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MEDICAL EDUCATION FOR HEALTH DEVELOPMENT. With Social Accountability. Fortunato L. Cristobal, MD, MPH, MPHed, FPPS, FSPGANH DEAN, School of Medicine Ateneo de Zamboanga University Zamboanga City, PHILIPPINES. SETTING. 38 MEDICAL SCHOOLS. DISCIPLINE BASED. Biological Oriented
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MEDICAL EDUCATION FOR HEALTH DEVELOPMENT With Social Accountability Fortunato L. Cristobal,MD, MPH, MPHed, FPPS, FSPGANH DEAN, School of Medicine Ateneo de Zamboanga University Zamboanga City, PHILIPPINES
38 MEDICAL SCHOOLS DISCIPLINE BASED Biological Oriented Individual Health Care Focused ZAMBOANGA
Medical Diaspora Career Shift 3,500 MD left for USA as Nurses MD - Nurse Galvez, 2004 4,000 MD – taking Nursing
REDESIGNING OF THE DOCTORS
2003 40 Top Poorest Municipalities 28 - Mindanao 14 - Zamb. Peninsula Siay- ZDN – Phil Poorest 2006 10 Poorest Provinces 7 – In Mindanao 1st – Tawi-Tawi 2nd- ZDN 2007 MOST UNDERSERVED AREAS Hunger Incidence - Region 2nd ARMM 3rd Zamb. Peninsula
ZAMBOANGA MEDICAL SCHOOL FOUNDATION 1994 ADZU-SOM 2004
Same Community COMMUNITY IMMERSION 4th Year 3rd Year 2nd Year 1st Year
NEEDS ASSESSMENTS Baseline Data COMPREHENSIVE HEALTH PLAN COMMUNITY LEADERSHIP
Student Transforming Communities
17 YEARS RESOURCE CONSTRAINTS OPPOSITION
Solar Disinfection (SODIS)
Affordable menu Nutritious menu Reduce Malnutrition Mothers Cooking Contest Oct. 2010 80% attendance “Vegetable Queen” “Kitchen Queen”
“Play Time” under 5 children on nutritious foods August 2011 80% attendance of children 75% identified healthy foods
“Communal Garden Contest” Communal Garden Established Shared August 2011
INFANT WEIGHT MONITORING NORMAL N= 538 UNDERWEIGHT (%) (%) N N 159 2009 30% 379 70% 88% 66 2010 472 12% 498 93% 2011 7% 40
Infant Mortality Rate (Infant deaths per 1000 live births) 1995 2003 2008 Area 9.21 3.7 Zamboanga Del Norte 83.10 Zamboanga Del Sur 3.98 55.99 9.55 Zamboanga Sibugay 8.23 55.99 7.59 8.2 55.55 14.58 Region 9 26.81 24 46.93 National Capital Region
Infant Mortality Rate 1995: 50 -80 2003: 5-17 2008: 3-8
Admission Graduate Took-Board P-Board 27 26 26 22 13 12 12 22 16 15 13 26 6 3 3 7 11 10 9 16 11 11 11 17 18 18 16 35 25 24 23 36 19 18 18 20 19 19 19 1 2 3 5th Placer Performance Rate : 90.90% 4 5 6 9th Placer 7 8 9 10 170 165 146
95.4% Philippines
4.6% Abroad Served 6-8 yrs before they left