Transcript Ethiopia 2011-2012

Global Physicians
Corps: Ethiopia
Ashley Edwards
Annie Lovell
Courtenay Stewart
Kira Bendixen
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
Jimma, Ethiopia : The Big Picture
What and When
• Week One: Arrive in Addis and travel to Jimma
o Visit Addis
o Get settled in hotel at Jimma
o Initial Meetings with Preceptors and Tamiru
(Asendabo)
• Weeks 2-4:
o Mon-Fri (8-5): Rotations at Jimma University
Hospital
o Sat/Sun: Outreach projects in Asendabo (1 hr
drive)
Jimma University and Hospital
~Four Clinical Rotations~
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
Pediatrics
• Nutrition Ward
• Critical Care
• Inpatient
• Outpatient
• Spirometry &
Respiratory Clinic
Surgery
• Inpatient ♂ & ♀ Wards
• Minor Surgery
• Major Surgery
• Obstetrics
• Orthopedics
• Outpatient
Typical Daily Schedule
8:00-9:30 am:
Morning Meeting or lecture
9:30-10:00 am:
Coffee Break
10:00-12:00 pm:
12:00-1:30 pm:
2:00-5:00 pm:
Overtime:
Morning rounds, bedside or
specialty clinics
Lunch
ED, Outpatient clinics, Labor
ward, more rounds....
On nights when your preceptor
is staying late(Optional)
Jimma Hospital
Where we
worked...
Where We Worked...
Our Ethiopian
friends and
colleagues...
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
Asendabo: Past GPC Projects
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
Our work: Health Education
• Topics:
•
•
•
•
Nutrition
Family Planning
HIV/AIDS
Sanitation & Hygiene
• Anonymous question box
• Final Survey, data analysis and BIOMEA abstract.
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
Outdoor
Classroom
Covered Walkway
Indoor
Classroom
Kitchen
Consultation
Room 3
Bed 3
Bed 1
Consultation
Room 2
Bed 2
Bed 4
Consultation
Room 1
Waiting area
Our ongoing work: Asendabo Health Resource Center
Our ongoing work: Asendabo Health Resource Center
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
Thank you!
Integration of pharmacy knowledge
in Public health field study
No knowledge is insignificant in any aspect of life……
By: Tolulope
Alabi
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.
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.
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
Summer Field Study
* Title:
- A cross sectional study on the impact of education on selfmedication 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
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.
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)
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
Summer Internship Activities
Antiretroviral
Clinic
Asendabo
clinic
Random pictures of Jimma University
Librar
y
Academic Staff Lounge
Student lounge/
Bank
Students’
dorm
Maternity
clinic
Random pictures of
Ethiopia
Coffee pot
symbol
Touro Students during
dinner
Jimma
University
Touro DO students at
Jimma University
Ethiopia local dish
Meeting with the
data collectors
Random pictures of Ethiopia
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.
Debre Markos, Ethiopia
The
Town
The Hospital
Research
Shadowing
My Extra Fun
Questions?
[email protected]