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Introduction to Public Health Practice Prevention Health Services Program Name Faculty Name : Date: Subject Code: Module No. 4 – Public Health & Health Systems School of Public Health 1 Objective 2 At the end of this module, the students should be able to Describe the health system as a public health concern Discuss Natural history of disease Identify and describe the levels of prevention and modes of intervention Learning Outcome 3 The students will acquire knowledge about the natural history of disease as well as the modes of intervention and will be able to apply this knowledge for the prevention of health problems in the community Content Public health system Natural History of Disease Levels of prevention Modes of intervention Health services pyramid 4 Public health system Relationship between public health and other health activities has never been clear. Different views prevail among health professionals Public health is part of the health system or the health system is part of public health? Most components serve the same ends The term health system refers to all aspects of the organization, financing and provision of programs and services for prevention and treatment of illness and injury. The public health system is a component of this larger health system. Public commonly perceives the health system to include only medical care and treatment aspects of the overall system. However, public health activities are part of larger set of activities that focus on health, well-being, disease and illness. Some questions to brainstorm Does the countries have a rational strategy for investing its resources to maintain and improve people’s health? Is the current strategy excessive in ways that inequitably limited access to and benefit from needed services? Is the health system accountable to its end-users and ultimate payers for the quality and results of its services. The issues of health, Excess access, Accountability and quality Make the health system a public health concern Prevention and Health service Health and illness are dynamic state that are influenced by a wide variety of biological, environmental, behavioral, social and health services factors acting through an ecological model. The complex interaction of these factors results in the occurrence or absence of disease or injury. Which in turn contributes to the health status of individuals and populations. Prevention and Health services Before we go to prevention, its necessary to understand the Natural history of disease. The nineteenth-century revolution in thinking brought about by Koch and Pasteur led to the recognition of distinct stages in the development of a disease. If left untreated, a disease would evolve through a series of stages that characterize its natural history But if an intervention is applied, the natural history is modified, producing a typical clinical course for the condit ...
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Emergency and disaster management is essential for healthcare preparedness, with nurses playing a crucial role. The World Health Organization (WHO) defines emergencies as immediate threats to human health, life, property, or the environment. Disasters, on the other hand, are sudden or prolonged events that cause significant disruption and exceed a community's ability to cope. They can be natural or human-made. Disaster management involves mitigation, preparedness, response, and recovery. Mitigation aims to reduce the impact of disasters through risk assessment and vulnerability reduction. Preparedness includes developing plans, conducting training, and stockpiling supplies. Response involves immediate actions to save lives and meet basic needs, while recovery focuses on restoring affected areas and supporting the return to normalcy. Key organizations and professionals in disaster management include the WHO, National Disaster Management Authority, local government and health departments, and various stakeholders. Disaster management plans are comprehensive strategies to respond to and recover from disasters, aiming to protect life, mitigate damage, coordinate resources, support community resilience, and enhance preparedness. The disaster control room serves as the central command center, coordinating the response. It includes a rapid response team, designated beds for patients, necessary resources, and training and drills for preparedness. Elements of a disaster plan include education and training, resource assessment and mobilization, communication and coordination, and evacuation and sheltering protocols. Activation of disaster management plans involves establishing a reception area, implementing a triage system, ensuring accurate documentation, managing public relations, and organizing crowd management and security arrangements. Nurses have significant roles in disaster management. In healthcare facilities, they provide direct patient care, conduct triage, coordinate and communicate with other professionals, manage resources, and maintain documentation. In the community, nurses engage in preparedness education, conduct health assessments, collaborate with organizations, promote health and disease prevention, provide psychological support, advocate for the affected, and ensure continuity of care. In conclusion, nurses are vital in emergency and disaster management, contributing to care, coordination, and support. Their expertise, compassion, and adaptability make them invaluable in mitigating the impact of disasters and promoting the well-being of individuals and communities.
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