My trip to the My trip to the PhilippinesPhilippines

Rebekah Kim, M.D.Rebekah Kim, M.D.

PGY IIPGY II

PhilippinesPhilippines

Physicians for PeacePhysicians for Peacewww.physiciansforpeace.orgwww.physiciansforpeace.org

Non-profit, international Non-profit, international humanitarian, non-humanitarian, non-political medical political medical education organization. education organization.

Founded by Dr. Charles Founded by Dr. Charles Horton, Sr. a plastic Horton, Sr. a plastic surgeon from Norfolk, surgeon from Norfolk, Virginia.Virginia.

Dedicated to building Dedicated to building peace and international peace and international friendships in friendships in developing nations.developing nations.

www.physiciansforpeace.orgwww.physiciansforpeace.org

AzerbaijanAzerbaijanBahrainBahrainBangladesh Bangladesh BelizeBelizeBhutanBhutanBoliviaBoliviaBrazilBrazilChinaChinaCosta RicaCosta RicaCubaCubaCyprusCyprusCzech RepublicCzech RepublicDominica Dominica Dominican RepublicDominican RepublicEcuadorEcuadorEgyptEgyptEritreaEritreaEstoniaEstoniaGhanaGhanaRomaniaRomania

RwandaRwanda

West Bank/GazaWest Bank/Gaza GuatemalaGuatemala

GuyanaGuyanaHaitiHaitiHondurasHondurasIndiaIndiaIraqIraqIsraelIsraelJordanJordanKazakhstanKazakhstanKuwaitKuwaitLebanonLebanonLiberiaLiberiaLithuaniaLithuaniaMoldovaMoldovaMoroccoMoroccoNepalNepalNicaraguaNicaraguaNigeriaNigeriaPanamaPanamaPeruPeruPhilippinesPhilippinesRussiaRussiaRwandaRwandaSaudi ArabiaSaudi ArabiaSyriaSyriaTurkeyTurkeyUruguayUruguayWest Bank/GazaWest Bank/GazaYemenYemen

PhilippinesPhilippines Population of 86 millionPopulation of 86 million Approximately forty Approximately forty

percent of the percent of the country’s total families country’s total families live below the poverty live below the poverty line. line.

Malnutrition prevalent Malnutrition prevalent in rural areas. in rural areas.

Mindanao has the Mindanao has the highest poverty rate highest poverty rate and infant mortality. and infant mortality.

Healthcare in the PhilippinesHealthcare in the Philippines Financed through out Financed through out

of pocket payments.of pocket payments. Traditional medicines Traditional medicines

are often first line are often first line treatment in rural treatment in rural areas. areas.

Differences in health Differences in health seeking behavior of seeking behavior of different income different income groups and in health groups and in health outcomes, due to outcomes, due to differences in access. differences in access.

Average life Average life expectancy is 66. expectancy is 66.

Operating Room FacilitiesOperating Room Facilities

Nitrous oxideNitrous oxide

Cleft lips more Cleft lips more common in Asianscommon in Asians

Multistage Multistage operation usually operation usually before the age of 3before the age of 3

Association with Association with malnutritionmalnutrition

Trauma?!Trauma?!

59 yom with electrical burn59 yom with electrical burn

Accomodations/FoodAccomodations/Food

Special thanks Special thanks to Dr. Todd, to Dr. Todd, Dr. McGinty, Dr. McGinty, and surgical and surgical residents. residents. MagpasalamMagpasalamat (thank at (thank you)you)