{"id":8108,"date":"2011-04-06T10:41:40","date_gmt":"2011-04-06T09:41:40","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=8108"},"modified":"2011-04-11T10:54:13","modified_gmt":"2011-04-11T09:54:13","slug":"tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2011\/04\/06\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\/","title":{"rendered":"Tracey Koehlmoos: Non-communicable diseases and bringing the fishbowl to Bangladesh"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" src=\"http:\/\/www.bmj.com\/site\/blog\/icons\/traceykoehlmoos.jpg\" alt=\"Tracey Koehlmoos\" width=\"160\" height=\"111\" align=\"left\" \/>I am not going to lie. I love planning conferences and meetings although as a serious scientist, I do not think I am supposed to think and feel this way, but I do. Why? As my Hirsch score indicates, I spend a lot of time writing papers that no one reads except for the editors and peer reviewers, but if I bring hundreds of people together to exchange ideas, I know that I am making an impact. Thus, when planning for the recent <a href=\"http:\/\/healthmarketinnovations.org\/event\/13th-annual-scientific-conference-icddrb-science-accelerate-universal-health-coverage\">13th Annual Scientific Conference (ASCON XIII) on Science to Accelerate Universal Health Coverage<\/a>, I was actively seeking to highlight the need for non communicable diseases (NCDs) as a health systems issue to be included in any future plans for universal coverage in Bangladesh.\u00a0\u00a0 <!--more--><\/p>\n<p>We were offered two sessions. The first one\u00a0covered \u201cuniversal coverage in low and middle income countries for non communicable diseases\u201d and the second looked at: \u201cimplementation of non communicable disease programmes in low resource settings.\u201d\u00a0 The normal approach would have been to invite four speakers per session, have each person talk for fifteen minutes and then field questions from the audience for five to ten minutes. People often nap during this type of session, particularly if held after lunch.\u00a0I wanted to do something memorable and less conducive to snoring, something edgy that would generate ideas.<\/p>\n<p>I decided to bring the fishbowl to Bangladesh.\u00a0If you\u2019ve not attended such a session before I will explain that it consists of a panel of subject matter experts, and that the panel may or may not make presentations; however, the fishbowl part of it comes after the introductory activity. The experts are seated in an area, preferably a circle, which includes extra, empty seats.\u00a0Rather than being limited to asking questions of speakers, the audience is given the ability to \u201cswim\u201d into the fishbowl and join the discussion as an expert.<\/p>\n<p>Our designated day for the two sessions was March 16th and recognising that the most important person in any fishbowl session is the moderator, we covered our bases by inviting the <em>BMJ<\/em>\u2019s former editor, Richard Smith, to chair the two sessions in his role as Director of United Health Group\u2019s chronic disease initiative. Richard brought life to the sessions and, in a way that is nothing short of a miracle, managed to keep everything running on time without offending participants.<\/p>\n<p>We also invited local experts like Andrea Krigge from GTZ, who spoke about an innovative employment based health insurance programme in the shipping industry in Bangladesh, and the grande dame of diabetes in Bangladesh, Hazera Mahtab from BIRDEM.\u00a0Our international panel members in the two sessions included David Dror chairman and managing director, Micro Insurance Academy, New Delhi, who had not previously evaluated his extensive data from an NCD prospective;\u00a0Naomi (Dinky) Levitt, of the chronic diseases initiative in Africa, and division of diabetic medicine and endocrinology, University of Cape Town; and Adolfo Rubinstein, from the Institute for Clinical Effectiveness and Health Policy, Argentina. It was an amazing set of experts.<\/p>\n<p>After the panelists shared the results of their studies, we assembled them into the fishbowl. Because this was a new seminar style in Bangladesh, Richard Smith explained the rules\u2014anyone could enter the fishbowl but his or her role in the conversation would be limited to two minutes.\u00a0 It really could have gone either way with this new technique falling flat on the audience and descending into a standard question and answer session\u2014and considering that each session hosted more than 100 attendees, doom seemed close at hand.<\/p>\n<p>However, it was a great success. Participants were hopping in and out of the fish bowl\u2019s seats, which were always full. People were alternately asking questions and providing answers and new ideas on NCDs and priority areas were circulated and shared. The participation extended to all levels so that students, fellows, senior scientists, and even policy makers were taking turns in the discussion. Most delightfully, and perhaps, in the true spirit of a \u201cfish\u201d bowl\u2014some of the participants with great comfort and humour would literally \u201cswim\u201d in and out of the central discussion. The energy was fantastic as well as the ideas, and to some extent it was a unifying event that we are still talking about today.<\/p>\n<p><em><strong>Tracey Koehlmoos<\/strong> is programme head for health and family planning systems at ICDDR,B and adjunct professor at the James P. Grant School of Public Health, BRAC University, Dhaka, Bangladesh.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>I am not going to lie. I love planning conferences and meetings although as a serious scientist, I do not think I am supposed to think and feel this way, [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/04\/06\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1753],"tags":[322],"class_list":["post-8108","post","type-post","status-publish","format-standard","hentry","category-tracey-koehlmoos","tag-non-communicable-diseases"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Tracey Koehlmoos: Non-communicable diseases and bringing the fishbowl to Bangladesh - The BMJ<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.bmj.com\/bmj\/2011\/04\/06\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Tracey Koehlmoos: Non-communicable diseases and bringing the fishbowl to Bangladesh - The BMJ\" \/>\n<meta property=\"og:description\" content=\"I am not going to lie. I love planning conferences and meetings although as a serious scientist, I do not think I am supposed to think and feel this way, [...]More...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/blogs.bmj.com\/bmj\/2011\/04\/06\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\/\" \/>\n<meta property=\"og:site_name\" content=\"The BMJ\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/bmjdotcom\/\" \/>\n<meta property=\"article:published_time\" content=\"2011-04-06T09:41:40+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2011-04-11T09:54:13+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/www.bmj.com\/site\/blog\/icons\/traceykoehlmoos.jpg\" \/>\n<meta name=\"author\" content=\"BMJ\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:site\" content=\"@bmj_latest\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"BMJ\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/\"},\"author\":{\"name\":\"BMJ\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#\\\/schema\\\/person\\\/ba3da426ed20e8f1d933ca367d8216fe\"},\"headline\":\"Tracey Koehlmoos: Non-communicable diseases and bringing the fishbowl to Bangladesh\",\"datePublished\":\"2011-04-06T09:41:40+00:00\",\"dateModified\":\"2011-04-11T09:54:13+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/\"},\"wordCount\":756,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/#primaryimage\"},\"thumbnailUrl\":\"http:\\\/\\\/www.bmj.com\\\/site\\\/blog\\\/icons\\\/traceykoehlmoos.jpg\",\"keywords\":[\"non-communicable diseases\"],\"articleSection\":[\"Tracey Koehlmoos\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/\",\"url\":\"https:\\\/\\\/blogs.bmj.com\\\/bmj\\\/2011\\\/04\\\/06\\\/tracey-koehlmoos-non-communicable-diseases-and-bringing-the-fishbowl-to-bangladesh\\\/\",\"name\":\"Tracey Koehlmoos: Non-communicable diseases and bringing the fishbowl to Bangladesh - 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