1. MEDICAL EDUCATION FOR HEALTH DEVELOPMENT Fortunato L. Cristobal, MD, MPH, MPHed, FPPS, FSPGANH DEAN, School of Medicine Ateneo de Zamboanga University Zamboanga City, PHILIPPINES With Social Accountability

2. SETTING

3. DISCIPLINEBASED38MEDICALSCHOOLS ZAMBOANGA Biological Oriented Individual Health Care Focused Biological Oriented Individual Health Care Focused

4. 4,000 MD – taking Nursing Galvez, 2004 Medical Diaspora Career Shift Medical Diaspora Career Shift 3,500 MD left for USA as Nurses 3,500 MD left for USA as Nurses MD - Nurse

5. REDESIGNING OF THE DOCTORS REDESIGNING OF THE DOCTORS

6. MOSTUNDERSERVEDAREAS 2003 40 Top Poorest Municipalities 28 - Mindanao 14 - Zamb. Peninsula Siay- ZDN – Phil Poorest 2006 10 Poorest Provinces 7 – In Mindanao 1 st – Tawi-Tawi 2 nd- ZDN 2007 Hunger Incidence - Region 2 nd ARMM 3 rd Zamb. Peninsula

7. 8

9. ZAMBOANGAMEDICALSCHOOLFOUNDATION 1994 ADZU-SOM 2004 ADZU-SOM 2004

10. COMMUNITY IMMERSION 4 th Year 1 st Year 2 nd Year 3 rd Year Same Community

11. House to House surveys

12. Baseline Data Data NEEDSASSESSMENTS COMPREHENSIVE HEALTH PLAN COMMUNITYLEADERSHIP

13. Student Transforming Communities Student Transforming Communities

14. 17YEARS RESOURCE CONSTRAINTS OPPOSITION

17. Solar Disinfection (SODIS)

18. StrategiesTime Frame Outcome Indicator Mothers Cooking Contest Vegetable Queen Oct. 2010 Affordable menu Nutritious menu Reduce Malnutrition Kitchen Queen 80% attendance

19. StrategiesTime Frame Outcome Play Time under 5 children on nutritious foods August 2011 80% attendance of children 75% identified healthy foods

20. StrategiesTime Frame Outcome Indicator Communal Garden Contest August 2011 Communal Garden Established Shared

21. INFANT WEIGHT MONITORING NORMAL UNDERWEIGHT 2009 2010 2011 379 498 472 70% 88% 93% 40 66 159 30% 12% 7% N= 538 N (%) N

22. 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 55.55 46.93 9.21 9.55 7.59 14.58 26.81 3.7 3.98 8.23 24 8.2

23. Infant Mortality Rate

25. Admission Graduate Took-Board P-Board 1 2 3 4 5 6 7 8 170 165 146 9 26 13 16 6 11 18 25 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 20 10 Performance Rate : 90.90%

26. 95.4% Philippines 95.4% Philippines

27. 90 % Region 9

28. 50 % Rural Doctorless Areas

29. 4.6% Abroad Served 6-8 yrs before they left Served 6-8 yrs before they left