health as the centre of all human, community and national development: what place in a [nigerian]...


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HEALTH AS THE CENTRE OF ALL HUMAN, COMMUNITY AND NATIONAL DEVELOPMENT: WHAT PLACE IN A [NIGERIAN] UNIVERSITY? A. Health in the UI at its onset. Dr. Michael C Asuzu (*Professor of Public Health & Community Medicine) (*Director, Ibarapa Community & Primary Health Care Programme) Dept. of Preventive Medicine & Primary Care [COMMUNITY MEDICINE] Faculty of Clinical Sciences, College of Medicine, University of Ibadan, Ibadan. (Being the 36 th UI Lectures (for the 2012/2013 academic year) given on the 27 th of Feb., 6 th and 13 th of March, 2014) 1 Slide 2 Gratitude & felicitations 1 Mr. Vice Chancellor Sir, . With utmost gratitude to God for a life perhaps not so very well spent, I have the privilege today and for the next two Thursdays also to address this most worthy audience of the entire University of Ibadan on this 36 th UI Lectures for the 2012/2013 academic year. I am however comforted that the story of life perhaps not so very well spent is not my exclusive experience but that of virtually all of us in this place, and especially of our locally most honoured university, still the first and the best! 2 Slide 3 Gratitude & felicitations 2 Indeed, this very lecture that I will be giving is all about this life PERHAPS not so very well spent (because it could have been spent elsewhere if we chose to) by ourselves singly & corporately; yet without any doubt, we remain here, which is still the first and best university in the country. However, we ought to be far better than this. We ought to be striving to be the best in the world, and surely we can very easily be that! Therefore, this lecture is going to be as titled of human health, welfare and happiness (of ourselves & our NIGERIAN people) as the centre of all of our lives endeavours, even in this university our long and should by now be well known personal vocation! 3 Slide 4 Gratitude & felicitations 3 This lecture is therefore going to be on the design for medical education and services by the university and her medical school, based on community health and on the Ibarapa Programme. We will see how the programme was so very well designed and established but began on a downward derailment soon after its founding was seemingly concluded; and the current recovery process. We will explore what we should do to fast track that recovery as well as to restore it to at least 15 years ahead of primary health care, as it was at its beginning. I again thank those who got us to being involved in this recovery exercise and of this lecture itself. As went the Ibarapa Programme, so also the university; and therefore this recovery exercise as well. God will surely help us in the exercise!.....? 4 Slide 5 Presentation outline Lecture 1: Health in the UI at its onset (i.e., todays exercise) Lecture 2: Health in the interregnum: a mixture of sorts Lecture 3: Reclaiming our foundation and heritage 5 Slide 6 Outline for this 1 st lecture The abstract Introduction (with nostalgia & very briefly!) - UCI & the UI when we came here; & the Medical School - the deterioration of the university - the recovery of the university Clarifying the theme again! The character of the university & other lectures Health, its nature; the UI and health at founding The Ibarapa Programme at its founding Onset of deterioration (to date); yet first and best Come next week still as you have not heard ANYTHING YET! 6 Slide 7 The UI when we came here The abstract UCI in in 1948 UI and health in 1962/63 UI when we came here in Sept. 1971. UI and health 1973/74 till 1978 UI and health 1978/79 to 2007 UI and health after 2007 Our expectations: a healthy clinical health care, usual vertical but healthy public health, a healthy community medicine and health as the natural cure-all, if we will ever get it right! 7 Slide 8 Clarifying the theme of this lecture Obvious objections education, agriculture and nutrition, industrialization and employment, peace with God, are the obvious centres of all human, community and national development!? But what are the objectives of each and everyone of those? Is it not health, wellbeing, happiness, human fulfillment (Alafia)? All different dimensions of the human health? So then, what is the ultimate centre of all of these? Would anybody here need more practical explorations thereof? inaugural lectures, etc 8 Slide 9 The university itself and its character The universe of all that is best in teaching, research and human services in a small city John Cardinal Newman An international centre per excellence! Centre of cultures, civilization, non-materialism, no tribalisms or hegemonies, NO CULTISMS, hard work till very late into the nights as need be, no religious fanaticisms, youthful students unionism but not student union government!, student clubs, excellent teacher-student relationships, etc; these are what we met in 1971 and operatedly in place here till about 1984! 9 Slide 10 Deterioration in the wider society End of war, the oil boom & doom, militarization of our psyches, corruption, cultisms, and else 1973/74, admission explosion full spoilage by 1984 and the lessons thereof for the university; loss of university autonomy, age of universal strikes, etc. Spoilage of the medical education here and of health also but for slightly different reasons withdrawal of foreign participation, the PSM phenomenon and the dumping game, new world developments not reflectively followed through, etc The present recovery and why; for the first and the best university and medical school in Nigeria still! 10 Slide 11 University Lectures and others The main university and other lectures the inaugural and University Lectures, valedictory lectures possible at the different levels. The PG School Inter-disciplinary discusses The faculty and other permissible lectures Our experiences of & participation in ALL of these; gratefully, despite our underdog status (perhaps, arguably, the best way to be in our country!) & so perhaps of our personal life NOT so badly spent, or NOT so well spent after all! 11 Slide 12 The University Lectures 1 The University Lecture series was established to provide a forum whereby the university can address the nation on some important matters of social interest - Akin Mabogunje, the 5 th UI Lecturer Both Inaugural and University Lectures are now hallowed by tradition, the one usually a discourse in an area of specialty, often ending with a flourish simulating an academic thanksgiving, and the other treating of a broad area of social concerns with a flavour of (an) intellectual sursum corda - Ladipo Akinkugbe, the 16 th University Lecturer 12 Slide 13 The University Lectures 2 The University Lectures are designed to lift the spirit; and in it, we cast aside the restraining armour of narrow specialization and adorn a new garment woven with yarn from different disciplines and stitched together with the golden thread of knowledge and sound judgement - Mark Nwagwu, the 20 th UI University Lecturer OO Kale as the 28 th, 2003 UI Lecturer and the 5 th from College; after AO Lucas (3 rd ), A Adeloye (10 th ), OO Akinkugbe (16 th ) and O Akinleye (22 nd ); and so, this one as the 6 th thereof. 13 Slide 14 The University Lectures 3 Prof Kale explored the nature of these three established university lectures in culinary language. He was of the opinion that each of these lectures were like being served from the academic cuisines of the lecturers; and of the two statutory ones, the one (inaugural) being a one course meal and the other (the University Lectures) a three course meal. He summarized the inaugural as a choice a la carte, the valedictory as a potpourri (a variety of the lecturers favourite, and maybe not so favourite dishes), a journey down memory lane of exciting culinary expeditions and the celebrities that were entertained; an account of favoured haunts, hideouts, mama puts, chop bars, bukaterias and a variety of eating places, etc; a what does it all add up to exploration. 14 Slide 15 The University Lectures 4 Finally he described the University Lectures as the rare and extra-special gourmets three- course meals, prepared and served, buffet- like, once a year, by Epicurean chefs from a variegated pool of different academic disciplines; an ambrosial delight, fit for the gods on Mount Olympus. These are the various perceptions of what I am about to do; and I assure you all that I will try to meet all those perceptions, God alone being our helper thereof, of course! 15 Slide 16 The unique approach of this years lecture The past lectures had either treated on what the individuals or all of us as UI had done and considered to be good news worth sharing Others had treated on what we as a country (or other Nigerians) had not done well; and a call to or perhaps list of how these should be corrected However, this years exercise is going to be slightly different: we are going to be doing an entirely personal & corporate self-examination of ourselves as UI staff & of the UI itself and finding out how we can change for the better; and only thereafter, to discuss how to carry this on to the wider Nigerian communities as Nigerias first and best university & as the staff thereof. 16 Slide 17 My expectations of this UI Lecture Of myself (an elders stimulated family dialogue) Of the audience (full participation howsoever!) Of our leaders in this university (selfless leading) Of the entire university; all of us, leadership, all others; and influence on the general society Of those who are here from the other universities or else (like the rest of us a mea culpa, sursum corda, habemus ad Dominum and an ite missa est!) The mea culpas, resolve and actions the clean gown to town phenomenon; leaven, salt and light the basis for a sursum corda a-la-Pa-Akinkugbe! 17 Slide 18 Some questions to be thinking about 1 As an intended university of international stature when w


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