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MINISTRY OF HEALTH AND SPORTS NATIONAL COMMITTEE ON THE INTEGRATION OF TEACHING, SERVICE, AND RESEARCH NATIONAL MEDICAL RESIDENCY SYSTEM MEDICAL RESIDENCY.

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Presentation on theme: "MINISTRY OF HEALTH AND SPORTS NATIONAL COMMITTEE ON THE INTEGRATION OF TEACHING, SERVICE, AND RESEARCH NATIONAL MEDICAL RESIDENCY SYSTEM MEDICAL RESIDENCY."— Presentation transcript:

1 MINISTRY OF HEALTH AND SPORTS NATIONAL COMMITTEE ON THE INTEGRATION OF TEACHING, SERVICE, AND RESEARCH NATIONAL MEDICAL RESIDENCY SYSTEM MEDICAL RESIDENCY IN COMMUNITY AND INTERCULTURAL FAMILY HEALTH (RM SAFCI) QUITO - ECUADOR OCTOBER 2007

2 PROBLEMS IDENTIFIED BY THE PDS HR PROBLEMS IDENTIFIED BY THE PROJECT High degree of socio- biological deprivation System centered on assistentialism Inequitable system that fails to take ethnic and cultural diversity into account Fragmented and segmented system with weak governance User dissatisfaction Physicians in the public health sector lack the necessary competencies to implement the community and intercultural family health model.

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4 ALIGNMENT OF THE RESIDENCY PROGRAM WITH HEALTH POLICY SAFCIRESIDENCYSAFCIRESIDENCY 1. A SINGLE INTERCULTURAL COMMUNITY HEALTH SYSTEM Intercultural and community family health model 4. HEALTH PROMOTION Intersectoral Approach 2. GOVERNANCE OF THE MSD Local Management 3. SOCIAL PARTICIPATION Health sovereignty 5. SOLIDARITY Zero malnutrition and no violence YOUR HEALTH

5 RIGHT TO HEALTH AND LIFE THE PARADIGM SHIFT COMMUNITY MEDICAL CARE PROMOTION PREVENTION CARE SOCIOECONOMIC AND CULTURAL DETERMINANTS OF HEALTH INTERCULTURAL COMMUNITY HEALTH PARTICIPATORY RESEARCH AND ACTION

6 INTERCULTURAL AND COMMUNITY FAMILY HEALTH MODEL

7 Agriculture Food production and Nutrition Housing quality Clothing Security Recreation and leisure Access to basic services IDENTIFIES THE MAIN PROBLEMS AFFECTING THE QUALITY OF LIFE AND HEALTH FROM THE PERSPECTIVE OF OUR CULTURES—PROBLEMS TO WHICH THE GREATEST EFFORTS SHOUD BE DIRECTED INTERSECTORAL NETWORK HEALTH SERVICES NETWORK SOCIAL NETWORK

8 EPISTEMOLOGICAL RUPTURE SOMATIZATIONSOMATIZATION DOCTRINEDOCTRINE BUILDING OF WALLSBUILDING OF WALLS DISCOURSEDISCOURSE SCIENTISMSCIENTISM ELIMINATION OF IDOLSELIMINATION OF IDOLS COMMUNITARIAN PHILOSOPHYCOMMUNITARIAN PHILOSOPHY

9 EPISTEMOLOGICAL RUPTURE “…Custom, without art, without argument, makes us believe things …” Blaise Pascal. - In the name of God and/or science.

10 EMPHASIZES CULTURAL HISTORY IN THE COMMUNITY APPLIED AT THE FIRST AND SECOND LEVELS OF CARE USE OF VIRTUAL TECHNOLOGY EDUCATIONAL MODEL Analysis Reflection Action

11 HEALTH CARE PARTICIPATORY RESEARCH AND ACTION. MOVE FORWARD BY RE-CREATING PROMOTION THE COMMUNITY AS THE SETTING FOR THE RECLAIMING OF LOCAL POWER STUDY PLAN

12 PANO TAKANAS MOVIMA MOXITANIA MOSETEN KALLAGUAYA OMASUYU PAKAJA CARANGA SORA CHARKA GUARANIS CHIQUITANIA GUARAYUS CHUIS YAMPARA QARAQARA KILLAKA LIPEZ KILLAKA ALCOHO LIC DRINK YAMINAGUA MACHINERI PAKAWARA CHAKOVO CAVINAS THAT- EIA TAKANA BAWRES YUKI SIRIONO YURAKARE CHIMAN SIMBA BESIRO AYOREODE AVA ISOCEÑO Map of Original Nations SAFCI Medical Residency Dr. David Keremba Mamani

13 TOTAL OF MUNICIPALITIES NATIONWIDE: 86 TOTAL OF HEALTH POSTS: 140 TOTAL OF RESIDENTS:140

14 Introductory Module

15 End of the Introductory Module

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18 Hospital Rotation

19 Reaching Communities

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21 Coordinating with Rural Networks

22 Communities as Protagonists

23 Linking with Social Movements

24 PACHIS - THANKS


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