For the past two days we have been enduring our orientation into our community clinical also known here as duty.  Our faculty resource person, Ms. Dulce Tilos, taught us a very efficient and effective assessment tool called IMCI.  IMCI stands for Integrated Management of Childhood Illnesses and was designed for developing countries to be used with children ages 2 month to 5 years (WHO).  This tool focuses on identifying and treating common illnesses found in developing nations. These include: danger signs for immediate medical attention, cough/difficulty breathing, diarrhea (including dysentery), fever (including dengue, malaria, and tyhpoid), ear problems, measles, malnutrition, and anemia. It is used by health care workers in the community to prioritize and classify health needs and has been proven to reduce child morbidity and mortality rates (Ms. Dulce’s lecture).  There are three components to IMCI:  increase case management skills of workers (ex. with proper medical classification health care workers can provide medications for treatment), improve health system (ex. not using ineffective alternative medicines), and improve family and community practice (ex. involve community in primary care to save money and use resources to full capacity).

After learning about this system as a group we agreed Canada should implement a similar one as it would simplify nursing care and could potentially decrease system costs.  The process is systematic and easy to use however we have different health issues and would need to adapt the focus to our own specific health issues.  This could also potentially benefit the Canadian child population by reducing morbidity (ex. obesity, diabetes, and dental health). As we were being taught we immediately discovered some challenges as we have never encountered some of their issues in Canada. Ms. Dulce asked specific questions about health/diseases that we did not know.  Some of these included:  malaria mosquitoes  types, deworming of children,  respiratory issues in children in the Philippines, dysentry, and dengue fever.  We came to the realization that we are definitely going to face some different and new challenging issues in regards to health and providing health care.  This is mostly due to the cultural and health differences.

Emic: We love being here, but notice the differences in culture and health care issues.  We acknowledge they are doing a good job of addressing their issues despite their lack of resources.

Etic: They acknowledge themselves as being a 3rd world country, they know their health issues, and have successfully created and integrated a tool to address these issues.


Group One