Changing the face of primary care in India

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  • Introduction to the course
  • Changing the face of primary care in India

    1. 1. Changing the face of primary care in India Sanjeev Bhoi, MD,FACEE Addl Professor Department of Emergency Medicine AIIMS Trauma Centre
    2. 2. Total population 1,240,000,000 Gross national income per capita (PPP international $) 3,590 Life expectancy at birth m/f (years) 64/67 Probability of dying under five (per 1 000 live births) 61 Probability of dying between 15 and 60 years m/f (per 1 000 population) 247/159 Total expenditure on health per capita (Intl $, 2011) 141 Total expenditure on health as % of GDP (2011) 3.9
    3. 3. Objectives • Primary care of India • Challenges • Creating challenges in opportunity • Ownership • Leadership • Team • Changing the face of primary care
    4. 4. Primary care of India • 23,109 PHCs in India • Provision of medical care • Maternal-child health including family planning • Safe water supply and basic sanitation • Prevention and control of locally endemic diseases • Collection and reporting of vital statistics
    5. 5. Primary care of India • Education about health • National health programmes, as relevant • Referral services • Training of health guides, health workers, local dais and health assistants • Basic laboratory workers
    6. 6. Challenges Survey shows poor state of PHCs in the state
    7. 7. Gaps in basic emergency care in India
    8. 8. Current Status of Emergency care-Govt .Sector • Care provided in so called Casualty. • Free care, but quality varies from center to centers. • Manned by CMOs. Or Non trained staff of junior grade. • Lack of equipment and infrastructure • University hospitals have reasonable care Ramanujam et al JAPI 2007
    9. 9. Emergency care Rural Area  Subcentre-PHC-CHC.  Pvt. Clinics and Hospitals.  General Practitioners-(basic to specialist)  Lacks emergency skills.  Lack of Diagnostic facility, communication  Provide reasonably good Emergency care Position Statement: Academic Emergency Medicine in India: JWG: JAPI 2008
    10. 10. CYCLE RICKSHAW TO AIR AMBULANCE 9/27/2013 Criticare 2012
    11. 11. CMO  Casualty medical officer  Acts as a Post man  Usually a non trained Junior Staff.  Flying Birds ◦ Residents rotate in Other specialty ◦ usually those who prepare for PG. Allagappan K et al Ann Emerg Med1998 9/27/2013
    12. 12. Lack of Manpower Training and Community participation
    13. 13. Creating challenges into opportunity
    14. 14. Ownership Mine Ours
    15. 15. Leadership
    16. 16. Making a Team Team- Team
    17. 17. Janani Suraksha yojana
    18. 18. AIIMS COMMUNITY EMERGENCY CARE INITIATIVE
    19. 19. objective Primary objective: To improve knowledge and skill of primary health care workers as well as laypersons towards basic emergency / trauma care. Secondary objective: To develop a skilled set of trainers who would be the resource persons in imparting further trainings.
    20. 20. BECC 23 AIIMS BASIC EMERGENCY CARE COURSE For Healthcare workers and Laypersons
    21. 21. Visual session: Audiovisuals
    22. 22. Skill Session: Practical Skill stations
    23. 23. Method of Assessment of the participants
    24. 24. CBSE Curriculum- 2011 School Systems to consider “introducing a fourth „R‟- resuscitation,” to traditional 3R‟s of reading, writing and arithmetic
    25. 25. National Cadet Corps
    26. 26. Manipur Guwahati
    27. 27. Spreading across India
    28. 28. Mission with a vision to the face of primary care in India

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