Agenda

1
Agenda
Bandeira Cientifica Project The experience of
education for public health system
Luiz Fernando Ferraz da Silva, MD University of
Sao Paulo School of Medicine Sao Paulo
Brazil burns_at_usp.br
2
Aspects from Brazil

• Large
• gt 180.000.000 inhabitants
• gt 8.000 km²
• Heterogeneous

3
Brazilian Health Care

• Universal Health System
• Primary Health Care (PHC) Cities
• Family Health Program
• Secondary Health Care / Hospitals States /
  Federal Government
• Challenges
• Prepare the students for this reallity
• Fixation of Professionals

4
The University of São Paulo

• Largest higher education and research institution
  of Brazil
• 56.000 students
• 8 campi
• 40 institutes, colleges and schools
• 229 graduation courses

5
Highlights of Bandeira Científica?

• Project developed as partnership between
  universities and cities administration
• Expeditions to poor Brazilian cities to promote
  health and infrastructure improvements.
• A multidisciplinary project developed by students
  and professionals of different schools of the
  University of São Paulo (USP).
• Led by the Faculty of Medicine.

6
Objectives

• Health care and health promotion
• Generate information and technical reports to
  support cities administration in projects
  implemention
• Integrate the undergraduation students in the
  reallity of poor regions in Brazil and make them
  counscious of the country heterogeneity

7
The projects history

• 1st. phase (1957-1969)
• 2nd phase (since 1998)

1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
Faculties

• Medicine
• Physiotherapy
• Nutrition
• Dentistry
• Psychology

• Occupational Therapy
• Civil and Environmental Engineering
• Agronomic Engineering
• Environmental Management
• Journalism

Activities

• Reactivation
• Lectures
• Medical attendance
• Partnership with
• local universities

• Home Care
• Telemedicine
• Infrastructure
• Development of rural techniques
• Production of a documentary

8
The projects history
São Paulo
9
Methods Organization steps

• Planning
• Organizing committee students
• City selection
• Low HDI
• Deficiencies in the public health assistance
• The city administrations co-operation
• Preparatory visits
• Local contacts
• Data collection
• Partnerships establishment
• City administration
• Local universities
• Local institutions
• Sponsors
• Participants selection
• Preparatory activities

10
Methods Expedition

• Expedition
• December (School holiday)
• 10 days
• Health attendance
• Supervised students
• Educational activities for
• Students
• Health agents
• Professionals
• Specific groups
• Researches
• Epidemiologic questionnaire
• Infrastructure activities
• Analysis
• Workshops
• Documentation

11
Methods Follow-up

• Follow-up
• Development of studies at USP with collected data
• Elaboration of technical reports
• Discussion of results with
• The city administrators
• The university members
• Health councils and administrators
• Follow up visits to
• Check the activities continuity
• Feedback
• Further educational and training actions
• Successive expeditions
• For a group of cities in Sao Paulo State
• By partner universities to other cities

12
Results Students participation
13
Results Medical consultations
14
Results Exams realized
15
Long term results What remains for...

• The city
• Gets a full assessment, done by an excellence
  technical centre
• Improvements in the health system and
  infrastructure
• Hospital restructuration
• Increase of Family Health Program for rural
  communities
• Projects for a long-term development, free of
  charge
• Implementation of low-cost sanitation strategies
• Implementation of exhaustion system for houses
  using wood cook-stove
• Start point for other initiatives
• Development of extension projects in partner
  universities
• Stimulating the autonomy by training the citys
  professionals

16
Long term results What remains for...

• The students
• Interaction within the participant areas the
  relevance in recognize the health as a
  multi-professional activity
• Development of integrated projects allying
  science and assistance
• Applying the technical knowledge obtained in the
  university
• Get in real contact with the reality of the
  country heterogeneity and inequality
• How to dwell with it in their professional life

17
Conclusions

• In an unequal and heterogeneous country like
  Brazil, Bandeira Cientifica project and its
  strategy allying science and assistance is
  helpful not just for the city but, specially in
  forming professionals aware of their countrys
  problems and motivating them to work on the
  solutions.

18
Acknowledgments
19
(No Transcript)