{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T09:27:16Z","timestamp":1770283636571,"version":"3.49.0"},"reference-count":21,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T00:00:00Z","timestamp":1513728000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100004426","name":"Atlantic Philanthropies","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100004426","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["asmepublications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Education"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>\n                      Socially accountable health professional education (\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      ) is committed to achieving health equity through training health professionals to meet local health needs and serve disadvantaged populations. This Philippines study investigates the impact of\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      students and graduates on child and maternal health services and outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This is a non\u2010randomised, controlled study involving a researcher\u2010administered survey to 827 recent mothers (\u22651 child aged 0\u20135\u00a0years). Five communities were serviced by\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      medical graduates or final\u2010year medical students (interns) in Eastern Visayas and the Zamboanga Peninsula, and five communities in the same regions were serviced by conventionally trained (non\u2010\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      ) graduates.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      Mothers in communities serviced by\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      \u2010trained medical graduates and interns were more likely than their counterpart mothers in communities serviced by non\u2010\n                      <jats:styled-content style=\"fixed-case\">SAPHE<\/jats:styled-content>\n                      trained graduates to: have lower gross family income (p\u00a0&lt;\u00a00.001); have laboratory results of blood and urine samples taken during pregnancy discussed (p &lt; 0.001, respectively); have first pre\u2010natal check\u2010up before 4th month of pregnancy (p\u00a0=\u00a00.003); receive their first postnatal check\u2010up &lt;7\u00a0days of birth (p\u00a0&lt;\u00a00.001); and have a youngest child with normal (&gt;2500\u00a0g) birthweight (p\u00a0=\u00a00.003). In addition, mothers from\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      \u2010serviced communities were more likely to have a youngest child that: was still breastfed at 6\u00a0months of age (p\u00a0=\u00a00.045); received a vitamin K injection soon after birth (p\u00a0=\u00a00.026); and was fully immunised against polio (p\u00a0&lt;\u00a00.001), hepatitis B (p\u00a0&lt; 0.001), measles (p\u00a0=\u00a00.008) and diphtheria\/pertussis\/tetanus (p\u00a0&lt;\u00a00.001). In communities serviced by conventional medical graduates, mothers from lower socio\u2010economic quartiles (&lt;20\u00a0000\u00a0Php) were less likely (p\u00a0&lt;\u00a00.05) than higher socio\u2010economic mothers to: report that their youngest child's delivery was assisted by a doctor; have their weight measured during pregnancy; and receive iron syrups or tablets.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      The presence of\n                      <jats:styled-content style=\"fixed-case\">SAHPE<\/jats:styled-content>\n                      medical graduates or interns in Philippine communities significantly strengthens many recommended core elements of child and maternal health services irrespective of existing income constraints, and is associated with positive child health outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/medu.13489","type":"journal-article","created":{"date-parts":[[2017,12,20]],"date-time":"2017-12-20T04:02:45Z","timestamp":1513742565000},"page":"391-403","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Socially accountable medical education strengthens community health services"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8892-1941","authenticated-orcid":false,"given":"Torres","family":"Woolley","sequence":"first","affiliation":[{"name":"College of Medicine &amp; Dentistry James Cook University Townsville Qld Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"Jr","given":"Servando D","family":"Halili","sequence":"additional","affiliation":[{"name":"School of Medicine Ateneo de Zamboanga University Zamboanga City Mindanao Philippines"},{"name":"Zamboanga State College of Marine Sciences and Technology Zamboanga City Mindanao Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jusie\u2010Lydia","family":"Siega\u2010Sur","sequence":"additional","affiliation":[{"name":"School of Health Sciences University of the Philippines Palo, Leyte Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fortunato L","family":"Cristobal","sequence":"additional","affiliation":[{"name":"School of Medicine Ateneo de Zamboanga University Zamboanga City Mindanao Philippines"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carole","family":"Reeve","sequence":"additional","affiliation":[{"name":"College of Medicine &amp; Dentistry James Cook University Townsville Qld Australia"},{"name":"School of Medicine Flinders University Adelaide SA Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Simone J","family":"Ross","sequence":"additional","affiliation":[{"name":"College of Medicine &amp; Dentistry James Cook University Townsville Qld Australia"},{"name":"The Training for Health Equity Network New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andre\u2010Jacques","family":"Neusy","sequence":"additional","affiliation":[{"name":"The Training for Health Equity Network New York City New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,12,20]]},"reference":[{"key":"e_1_2_11_2_1","volume-title":"Monitoring the Building Blocks of Health Systems: A Handbook of Indicators and their Measurement Strategies","author":"WHO","year":"2010"},{"key":"e_1_2_11_3_1","volume-title":"World Report on Knowledge for Better Health: Strengthening health systems","author":"WHO","year":"2004"},{"key":"e_1_2_11_4_1","unstructured":"WHO Sustainable Development Goals.Indicator and Monitoring framework for the global strategy for women's children's and adolescent's health(2016\u20102030)."},{"key":"e_1_2_11_5_1","doi-asserted-by":"crossref","first-page":"177","DOI":"10.4103\/1357-6283.101571","article-title":"Building the evidence base: networking innovative socially accountable medical education programs","volume":"8","author":"Palsdottir B","year":"2008","journal-title":"Educ Health"},{"key":"e_1_2_11_6_1","first-page":"420","article-title":"A roundtable of innovative leaders in medical education","volume":"10","author":"Neusy A\u2010J","year":"2008","journal-title":"MEDICC Rev"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/0142159X.2012.731106"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.4103\/1357-6283.143727"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2017.1331035"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/0142159X.2017.1354126"},{"key":"e_1_2_11_11_1","unstructured":"Philippine Statistics Authority.Income Classification for Provinces Cities and Municipalities. Department of Finance Department Order No.23\u201008 Effective July 29 2008.http:\/\/www.nscb.gov.ph\/activestats\/psgc\/articles\/con_income.asp. Accessed 20 January 2016."},{"key":"e_1_2_11_12_1","unstructured":"National Statistics Office 2015Census of Population and Housing https:\/\/psa.gov.ph\/statistics\/census\/population-and-housing. Accessed January 2017."},{"key":"e_1_2_11_13_1","unstructured":"Health and Family Planning Indicators: A tool for Results Framework\u201d USAID1999."},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00043-1"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-634"},{"key":"e_1_2_11_16_1","unstructured":"Proposed by Julian Hart in 1971 this \u201cthe inverse care law\u201d describes one of the central issues that healthcare interventions have to address."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1215\/03616878-31-1-11"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3552"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/bfm.2009.0050"},{"key":"e_1_2_11_20_1","first-page":"2657","article-title":"Positive impacts on rural and regional workforce from the first seven cohorts of James Cook University medical graduates","volume":"14","author":"Sen Gupta T","year":"2014","journal-title":"Rural Remote Health"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12960-017-0191-6"},{"issue":"4","key":"e_1_2_11_22_1","doi-asserted-by":"crossref","first-page":"25","DOI":"10.37757\/MR2008.V10.N4.6","article-title":"Faculty of Health Sciences, Walter Sisulu University: training doctors from and for rural South African communities","volume":"10","author":"Iputo JE","year":"2008","journal-title":"MEDICC Rev"}],"container-title":["Medical Education"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fmedu.13489","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/medu.13489","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,4]],"date-time":"2025-11-04T17:43:21Z","timestamp":1762278201000},"score":1,"resource":{"primary":{"URL":"https:\/\/asmepublications.onlinelibrary.wiley.com\/doi\/10.1111\/medu.13489"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,12,20]]},"references-count":21,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2018,4]]}},"alternative-id":["10.1111\/medu.13489"],"URL":"https:\/\/doi.org\/10.1111\/medu.13489","archive":["Portico"],"relation":{},"ISSN":["0308-0110","1365-2923"],"issn-type":[{"value":"0308-0110","type":"print"},{"value":"1365-2923","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,12,20]]},"assertion":[{"value":"2017-04-07","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-10-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2017-12-20","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}