Conferentie

Do we care? - Be-cause health international conference 2026 on failing care in times of polycrisis

Tuesday 20 October 2026, 10 am - 5 pm CET, hybrid event
The link for the livestream will be provided later.

Egmont Palace, Rue des Petits Carmes - Karmelietenstraat 24b, 1000 Brussels
Visual for the conference: four people carrying an emergency aid box on a shattered slab -  in the Be-cause health colors (blue, black, white)

Concept note

1. Context – A needed sense of urgency on failing care in times of polycrisis: we must act!

While health features prominently on many political agendas, the reality for billions of people tells a different story. Medical errors, healthcare-associated infections, and surgical complications remain persistent global challenges, contributing substantially to preventable illness and death. Despite growing efforts to improve quality and patient safety, the burden of poor-quality care remains alarmingly high. The World Health Organization (WHO) estimates that approximately 134 million adverse events occur annually, resulting in around 2.6 million deaths. These figures do not reflect isolated failures, but rather deep-rooted systemic weaknesses in healthcare delivery — including inadequate quality assurance systems, fragile safety cultures, underreporting, and chronic workforce shortages.

At the same time, market-driven models of care too often prioritize profit over people and volume over value, with insufficient investment in social care, prevention, and long-term support across the care continuum. The climate emergency is a major health crisis. Structural inequalities — reinforced by intersecting vulnerabilities — remain embedded within healthcare systems. Patients and people with lived experience are frequently unheard or insufficiently engaged in decisions that affect them.

Building on the conclusions of the 2023 Be-cause Health Conference, “Breaking taboos in global health”, we continue to explore the fundamental question at the heart of this year’s conference: “Do we care?”: who and what truly defines care, and does it matter?

Across three tracks (see further below), the conference moves from macro-level system incentives (commercialiqation) and structural (in)justice — focusing on equity and access to high-quality care for all — to the micro-level ethics of care, emphasizing patient-centred approaches.

Sustainable, high-quality healthcare that truly leaves no one behind requires coherence and alignment across all these dimensions, with the patient firmly positioned as the central reference point of the health system.

2. Objectives

Inspired by recent developments in global health amid the current polycrisis, the conference will provide a platform to engage in in-depth discussions on:

  • strategies to ensure access to high-quality healthcare in all the contexts where we operate;
  • concrete, actionable priorities for strengthening international cooperation.


The conference aims to culminate in the drafting of a policy brief containing recommendations for Belgian policymakers, with particular attention to the implementation of the European Union (EU) Global Health Strategy. This will serve as a follow-up to the 2024 Expert event during the Belgian Presidency of the Council of the EU, jointly organized by the Belgian Development Cooperation, Enabel, and Be-cause health.

3. Target audience

The conference will bring together Be-cause health members and friends, government representatives, international cooperation agencies, NGOs, health mutual organizations, academic institutions, student organizations, diaspora organizations, social-profit private sector actors, and other stakeholders engaged in global health.

The event is committed to ensuring gender balance, equitable geographical representation, and the meaningful inclusion of youth, Indigenous communities, and persons with disabilities.

4. Conference structure

The conference will take place as a one-day hybrid event at the Egmont Palace in Brussels.

Participants will be invited to collectively reflect on two guiding questions:

  • “Did we care?” – What lessons, positive and negative did we learn from the past and from current practice?
  • “Do we care?” – How do we move forward towards optimized, high-quality healthcare for all?


The day will open with a keynote addressing the fact that access to healthcare and the distribution of care continuum are shaped by political decisions about whose health is prioritised, protected and sustained. Inequities in healthcare are not simply the result of weak systems, insufficient resources or implementation gaps, but are actively reproduced through political and ideological choices that determine the value assigned to different populations, and forms of care accessible and available. After this challenging keynote participants engage in two parallel sessions on equity and justice in global care and on what what genuine patient-centred care means in practice. Following a shared lunch, a second keynote will focus on the frontiers of health, after which participants can choose between two thematic sessions, on mental health and SRHR.

Space will also be provided for poster presentations linked to the thematic tracks.(see below)

5. Partnerships and collaborations

The event is organised by the Be-cause health platform and co-hosted by DGD, the Directorate General Development Cooperation and Humanitarian Aid of the Belgium Ministry of Foreign Affairs, Foreign Trade and Development Cooperation.

Concept note in Pdf
en fr

Programme


9 – 10 am
Welcome coffee and Registration (Entrance, Atrium)

10 – 11 am
Opening, Introduction & Keynote (Europe Room)

- Opening and Welcome by Heidy Rombouts, Directorate General for Development Cooperation & Humanitarian Aid (DGD)
- Opening and Importance of Be-cause health by Özge Tunçalp, Institute of Tropical Medicine (ITM)
- Introduction to the conference by Erick Mukala, Chair of the Scientific Committee, Institut Supérieur des Techniques Médicales de Kananga, DRC
- When Access to Health Becomes Political Equity, Justice and the Fragility of Rights Based Healthcare by Taofeekat Adigun, University of Sheffield, UK

Dr Özge Tunçalp is a distinguished physician and epidemiologist and currently serving as the Executive Director of ITM since 1 January 2025. Prior to her role at ITM, she was a medical officer in the Department of Sexual and Reproductive Health and Research, including the research programme of the UN agencies and the World Bank (HRP), at the World Health Organization (WHO). She spearheaded large-scale implementation and innovation research, and developed evidence-based guidelines and knowledge translation tools for country impact, focusing on antenatal care and quality of care. In collaboration with country, regional, and global partners, she employed quantitative and qualitative methodologies, along with innovative approaches, to improve the quality of maternal and perinatal healthcare, including safe abortion services in low- and middle-income countries.

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Erick Mukala is an associate professor of public health and public mental health at the Institut Supérieur des Techniques Médicales (ISTM) in Kananga, DR Congo. He is the founder and chair of the Centre Africain de Recherche et d’Appui aux Systèmes de Santé (CARASS) and a senior expert at the Centre de Connaissances en Santé en RD Congo (CCSC). His expertise focuses in particular on the integration of mental health services into primary health care and the health systems strengthening. He has previously held several positions within the DRC’s National Mental Health Programme, including Provincial Mental Health Coordinator, Head of the Training and Supervision Division, and Head of the Monitoring, Evaluation and Research Division. He holds a Master’s degree in the ecology of infectious diseases from the University of Kinshasa, a Master’s degree in public health from the Institute of Tropical Medicine in Antwerp, and a joint PhD in public health from the Université Libre de Bruxelles and the University of Lubumbashi.

Photo Erick Mukala

Taofeekat Adigun is a systems thinker working at the intersection of international development, philanthropy and global health. Her work spans funding, partnerships and systems change, with a focus on how resources, institutions and policy decisions shape equity and access. She has contributed to health systems strengthening, public health emergency response, gender equity, and digital innovation projects across Africa and Europe. Taofeekat is also the Founder of Femme Circle, a cross-border network expanding global opportunities for young women of colour. She holds a dual Master’s degree in Public Health and International Development from the University of Sheffield, UK.

Taofeekat Adigun photo

Session 1 – Quality without borders: equity and justice in global care – La qualité sans frontières : équité et justice dans les soins à l’échelle mondiale (Sax room, French only)


11:00 am - 12:30 pm
- Résultats d’une étude qualitative visant à analyser la manière dont les populations défavorisées accèdent aux systèmes d’orientation et de réorientation (RCR) dans deux districts sanitaires du nord du Bénin, en Afrique de l’Ouest, par Armelle Vigan Guezodje, Centre de recherche en reproduction humaine et en démographie (CERRHUD), Bénin
- Réduire l’inégalité d’accès et assurer la continuité des soins en santé reproductive et néonatale rurale : la télémédecine comme levier – Expérience du District Sanitaire de Sokone, Sénégal par Woré Fall, Enabel, Sénégal
- Réduire la commercialisation des soins hospitaliers par une tarification forfaitaire subsidiée : Expérience d’Enabel à l’hôpital Bondeko à Kinshasa, RD Congo par Jean-François Busogoro, Enabel, RDC
- Strengthening Quality-of-Care Approaches in Resource-Constrained and Fragile Rural Health Systems in Niger by Nimer Ortuño-Gutiérrez, Enabel, Niger

Armelle Akouavi Vigan, née Guezodje, holds a PhD in Health Socio-Anthropology from the Centre for Research into Human Reproduction and Demography (CERRHUD) in Benin. Her research focuses on the interactions between communities and health systems, with a particular interest in the quality and accessibility of care. She has extensive experience in qualitative and operational research, programme evaluation, and learning from and capitalising on experiences. Her work contributes to knowledge development aimed at fostering health systems and policies that are more equitable and tailored to socio-cultural realities.

Armelle Vigan photo

Woré Fall is an E-Health expert at Enabel Senegal, where she contributes to the digital health strategy at the crossroads of national policies, interoperability architectures and operational roll-outs on the ground.
A computer science engineer with over 10 years’ experience – ranging from the development of medical software to the strategic governance of information systems, as well as institutional dialogue on digital health policies – she possesses expertise at the intersection of health information systems, telemedicine, interoperability and the improvement of healthcare processes. As part of the Health Intervention under the Senegal-Belgium Cooperation Portfolio, she contributes to initiatives aimed at improving access to and continuity of care in rural areas, as well as enhancing the transparency of the medicines supply chain under the EU-funded MAV+ programme. More broadly, her work focuses on the strategic use of technology to help create more accessible, integrated, resilient and equitable health systems.

Woré Fall photo

Jean-François Busogoro is a Public Health Doctor and an expert in Health Strategy and Leadership, with nearly twenty years’ experience in health systems strengthening, maternal and reproductive health, social protection in health, and health financing. He has held technical and managerial roles at Enabel, the WHO and international programmes in the DRC and Burundi, combining support for public policy, project management and support for health systems.
As an author and co-author of scientific and knowledge-sharing publications, he is particularly interested in the transformation of health systems, the use of evidence to inform decision-making, and the development of sustainable solutions tailored to African contexts.

Jean-François Busogoro

Dr. Nimer Ortuño-Gutiérrez is a public health expert and scientist with over 20 years of experience in primary health care and the control of tuberculosis, leprosy, leishmaniasis, and other Neglected Tropical Diseases. He holds a Master of Public Health from the Institute of Tropical Medicine, Antwerp, and a PhD in Disease Control and Geospatial Methods. He has served in Burundi and Guinea as a medical advisor to national disease control programmes and as Damien Foundation representative. From 2015 to 2025, he was Medical Advisor and Research Coordinator at Damien Foundation headquarters in Brussels. Since 2025, he has been working in Niger as a Public Health Expert with Enabel, supporting health system strengthening through the PASS-Sutura project.

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Session 2 - How do we care? Placing the patient at the centre (Europe room)


11:00 am - 12:30 pm
- Analyse des arrangements institutionnels d’une plateforme de veille citoyenne pour renforcer la redevabilité et la participation des usagers dans le cadre de la CSU : expérience pilote dans deux zones de santé de la Tshopo (RDC) par Aloys Zongo, Enabel, RDC
- Comment prenons-nous soin ? Placer le patient au centre” La participation citoyenne dans la gouvernance des systèmes de santé, à travers l’expérience de la PNUSS au Bénin par Nihad Agoligan, Centre de recherche en reproduction Humaine et en démographie (CERRHUD), Bénin
- Addressing the tension between market-driven pharmaceutical manufacturing and the fundamental right to health in a fragile context by Kashi Carasso, hera, Belgium
- Transformer les rapports de pouvoir pour des soins centrés sur le patient : rôle des prestataires dans le développement des mutuelles de santé au Bénin et en Guinée par Samuel Bosongo Itigaino, Centre de Connaissances en Santé en RDC, RDC

Aloys Zongo is a doctor specialising in public health and a health economist. He is the Project Manager for Health and Social Protection (SPSS) and the fight against sexual violence and impunity (LVSI), based in Kisangani (DRC). Dr Zongo has gained experience in strengthening health systems and health financing in several countries, including Burkina Faso, Niger, Guinea and the DRC.

Aloys Zongo photo

Nihad Jessica Eyitayo Agoligan Tometin is a Research Assistant at the Centre de Recherche en Reproduction Humaine et en Démographie (CERRHUD) in Benin, where she has worked since 2023 on health financing, gender mainstreaming, and access to care. Trained as an economist, she specializes in quantitative, qualitative, and realist evaluation methodologies applied to health systems research. She has pursued further training in health policy and governance, at the Institute of Tropical Medicine in Antwerp, where she is currently pursuing a Master in Public Health.

Nihad Agoligan Photo

Kashi Carasso is a Public Health expert with a pharmacy background and 25 years of experience strengthening pharmaceutical systems and improving access to quality medicines in fragile and conflict-affected settings. She has worked with NGOs and UN agencies, teaches in academia, and is an active member of QUAMED. For the past ten years she has been a partner at hera (www.hera.eu), where she currently serves as Chair of the Board. She recently conducted pharmaceutical market analyses in Afghanistan, Yemen, Syria, and Chad, examining the tension between private sector interests and public health priorities. In a different capacity, Kashi works as a trauma therapist with refugees and undocumented migrants in the Netherlands.

Kashi Carasso photo

Samuel Bosongo Itigaino is a Medical Doctor from the University of Kisangani (2008), holds a Master’s degree in Public Health (Health Systems Policy and Management) from the Institute of Tropical Medicine in Antwerp (2017), a Master’s degree in International Cooperation and Humanitarian Aid from the Kalu Institute (2020) and a PhD in Public Health Sciences from the Université Libre de Bruxelles (2025). He has 17 years’ experience within the health system of the DRC, having worked as a clinician, chief medical officer in health zones, and a technical officer with international NGOs. He is currently pursuing a career as a lecturer and researcher at the University of Kisangani and as a senior public health expert at the Health Knowledge Centre in the DRC. His work focuses primarily on governance and the strengthening of health systems, universal health coverage, the evaluation of health policies and programmes, and the relationships between service providers, communities and social protection organisations in the health sector.

Samuel Bosongo photo

12:30 – 1:20 pm
Lunch break (Atrium)

Programme Afternoon


1:20 – 2:20 pm
Wrap up & keynote (Europe room)

- Wrap-up morning sessions by Erick Mukala, RDC
- Opening of the afternoon sessions by Roméo Matsas, (National Association of Christian Mutualities)
- Introduction to the keynote by Jean Van Wetter (Enabel)
- The frontiers of health, drawn between risks and their inclusion on the political agenda, in the case of two water pollution issues, one in the North and one in the South by Julie Meunier (CIRAD, France)

Julie Meunier completed a Master’s degree at the Strasbourg Institute of Political Studies in partnership with the University of Medicine, entitled “Health and the Political Environment”. She was then recruited by CIRAD to work on the PREZODE initiative, which is an international initiative centered on the “One Health” approach. She is currently a PhD student at CIRAD (ASTRE unit) and at IRD (CEPED). Her thesis focuses on the ‘One Health’ approach and its inter-scale relationships, with a particular focus on its implementation in Senegal and the science-policy dialogue.

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Session 1 - Topic Mental health, title TBC (Europe room)


2:20 – 3:50 pm
- Integrating perinatal mental health into maternal and child health services in Ethiopia and Guinea: a complex systems analysis of policy and implementation by Anteneh Asefa, Institute of Tropical Medicine (ITM), Belgium
- “…then I wouldn’t be a burden to anyone”: living and coping with Mental Health and its determinants in Essex by Doofan Udendeh, University of Essex, UK
- Practice-based case study on delivering high-quality, specialised mental health care within communities in post-conflict settings, including care for people experiencing trauma, PTSD, and severe depression by Marieke Janssen, CCVS International, Uganda
- Friendship Bench as a community-based, evidence-driven model for expanding access to high-quality mental health care in low-resource settings by Esther Tumbare, Friendship Bench, Zimbabwe

Anteneh Asefa is a Health Systems researcher specialising mainly in maternal, sexual, reproductive, and child health. He holds a PhD in Global Health from the University of Melbourne, where his research explored health system barriers to respectful maternity care and potential strategies to address them. He is currently leading projects to design and test (digital) health innovations to integrate respectful maternity care and perinatal mental health into maternal health and PMTCT services. In recognition of his contributions to global health, Anteneh has been selected as a fellow of several distinguished programmes, including the Mandela Washington Fellowship for Young African Leaders, the Emerging Voices for Global Health, the Maternal Health Young Champions, the Policy Communication Fellows, and New Voices in Global Health.

Anteneh Asefa photo

Doofan Udendeh is a researcher with the NIHR-funded GEMMS Global Health Research Group at the Centre for Global Health and Intersectional Equity Research, University of Essex. Part of her work with GEMMS explores how insecure work and housing, limited social protection and gender inequalities affect experiences of violence and poor mental health among internal migrants in Cambodia. Through the UKRI Arts and Humanities Research Council-funded INNOVATE: Mobilising Community Assets to Tackle Health Inequalities project, she examines how social and structural inequalities accumulate across people’s lives to shape mental distress, access to support and experiences of navigating systems of care in Essex; she also contributes to CoastGEM research on inequalities across stroke care pathways. Before joining the University of Essex, she worked with the Planned Parenthood Federation of Nigeria to support more equitable access to sexual and reproductive health information and services. Across her work, she is interested in intersectional health equity and in ensuring that lived experience helps shape research, policy and practice.  

Doofan picture

Marieke Janssen is the Executive Director of CCVS Uganda. CCVS combines psychological counselling for individuals, families and groups with efforts to strengthen local support, reduce stigma and improve referral pathways. They are bringing accessible, high-quality mental health care close to where people live. In the past five years, CCVS has supported more than 3,000 children, youth and adults with professional mental health care, reached over 20,000 people through community outreach and sensitisation, and trained more than 500 stakeholders in Trauma Informed Care, Psychological First Aid, and Lay Counselling. Marieke has over 20 years of experience in social development and humanitarian work across East Africa, including previous roles with War Child Holland and Youth Challenge International, and holds an MSc in Public Health from the London School of Hygiene and Tropical Medicine.

Marieke Janssen picture

Esther Tumbare MBChB, Dip Psych, MPH is a Public Health physician and Chief Executive Officer of Friendship Bench Zimbabwe, a pioneering organization transforming access to mental health care through evidence-based, community-led solutions. She brings extensive experience in public health leadership and health systems strengthening across Africa, with a deep passion for improving health and mental health outcomes for underserved populations. As a thought leader in community-based mental health, she is committed to bridging evidence, policy and practice to advance equitable and sustainable mental health systems. She is a strong advocate for African-led innovation and for ensuring that solutions developed within communities are recognized and amplified on the global stage. At the heart of her work is a belief that everyone, regardless of where they live or their circumstances, should have access to quality mental health support.

Esther Tumbare picture

Session 2 - Topic SRHR, title TBC (Sax room, English only)


2:20 – 3:50 pm
- Healthcare beyond survival: Patient‑centred care, stigma, and power in burns survivorship in India by Pratishta Singh, The George Institute for Global Health, India
- Bridging the Last Mile: How Mama Rescue Transportation Initiative Addresses Delay 2 in Accessing Maternal Health Care in the Rwenzori Region, Uganda by Kensita Sharon, Enabel, Uganda
- Maternal healthcare inequalities experienced and reproduced within formal healthcare systems in southern Nigeria, by Josephine Aikpitanyi, Université Catholique de Louvain, Belgium

Pratishtha Singh is a public health researcher from India with over five years of research experience. She is currently a PhD candidate at the University of New South Wales, where her thesis examines gendered violence and safety in mobility among women and gender-diverse people, with a particular focus on India. She also works as a Research Associate at The George Institute for Global Health, where her work focuses on injury prevention. Her research interests lie at the intersection of gender, mobility, health, and structural inequities, with past work covering reproductive health, gender-based violence, and health systems research. She is an Emerging Voices for Global Health (2024) Fellow.

Pratishta Singh photo

Kensita Annet Sharon is a Social Protection and Financial Inclusion Specialist with over 20 years of experience in rural finance, social protection, and community health financing. She holds a Master's Degree in Development Studies, postgraduate diplomas in Microfinance and Project Planning and Management, and a Bachelor's Degree in Education. She has extensive experience in designing and implementing programs that enhance financial inclusion and social protection for vulnerable communities. ​

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Josephine Aikpitanyi is a public health economist and interdisciplinary maternal health researcher whose work examines healthcare utilisation, behavioural decision-making, and social inequalities in health in low-resource settings. Her research integrates health economics, behavioural science, and qualitative methods to understand the factors that shape women’s healthcare choices and experiences. Her current work focuses on maternal healthcare decision-making in sub-Saharan Africa, including the roles of psychological dispositions, spiritual and culturally embedded beliefs, and patient-centred care. She also conducts research in economic evaluation and health policy, with interests in improving the efficiency and equity of healthcare systems. She holds a PhD in Public Health, obtained from the Université catholique de Louvain, Belgium.

Josephine Aikpitanyi

Interactive session: From local action to Global Impact: Holistic community-driven approaches to Non-Communicable Diseases (Europe room)


3:50 - 4:50 pm
- Paradigm shift from centralised, top-down health strategies to participatory, community-driven models to enhance adolescent health resilience in rural West Bengal by Ketaki Das, West Bengal Voluntary Health Association, India
- From local action to Global Impact: Holistic community-driven approaches to Non-Communicable Diseases by Karel Gyselinck, Enabel, Belgium
- (Breast) cancer care pathways in Benin from the perspective of users, Nadja De Groote, Enabel, Benin

Ketaki Das serves as the Public Health Research Officer at the West Bengal Voluntary Health Association (WBVHA), with over two decades of experience in health system strengthening and community-driven development. An anthropologist by training, her work centres on the intersection of research design, project implementation, and translation into policy. Dr. Das has led a diverse array of evaluative initiatives, including rigorous social impact and community needs assessments across regional health landscapes. Her insights consistently bridge the gap between grassroots realities and high-level policy advocacy, advancing frameworks for sustainable health equity. Her academic contributions to contemporary public health practice are extensively published in books, sector-specific reports, and peer-reviewed journals.

Ketaki Das picture

Karel Gyselinck is a medical doctor with a master in public health at ITM Antwerp and an experience of 34 years. After working as a general practitioner in Belgium for 2 years, he worked five years in Zambia as hospital practitioner in a rural district hospital and as District Health Director. Thereafter for 12 years he was the medical director of the international NGO Memisa Belgium. Since 2006 he is working as a public health expert at the Belgian Development Agency Enabel. Currently he’s the coordinator of the health & social protection unit at Enabel. From 2010 to 2018 Karel was the chair of Be-cause health. Between 2017 and 2024 he was the president of FESTMIH, the European Federation of Societies of Tropical Medicine and International Health. From 2019 onwards he is a member of the Technical Review Panel of the Global Fund.

Karel photo

Nadja De Groote is a public health expert with over 20 years of experience, including fieldwork with Médecins Sans Frontières and strategic roles with Enabel in Benin. Her work focuses on social protection, patient rights, community engagement, and equitable access to healthcare. She supports locally led initiatives and action research, particularly in non-communicable diseases and care for vulnerable populations.

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4:50 - 5 pm
Closing speech by Mr. Maxime Prévot, Belgian Deputy Prime Minister and Minister of Foreign Affairs, European Affairs and Development Cooperation

5 - 6 pm
Closing drink
- Farewell remarks and invitation to the reception by Valérie Van Belle, chair of the Be-cause health Steering Committee (National Association of Christian Mutualities)

Maxime Prévot began his professional journey as a public sector consultant for PwC and IBM, contributing to policy evaluations for both the European Commission and Belgian governments. He entered politics in 2004 and quickly rose within the centrist party cdH (now Les Engagés), becoming its Political Director at just 26.

Over the years, Prévot has held elected office at every level of government – local, regional, and federal – including serving as Mayor of Namur and Deputy President of the Walloon Government. In 2019, he assumed leadership of cdH and spearheaded its transformation into Les Engagés, a modern, civic-oriented political movement.

Under his leadership, the party staged a remarkable comeback in the 2024 elections, significantly increasing its parliamentary representation and joining both the Walloon and Wallonia-Brussels Federation governments. This resurgence positioned Prévot as one of Belgium’s most influential and widely recognized political figures.

Following the elections, King Philippe appointed him Royal Mediator to facilitate federal coalition negotiations. In February 2025, Prévot was named Belgium’s Deputy Prime Minister and Minister of Foreign Affairs, European Affairs, and International Cooperation.

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