1. Community Based Curriculum for Public Health Department in KMU Dr. Hashmatullah Mamnoon 14,March,2007 Public Health Dept

2. Main Health Problems in Afghanistan High maternal mortality rate High incidence of communicable diseases High child mortality rate Inequitable distribution of Health Services

4. Causes of death in Children under 5 year Diarrhea 25% Respiratory infection 19% Measles 16% Scurvy 6% Other causes 34%

5. Reasons Inefficient coordination between MOPH and MOHE Inequitable distribution of Health Services Clinical focus for uncommon diseases in the curriculum Medical students are not so familiar with community health problems Leadership in KMU is clinically oriented Public Health Department curriculum update in 2004 was still insufficient

6. 2004 Reform In the workshop held in 2004 in KMU supported by JICA, WHO and MoPH, following decisions were issued about Public Health in KMU

7. Public health department in KMU has a key role in improvement of health condition in Afghanistan. Update curriculum for Public Health Dept Teaching Hours: – Should be In 11 semesters – 2 hours in a week – 2 months in house job training

8. Main Points of Revision of Public health Curriculum Since 2004 Following topics have been added: Family planning Health management Public Nutrition Hospital and Environment hygiene Health Education/promotion Basic epidemiology Epidemiology of communicable and non- communicable diseases

9. The new curriculum supposed in 2004 was implemented only for one semester, but after that the teaching hours were resumed to the old curriculum (6 semesters, 2 hours in a week, and 2 weeks house job training) Drawback

10. Action Plan

11. Introduction of Community Health in KMU Goal

12. Objectives. I Revision of public health curriculum, based on the priority major health problems in the community Capacity building of public health department lecturers Emphasizing the importance of community health to medical students.

13. Objectives. II Introduction of new topics of health system (community-based health care) for medical students Health management – Mother and child care – Nutrition – Communicable diseases – PHC services – Family medicine

14. Methodology Orientation to Public Health Department members, on designed curriculum Topics are identified in coordination with EDC Public health department lecturers are supposed to take responsibility to prepare materials (written) Objectives of the Curriculum is introduced to Public Health Department lecturers Written material review by Academic Council of the KMU

15. Teaching Methods Lectures Practical: Collecting data from related Hospitals in the period of house job (6 th year) for 2 weeks

16. Schedule From Apr to Sep 2007 preparation of written materials Time table for theoretical and practical teaching (from Sep 2007 to Feb 2008) March 2008 implementing the curriculum (2 nd semester of 4 th class)

17. – Community based Curriculum will prepare students to understand their roles and responsibilities in the framework of Community Based Health care Goal

18. Thank you Goseicho Arigato Gozaimashita