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