charge of the School and University Health Program in a rural district. For more information see above, speakers Day 2. 

Camila Ait-Yala, is the project leader of the “IEC Santé” team at GRAS (Unité de Recherche en Anthropologie de la Santé), located at the University of Oran 2 (Algeria). She holds a doctorate in language science from the University of Oran 2 and specialises in the analysis of verbal interactions in professional situations, particularly in hospitals. Camila is the Algerian coordinator of the UNESCO Chair in Education and Health.

Meriam Bouzineb is a primary healthcare practitioner since 2002. She got graduated from the faculty of medicine and pharmacy of Rabat, in Morocco. She worked for fourteen years in rural areas and managed a medical mobile unit for seven years. Her interest in knowing more about human beings led her to study sociology; She is now doing a PhD on primary health care practitioners and the health information system, a systemic approach to the Moroccan health system.

Emmanuel Courmaire, is a director of a primary school in France. He has a long working experience with active participation with children and young people. He studied Health Promotion at the Clermont-Ferrand University UCA.

Helena Franceschini, Intern UNESCO Chair Global Health & Education

Nicola Gray, Affiliated researcher, UNESCO Chair Global Health & Education; Vice President for Europe of the International Association for Adolescent Health (IAAH); Senior Lecturer, University of Huddersfield, UK

Nastaran Keshavarz Mohammadi, Professor at the School of Public Health, Shahid Beheshti University of Medical Sciences, Iran; Co-chair of the Scientific and Ethical committee, UNESCO Chair Global Health & Education.

Tenia Prokalamou has been working as a Biomedical Scientist for the Greek NHS in both Primary and Secondary Health Care. She has a Msc degree in Applied Dietetics and Nutrition spec in Sports and Nutrition. She is a PhD Candidate at Harokopio University in healthy ageing and a Research Associate at the same University working in DigiCare4You project. Her research interests are in the areas of Health Promotion & Public Health and NCD, Diabetes & Obesity  Prevention in young children and their families.  

Lene Søvold is a clinical psychologist based in Norway, who is engaged within a broad spectra of health related issues and contexts. She advocates a person-centered and integrative approach to health and wellbeing, and is passionate about promoting mental health, interpersonal skills and empowerment; both within traditional healthcare and e-health contexts – as well as within organizational and educational settings.

MinChien Tsai is an affiliated researcher of the UNESCO Chair Global Health & Education, and a PhD candidate at Fu Jen Catholic University in Taipei. Previously, she worked as a project coordinator at the Health Promoting School International Network Center for the past 10 years. Her research interests are in the areas of Health Promotion, Occupational Health and Safety, and Career Development.


Reading suggestions

Satarupa Dasgupta

  • Azhar, S., Dasgupta, S., Sinha, S., & Karandikar, S. (2020). Diversity in sex work in India: Challenging stereotypes regarding sex workers. Sexuality & Culture24(6), 1774-1797.
  • Bauer, G. R., Hammond, R., Travers, R., Kaay, M., Hohenadel, K. M., & Boyce, M. (2009). “I don’t think this is theoretical; this is our lives”: how erasure impacts health care for transgender people. Journal of the Association of Nurses in AIDS Care20(5), 348-361.
  • Bradford, J., Reisner, S. L., Honnold, J. A., & Xavier, J. (2013). Experiences of transgender-related discrimination and implications for health: results from the Virginia Transgender Health Initiative Study. American journal of public health103(10), 1820-1829.
  • Dutta, A., & Roy, R. (2014). Decolonizing transgender in India: Some reflections. Transgender Studies Quarterly1(3), 320-337.
  • Shinde, S., Setia, M. S., Row-Kavi, A., Anand, V., & Jerajani, H. (2009). Male sex workers: are we ignoring a risk group in Mumbai, India?. Indian Journal of Dermatology, Venereology, and Leprology75(1), 41.

Jean-Louis Lamboray and Luc Barriere-Constantin

Steven Markham

  • The International Men’s Sheds Organisation https://MenShed.com/ has links to Men’s Sheds Associations across the world. 
  • Foettinger, L., Albrecht, B.M., Altgeld, .T, Gansefort, D., Recke, C., Stalling, I. and Bammann, K. (2022) The Role of Community-Based Men’s Sheds in Health Promotion for Older Men: A Mixed-Methods Systematic Review. American Journal of Men’s Health. doi:10.1177/15579883221084490 
  • Golding, B. (2021) Shoulder to Shoulder: Broadening the Men’s Shed Movement. Champaign, IL: Common Ground Research Networks. doi:10.18848/978-1-86335-258-1/CGP
  • Oldenburg, R. (1999). The great good place: Cafes, coffee shops, bookstores, bars, hair salons, and other hangouts at the heart of a community. Da Capo Press.

Bhavna Mukhopadhyay

Nancy Muturi

  • Agunga RA (1997) Developing the Third world. A communication approach. Nova Science, Commack
  • Crawford, E. C., & Okigbo, C. C. (2014). Strategic communication campaigns. In Strategic urban health communication (pp. 11-23). Springer, New York, NY.
  • Grunig, J. E. (2018). Strategic behavioral paradigm. The international encyclopedia of strategic communication, 1-6.
  • Kreps, G. L., & Sivaram, R. (2008). Strategic health communication across the continuum of breast cancer care in limited‐resource countries. Cancer, 113(S8), 2331-2337.
  • Kreuter, M. W., & Wray, R. J. (2003). Tailored and targeted health communication: strategies for enhancing information relevance. American journal of health behavior, 27(1), S227-S232.
  • Muturi, N. W. (2005). Communication for HIV/AIDS prevention in Kenya: Social–cultural considerations. Journal of health communication, 10(1), 77-98.
  • Schiavo, R. (2013). Health communication: From theory to practice (2nd ed.). Jossey-Bass. ISBN 978-1-118-12219-8.
  • Vraga, E. K., & Jacobsen, K. H. (2020). Strategies for effective health communication during the coronavirus pandemic and future emerging infectious disease events. World Medical & Health Policy, 12(3), 233-241.

Katie Powell and Amy Barnes

  • Research study website: https://communitiesincontrol.uk/about/
  • Popay, J., Whitehead, M., Ponsford, R., Egan, M. and Mead, R., 2020. Power, control, communities and health inequalities I: theories, concepts and analytical frameworks. Health promotion international.
  • Ponsford, R., Collins, M., Egan, M., Halliday, E., Lewis, S., Orton, L., Powell, K., Barnes, A., Salway, S., Townsend, A. and Whitehead, M., 2020. Power, control, communities and health inequalities. Part II: measuring shifts in power. Health promotion international.
  • Powell, K., Barnes, A., Anderson de Cuevas, R., Bambra, C., Halliday, E., Lewis, S., McGill, R., Orton, L., Ponsford, R., Salway, S. and Townsend, A., 2020. Power, control, communities and health inequalities III: participatory spaces—an English case. Health promotion international

Maya Schaerer and Wbeimar Sánchez

Sione Tu’itahi