Background: the health sector, the social sector, and policy

Background:
Social accountability is a concept that arose as a reaction to a human
resources crisis in the health care sector, as projected in inequitably
distributed health professionals ( to the disadvantage of rural and poor areas
), a persistent shortage of primary care staff, and an inability of the health
sector, the social sector, and policy maker to jointly address multiple
dimension of health. Societies want to ensure that investment in the health
care sector improve the community’s health, and medical schools are key player
in advancing this change.

Summary
of work: In 2016  Fasa University of
Medical Sciences decided that in its local context a dedicated committees under
supervision of Applied Knowledge Development Center (AKDC) were necessary for
incorporating social accountability into all of the educational, research and
the service activities of university. AKDC consisted of 5 different committees
includes Accidents and injuries, Non-communicable diseases, Infectious
diseases, Mental Health and assessment committees. These committees develop
guiding tools for social accountability in health management, clinical
activity, research, education and training areas. Each committee has diverse
members from university includes clinician faculties, basic sciences faculties,
university managers, public health workers and other stakeholders from
community in their field. These committees monitor the health service of their
surrounding communities and collaborate with local governors, health care
organizations, and the public in identifying, prioritizing, and responding to
health issues.

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Summary
of results: These committees have considerable impact on the school and
communities from change to curricula and admission to community programming and
accountable research.

Discussion
and Conclusions: Although systematic assessment of the AKDC model is needed,
early evidence shows that the most significant effects can be found in the
culture shift in the school, most notably in the faculties. The AKDC model may
serve as an important example for other medical schools in the development of
socially accountable health practitioners and research that is responsible to
the need of their communities.

Take-home
Messages: AKDC present a model for developing a culture of social
accountability, and if well developed, to evaluate success of medical school
based on people’s needs.