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Family Health Clinic Guide
1. Family Health Care Setting
Part II: Family Health Clinics
Prepared by
Dr. Ebtehal Galal Fathy
Lecturer of Family and Community Health Nursing
Faculty of nursing, Suez Canal University
2. Outlines
1. Definition of Clinic Setting.
2. Definition of Family Health Clinics.
3. Purposes of Family Health Clinic.
4. Difference between a family health clinics
and hospitals
5. Criteria For A Good Family Health Clinic.
6. Types of Clinics in Family Health Care
Setting.
7. Functions Of Family Health Nurse in
Family Health Clinics.
3. Clinic Setting
❑Clinic setting is a place where patients come to seek medical and
health care services as desired by them from the members of health
care team including physician stationed there.
❑Clinics are arranged at the following locations: sub center, primary
health center, community health center, hospital, slums, MCH and
family welfare centers, schools, fair places etc.
4. Family Health Clinics
• It is a type of family health care
setting to provide health care
services to family members.
• It is a special place either in the
hospital or in the health care
centers where the specialist
doctors along with the trained
nurses and paramedical staff,
diagnose, treat and provide follow-
up care to the outdoor patients.
5. Purposes of Family Health Clinic
❑To provide care for actual needs of family members.
❑ Family members can get consultation, investigation, diagnosis and treatment
outdoor patients.
The patient is spread of unnecessary expenditure of hospitalization.
❑ Family patient’s routine job work is not disturbed much.
❑ All family members receive health care inside family clinics away from
crowds inside hospitals.
❑To provide comprehensive primary care services.
❑To supply additional resources to help promote better health, such as
education, translation, and transportation services.
6. Difference between a family health clinics and
hospitals
• There are several important differences
between family clinics and hospitals.
Some of the key differences include the
following:
• Inpatient vs. outpatient: clinics focus
on providing outpatient care. Although
hospitals can also provide outpatient
services, they focus more on providing
inpatient care.
7. Difference between a family clinics differ and
hospitals
• Type of care: family members often go to a hospital to see a
specialist, have surgery, or receive care for a serious illness or medical
emergency. The services at family clinics are often focused on routine,
preventive, or non-emergency care.
• Size: family clinics are usually smaller in size and have a smaller pool
of staff. Hospitals typically have a larger workforce of medical
professionals, many of whom are specialized in a particular medical
field.
• Cost: Going to the hospital is often more expensive than going to
clinics.
8. When family go to a family clinics
• For preventive care:
Preventive care includes things like having an
annual physical exam, receiving immunizations,
or screening for conditions like diabetes, heart
disease, and some types of cancer.
• For routine care:
Examples of routine care include follow-up
appointments for an existing condition or
attending a therapy session at a mental health
clinic.
9. When family go to a family clinics
• For non-emergency symptoms:
If family members feeling under the weather
with symptoms like a cough, sore throat, or
ear pain, they can go to a medical clinic for
care.
• For minor injuries:
family members may be able to go to a clinic
for minor injuries, such as muscle strains,
minor cuts, or small burns.
10. When to go to a hospital
• To see a specialist: This specialist can
help diagnose and treat your condition.
An example of this is an oncologist for
cancer.
• For surgery: Many surgeries, both
emergency and non-emergency, are
done in a hospital setting.
• For symptoms of a medical
emergency: If family members have
symptoms of a medical emergency like
a heart attack or stroke, they should
seek immediate medical care at a
hospital’s emergency department.
11. When to go to a hospital
• For a serious injury: It’s important to get to a
hospital’s emergency department for serious injuries,
such as those sustained in a car accident or fall.
Other examples include head injuries, severe burns,
and serious cuts or lacerations.
• For mental health emergencies: If a person’s
behavior is putting them or others at risk of harm, it’s
best to get the patient to a hospital for evaluation and
care.
12. Criteria For A Good Clinic
Location Of The Clinic
❑Clinic is located close to the community. The location
should be acceptable and accessible to all. No one
should need to travel more than 1 hour of easy journey.
❑Clinic should be set up at such place where transport
facilities are available.
❑ The clinic and waiting area must be safe for children.
❑There should be sufficient waiting area and chairs in
front of the clinic and near the registration office where
the patients can relax and wait for their turn.
13. Criteria For A Good Clinic
▪ All equipment's in the clinic should be up to date and in
working conditions.
▪ The physician and members of his team should be
specialist, specialized and skilled in their work and
sufficient in number.
▪ Facilities for drinking water and toilet are the basic
requirements of every clinic.
▪ Inside the clinic, hand washing facilities, screen for
privacy, arrangement for sufficient light should be there.
14. Criteria For A Good Clinic
▪ The clinic should be well organized
with effective flow pattern from one
station to another.
▪ Provision for follow up care and
referral.
▪ There should be effective system of
recording and reporting.
▪ There should be effective system of
health education for people coming to
the clinics.
15. Types of Clinics in Family Health Care Setting:
The clinics are generally classified in three main groups:
❑ General clinics.
❑ Maternal and child health clinics or Separate clinics.
❑ Specialty clinics.
16. General clinics Maternal and child health clinic
or Separate Clinics
Specialty clinic
Function ▪ To provide emergency
care
▪ For treatment of minor
alignments.
▪ For examination and
routine laboratory
investigation
▪ For immunization
through immunization
clinic.
▪ To reduce maternal and infant
mortality rate
▪ Promote health of mother and
children.
Run by specialist
doctors and nurses in
order to provide
better medical and
counseling services.
Examples a) X-ray clinic.
b) Dental clinic.
a) Antenatal clinic
b) Postnatal clinic
c) Under five clinic
d) Family planning clinic
e) Child guidance clinic
f) Reproductive and child health
a) Diabetic clinic
b) Cardiac clinic
c) TB clinic
d) Nutrition clinic
:
17. 1) General Clinics
Any family person can be attended with any of the health problem.
They are usually managed by general family physician and general family
nurse.
Example: x-ray clinic, dental clinic.
The functions of the general clinics are:
▪ To provide emergency care.
▪ For treatment of minor aliments.
▪ For examination and routine laboratory investigation.
▪ For immunization trough immunization clinics.
18. X-ray clinic
It managed by radiologist. Its function
are:
▪To provide radiological diagnosis.
▪To provide radiotherapy to the cancer
patients.
19. Dental clinic
They are run by dentist either bachelor of
dental science or master of dental science
in specific field. Its function are:
▪ Maintain oral health.
▪ Prevent and treat dental caries.
▪ Provide treatment for gingivitis,
periodontitis, mouth ulcers.
▪ Warn patient about the use of oral
tobacco.
20. 2) Maternal and child health clinics
Theses clinics are in sub centers, primary health center, community health
centers, government hospital and in private hospitals.
Examples:
a) Antenatal clinic
b) Postnatal clinic
c) Under five clinic
d) Family planning clinic
e) Child guidance clinic
f) Reproductive and child health clinic.
21. Maternal and
child health
clinics
a) Antenatal clinic
Functions:
▪ To maintain antenatal records like, weight,
height, hemoglobin estimation, urine testing
for sugar and albumin during each visit.
▪ To Immunize the pregnant mother against
tetanus.
▪ To prevent and treat malnutrition problems
as anemia in pregnant woman.
▪ To screen and proper manage of high-risk
cases.
▪ To assess growth and development of the
fetus during pregnancy.
▪ To prepare mother for labor.
22. Maternal and
child health
clinics
b) Postnatal clinic
▪ Is a clinic that providing care to women and
newborn in the postnatal period that include the
first six weeks after birth.
Aim: to maintain optimum health of mother and
child.
Functions:
▪ Help the mother to recover from stress and
strain of labor.
▪ To prevent infections and complications.
▪ To promote breastfeeding to the infant.
▪ To teach mother about care of new-born baby.
▪ To provide family planning services.
23. Maternal and
child health
clinics
c) Family Planning Clinic
▪ Is a clinic that provides contraception and other
gynecological services.
Functions:
▪ Provide contraceptive devices to the couples.
▪ Provide genetic counseling and sex education.
▪ To treat infertility.
▪ Provide preventative health services such as
screening for breast cancer or sexually
transmitted disease at reduced coast
24. Maternal and
child health
clinics
c) Child guidance clinic
▪ are specialized clinics that deal with children
of normal and abnormal intelligence,
exhibiting a range of behaviors and
psychological problems which are summed up
as maladjustments
▪ A child guidance clinic is one of the medico-
social amenities for the organized and
scientific study and treatment of
maladjustment in children.
25. Objectives of Child guidance clinic
▪ Providing help for children with behavioral problem
like pica, bed-wetting, sleep walking, speech defects
etc.
▪ Providing care and guidance for children with
mental retardation
▪ Providing care for children with learning difficulties
▪ Providing counseling, guidance and information to
parents regarding care and upbringing of children.
27. Maternal and
child health
clinics
d) Reproductive and child health Clinic
Functions:
For mothers:
▪ Provide emergency obstetric care.
▪ Prevention, treatment of reproductive tract
infection.
For children:
▪ Provide immunization on all vaccine
preventable diseases.
▪ Provide oral rehydration therapy for diarrhea.
▪ Control and treatment of acute respiratory tract
infection.
▪ Prevention and control of vitamin A deficiency.
28. 3) Specialty Clinics
These provide better medical and counseling services for specific disorders.
These clinics are run by specialist Doctors and Nurses.
Some of the important clinics under this category includes:
• TB clinic
• Diabetes clinic
• Sex clinic
• Nutrition clinic
• Cardiac clinic.
29. Diabetic Clinic
Clinic is run by specialist with trained staff in this field.
The Functions of diabetic clinic:
• providing support to allow patients with diabetes to
manage their condition.
• provide patients with the information and education
they require to effectively manage their diabetes.
• assess for complications of diabetes and ensure
appropriate treatment is in place to prevent the
development of complications.
30. Diabetic Clinic
• This is achieved by:
- Ensuring blood glucose control is as good as it can be.
- Ensuring blood pressure is within the normal range.
- Checking for protein in the urine.
- Annual foot examination to ensure there are no
problems with sensation or blood supply.
- Annual eye screening (by retinal photography) to
detect any early signs of eye complications (known
as retinopathy).
31. Cardiac Clinic
Clinic is run by cardiologist and his team.
Functions:
▪ To diagnose and treat all problems related to
heart.
▪ Provide health education on prevention and care.
▪ Counseling the heart patients about treatment
and changing lifestyle.
▪ To provide follow up care.
32. Sex Clinic
Clinic is run by sex specialist and his team trained
and specialized in the treatment and prevention of
sex problems.
Functions:
▪ To diagnose and treat the sexually transmitted
infections (STIs), such as gonorrhea, chlamydia,
and HIV
▪ Provide sex education.
▪ To advise the use of condom to prevent the
spread of infection to another partner.
▪ Educate about sex hygiene.
33. Sex Clinic
▪ Access to various forms of contraception
▪ Pelvic exams for women
▪ Screening for cancers like cervical cancer, breast
cancer, and prostate cancer
▪ Vaccines for diseases like HPV and hepatitis B
▪ Pregnancy services, such as pregnancy testing
and prenatal exams
▪ Abortion services or referrals
▪ Counseling and referrals for infertility
▪ Help with men’s health conditions such as
erectile dysfunction and premature ejaculation
▪ Vasectomy
34. Tuberculosis
Clinic
Clinic is run by chest physician and health team
trained in to provide health education to the
patient and family to prevent the spread of it.
Functions:
▪ To make diagnosis of any patient coming with
cough more than two months and weight loss
and sweating at night.
▪ To provide antituberculosis drugs.
▪ To teach on taking rest, diet with high protein
and extra calories and vitamins.
▪ Educate about the prevention of disease.
35. Nutrition
Clinic
Clinic is run by dietician and his team trained in
nutritionist aspects.
Functions:
▪ To provide nutritional assessments, intervention
and education to patients and family.
▪ Provide dietary requirement of patients and
growing children.
▪ To provide evidence based medical nutrition
therapy.
▪ To provide education on the healthy eating
principles.
36. Functions Of Family Nurse in family
clinics
▪ Helps in setting up of clinic.
▪ Helping in promoting cleanliness and good working environment at the clinic.
▪ Setting up of clinic and arranging equipment's and supplies.
▪ Supervision and guidance of health workers.
▪ Assessment of health status of patients.
▪ Proving need-based nursing care services.
37. Functions Of Family Nurse in family
clinics
▪ Assisting the Doctor/Specialist.
▪ Maintaining and preserving the health records, registers and reports of the
clinic services provided and cases attend the clinic.
▪ Provides treatment and care based on needs as per standing order.
▪ Gives necessary instructions to patient and family members.
▪ Participates and conducting health education sessions as needed.
