Table 1 The current expression of social accountability at the CHS ^#

Mission

Mission is explicitly oriented to social accountability **

Functional status change

Change from Faculty of Medicine to College of Health sciences incorporating 4 schools (School of: Medicine, Biomedical Sciences, Health sciences and Public Health) enhancing inter schools partnerships to enhance a holistic approach to addressing health challenges.

Curriculum reforms

In the past decade we strengthened community outreach activities by adopting the COBES† concept as part of curriculum implementation strategy. COBES enhances the local relevance of our education to community needs and quality of services delivered to the communities.

Impact of curriculum revision

Increase in OPD attendance has been registered at over 40 rural Health Service delivery sites, over the past several years as well.

Increased motivation of workers.

Curriculum Review

Currently a curriculum review is underway, it’s been preceded by a needs assessment exercise intended to integrate and align the Ministry of Health agenda with college’s strategic plan and subsequent curriculum activities.

Accreditation

We undertook to develop standards of Medical Education, building on WFME* work. Standards positively reflect social accountability intent and practice.

Professionalism

A longitudinal study was started a year ago, to better understand how to inculcate professionalism better in trainees as a positive way of enhancing social accountability. Lack of professionalism under mines access to health care.

Community concerns

Research, and outreach services to the neighbor ring slums was contacted over a 3 year period, included mass deworming and immunization along with health talks about sanitation among other activities.

Partnerships

A Medical Education Partnership Initiative (MEPI) grant has been secured for a national wide effort to address Quality of Education Training and Community Research and Service.