Andres Rubiano

Ashoka Fellow
Neiva, Colombia
Fellow Since 2012

Citation

This profile was prepared when Andres Rubiano was elected to the Ashoka Fellowship in 2012.
The New Idea
150,000 Colombian citizens a year die unnecessarily from severe traumatic injuries sustained from landmines, guerrilla and paramilitary warfare, homicide, and vehicular accidents. Andrés is constructing an integral primary care network for victims of trauma, many of whose lives are lost simply due to an inadequate and uncoordinated hospital and public health system. Andrés formed Foundation for the Medical and Technical Education and Investigation into Emergencies and Disasters (Meditech), as a citizen organization (CO) to train key actors in the best and proven scientific and educational techniques in trauma treatment and care and adapts it to a context that has never before experienced such a holistic program. Andrés is building awareness and expertise among the medical, emergency response and public health fields to stimulate them into supporting improved trauma care all around the country.

Andrés understands that integral care requires constructing a novel infrastructure of institutions and actors all committed to emergency medicine. With his education as a doctor specializing in trauma and his alliance-building capability, he brings together hospitals, medical schools, emergency response agencies and public health agencies to coordinate their training and planning to receive, process, and attend to victims of trauma. He also had the insight to incorporate other agencies not directly responsible for medical attention, such as law enforcement, but which have close interactions with trauma victims. By educating and transforming the roles of existing actors, Andrés has formed a powerful network that works in synch to provide high-quality care.

In addition to training key actors in their new and integrated roles in trauma care, Andrés is building toward systemic change, which must include changing government policy and regulations in the role of hospitals and the way that they carry out emergency care. By integrating Meditech’s model into institutional practices and agency policy, he foresees cultivating an environment that will facilitate the growth and maintenance of his integrated trauma networks. By helping to create the professional study of emergency crisis management and many different hospitals around Colombia inviting Meditech to train them in this innovative and effective approach to trauma, Andrés has found himself at a watershed moment in knitting together a national system of integral trauma care.
The Problem
The Strategy
The Person

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