GLOBAL CHILD HEALTH

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GLOBAL CHILD HEALTH

• SHARING CANADAS HEALTH PROGRAMS FOR CHILDREN
• WITH
• PAEDIATRICIANS IN DEVELOPING COUNTRIES
• PRESENTION TO CAPHC MEETING
• NOVEMBER 2004 MONTREAL
• DRS DON LIZ HILLMAN
• E-mail hillmane_at_iname.com

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• Dr Alan Ross

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• Dr Charles Janeway

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MONTREAL CHILDRENS HOSPITAL, INNOVATIONS WAY BACK
WHEN

• TRAINED FIRST NURSE PRACTITIONERS IN CANADA TO
  REDUCE WAITING TIMES
• DAY CARE SURGERY UNIT
• STOREFRONT CLINICS
• OUTREACH TO COMMUNITIES Baffin Island,
  Cowansville
• HOME CARE PROGRAM FOR CHILDREN WITH HEMOPHILIA
  AND OTHER CHRONIC DISEASES

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MAKING THE CASE

• 1O M INFANTCHILD DEATHS
• 90 IN 42 LDC AND 90 PREVENTABLE
• 50 DUE TO 4 DISEASES
• 54 MALNOURISHED
• 4M NEONATAL DEATHS
• 4M STILLBIRTHS

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McGILL-KENYA-CIDA 1967-1976

• Kenyas 1st Med School
• WH0 invited Canada, and other countries
• McGILL- Paediatrics Medicine
• MGH - Harvey Barkum Dr. Cameron
• MCH - Dr. Ross, Staff Residents
• Kenyanized in 10yrs

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Kenyan Paediatricians Trained 1976-86
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MUN UGANDA - CIDAChild Health and Med
Education - CHAMP 1982-1989

• Help Makerere U - Paediatrics
• 12 Canadian University Hospitals
• 31 Paediatricians for 3 months
• Academic Base for PHC

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Primary Health Care

• CHAMP-PHC Uganda regional meetings
• Tanzania Kenya, Zambia request similar program
• MUN CIDA accepted
• PHC/EA established

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PHC/EA PROGRESS/CONTENT

• Visits to med schools
• African program manager
• PHC Fellows
• Skills-training workshops
• Curriculum development
• PHC Manual

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The Future
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GLOBAL CHILD HEALTH

• SHARING CANADAS HEALTH PROGRAMS FOR CHILDREN
• WITH
• PAEDIATRICIANS IN DEVELOPING COUNTRIES
• 
  
  PRESENTION TO CAPHC MEETING
• NOVEMBER 2004 MONTREAL
• DRS DON LIZ HILLMAN
• E-mail hillmane_at_iname.com

THANK YOU
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Slides for discussion

• PAEDIATRIC AIDS IN UGANDA
• MILLENIUM DEVELOPMENT GOALS
• MCH INNOVATIONS (2 slides)

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PAEDIATRIC AIDS IN UGANDA

• 1980-Aggressive Kaposis Sarcoma
• 1982-American Aids
• 1985-Sero-surveys Vertical transmission
• 1985-President -State of Emergency
• Going to scale - All organizations
• Prevention Campaign-Love Faithfully ABC Zero
  Grazing Education for health
• 2000 Sero fell FROM 35 to lt8
• Todays Problems
• Aids orphans
• ARV Treatment HIV
• PREVENTION

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• MILLENIUM DEVELOPMENT GOALS
• Eradicate Extreme Poverty and Hunger
• Achieve Universal Primary Education
• Promote Gender Equality and Empower Women
• Reduce Child Mortality
• Improve Maternal Health
• Combat HIV/AIDS, Malaria, and Other Diseases
• Ensure Environmental Sustainability
• Develop a global partnership for development
• (Pediatric Annals 3310 - Oct. 2004)

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• MONTREAL CHILDRENS HOSPITAL, INNOVATIONS WAY BACK
  WHEN
• EMERGENCY DEPT
• USE OF TRIAGE TO REDUCE STRESS OF LONG WAITING
• STUDENTS TO SIT WITH WORRIED PARENTS - OUTCOME
  SUCCESS!
• TRAINED FIRST NURSE PRACTITIONERS IN CANADA
• OBSERVATION UNIT FOR OVERNIGHT
• DAY CARE SURGERY UNIT
• ANGRY PARENT GROUP

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AMBULATORY SERVICE OPD OUTREACH to COMMUNITY
INCLUDING BAFFIN ISLAND STOREFRONT
CLINICS COWANSVILLE ROTATION BOB PINCOTT VISITS
TO INSTITUTIONS WHERE CHILDREN WERE
KEPT THICK CHART PATIENT TEAM CONFERENCES
AFTER MULTIDISCIPLINARY HOME VISITS STUDENTS
WORKING IN PAEDIATRICIANS OFFICES HOME CARE
PROGRAM for CHILDREN WITH HEMOPHILIA, ASTHMA,
DIABETES, CYSTIC FIBROSIS, GROWTH HORMONE,
etc. MULTIPURPOSE CONSULTANT AVAILABLE IN THE
CLINICS DAILY