ghf presentation
TRANSCRIPT
Involvement of the health sciences students in the Community Health Development through Community
Based Learning
Dr. Biraj KarmacharyaDhulikhel Hospital Kathmandu University Teaching Hospital,
Nepal
Nepal
NepalGeneral statistics..
Average life expectancy: 63.7
Crude birth rate: 29.2/1000
Crude death rate: 8.5/1000
Total fertility rate: 3.1/woman
Infant mortality rate: 48/1000
Under 5 mortality rate: 61/1000
Births attended by skilled health staff: 18.7%
Population: per doctor: 18439; per hospital bed: 2349
Health Sciences education in Nepal
– In 1990: 1 medical college (Capacity of producing 40 doctors/year) for almost previous 15 years.
– In 2008: About 14 medical colleges (Capacity of producing about 1400 doctors/ year)
– Still more in pipeline..
– Similar growth in other allied health sciences field..
After the restoration of democracy in 1990 and liberal policies in the field of education and health sector, tremendous boom in the health sciences education in Nepal.
• Less addressed issues:– Dichotomy between
government health system and the private sector initiatives
– Poor integration of the health sciences institutions with the national health system
Health Sciences education in Nepal
Community Based Learning
• Principles– The setting in which the
students of health sciences get education does not always reflect the situation of the country in a broader sense.
– The need is to develop not just medicos but also leaders in their concerned fields.
– Real life exposure is essential
– Holistic approach to health
Institutional Objective of the medical program of KUSMS
Technically competent and socially responsible physicians to meet the existing emerging health needs
Community Based Learning
• Activities– Stay with the community– First understand the problems– Discuss on the problems– Plan interventions– Arrange for continuity of the
activities by the community– Different activities as per
different disciplines
Community Based Learning
• Experience so far….
– The extent of CBL is different in different institutions
– Dhulikhel Hospital Kathmandu University Teaching Hospital is a community based organization.
– Network of its own different community based outreaches in rural areas
– Platform for CBL activities for a holistic care
Community Based Learning
• Benefits– Change in perspective
– Unexpected situation/ challenges
– Real-life exposure to the different health related issues
– Sense of satisfaction because of reaching to the people who would have otherwise remained away from the services
– Less cost incurred for a greater volume of activities
– Encouragement for newer things
– Newer insights
Community Based Learning• Limitations
– Rather difficult in adjusting to new places and with new people.
– Worse attitude towards the challenges (Discouraging effects)
NOT ALWAYS !!
Community Based Learning
• Opportunities– Every community acts
differently– Activities can be
different– More systematic and
scientific approach necessary
– Involvement of foreign students
Community Based Learning
• Challenges
– Trend of technology driven health sciences education
– More financial drive/ glamour
– Brain-drain
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