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The Hope of Prevention Training in South Asia

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Title: The Hope of Prevention Training in South Asia


1
The Hope of Prevention Training in South Asia
  • Dodani Sunita1, Chandrakant Pandav2, Sisira
    Siribaddana3, Ronald E LaPorte 4 Paras
    Pokharel5
  • (1Pakistan, 2 India, 3 SriLanka, 4 USA, 5 Népal)
  • South Asian Health Preventionists Association
    (SAHPA)
  • www.pitt.edu/super1

2
Prevention Training in South Asia
  • Learning Objectives
  • Current Health Problems in South Asia
  • Overview of health training in South Asian
    Countries
  • Power of prevention and health Prevention
    training programs
  • Use of supercourse global health network for
    building prevention training programs in south
    Asia

3
Prevention Training in South Asia
  • The BMJ issue on Health in South Asia addressed
    the current health problems.
  • In almost all South Asian countries (India,
    SriLanka, Bangladesh, Pakistan, Nepal etc) double
    burden of diseases is increasing
  • Some of the solutions and hopes for improvement
    were mentioned
  • This double burden is difficult for South Asian
    countries who have little health means
  • A basic resource for health improvement was not
    mentioned and that public health and prevention

4
Prevention Training in South Asia
  • The power of prevention world wide resulted in a
    25 year increase in life expectancy. (WHO,2000)
  • Almost all of this is due to prevention
  • SriLanka is a best example as a developing
    country
  • Health system in SriLanka
  • Sri Lanka achievements in public health with
    relatively low levels of public expenditure are
    impressive
  • The gains in Sri Lanka are apparent with a
  • 99 vaccination
  • Pakistan, and India has achieved 50 of
  • children vaccination against measles

5
Prevention Training in South Asia
  • Health system in SriLanka
  • The health improvements are achieved
    inexpensively with public health, prevention, an
    emphasis on education in particularly womens
    education.
  • Government commitment played a major role of
    linking health care and prevention.
  • THIS IS ALL BECAUSE OF PREVENTION

6
Prevention Training in South Asia
  • Health training in South Asian Countries
  • In South Asia, very few are trained as
    Preventionists
  • There are approximately 200 medical schools In
    South Asia, more than 5,000 students graduate
    every year
  • There are only 23 public heath programs providing
    some training but no Schools of Public Health in
    whole of South Asia

7
Prevention Training in South Asia
  • There are 10-20 times more people trained in
    clinical medicine than those trained in
    preventive medicine
  • Training in public health has been neglected
  • Public health protects the health of populations,
    with a key emphasis on preventing disease
  • Medicine focuses on treating patients who are
    already ill.
  • Little cross-fertilization
  • In South Asia and other developing countries,
    first step should be to train medical students
    in the area of public health

8
Prevention Training in South Asia
  • Public health is considered a second-rated
    profession
  • Very little emphasis is on research training in
    prevention
  • This has resulted sparse baseline data on much
    of the diseases in South Asia
  • Public health training in medical students can be
    improved with better health prevention lectures

9
Prevention Training in South Asia
  • Supercourse (www.pitt.edu/super1)
  • Established by Dr Ronald E LaPorte in 1996 and
    currently funded by National Library of Medicine
  • The mission is to connect world class scientists
    by sharing their best lectures and provide better
    material for teaching
  • There are 15,000 members worldwide, 40 are from
    developing countries and more than 800 are from
    South Asia
  • This is the library of more than 1,800 lectures
    from world renown scientists

10
Prevention Training in South Asia
  • Schools of Public Health in South Asia
  • South Asian preventionists have contributed more
    than 150 lectures
  • We can reach a large segment of population to
    enrich curricula in the medical schools by using
    Supercourse lectures
  • The cost to accomplish this would be minimal as
    the content is readily available on the
    supercourse for free
  • No cost to access lectures as majority of medical
    schools are connected to the internet

11
Prevention Training in South Asia
  • This will not only provide free teaching
    material, but also a global expertise of
    thousands would be willing to help
  • A model of a school of public health in Pakistan
    has already been developed which can be used as a
    template www.pitt.edu/super1/lecture/lec11921/ind
    ex.htm
  • Telepreventive medicine could link medical
    schools in South Asia, with improved prevention
    lectures and networking of those engaged
    prevention.

12
Prevention Training in South Asia
  • Accredited Schools of Public Health
  • Brick and Mortar schools of public health (like
    John Hopkins Harvard) are needed to build the
    upper level infrastructure for prevention and
    health.
  • World-class schools of public health can be
    built for a fraction of the cost of a hospital, a
    medical school or a public health school in the
    US.
  • Schools should be accredited to world class
    standards.
  • These schools will compete with world-class
    programs because of unique populations and type
    of diseases.
  • Schools would be the training grounds for
    Ministers of Health and leaders of public health
    nationally and internationally.

13
Prevention Training in South Asia
  • Accredited Schools of Public Health
  • Proper training in public health can
    inexpensively reduce the morbidity and mortality
    of diseases in South Asia.
  • It will also provide nations the best means for
    prevention.
  • This will rapidly improve training of all medical
    students in public health virtually for free.
  • The optimal approach to health in South Asia will
    be to train as many individuals in preventive
    medicine as those in clinical medicine.
  • The costs would be small, but the impact on
    health, immense
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