The main goal of the activity is to integrate the national interchange of IFMSA Brazil with public health by a immersion of the medical student in the reality of health systems in places with a low HD in state of Maranhão in BraziI. With the partnership with FESMA ( Health State Force of Maranhão), this activity aims to improve the education between the population that don’t have access to information about health and how to prevent diseases, by making activities in the health promotion in more away cities. At the same time, the activity also aim to teach students how to act as doctors in difficult situations, where it is not possible to find the right material to many procedures. 

In this way the target group of this activity is the population of Maranhão, Brazil, and the indicators of success are related to the report of these about the attendance and the improve of the service given to them when they need. At  the same time it is important to evaluate the opinion of the medical students about the activity to see if it was good to the both sides. Only evaluating the opinions of the students about the experience and the improve of the service after the beginning of the interchange is possible to see if the activity was a success or not.

Our health system is full of inequalities revolving around several issues:

1. medical care of people with disabilities
2. lack of adequate care for extreme ages
3. geographic inequalities (oversea territories +++)
4. social and financial limitations to access healthcare
5. cultural and linguistic barriers
6. SOGI

The objectives are of two types:

1. raising awareness about the issues we are highlighting.
2. promoting innovative solutions to address these issues.

Indicators of success will be the application of the solutions we promote, especially the ones regarding medical training.

The project aims to address the problem, that medical students do not have a lot of opportunities to do practical work during their studies. Before this project, our students could only work in hospitals as assistant nurses, which is not enough for acquiring practical skills. The other issue this project aims to tackle, is the lack of workforce in hospitals during the summer.

1. The system is working –by the summer of 2011 the government has passed a law that allows the first assistant doctors to work in Estonian hospitals (achieved 16.12.2016).
2. Working as an assistant doctor is a natural part of becoming a doctor in Estonia – by 2020 60% of the final year medical students will have worked as assistant doctors, by 2020 90% of assistant doctors have worked in a healthcare facility in Estonia.
3. The system is efficient – by 2018 a law has been passed that allows assistant doctors to have access to our e-Health system and can write preliminary prescriptions from their own information system account (achieved 03.03.2017).
4. The system is sustainable – by 2020 the system has funding from the government.
5. The system gets positive feedback from both students and employers – every year at least 70% of students and healthcare facilities rate satisfaction with the system at least 4 or higher (on a 5 step scale).