Comp Prim Health Care Dr S davey.pptx

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SanjeevDavey1

Concepts of Comprehensive Primary Health care

Health & Medicine

Comprehensive Primary Health Care
Approach Adoption
for
Building A Fairer Healthier world
Dr. Sanjev Dave
Professor
Department of Community Medicine
SMMH, Govt Medical College, SAHARANPUR(UP)
2/14/2023

Selective vs Comprehensive
Primary Health Care
2/14/2023
Source: Research Gate

Delivery of Comprehensive Primary Health Care
from HWCs in COVID 2019 Pandemic
2/14/2023
Source: National Health Portal GOI

Comprehensive PHCare
Scenario of Our District
• Existing PHC facilities-- Comprehensive PHC care
services ( In COVID era) : Constrained in District as
also found in Study[1]
Reasons:
1. Weak infrastructure
2. Suboptimal patient safety and
3. Poor infection control measures.
4. No Existing effective planning, communication, and
coordination
SO LACK --overall preparedness during public health
emergencies Such as COVID 2019 .
Source:
2/14/2023
1. Garg S , Basu S, Rustagi R, Borle Primary Health Care Facility Preparedness for Outpatient Service Provision During the
COVID-19 Pandemic in India: Cross-Sectional Study. JMIR Public Health Surveill. 2020 Apr-Jun; 6(2): e19927.

Weaknesses Points of Action Specific Action Area Outcome
Expected
Infrastructure Operationalize all
CHCs
Block PHCs
& SCS
(Mandatory Antigen Testing for COVID
2019)
Make Screening
areas OPD for
COVID & NON
COVID Symptoms(
ILI& SARI)
ISOLATION OF
COVID PATIENTS
AT CHC & PHC
LEVEL
Patient Safety Make Isolation wards functional at CHC
& PHC level.
Sensitize CHC & PHC
Whole staff by
Training
Management of
COVID 2019 at
CHC &PHC
LEVEL
Infection Control
Measures
Uninterrupted Supply of Gloves, Shoe
Covers, Goggles, Sanitizers and
Sanitization Facility at all levels of Heath
care
NO COVID 2019
Infection
Both COVID &
NON COVID
areas can Run at
Facility Level
Effective
Communication
Planning and
Coordination
POST BANNERS & POSTERS OUTSIDE SC,
PHC & CHCs for Prevention of COVID
2019 Infection Spread.
Specific IEC & BCC
Messages
Community
Sensitization for
Preventing
COVID 2019
Spread.
2/14/2023

Need for Tele- Health services at PHC & CHC
level
COVID 2019 infects people, Has high potential for spreading
in closed spaces, such as hospitals and emergency services,
We must avoid mass utilization of health services in the initial
stages of the epidemic, make telehealth services a
fundamental care strategy, enabling service users to get
reliable information in a timely manner about how to
proceed on the individual level. 2
• Greenhalgh et al. 3 also point out that on-line care services
can be important tools in cases of people with high levels of
anxiety and/or symptoms suggesting mild or moderate
Covid-19.
• Source:
2/14/2023
Sarti, Thiago Dias, Lazarini, Welington Serra, Fontenelle, Leonardo Ferreira, & Almeida, Ana Paula Santana Coelho. (2020). What is the role
of Primary Health Care in the COVID-19 pandemic?. Epidemiologia e Serviços de Saúde, 29(2), e2020166. Epub April 27,
2020.https://dx.doi.org/10.5123/s1679-49742020000200024

2/14/2023
Conclusion: Possible Suggested Model
https://bjgpopen.org/content/early/2020/09/08/bjgpopen20X101113/tab-figures-data

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Abstract Rural healthcare recently came into international spotlight, with recent reported influx of the COVID-19 into rural regions. This article focuses on susceptibilities of the rural population to pandemics and mitigating measures to prevent formation of disease epicentre. Rural Healthcare is by far one of the most neglected areas of medicine. The discrepancies in quality of rural healthcare has been evident for decades, yet no lasting measures have been able to bridge this gap till date. Lessons gleaned from the recent SARS and H1N1 pandemics has once again fallen through the cracks in a futile attempt to curb urban spread.

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Introduction In 2019, the whole World faced with the great challenges in the health due to the epic outbreak of novel Corona virus. World Health Organization WHO declared the Corona virus as the global health emergency on January 30, 2020. The Covid 19 vaccine are widely created for their role in reducing the spread of Covid 19 and reducing the severity and death caused by Covid 19. People’s perception toward vaccine acceptance have fluctuated with the information flow in various social medias and the severity of COVID 19 cases. This study aimed to assess the level of knowledge and attitude about Covid 19 vaccine among the community people. Methods Quantitative approach with descriptive research design was adopted for the present study. Two hundred 200 adults aged 20 60 years from Angarpada and Mahul residence in Khordha District, Odisha were selected purposively. Adults who gave their consent and were present during the data collection period were included in the study. Pregnant woman and the people have systemic diseases were excluded from the study. The tools used to collect the data were 1. Socio demographic questionnaire, 2. Knowledge questionnaire to assess the Covid 19 vaccination and 3. Attitude scale to assess the attitude on Covid 19 vaccine. The data was analysed by using descriptive and inferential statistics. Results Vaccination status of the adults living in the Khordha district shows that 83 of people vaccinated for COVID 19. Level of knowledge on covid19 vaccine shows that more than half of the people 52.5 had poor knowledge. Highest percentage of adults 47.5 had neutral attitude. The mean knowledge score is 10±3.59 and mean attitude score is 92.38±6.54. There was a very weak positive correlation r = 0.176, p = 0.096 found between the knowledge and attitude. Conclusion The study results indicates that most of the community people are having adequate knowledge and having neutral attitude towards the Covid 19 vaccination. It shows that awareness is needed on the importance of vaccination. Dr. B. Gomathi | Sreya De | Sutapa Roy | Sandip Pradhan | Ankit Barla | Sayantani Das "Knowledge, Attitude and Vaccination Status on Covid-19 among Adults Living in Selected Rural Areas of Khurdha District, Odisha" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-5 , October 2023, URL: https://www.ijtsrd.com/papers/ijtsrd59985.pdf Paper Url: https://www.ijtsrd.com/medicine/nursing/59985/knowledge-attitude-and-vaccination-status-on-covid19-among-adults-living-in-selected-rural-areas-of-khurdha-district-odisha/dr-b-gomathi

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