medical education for health development fortunato l. cristobal, md, mph, mphed, fpps, fspganh dean,...

MEDICAL EDUCATIONFOR HEALTH DEVELOPMENT

Fortunato L. Cristobal, MD, MPH, MPHed, FPPS, FSPGANH

DEAN, School of MedicineAteneo de Zamboanga UniversityZamboanga City, PHILIPPINES

With Social AccountabilityWith Social Accountability

SETTING

DISCIPLINEBASED

38MEDICAL SCHOOLS

ZAMBOANGAZAMBOANGABiological OrientedIndividual Health Care Focused

Biological OrientedIndividual Health Care Focused

4,000 MD – taking Nursing4,000 MD – taking Nursing

Galvez, 2004

Medical DiasporaCareer Shift

Medical DiasporaCareer Shift

3,500 MD left for USA as Nurses

3,500 MD left for USA as Nurses

MD - NurseMD - Nurse

REDESIGNING OF THE DOCTORS

REDESIGNING OF THE DOCTORS

MOST UNDERSERVED AREAS

200340 Top Poorest Municipalities

28 - Mindanao14 - Zamb. Peninsula

Siay- ZDN – Phil Poorest

200610 Poorest Provinces

7 – In Mindanao1st – Tawi-Tawi2nd- ZDN

2007Hunger Incidence - Region

2nd ARMM3rd Zamb. Peninsula

8

ZAMBOANGAMEDICALSCHOOLFOUNDATION

19941994ADZU-SOM 2004ADZU-SOM 2004

COMMUNITY IMMERSION

4th Year

1st Year

2nd Year

3rd Year

SameCommunity

House to House surveys

House to House surveys

Baseline Data

NEEDSASSESSMENTS

COMPREHENSIVEHEALTH PLAN

COMMUNITYLEADERSHIP

Student Transforming CommunitiesStudent Transforming Communities

17 YEARS

RESOURCE CONSTRAINTS

OPPOSITION

Solar Disinfection (SODIS)

Strategies Time Frame

Outcome Indicator

MothersCooking Contest

“Vegetable Queen”

Oct. 2010Affordable menuNutritious menuReduce Malnutrition

“Kitchen Queen”

80% attendance

Strategies Time Frame Outcome

“Play Time” under 5 children on nutritious foods

August 2011 80% attendance of children

75% identified healthy foods

Strategies Time Frame Outcome Indicator

“Communal Garden Contest”

August 2011 Communal Garden

EstablishedShared

INFANT WEIGHT MONITORING

NORMAL UNDERWEIGHT

2009

2010

2011

379

498

472

70%

88%

93% 40

66

159 30%

12%

7%

N= 538 N (%) N (%)

Infant Mortality Rate(Infant deaths per 1000 live births)

Infant Mortality Rate(Infant deaths per 1000 live births)

Area 1995 2003 2008

Zamboanga Del Norte

Zamboanga Del Sur

Zamboanga Sibugay

Region 9

National Capital Region

83.10

55.99

55.99

55.55

46.93

9.21

9.55

7.59

14.58

26.81

3.7

3.98

8.23

24

8.2

Infant Mortality Rate

1995: 50 -802003: 5-172008: 3-8

Admission Graduate Took-Board P-Board

1

2

3

4

5

6

7

8

170 165 146

9

26

13

16

6

11

11

18

25

19

19

26

12

15

3

10

11

18

24

18

19

22

12

13

3

9

11

16

23

18

19

27

22

26

7

16

17

35

36

2010

Performance Rate : 90.90% Performance Rate : 90.90%

95.4%Philippines 95.4%Philippines

90 % Region 9

90 % Region 9

50 % Rural DoctorlessAreas

50 % Rural DoctorlessAreas

4.6%4.6% Abroad Abroad

Served 6-8 yrsbefore they leftServed 6-8 yrsbefore they left