DEPARTMENT OF COMMUNITY MEDICINE
 
Prof. Dr. Maaz Ahmad
( MBBS , MCPS, FCPS,)
Dean Faculty of Public Health and Preventive Medicine /
Prof. of Community Medicine,
King Edward Medical University,
Lahore

Brief History and Introduction

The subject of Community Medicine made its recognition in the late 50s (then titled as Hygiene and Preventive Medicine) when it was included in medical curriculum. At that time the teaching of the subject was conducted by part time and visiting faculty. Eminent scholars and subject specialists used to teach the subject. The department of Hygiene and Preventive Medicine (now Community Medicine) was created in 1971, initially with little staff, but later regular staff was appointed in the department. Dr Zahida Sultana Mir was the first chair person of the department, followed by Dr.Farhat Afza, Dr.Maaz Ahmad and Dr. Tasneem. Prof. Dr Maaz Ahmad is heading the department now a days.

The department has guided /supervised all the students not only from KEMC but from other medical colleges who wanted to do post graduations in the field of Public health / Community medicine. Two of them have been awarded PhD in Public Health. FCPS in Community medicine was awarded to five doctors, MCPS in community medicine to two doctors and DMCH to one doctor in the department of community medicine so far. Moreover since its creation thousands of students have been trained in the discipline of Community Medicine. At present five students are enrolled for M. Phil. Community Medicine (2 year course) and three students are enrolled in M.D. community medicine ( 4-5 year course) Department of Community medicine in King Edward medical University, Lahore has brought a dramatic change in the subject to such an extent that now at the end of 4th year every students is fully conscious of community problems and he is well equipped with all the basic and necessary skills to act as a capable health manager. He is able to solve the community problems through community participation, promotion of the concept of health–conscious community, research-oriented approach and community oriented medical education. Through training received in the dept. of community medicine, he has developed enormous confidence in his personality and now he can provided primary health care to people upon their entire satisfaction

A Rural Community

This all was due to launching of community based training and research program in 1995 when a large number of urban ,peri urban, slums and rural areas were probed regularly by the students of 4th year MBBS under the guidance of the staff of department of Community medicine.

Community Counseling

This program is the real backbone of the mission statement of this department. Through this program up till now thousands of community people have been given health education to prevent diseases, promote health and prolong their life in healthy direction. Apart from health education, communities have been educated and trained to keep the environment clean, to have safe water, adequate sanitation measures and to promote inter personnel communication. Special emphasis was given to improve reproductive health services and child care. Communities were also trained how to identify and manage various endemic diseases. In brief communities were made health conscious and this process is continued till we transform our nation into a well aware and fully health conscious nation.

FUNCTIONS OF DEPTT. OF COMMUNITY MEDICINE, K.E.MEDICAL UNIVERSITY, LAHORE.

Medical education in any country must be relevant to the needs of the society. Medical students should be provided with basic knowledge, motivated to cultivate favorable attitude and trained to achieve adequate professional skill in order to be successful medical practitioners, well oriented to the local health problems and capable of fitting in the health team that has to provide total preventive and curative health services to the individuals and the community.

Medical education in Pakistan and in most parts of the world was hospital oriented and the majority of the medical graduates were trained in the diagnosis and management of patients in an environment where expensive diagnostic and treatment facilities were available and they were not exposed to the real working environment where they had to work after their graduation in an underdeveloped country like Pakistan. They were not aware of the disease pattern in the communities, the common ailments which constitute the major bulk of the health problems in the general population. Keeping in mind all the above mentioned realities, it was considered that the students should be taken out of the teaching hospital environment and should be training in a setting where they are going to actually work, thus enabling the medical graduates of future to help in improvement of health status of the country .

The duties of a medial graduate have been changed in recent years. They have the major role in the promotion of health and prevention of diseases in the communities by acting as a health educator and a leader of health team.
MISSION
To develop a community oriented physician, who is capable of working in the community and with the community, for improving and maintaining the health of its members, alone, or as a member of a health team, fully understanding the role of various categories of fully understating the role of various categories of health workers on SELF HEALP BASIS? This is achieved through promoting and motivating the community to participate actively with all capabilities in order to create an independent, self sufficient and healthy society.

List of Post Graduate program

FCPS (Community Medicine)
MD (Community Medicine)
M. Phil (Community Medicine)

List of Graduate program
MBBS

OBJECTIVES
1. To make the students understand the concept of Primary Health care through community oriented medical education approach.

2. To expose the students to the real life situation regarding health problems of the communities.

3. Train the students in taking community diagnosis of health status of the population.

4. To enable the students to practice Primary health Care in communities.

5. to train the students in routine management of married women of reproductive age and children below 5 yeas of age.

6. To train the students in the concept and delivery of school health services.
7. To develop the inter personal communication and integrated approach among community people, health care providers and social workers.

8. To develop coordination and inter-sectoral collaboration among various health care providers and health care related agencies.

9. to make the students capable of identifying diseases in early stages in all age-groups, to solve their problems at the primary care level and refer the complicated cases to secondary of tertiary care level facilities.

10. To develop Local committees manned by the local residents of those communities, trained and supervised by the staff of Department of Community medicine.

STRATEGIES
Department of Community medicine in King Edward Medical University, Lahore has brought a dramatic change in the subject to such an extent that now at the end of 4th year every students is fully conscious of community problems and he is well equipped with all the basic and necessary skills to act as a capable health manager. He is able to solve the community problems through community participation, promotion of the concept of health–conscious community, research-oriented approach and community oriented medical education. Through training received in the dept. of community medicine, he has developed enormous confidence in his personality and now he can provided primary health care to people upon their entire satisfaction. In the past, training was restricted to theory lectures and some field visits to show the health care delivery outlets. But now we are working on four (4) major fronts and these are:

Imparting basic core knowledge.. New horizons have been opened and teaching is totally community-based, problem solving and research oriented through modern techniques e.g., audio visuals, educational workshops, seminars and symposia in which students participation is highly recommended.

Training programme in the college and outside the college in different community settings through practical demonstrations role-plays, group –discussion, lectures, slide presentation, community counseling, models and poster display, public campaigns and practice of all the Primary Health Care
delivery components in different communities.

Immunisation in the field

1. Research programme Epidemiological studies are conducted in different communities and the students are also trained in thesis writing and research paper writing for publication
2. Evaluation is carried out through Regular monthly class test, Assignments, Parent-teacher counseling and Annual examination.

In brief, at the end of 4th year MBBS session student is a model for the medical college because he knows the problems of the community and has learnt all skills to alleviate the agony of ailing humanity through comprehensive teaching, training and research activities supervised by the Department of Community Medicine in the university and the field simultaneously.


ORGANIZATIONAL DESIGN OF DEPARTMENT OF COMMUNITY MEDICINE, KING EDWARD MEDICAL UNIVERSITY, LAHORE.

Sitting (L to R) . M Aslam , Dr. Shahid , Dr. Maaz, Dr. Munir, Dr. Tasneem
Stading (L to R) Dr Pasha, Dr. Akhtar Lang, Dr. Akhtar Rana, Dr. Arif, Dr. Arslan,

SR. NO. NAME DESIGNATION. QUALIFICATIONS.

1. Prof. Maaz Ahmed, Head of the Deptt. MBBS, MCPS, FCPS.

2. Dr. Shahid Mehmood. Associate Professor. MBBS, DPH, FCPS.

3. Dr.Tasneem Fatima Rana. Assistant Professor. MBBS, MCPS .

4 Dr. Muhammad Muneer, Assistant Professor. MBBS, DTCD, DCH, DPH.

5 Dr. Rana Muhammad Akhtar. APMO. MBBS, FCPS.

6. Dr. Akhtar Lang. APMO MBBS.

7. Dr. Muhammad Arif Khan. Demonstrator. MBBS, PGD (Nutrition)
    MSc. Community Health & Nutrition.

8 Dr Mahmood Alam Pasha Demonstrator. MBBS

9 Dr M N Tabasam Demonstrator. MBBS

10 Dr Saira Afzal Demonstrator. MBBS

11 Dr Zunaira Asad Demonstrator. MBBS

12 Mr. Muhammad Aslam. Health Educator MA Health Education.

13 Miss farzana Irfan Medical Social Officer M.A .Social Work

PUBLICATIONS

ARTICLE AUTHOR PUBLISHED IN
Awareness about Oral Rehydration Salt (ORS Nimkol) in a slum at Lahore. Dr.Maaz Ahmad The Pakistan journal of Medical Research, Vol: 31, Jul-Sep., 1992:No.3.

Awareness about Breast feeding in Punjabi village. Dr.Maaz Ahmad The Pakistan journal of Medical Research, Vol: 31, Jul-Sep., 1992:No.3.

Assessment of nutritional status of female students in a vocational institute Dr.Maaz Ahmad The Pakistan journal of Medical Research,Vol; 31, Jul- Sepr...1992:No.3.

Nutritional rehabilitation through education. Dr.Maaz Ahmad The Pakistan Journal of Medical Research, Vo1;31,Oct-Dec,1992:No.4

Comparative study of attitude and practice factors in childhood acute respiratory infections (ARI) Dr.Maaz Ahmad The Pakistan Journal of Medical Research,
V ol;3 I,Oct-Dec, 1992,No.4

Characteristics of addicts using heroin smoking and sniffing. Dr.Maaz Ahmad The Pakistan Journal of Clinical Psychiatry Vol: 1993 No.l.

Prevalence of helminthic infections in a slum. Dr.Maaz Ahmad The Pakistan Journal of Medicinal Research, Vol;32,Jan-Mar, I993,No.I

Nutritional status of children under -5 years of age in a slum community in Lahore. Dr.Maaz Ahmad The Pakistan Journal of Medical. Research, Vol: 32, Jan-Mar, 1993:No.1.

Public health hazards in Pakistan. Dr.Maaz Ahmad The Pakistan Engineers, Oct,
1993.

A study of demographic and socio-economic conditions of Families in slums of Lahore. Dr.Maaz Ahmad The Pakistan journal of Medical Research, Vol: 32, Jul-Sep, I993:No.3.

Water projects and human community. Dr.Maaz Ahmad The Pakistan Engineers, Oct, 1994.

Water for all. Dr.Maaz Ahmad The Engineer,Vol.32,No.12, Dec,94

Epidemiology of peptic ulcer in urban community in Lahore. Dr.Maaz Ahmad Abstracts of 8'" annual international conference of family medicine 1998

Association of Risk factors with Lung cancer. Dr. Maaz Ahmad Annals of King Edward Medical College, Lahore Vol.8 issue 4 Oct-Dec.2002.

Water – an asset. Dr. Maaz Ahmad The Pakistan Engineers, Aug,1995

Epstein-Barr Virus detection in Tumours of upper Gastrointestinal tract.An in Situ Hybridization Study In Pakistan Dr. Maaz Ahmad,Dr.Anwar J.Exp.Clin.Cancer Res.Japan,,24,3,2005

Malaria Dr. Maaz Ahmad Environmenter.2003 Arsenic,Cadmium and Lead Levels in Hair and Toenail samples in Pakistan Dr. Maaz Ahmad,Dr.Anwar Environmental Sciences.12,2(2005) 071-086 MY Tokyo.

First feed given to the new borne babies Dr.Tasneem, Dr. Maaz Ahmad Annals of King Edward Medical College,Vol:11,Issue 4 Oct-Dec 2005

Association of Risk Factors with Lung Cancer Dr. Maaz Ahmad Annals of King Edward Medical College,Vol:08,Issue 4 Oct-Dec 2002

Malaria Mysterious public health problem Dr Maaz Ahmed 37"' annual convention Proceeding, vol:5,

The institution of Engineers Pakistan, Lahore, Apr 1997, p:203 Allergy- A preventable public health problem Dr Maaz Ahmed 39'" annual convention Proceeding, vol:3

The institution of Engineers Pakistan, Lahore, Apr 1999, p:85 Existing Standards Of Environmental Sanitation, a survey of a kutchi abadi of Nawaz Sharif Colony, Feroz pur Road, Lahore Dr Shahid Mahmood Pakistan Journal of Health., Vol.25 ,No.3:4 April 1988,pp 32 37

Assessment of nutritional beliefs and practices in pregnant and lactating mothers, in an urban and rural area of Pakistan. Dr Shahid Mahmood J.P.M.A, HIID Special issue II,Vol:47, Feb.1997,p-60.ISSN 0030-9982

Effects of Unchecked Use of Pesticides and Fertilizers. Dr Shahid Mahmood Pakistan Journal of Health. Vol.35, No. 1-2, Jan-June.1998,P-l8 Role of Family Type (Nuclear/Extended) in formulation of Nutritional Beliefs and Practices in Pregnant/Lactating Mothers in a community. Dr Shahid Mahmood Pakistan Journal of Health. Vol.35 ,No 1-2,Jan-June 1998, p-25

Acute watery diarrhea in young children – current practices in a rural community Dr Shahid Mahmood Pak paed jour Vol.22 No.4, Dec. 1998.

Effects of Literacy in selection of foods by the Lactating Mothers Dr Shahid Mahmood Pakistan Journal of Health .Vol.35, No3-4, Jul.Dec.1988,
P-103.

Acquired Immunodeficiency Syndrome (AIDS) Awareness Among Students of Degree Colleges for Boys at Islamabad Dr Shahid Mahmood Pakistan Journal of Health Vol.36, No.1-2, Jan –June 1999.

Family Planning Knowledge and Practice. (A study in Rural Community of Punjab
Pakistan) Dr Shahid Mahmood Pakistan Journal of Health. Vol.36, No.3-4,Jul-Dec.1999, P-59

Critical appraisal of services of medical OPD of a tertiary care Hospital of Lahore, Dr Shahid Mahmood Annals of King Edward Medical College,Vol:12, Issue 2 April-June 2006

COMMON DETERMINANTS OF CA. BREAST(A case control study in Lahore) Dr Shahid Mahmood Annals of King Edward Medical College,Vol:12, Issue 3 July-Sep. 2006

Socioeconomic factors affecting the accessibility to emergency obstetric care in a periurban area of District LlllllllLahore Lahore, Pakistan. Dr Shahid Mahmood Annals of King Edward Medical College, Vol:12, Issue 3 Jul-Sep 2006

The acceptability of IUD (Intra Uterine Device) in relation to the age and parity
of women. Dr Tasneem Fatima Medical "Spectrum" Vol.22 No. (3, 4) March – April 2001.

Epidemiology of Ischemic heart disease Dr Tasneem Fatima The Medical "Spectrum" Vol 22:22 No. (5, 6) May – June 2001.

Chapter: Population size, structure, distribution and Changes" Dr Tasneem Fatima "Introduction to medical demography and population studies" Oct 2004.

First feed given to the new borne babies Dr Tasneem Fatima Annals of King Edward Medical College,Vol:11,Issue 4 Oct-Dec 2005

Role of Lifestyle In Causation of Dental Caries Dr Tasneem Fatima Annals of King Edward Medical College,Vol:12, Issue 3 July-Sep. 2006

Assessment of Body Mass index (BMI) in Medical students (A cross sectional Survey) Dr Tasneem Fatima Annals of King Edward Medical College,Vol:12, Issue 4 Oct-Dec 2006

Determinants of depression in female adolescent and youth. Dr Saira Afzal The Professional , vol:15, No:01, Jan-Mar. 2008

Gender difference in up taking Intra Ocular Implantation in cataract patients in Mayo Hospital, Lahore. Dr Shahzad Saeed Pakistan Journal of Community Ophthalmology) 1996 – Nov) London.

Assessment of basic essential obstetric care at first level care facility in Lahore district Dr. Naila Sarfraz Pakistan Journal of Health (IPH) Vol, 37 issue 3 -4, July –
Dec.2000.

Utilization of maternal health care in an urban slum of Lahore Dr.Seema Daud Medical Channel,Vol.9, No. 3, pages: 25 - 29; July-September 2003.

Awareness and Choices of Service Seekers for utilization of health care providers for management of reproductive health issues in an urban slum Dr.Seema Daud Journal of the Collge of Physians and Surgeons of Pakistan (JCPSP), Vol. 12, No.
11, pages: 662 - 666; November 2002.

Critical Appraisal of the Rural Health Centers in Tehsil Sialkot by Using HMIS Reports. Dr.Seema Daud Lahore Journal of Public Health, Volume 1, No. 2, pages 25-34, January - March 2002. Abortion, Contraception and Ethic Minorities, Progress Postponed: Abortion in Europe and in the 1990s. Dr.Seema Daud International Planned Parenthood Federation (IPPF) Europe Region Book, Chapter
10 pages 148-156 (1993).

Abortion, Contraception and Ethnic Minorities in the UK Dr.Seema Daud Planned Parenthood European Journal, Volume 21, No. 3, pages 9-12, September 1992.

The Asian Mother and Baby Campaign: Lesson from an Evaluation Dr.Seema Daud Department of Health Yearbook of Research and Development 1989,. London, HMSO, pages 27-28 (1990).

Links Across the Divide Dr.Seema Daud The Health Service Journal, United Kingdom Volume 99, No. 5162, August 1989, pages 951-952.

Assessment of Nutritional Information Status, Attitudes and Practices at Household Level: Final Report Dr.Seema Daud Monitoring and Evaluation Cell, Directorate General Health Services Punjab, Lahore, Pakistan (1991).

Asian Family Planning Information Project: Final Report Dr.Seema Daud Family Planning Association, United Kingdom (1989).

Evaluation of the Asian Mother and Baby Campaign: Synopsis Dr.Seema Daud Centre for Mass Communication Research, University of Leicester, United Kingdom (1989).

Evaluation of the Asian Mother and Baby Campaign: Full Summary Report Dr.Seema Daud Centre for Mass Communication Research, University of Leicester, United Kingdom (1989).

Evaluation of the Asian Mother and Baby Campaign: Report No. 2 Dr.Seema Daud Centre for Mass Communication Research, University of Leicester, United Kingdom (1989).

Evaluation of the Asian Mother and Baby Campaign: Report No. 1: Dr.Seema Daud Centre for Mass Communication Research, University of Leicester, United Kingdom
(1988).

Links Across the Divide Dr.Seema Daud The Health Service Journal, United KingdomVolume 99, No. 5162, August 1989, pages 951-952. 951-952
No. 5162, August 1989, pages 951-952.

Assessment of Nutritional Information Status, Attitudes and Practices at Household Level: Final Report Dr.Seema Daud Monitoring and Evaluation Cell, Directorate General Health Services Punjab, Lahore, Pakistan (1991).

Asian Family Planning Information Project: Final Report Dr.Seema Daud Family PlanningAssociation, United Kingdom (1989).

Evaluation of the Asian Mother and Baby Campaign: Synopsis Dr.Seema Daud Centre for Mass Communication Research, University of Leicester United Kingdom (1989).

Evaluation of the Asian Mother and Baby Campaign: Full Summary Report Dr.Seema Daud Centre for Mass Communication Research, University of Leicester, United Kingdom (1989).

 
 
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