Global Physicians Corps: Ethiopia

1. Global Physicians Corps: Ethiopia Ashley Edwards Annie Lovell Courtenay Stewart KiraBendixen

2. Ethiopia and The GPC The Global Physicians Corps was started by Touro medical students Our duty at GPC members: • Pre-trip fundraising for ongoing community outreach projects   • Carrying out outreach projects during the summer • In Ethiopia: Latrine Project, Health Educator training, Health Resource Center Partnership to address all factors attributing to global health issues: • Sustainable solutions

3. Jimma, Ethiopia : The Big Picture • What and When • Week One: Arrive in Addis and travel to Jimma • Visit Addis • Get settled in hotel at Jimma • Initial Meetings with Preceptors and Tamiru (Asendabo) • Weeks 2-4:  • Mon-Fri (8-5): Rotations at Jimma University Hospital  • Sat/Sun: Outreach projects in Asendabo (1 hr drive)

4. Internal Medicine Inpatient ♂ & ♀ Wards Emergency Department Critical Care  Diabetes Clinic Cardiac Clinic Neurology Clinic  HIV Clinic Obstetrics and Gynecology Inpatient Ward Labor Ward Maternity Ward Outpatient Jimma University and Hospital~Four Clinical Rotations~ •  Pediatrics  • Nutrition Ward • Critical Care • Inpatient  • Outpatient • Spirometry & • Respiratory Clinic  • Surgery • Inpatient ♂ & ♀ Wards • Minor Surgery • Major Surgery • Obstetrics  • Orthopedics • Outpatient 

5.              Typical Daily Schedule 8:00-9:30 am:             Morning Meeting or lecture 9:30-10:00 am:            Coffee Break 10:00-12:00 pm:         Morning rounds, bedside or specialty clinics 12:00-1:30 pm:    Lunch 2:00-5:00 pm:           ED, Outpatient clinics, Labor ward, more rounds.... Overtime:              On nights when your preceptor is staying late(Optional)

6. Jimma Hospital Where we worked...                 Where We Worked...

7. Our Ethiopian friends and colleagues...

8. Asendabo: Introduction • Population: •   ~80,000 • Located about an hour drive from Jimma also in the region of Oromia • About 60% Christian and 30% Muslim • Long-term relationship with Touro of ___ years

9. Asendabo: Past GPC Projects

10. Our work: Health Education • Tamiru • New Model: Training community health workers • More sustainable than educating community members • Co-ed setting • “Where There is No Doctor” Hesperian Foundation

11. Our work: Health Education Topics: Nutrition Family Planning HIV/AIDS Sanitation & Hygiene Anonymous question box Final Survey, data analysis and BIOMEA abstract.

12. Asendabo Community Health Resource Center • Overall Goals: • Shift the emphasis from disease to health • Create a safe space in the Asendabo community focused on health education and promotion

13. Outdoor Classroom Indoor Classroom Kitchen Covered Walkway Consultation Room 3 Bed 1 Bed 2 Consultation Room 2 Bed 3 Consultation Room 1 Bed 4 Waiting area

14. Our ongoing work: Asendabo Health Resource Center

15. Completed - Resource center blueprints - Three-year construction plan and budget Future Plans - Create a space for health educators to work: workshops and demonstrations - Exam rooms for screening examinations - Community garden - Library focusing on health and nutrition information Our ongoing work: Asendabo Health Resource Center

18. Thank you!

19. Integration of pharmacy knowledge in Public health field study No knowledge is insignificant in any aspect of life…… By: Tolulope Alabi

20. Introduction *Jimma University, Ethiopia graduated the first set of clinician pharmacists in Ethiopia in June 2011. *Previously, graduated pharmacist are mostly awarded bachelors of pharmacy with few of them finding jobs at the retail pharmacy.

21. Introduction Contd. *The populace perception of a pharmacy is completely different from the U.S. -Pharmacies are seen as a grocery store. -No counseling on prescription drugs or OTC in existence.

22. Current problems in pharmacy and other the health fields at Jimma University *Inaccessibility to health resources -Despite internet accessibility at the campus, limited resources are available for physicians and other healthcare professionals to explore and support patient therapy with current evidence based medicine. Pharmacy service & Drug information Centers

23. Summer Field Study * Title: - A cross sectional study on the impact of education on self-medication practices in Jimma city, Ethiopia * Hypothesis: - This study hypothesizes that having a higher level of education is associated with lower levels of self-medication. * Objectives: - To compare self medication practices between the Jimma University College of public health/medical sciences faculty members and students, and people who cannot read or write in Jimma. * Method of study: - prospective cross-sectional study - Questionnaire strategy used for data collection

24. Summer field study Contd * Study participants: 382 * Expected Outcome: -The outcome of this study could provide information about the current rate of self medication practices in Jimma town, and possibly recommend training programs on rational use of medications and strengthening of the existing policies on drug dispensing among pharmacies/ drug outlets.

25. Summer Internship Activities * Participated in thesis presentations of graduating masters students of the clinical pharmacy. * Assignment to medical wards to shadow the physicians and medical interns Thesis presentation of my preceptor Nezif Hussien (My preceptor)

26. Summer Internship Activities * Participated in some early morning patients’ case presentations by physicians and medical interns. * Observed physicians’ recommended therapy for patients’ diagnosed disease state. * Assess non-pharmacological treatment recommended for each patient and compliance. During rounds with physicians at the Internal Medicine ward

27. Summer Internship Activities Antiretroviral Clinic Asendabo clinic

28. Random pictures of Jimma University Library Student lounge/ Bank Academic Staff Lounge Students’ dorm Maternity clinic

29. Random pictures of Ethiopia Coffee pot symbol Touro DO students at Jimma University Jimma University Meeting with the data collectors Touro Students during dinner Ethiopia local dish

30. Random pictures of Ethiopia

31. Conclusion * Pharmacists have major role to play in the health care of patients. * The teachings of the public health program has significant impact in developing skills that are beneficial in other areas of health care.

32. DebreMarkos, Ethiopia

33. The Town

34. The Hospital

35. Research

36. Shadowing

38. My Extra Fun Questions?Pamela.Schwendy@tu.edu