Jehu E Iputo Walter Sisulu University Presentation title Jehu E Iputo Walter Sisulu University

Overview of CBE at Walter Sisulu University To provide an education that is responsive to the needs of the community. Integration of community service into the learning programme Emphasis on primary health care, and sustainable rural development in partnership with communities and service providers

WSU Community Rural Community of the Eastern Cape

Community Engagement The community and the health system was involved in developing and achieving consensus on the mandate of the medical school The mandate guides all school activities, including strategic planning The school operates in partnership with all relevant stake holders across all sectors with special emphasis on the primary health needs and the social needs of our community.

Our competencies are well defined and there is consensus among stake holders on desired outcomes We have regular reviews and revision of our shared goals

Level of community engagement On this slide, comment or circle the box that best describes the level of community engagement that best describes your CBE

Sustainability of Community Engagement We developed a framework to address power imbalances leading to shared power We strive to have consensus amongst all stakeholders with regards to goals, progress and values Good communication strategies Transparency in costs and benefits Regular review – i.e ‘engage and reengage’ to disengage when done

Challenges Active process – needs continuous nurturing Expensive – source of tension between the education priorities and service priorities

Question for Thought How feasible is it to embed health professions training within the health systems in sub-Saharan Africa

Contact Info Jehu E Iputo School of Medicine Walter Sisulu University P Bag X1 Mthatha 5117 South Africa jeiputo@wsu.ac.za