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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
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SETTING
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DISCIPLINEBASED
38MEDICAL SCHOOLS
ZAMBOANGAZAMBOANGABiological OrientedIndividual Health Care Focused
Biological OrientedIndividual Health Care Focused
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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
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REDESIGNING OF THE DOCTORS
REDESIGNING OF THE DOCTORS
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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
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8
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ZAMBOANGAMEDICALSCHOOLFOUNDATION
19941994ADZU-SOM 2004ADZU-SOM 2004
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COMMUNITY IMMERSION
4th Year
1st Year
2nd Year
3rd Year
SameCommunity
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House to House surveys
House to House surveys
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Baseline Data
NEEDSASSESSMENTS
COMPREHENSIVEHEALTH PLAN
COMMUNITYLEADERSHIP
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Student Transforming CommunitiesStudent Transforming Communities
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17 YEARS
RESOURCE CONSTRAINTS
OPPOSITION
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Solar Disinfection (SODIS)
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Strategies Time Frame
Outcome Indicator
MothersCooking Contest
“Vegetable Queen”
Oct. 2010Affordable menuNutritious menuReduce Malnutrition
“Kitchen Queen”
80% attendance
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Strategies Time Frame Outcome
“Play Time” under 5 children on nutritious foods
August 2011 80% attendance of children
75% identified healthy foods
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Strategies Time Frame Outcome Indicator
“Communal Garden Contest”
August 2011 Communal Garden
EstablishedShared
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INFANT WEIGHT MONITORING
NORMAL UNDERWEIGHT
2009
2010
2011
379
498
472
70%
88%
93% 40
66
159 30%
12%
7%
N= 538 N (%) N (%)
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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
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Infant Mortality Rate
1995: 50 -802003: 5-172008: 3-8
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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%
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95.4%Philippines 95.4%Philippines
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90 % Region 9
90 % Region 9
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50 % Rural DoctorlessAreas
50 % Rural DoctorlessAreas
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4.6%4.6% Abroad Abroad
Served 6-8 yrsbefore they leftServed 6-8 yrsbefore they left