THE IBARAPA COMMUNITY HEALTH PROGRAMME
The Programme, which started as a Project is a teaching and research undertaking which was established in February 1963, by the then Faculty of Medicine as part of its objective of adapting its curriculum to the realities and circumstances of the African environment. Prior to that time, the curriculum was based on the London MB;BS degrees which placed very little emphasis on the public health problems of tropical countries. Because the majority of the people of Nigeria live in rural environment, the Ibadan curriculum was designed in such a way that a doctor training in Nigeria would be thoroughly acquainted with the public health problems of the environment. To this end the Rural Health Centre at Igbo-Ora in Ibarapa district of Ibadan division, owned by the then Western Nigeria Government was, by the kind permission of the government, selected as the base for this rural health training programme. The centre has since been expanded and equipped to provide residential teaching and research facilities of a complementary nature to those at the Teaching Hospital in Ibadan. Other students than the medical ones – from dentistry, undergraduate and diploma nursing, midwifery, peri-operative nursing, community health officers, community health extension workers and foreign students in all these areas – now also use the programme.
Teaching began at the Rural Health Centre in January 1964, with final-year London degree students. The Ibadan degree students entered the programme in their second clinical year in 1965. Each student lives and works at the Health Centre and the neighbouring dispensaries and maternity centres in Ibarapa District for two months, spending a two week rotation in a primary and secondary health care programme in outpatient clinics, wards and the laboratory of the Health Centre and the the rest of the posting in community health services and research; epidemiology, health statistics, environmental health, maternal and child health, school health, occupational health, health education and the mobile medical services in the district.
A resident staff of 2 to 4 doctors, one environmental health specialist and 2 – 3 health sisters. four health visitors, assisted by visiting consultants, residency training medical staff of the University College Hospital and other research workers drawn from several departments in the College, are responsible for teaching and supervision of the students. The administration of the Ibarapa Programme is under the Director of the Programme.
Lately, there is a plan to advance the Programme into an Institute of Community Health and Development and involving as many departments, teaching, research and community development programmes in the rest of the University of Ibadan as possible, in a practical inter-sectoral collaboration for health care. The principal departments involved already are all ones in the Faculties of Agriculture and Forestry, Pharmacy, the Social Sciences (Urban and Regional Planning in particular) and Technology. Resident doctors from community medicine, community dentistry, family medicine and paediatrics are currently having their posting in the place but other department will join soon.
MBBS (Ib); DOHS (McMaster); MSc Epid & Biostat (McMaster); FMCPH (Nig); FFPHM (UK); FCPHM (SA)
MB,BCh (Ogun); MPH(Ib); FMCPH (Nig); Cert Clin. Epid (Rotterdam); Cert. Global Tobacco Control (Johns Hopkins)
Vacant Chief Medical Officer/Consultant Family Physician
A.O. Akande Senior Executive Officer
S.K. Akinlabi Accounts Officer