This document outlines the key components of an essential basic health service at the community level. It states that such a service should be comprehensive, accessible, acceptable, involve community participation, and be affordable. The goals of community health services are to reduce mortality and morbidity, increase life expectancy, decrease population growth rates, improve nutrition, provide basic sanitation, and support economic development through agriculture, food production, and small industries. The document then describes the various types of health care services that should be provided at the community level.
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
India, evolved a NATIONAL HEALTH POLICY in 1983 till 2002. The policy stress on PREVENTIVE, PUBLIC HEALTH AND REHABILITATION ASPECTS OF HEALTHCARE. It also focus on need of establishing primary health care to reach in the remote area of the country.
Health care organization system is vital link for maintain good coverage at all over the India for delivering quality assurance work to people of community.
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
voluntary health agencies have its own administrative body or committee which raises fund through its membership or through private sources. It has staff either paid or on a voluntary basis. Works for health promotion, health education & health legislation, etc.
Health care organization system is vital link for maintain good coverage at all over the India for delivering quality assurance work to people of community.
This ppt gives you the details about the NRHM scheme. The SWOT analysis has been done which helps you to know the strength and weakness part of the NRHM program.
BY: Dr.Pavithra R (M.H.A)
voluntary health agencies have its own administrative body or committee which raises fund through its membership or through private sources. It has staff either paid or on a voluntary basis. Works for health promotion, health education & health legislation, etc.
Easy to discuss and understand by the summarize topics of 3 which is Community Health Nursing, COPAR and Primary Health Care. Sources from different presentations and Shield book. MOSTLY COMPLETE AND COMPREHENSIBLE!!!
AYUSH Health & Wellness Centres
Objective
The main objectives are to establish a holistic wellness model based on AYUSH principles and practices, to empower masses for ‘self-care’ to reduce the disease burden, out of pocket expenditure and to provide informed choice to the needy public.
Core/Essential Activities
The health care facilities to be upgraded as AYUSH HWCs are AYUSH dispensaries and sub health centres (SCs). At upgraded AYUSH dispensaries, expanded AYUSH services will be initiated initially, and gradually the NHM components will be incorporated as per the feasibility. In case of SCs, AYUSH services will be in addition to already on-going National Health Programmes and other activities under National Health Mission. The mechanism of operationalisation of HWCs would be jointly workout by Department of AYUSH & Health in the State/UTs.
1. Integration of national health mission and national ayush mission
2. Introduction of Ayushman Bharat Ayush health and Wellness centre
3. Rules and responsibilities of frontline health workers
4. Guidelines for performance link payments
5. Communication with public and maintenance of records
6. Mobilization of peoples for OPD care and prakriti parikshan
7. CBAC survey and population enumeration
8. 12 health frameworks their management and referral
9. Screening and Management of minor non communicable diseases
10. Common medicine plants to be used in kitchen garden and their common home remedies
11. Lifestyle modification measures and IEC activities
12. Common yoga protocol for Ayush health and balance centres
13. Minor diagnostic procedures and minor OPD level panchkarma procedures including physiotherapy at designated Ayush health and Wellness centres
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A clean environment, open defecation free areas, personal hygiene practices, proper solid and liquid waste management, safe drinking water determines the health of individual as well as the community.
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Essential community health service
1.
2. MEANING
A essential basic health service is
understood to be a network of coordinated,
peripheral and intermediate health units
capable of performing effectively a selected
group of function essential to the health of
an area and assuring the availability of
completed professional and auxillary
personnel to perform these functions.
4. BROAD AGREEMENT THAT
HEALTH SERVICES SHOULD
BE
A. COMPREHENSIVE
B. ACCESSIBLE
C. ACCEPTABLE
D. PROVIDE SCOPE FOR COMMUNITY
PARTICIPATION
E. AVAILABLE AT A COST THE
COMMUNITYAND COUNTRY CAN
AFFORD
5. GOAL
To reduce the mortality and morbidity
To increase in expectation of life
To decrease the population growth rate
To improve the nutritional status
To provide basic sanitation
To workout adequate trained manpower requirements in
various dept.
To provide adequate support in resources development
-agriculture
-food production
-literacy rate
-housing/shelter
-small scale industry for economic development etc.
6. HEALTH CARE SERVICES AT
COMMUNITY LEVEL
1. PUBLIC HEALTH SERVICES
2.PRIVATE SECTORS
3.INDEGENEOUS SYSTEM OF
MEDICINE
4.VOLUNTARY HEALTH AGENCIES
5. NATIONAL HEALTH PROGRAM
6. INTERNATIONAL HEALTH
AGENCIES SERVICES.
9. ESSENTIAL AREA FOCUS AT
COMMUNITY SERVICES
1. COMMUNICABLE DISEASE
2. NON COMMUNICABLE DISEASES
3. NUTRITIONAL PROBLEMS
4.MATERNALAND CHILD HEALTH
SERVICES
5.POPULATION STABILIZATION
6. ENVIRONMENTAL SANITATION
7.CHILD HEALTH SERVICE
10. continued
8. FAMILY PLANNING/CONTRACEPTION/
COUNSELLING SERVICE
9. ADOLESCENT HEALTH SERVICE
10.HEALTHPROMOTION/MAINTANANCE/SCREENING/PRIMODIA
L PREVENTION
11.TEACHING/TRAINNING/CONTINUING /INSERVICE
EDUCATION
12.CO-ORDINATION SERVICES WITH OTHER AGENCY
13.DISEASESURVEY/SURVEILLANCE/MONITORING/
IMPLEMENTATION/FOLLOWUP/NEWPOLICY/REASSESSMENT
14.PROMOTION OF AYUSH SERVICES AT COMMUNITY
11. continued
15.RECORDS AND REPORTS OF VITAL
EVENTS
16.CO-ORDINATION AND MONOTORING
THE SERVICES OF HEALTH WORKERS
17.OUT-REACH AND FILED SERVICES
18.REFERRAL SERVICES.
19.BASIC LABORATORY SERVICES
20 NATIONAL HEALTH SCHEME
AWARENESS PROGRAM.
12. COMMUNICABLE
DISEASES
ESSENTIOAL SERVICES:
Survey periodically
Early identification, diagnosis and treatment
Counseling and follow-up
Referral services
Health promotion
IEC services for prevention
Health education
13. NON COMMUNICABLE
DISEASES
ESSENTIAL SERVICES:
Detections of high risk cases early through
survey.
Promote healthy life style
Diagnosis, management and referral service
Follow-up services.
Counseling
IEC activities /health education/awareness
program.
Statistical reports based on the condition
14. MCH SERVICES
ESSENTIAL SERVICES:
ANTENATAL SERVICES:
Early registration
Minimum 4 ANC visit
Immunization
Basic laboratory test /general examination
Detect the high risk mothers as early
Appropriate referral services tie-up
Personal hygiene/diet/rest/sexual life/care
Counseling for FP/identify suspected STD/RTI
Vital statistical
15. INTRA NATAL SERVICES
ESSENTIAL SERVICES:
Promotion of institutional services
Skilled attendant at home deliveries when called for
Appropriate and timely referral services for high risk
cases.
Managing the labour with using of partograph
Identification and management of danger sign during
labour
Proficient first aid treatment for PPH
Safe delivery/equipment/hands/environment/birth
canal
Breast feeding within 30 minutes initiazation
16. POST NATAL SERVICES
ESSENTIAL SERVICES:
Exclusive breast Feeding
Post natal home visit(3,7,42 day)
Incase of LBW visit to be(14,21,28th day)
Immunization continue
Care of mother/baby/ in perineum observation of lochia /care of
breast
Examination of newborn for sign of sickness/congenital
abnormalities as IMNCI guidelines.
Counseling on
diet/rest/hygiene/contraception/feeding/sign/symptom of
RTI/STD/HIV/AIDS
Tracking of missed and left PNC cases
documentation
17. CHILD HEALTH SERVICES
ESSENTIAL SERVICES:
New born care(temperature/KMC/maintain
airway/breathing/initiate BF/infection protection/personal
care/card care as per guidelines
Counseling of EBF up-to 6 months
Complementary feeding including BF till 2 years
Assess the growth and development
Immunization services
Vitamin A prophylaxis till 5years
Prevention and control of childhood disease.
Indentification of high risk cases/referral /documentation
18. ADOLESCENT HEALTH
SERVICES
ESENTIAL SERVICES:
Adolescent friendly clinic for 2 hours once a week on a fixed day.
Provide comprehensive care(promotive,preventive,curative and
referral services)
Information regarding change in reproductives health ,counseling,
Services related sexual
concerns,pregnancy,contraceptions,abortion,menstrual problems,
Services for tetanus immunization
Nutritional counselling for prevention of anemia.
Prevention and control ,screening about RTI/STD management
Referral services for VCTC and PPTCT
OUT REACH SERVICES:
Periodic health checkup and health education activities.
National health program awareness,drugs,alcohol,substance abuse etc
Encourage the co-curricular activities.
19. FAMILY
PLANNING/POPULATION
STABILIZATION
ESSENTIAL SERVICES:
Full range of family planning services including
IEC,counseling,provision of adequate supply of
contraceptives etc
Permanent family planning method as per
family norms completed(NSV/laboroscopy
sterilization and follow up services,incentives)
Safe abortion services
Avoid unwanted pregnancy
Health education/awareness program
documentation
20. ENVIRONMENTAL
SANITATION
ESSENTIAL SERVICES:
Basic water facilities/quality monitoring/adequate supply
Drainage facilities
Precaution for local endemic disease
Housing facilities
Road facilities/electricity /transportation/communication etc
Recreational facilities like park, sport,play ground,telecast
,news paper etc.
Spiritual facilities like temple/majid/church/sikkim etc
Facilities for domestic animals/pet animals/street animals
Polluted free environment
Make green environment/sapling tree/agriculture forming etc
21. NUTRIONAL SERVICES
ESSENTIAL SERVICES:
Prepare the type of dietary pattern
Select always fruits, vegetables fresh /seasonal base .
Cook always iron base utensil
Take always balnced diet(protein,CHO,fat,vitamin,
minerals equal)
Take adequate water 2500 ml/day
Avoid fast food /more fatty food /preservatives food
Screening for nutritional problems periodically.
Better to take germination food like sprout gram
22. SCHOOL HEALTH
SERVICES:
ESSENTIAL SERVICES:
Screening for general health assessment of
anemia/nutritional status/visual acuity/hearing /dental
checkup/physical disabilities/learning
disorder/behavioural problems etc
Screening for communicable /non
communicable/endemic/skin diseases
Treatment for minor ailments
Immunizationa as per period/schedules
Provide midday meals /supplementary nutrition/special
micronutrients
Provide prophylaxis for filaria/malria/worm infestation.
23. OCCUPATIONAL HEALTH
SERVICES
ESSENTIAL SERVICES:
Nutritional services(canteen facilities,balanced diet at low cost )
Control of communicable diseases measures(early
diagnosis,treatment,prevention and rehabilitation)
Evnironmental sanitation measures(water ,food,toilet ,general plant
cleanliness,sufficient space,lighting,ventilation,work safety
measure,residence facilities )etc
Mental health measure(promote health/happiness,reduce the
stress/emotion,screen the mental health illness,
counseling,rehabilitation,follow-up )
Measure for women and children(maternity leave,MCH
services,creches , sickness leave ,no child can work under14 yrs )
Health education
Family planning method to be adopted for small family norm.
24. NURSING EDUCATION
ANM
GNM
B.SC
P.B.SC
M.SC
PH.D
BRIDGE COURSE IN ALL PROGRAM
SKILLED TRANNING FOR ASHA, USHA,
DAI,SBA/TBA ETC.
25. TRAINING PROGRAM
Exclusive community area to post like
Urban area
Rural area
Health centre
Industrial area
Rehabilitation centre.
Old age home
Maternity centre
Proper trainning material
Proper trainning faculty
Proper return demonstration/simulation and
performance skills assessment
Proper evaluation system
26. COMMUNITY SERVICES
Follow proper guidelines like
WHO,CDC,MOH&FW,GOI in clinical
service.
Daily inventory/demand/stockout/essential
things adequate supply
Assessment
Implementation to public health service
Policy review as per guidelines
Maintaining of records/report to submission
27. Health education to community
service
Sanitation
Personal hygiene
Environmental sanitation
Economic development
Primary/secondary/higher education as
needed
Rest
Proper sleep
Balanced diet
28. CONTINUED
Medication/spiritual practice
Screening for communicable/non
communicable/hereditary/congenital/genital
defect etc
Recreational facilities
Vaccination/Immunization
Work safety
Personal safety
Public awareness about the
pandemic/endemic/epidemic diseases
29. COMMUNITY RESEARCH
THE STEPS TO IMPLEMENTATION MIGHT
BE
Assemble a broad-based, inclusive, participatory
coalition or coordinating council to guide the CHIP
process, if one does not already exist.
Do your research.
Identify the issue(s) you’re going to work on, if you
haven’t started with a specific issue in mind.
Analyze the issue(s) carefully.
Take stock of potential resources, particularly those
already available in the community.
30. CONTINUED
Develop a strategic plan and action plans to
carry it out.
Agree on who will be accountable for which
parts of the plan.
Work out how accountability will be monitored.
Implement your strategy.
Monitor both the process and the outcomes of
your effort.
Maintain your gains.
Start the cycle again, with another issue.
31. Summary
We discussed the essential community
services like meaning.goal,purpose,area
,manpower,norm,tranning,teaching,rese
arch,policy,implementation,achievement
and reassessment in health services of
individual, family , community and
society.
32. conclusion
Till now we discussed essential
community health services in health
care delivery system. I hope you all can
perform essential community services to
the society with help of this knowledges
in present and future.