Programa de Pós Graduação em Patologia, Universidade de São Paulo, São Paulo, Brazil.
Grupo Hospitalar Conceição, Porto Alegre, Brazil.
Front Public Health. 2021 Dec 15;9:663783. doi: 10.3389/fpubh.2021.663783. eCollection 2021.
Planetary health (PH) has emerged as a leading field for raising awareness, debating, and finding solutions for the health impacts of human-caused disruptions to Earth's natural systems. PH education addresses essential questions of how humanity inhabits Earth, and how humans affect, and are affected by, natural systems. A pilot massive open online course (MOOC) in PH was created in Brazil in 2020. This MOOC capitalized on the global online pivot, to make the course accessible to a broader audience. This study describes the process of course creation and development and assesses the impact evaluation data and student outcomes of the PH MOOC. The PH MOOC pilot was launched in Brazilian Portuguese, using the TelessaúdeRS-UFRGS platform on 4/27/2020 and concluded on 7/19/2020 with a total load of 80 h. It was composed of 8 content modules, pre and post-test, 10 topics in a forum discussion, and an optional action plan. This study analyzes the course database, profile of participants, answers to questionnaires, forum interaction, and action plans submitted. Two thousand seven hundred seventy-seven participants enrolled in the course, of which 1,237 (44.54%) gave informed consent for this study. Of the 1,237 participants who agreed to participate in the research, 614 (49.8%) completed the course, and 569 (92.67%) were accredited by TelessaúdeRS-UFRGS. The majority of the participants were concerned with climate change, trained in the health area, and worked in primary health care in places that lacked ongoing sustainability programs. Two hundred forty-one action plans were submitted, major topics identified were food and nutrition, infectious diseases, and garbage and recycling. The use of the PH lens and open perspective of the course centered the need to communicate planetary health topics to individuals. The local plans reflected the motto of "think global and act local." Brazil presents a context of an unprecedented social, political, and environmental crisis, with massive deforestation, extensive fires, and biomass burning altering the biomes, on top of an ongoing necropolitical infodemic and COVID-19 pandemic. In the face of these multiple challenges, this MOOC offers a timely resource for health professionals and communities, encouraging them to address planetary challenges as fundamental health determinants.
行星健康（PH）已成为一个主要领域，旨在提高人们对人类活动对地球自然系统造成的破坏对健康影响的认识、进行辩论并寻找解决方案。PH 教育涉及人类如何居住在地球上，以及人类如何影响和受自然系统影响的基本问题。2020 年，巴西开设了一门行星健康大型开放式在线课程（MOOC）。该 MOOC 利用全球在线转型，使更多人能够接触到该课程。本研究描述了课程创建和发展的过程，并评估了 PH MOOC 的影响评估数据和学生成果。该 PH MOOC 试点课程以葡萄牙语在巴西推出，使用 TelessaúdeRS-UFRGS 平台于 2020 年 4 月 27 日启动，并于 2020 年 7 月 19 日结束，总课时为 80 小时。它由 8 个内容模块、前测和后测、论坛讨论中的 10 个主题以及可选的行动计划组成。本研究分析了课程数据库、参与者概况、问卷调查答案、论坛互动以及提交的行动计划。有 2777 名参与者注册了该课程，其中 1237 名（44.54%）同意参与本研究。在同意参与研究的 1237 名参与者中，有 614 名（49.8%）完成了课程，有 569 名（92.67%）获得了 TelessaúdeRS-UFRGS 的认证。大多数参与者关注气候变化，接受过卫生领域的培训，并在缺乏持续可持续性计划的地方从事初级卫生保健工作。提交了 241 项行动计划，确定的主要主题是食品和营养、传染病和垃圾和回收。课程使用 PH 视角和开放视角，使向个人传达行星健康主题成为必要。当地计划反映了“全球思考、地方行动”的座右铭。巴西面临着前所未有的社会、政治和环境危机，大规模的森林砍伐、广泛的火灾和生物质燃烧改变了生物群落，再加上正在进行的生态政治信息疫情和 COVID-19 大流行。面对这些多重挑战，该 MOOC 为卫生专业人员和社区提供了一个及时的资源，鼓励他们将行星挑战作为基本健康决定因素来解决。
