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The Hope of Prevention Training in South Asia

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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 NГ©pal)
South Asian Health Preventionists Association (SAHPA)
Prevention Training in South Asia
Learning Objectives
пѓ� Current Health Problems in South Asia
пѓ� Overview of health training in South Asian Countries
пѓ� Power of prevention and health Prevention training
пѓ� Use of supercourse global health network for building
prevention training programs in south Asia
Prevention Training in South Asia
пѓ� The BMJ issue on Health in South Asia addressed the
current health problems.
пѓ� In almost all South Asian countries (India, SriLanka,
Bangladesh, Pakistan, Nepal etc) double burden of
diseases is increasing
пѓ� Some of the solutions and hopes for improvement
were mentioned
пѓ� This double burden is difficult for South Asian
countries who have little health means
пѓ� A basic resource for health improvement was not
mentioned and that public health and prevention
Prevention Training in South Asia
• The power of prevention world wide resulted in a 25
year increase in life expectancy.
• Almost all of this is due to prevention
• SriLanka is a best example as a developing country
Health system in SriLanka
пѓ� Sri Lanka achievements in public health with
relatively low levels of public expenditure are
пѓ� The gains in Sri Lanka are apparent with a
99% vaccination
пѓ� Pakistan, and India has achieved 50% of
children vaccination against measles
Prevention Training in South Asia
Health system in SriLanka
пѓ� The health improvements are achieved inexpensively
with public health, prevention, an emphasis on
education in particularly women’s education.
пѓ� Government commitment played a major role of
linking health care and prevention.
Prevention Training in South Asia
Health training in South Asian Countries
пѓ� In South Asia, very few are trained as Preventionists
пѓ� There are approximately 200 medical schools In South
Asia, more than 5,000 students graduate every year
пѓ� There are only 23 public heath programs providing
some training but no Schools of Public Health in whole
of South Asia
Prevention Training in South Asia
пѓ� There are 10-20 times more people trained in clinical
medicine than those trained in preventive medicine
пѓ� Training in public health has been neglected
пѓ� Public health protects the health of populations, with
a key emphasis on preventing disease
пѓ� Medicine focuses on treating patients who are
already ill.
пѓ� Little cross-fertilization
пѓ� In South Asia and other developing countries, first step
should be to train medical students
in the
area of public health
Prevention Training in South Asia
пѓ� Public health is considered a second-rated
пѓ� Very little emphasis is on research training in
пѓ� This has resulted sparse baseline data on
much of the diseases in South Asia
пѓ� Public health training in medical students can
be improved with better health prevention
Prevention Training in South Asia
Supercourse (
пѓ� Established by Dr Ronald E LaPorte in 1996 and
currently funded by National Library of Medicine
пѓ� The mission is to connect world class scientists
by sharing their best lectures and provide better
material for teaching
пѓ� There are 15,000 members worldwide, 40% are
from developing countries and more than 800
are from South Asia
пѓ� This is the library of more than 1,800 lectures
from world renown scientists
Prevention Training in South Asia
Schools of Public Health in South Asia
пѓ� South Asian preventionists have contributed more
than 150 lectures
пѓ� We can reach a large segment of population to enrich
curricula in the medical schools by using
Supercourse lectures
пѓ� The cost to accomplish this would be minimal as the
content is readily available on the supercourse for
пѓ� No cost to access lectures as majority of medical
schools are connected to the internet
Prevention Training in South Asia
пѓ� This will not only provide free teaching
material, but also a global expertise of
thousands would be willing to help
пѓ� A model of a school of public health in
Pakistan has already been developed which
can be used as a template
пѓ� Telepreventive medicine could link medical schools in
South Asia, with improved prevention lectures and
networking of those engaged prevention.
Prevention Training in South Asia
Accredited Schools of Public Health
пѓ� Brick and Mortar schools of public health (like John
Hopkins & Harvard) are needed to build the upper level
infrastructure for prevention and health.
пѓ� 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.
пѓ� Schools should be accredited to world class
пѓ� These schools will compete with world-class programs
because of unique populations and type of diseases.
пѓ� Schools would be the training grounds for Ministers of
Health and leaders of public health nationally and
Prevention Training in South Asia
Accredited Schools of Public Health
пѓ� Proper training in public health can inexpensively
reduce the morbidity and mortality of diseases in
South Asia.
пѓ� It will also provide nations the best means for
пѓ� This will rapidly improve training of all medical
students in public health virtually for free.
пѓ� The optimal approach to health in South Asia will be
to train as many individuals in preventive medicine as
those in clinical medicine.
пѓ� The costs would be small, but the impact on health,
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