IMU Cares: Winner of the Talloires Network Macjannet Prize 2013

IMU Cares Kg Tekir Recipient of the 2013 Mac Jannet Prize for Global Citizenship

Presenters  Prof Ong Kok Hai Director of External Affairs IMU Cares Director International Medical University

 Dr James Koh Kwee Choy Senior Lecturer & Infectious Diseases Consultant IMU Cares Kg Tekir Project Coordinator (2006 – 2012) International Medical University

Philosophy of To create “a community of scholars and professionals committed to serving society, promoting the development of students to reach their true potential in becoming competent, ethical, caring and inquiring citizens and visionary leaders�.

IMU Cares Activities Cause/ Issue

Long term: at least 3 years Short term: 1- 3 years One off projects

IMU Cares Community adoption

Organization

Flagship Projects  Kampung Angkat Project    

Kampung Orang Asli Serendah, Selangor Kampung Orang Asli Tekir, Labu, Negeri Sembilan Various Malay villages in Batu Pahat, Johor Damansara & Sri Petaling constituencies

 IMU Goes Green Project  National Stroke Association of Malaysia (NASAM)  Sri Ratana

Objectives of IMU Cares Kg Tekir  Provide holistic, continuous and culturally sensitive primary rural healthcare to villagers of Kampung Tekir.  Provide experience in rural healthcare to IMU students consistent with their development along the 8 IMU curriculum outcome and in line with the IMU’s vision and mission.

 Facilitate research into rural healthcare and indigenous populations in Malaysia.

IMU Cares Kg. Tekir

Fact finding

Identify needs

Formulate action plan

Identify & measure outcomes

Reports & accountability

Fact finding  Physical layout of the community  location plans.  layout plans showing residential areas, schools, community hall, playgrounds, access roads, health clinics.  Identifying the community leaders & stakeholders to collaborate with and establishing good working relationship.

Kg. Tekir, Labu

Dec 2006 – June 2007 • Location: 10th mile Jln Labu, 3 km within New Labu Palm Estate.

• Population: 500 (half were children < 12) Tenom people, 120 homes.

• Occupation: agriculture, estate & factory

• Education: year 5; 1 primary school, 2 kindergartens, 1 community hall • Religion: 90% Catholics; the rest – Muslims, Traditional • Health care: nearest clinic 10 km away • Amenities: Untreated water supply, inconsistent power supply, gravel access road.

Stakeholders: JKKK Tekir Ministry of Health Jabatan Hal Ehwal Orang Asli

Identify needs • Limited access to health care facilities • Health awareness low • Poor dental hygiene • Teenage pregnancy • Alcohol abuse • Smoking • Glue sniffing • Low education level

Challenges: Exact population unknown Exact location of houses poorly defined No baseline health indices Community wariness & distrust Establishing rapport & trust Male population reluctance Little/incomplete identity documentation

Engaging the stakeholders

JKKK Tekir

• Establish contact & permission (also from estate management) • Discuss needs • How IMU can meet the needs

• Permission • Infrastructure support JHEOA

MOH

• Personnel, health education material, medical equipment, laboratory support, medications • Referral services to peripheral clinics and hospital

Formulate action plan  Periodic health screening for adult and children • BP, heart rate, height, weight, BMI, physical examination, dental care, eye check, breast examination, prostate examination, blood glucose, pap smear, urine dipstick, blood cholesterol level.

• Children – evaluation of growth and nutritional parameters (Health & Nutrition Program – launched in 2009)

 Health Education and awareness campaigns

 Interventions  Medications for minor ailments, referrals for more serious ailments, free spectacles, onsite-dental care, nutritional intervention, house-to-house visits

From plan to action Manpower • Students (medical, nursing, dietetics, dental) • IMU corporate & academic staff • Stakeholders

Physical • Permanent base • Medical equipments

Finance • Funding from IMU charity/fund raising programs • Pharmaceutical companies • Private enterprises

Engaging the community • Large carnival-like event once a year • Community games • Karaoke competition • Gotong-royong activities • Mobile units for hometo-home visits • Shifting event to later time of day • Rewards – healthiest individuals

Identifying & measuring outcomes  Students & Staff

 Community

 Participation in IMU Cares Kg Tekir was incorporated into the curriculum.

 Baseline demographic and epidemiological data gathered longitudinally

 Training for the wholly student-initiated community program in Sem 10.

 Allow for interventional strategies

 Student experience evaluated against the 8 IMU curriculum outcomes

 Improvement in the village infrastructure through facilitation between the village and relevant stakeholders

 KPI for staff

 Feedback to JKKK for community involvement

Research based on studentâ&#x20AC;&#x2122;s feedback

Unpublished data: Impact of community service in achieving the 8 IMU outcome domains.

Accountability • Constant analysis of challenges and achievements • Tracking of working budget • Periodic reports submission – written and backed by photo evidence

Roles of IMU staff and students Project coordinator

Proposal Guidelines adherence

Personnel Budget Resources Implementation & completion Interdisciplinary involvement Integration with other projects

Faculty and corporate staff Students School or program coordinator

Supervision & teaching of students Coordination of various activities within the project Part of KPI

Inter-professional planning, learning, health care delivery Integral part of curriculum Practice of medicine outside of hospital

Conduct survey, data collection, analysis, drawing conclusions, make presentations Honing of leadership skills Enhance practice of ethics Documentation in portfolio in reflective writing

MacJannet Prize for Global Citizenship 2013

Achievements  IMU  Established a database containing health parameters of the villagers, which will serve as, a reference point for research and future plans.  Inter-professional learning - medical, nursing, N&D and dental students. Interaction with the villagers allowed students to gain insight into community health issues and develop some of the qualities in the 8 IMU curriculum outcomes.  Close and cordial working relationship with the major stakeholders.  Research opportunities – publishing from data gathered  The committee was awarded the Excellence in Community Service award in 2012 by IMU on University Day.  The MacJannet Prize for Global Citizenship 2013.

Achievements  Kampung Tekir  Immediate and direct access to health specialties provided

by IMU staffs who are specialists.  Referrals to nearby clinics and hospitals for major ailments.  Treatment for minor ailments.  Raised awareness on health issues.  Provision of free glasses for villagers with visual impairment.  Better infrastructure – an indirect effect from IMU’s presence where a better access road into the village was built by the Guthrie Estate Management to provide easier access; a new community hall completed in early 2013 to cater for larger number of villagers and IMU personnel.

The next 3 - 5 years Health care •Mapping of village using IT •Establish a computerized patient registry to facilitate case profiling, disease monitoring, treatment adherence and progress, and a follow up and recall system to track patients through the course of their health or illness, and audits.

•Primary care to focus on preventative care – health screening - specifically hygiene, nutrition and dietetics, environmental measures, vaccination, smoking and alcohol cessation, antenatal healthcare Education •Continued student development along 8 IMU outcomes •Assessment based on post-event survey, feedback, reflection and competency-based using validated tools Research •Improved health care for the villagers using a register of patients that can track the progress of patients longitudinally.

•impact of community service on the knowledge, attitudes, & beliefs, as well as professionalism and ethics concerning the care of the Orang Asli and rural healthcare in general.

•Role of a tertiary center (e.g. IMU) in community service

Conclusion  IMU Cares programmes – effective channel for direct involvement of staff, students & alumni in community service  Opportunities for inter-professional learning, teamwork and the practice of medicine outside the classroom/hospital  Excellent platform towards achieving IMU’s Vision