This document discusses global health challenges and physician responsibility. It begins by noting that all humanity lives in the same world and should cultivate peace. It then discusses the Millennium Development Goals (MDGs) related to health, including targets and indicators for reducing child mortality, improving maternal health, and combating diseases. It analyzes Indonesia's progress in meeting health-related MDG targets compared to other ASEAN countries. The document also discusses remaining global problems, the shift from MDGs to the Sustainable Development Goals, and challenges of economic integration like AFTA as well as Indonesia's roadmap for achieving universal health coverage. Throughout, it emphasizes the importance of good governance and sustainability for addressing global health issues and the
Assam, India - Commitments and action on achieving health and nutrition targets Transform Nutrition
A presentation given by Neha Raykar, Public Health Foundation of India at a policy seminar titled ‘Transforming Food and Nutrition Landscape in Assam’ on 29th March 2017 in Guwahati, Assam
Assam, India - Commitments and action on achieving health and nutrition targets Transform Nutrition
A presentation given by Neha Raykar, Public Health Foundation of India at a policy seminar titled ‘Transforming Food and Nutrition Landscape in Assam’ on 29th March 2017 in Guwahati, Assam
This slide is about India New Born Action Plan. It encloses complete detail of the plan and what are its principles and objective and how it aims to achive it
POSHAN District Nutrition Profile_Kandhamal_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
This slide is about India New Born Action Plan. It encloses complete detail of the plan and what are its principles and objective and how it aims to achive it
POSHAN District Nutrition Profile_Kandhamal_OdishaPOSHAN
POSHAN District Nutrition Profiles (DNPs) draw on diverse sources of data to compile a set of indicators on the state of nutrition and its cross-sectoral determinants. The profiles are intended to be conversation-starters at the district level and to enable discussions about why undernutrition levels are high, and which factors, at multiple levels, might need to be addressed to improve nutrition.
PLEASE NOTE that POSHAN is regularly tracking data sources as they are released and updating the profiles accordingly.
The MoPH, Donors and the NGOs Partnership and its Impact on Maternal and Child Health in Afghanistan
Nadera Hayat Burhani, MD, Specialized in Ob/Gyn, MPH, MPPM (Fellow, Melbourne University)
Melbourne
7May 2015
Improve quality and increase access to family planning and maternal health care services
Educate couples to ensure they have the best chance for a wanted and safe pregnancy
Safe motherhood is one of the important components of Reproductive Health. It means ensuring that all women receive the care they need, to be safe and healthy throughout pregnancy and childbirth. It is the ability of a mother to have safe & healthy pregnancy & child birth.
Quote from the Introduction from the Global Nutrition report
"This year’s Global Nutrition Report focuses on the interdependence of the SDGs, and how progress against one goal generates progress for all. Nowhere are these linkages more evident than in the food agenda. As the producers, manufacturers and retailers of most of the world’s food, business has a responsibility to help drive the food system transformation. As a progressive food company, we are
committed to helping redesign our global food and agriculture system, to give everyone access to healthy and nutritious food and diets and thereby create a brighter future for all.
The health and safety of employees and contractors is a key consideration for any mining operation anywhere in the world. However, in a sustainable mining context these considerations cannot terminate at the front gate – the health and wellbeing of people in the communities surrounding mining operations are crucial for the success of the operations themselves.
Critical health issues facing communities vary around the world and how these issues are addressed also varies. What is consistent is the need to consider how the projects are affected by the local environments and the impacts projects may have on communities. And this must be done at every stage of the project lifecycle, from early exploration to resettlement and decommissioning.
Public health should be integral to any mining operation. The contexts in which projects are located generate health challenges that can have serious repercussions on the projects themselves, such as the current ebola outbreak in West Africa. At the same time, public health considerations should be the cornerstone of any corporate social responsibility (CSR) program. If well-conceived these programs can contribute to local development but often the existing health systems and regulations are not clearly understood
Population in 2012- 41 million
No of people living with HIV 1.5 million
Kenya ranks no 4, among countries with highest burden of HIV globally
54 % of HIV infections are just in 9 counties
Study to Assess the Effectiveness of Planned Teaching Programe on Knowledge R...ijtsrd
Reproductive health plays a key role in a woman’s life. According to United Nations Population Fund, good sexual and reproductive health is a state of complete physical, mental and social well being in all matters relating to the reproductive system. In pre test majority 63.33 of B. SC 1st year student had average knowledge, whereas in the post test 46.66 of student had good knowledge. The mean percentage of post test knowledge score was higher 19.33 when compared with mean percentage of pre test knowledge score 11.33 Post test mean score 19.33 greater than previous test mean 11.33 difference is 8 hence, the research hypothesis H1 is accepted and it was inferred that the mean difference between pre test and post test knowledge score was statistically significant. The computed ‘t’ value t=29 was higher than the table value t29=2.05 at 0.05 level of significance. Hence the research hypothesis H1 is accepted and it was inferred that the mean difference between pre and post test knowledge score was statistically significant. Chi square test reveal that there is no significant association between pre test knowledge and demographic variables of BSc Nursing 1st year students. Ms. Seema Pal | Ms. Sheetal Verma | Ms. Shivani Singh | Ms. Shilpi Dubey | Ms. Shivangi Patel | Ms. Shivangi Rai | Ms. Shivangi Srivastava | Ms. Shivangini Yadav | Ms. Shraddha Yadav | Ms. Shreya Maurya | Ms. Vimlesh Yadav | Ms. Zainab Ansari | Mrs. Jayana Rupjee "Study to Assess the Effectiveness of Planned Teaching Programe on Knowledge Regarding Reproductive Health" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-7 , December 2022, URL: https://www.ijtsrd.com/papers/ijtsrd52417.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/52417/study-to-assess-the-effectiveness-of-planned-teaching-programe-on-knowledge-regarding-reproductive-health/ms-seema-pal
NURSES: A FORCE FOR CHANGE: IMPROVING HEALTH SYSTEMS' RESILIENCE
The nurses plays a key role in health system to achieve the national health goals.They identify the health needs and provide need based care.Community need assessment approach is essential to provide the health services.Community Health Nurses are not only the back bone of health sysytem but they are the heart and hands of health care delivery system.
Similar to Global Health And Physician Responsibilty (20)
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
Medical Technology Tackles New Health Care Demand - Research Report - March 2...pchutichetpong
M Capital Group (“MCG”) predicts that with, against, despite, and even without the global pandemic, the medical technology (MedTech) industry shows signs of continuous healthy growth, driven by smaller, faster, and cheaper devices, growing demand for home-based applications, technological innovation, strategic acquisitions, investments, and SPAC listings. MCG predicts that this should reflects itself in annual growth of over 6%, well beyond 2028.
According to Chris Mouchabhani, Managing Partner at M Capital Group, “Despite all economic scenarios that one may consider, beyond overall economic shocks, medical technology should remain one of the most promising and robust sectors over the short to medium term and well beyond 2028.”
There is a movement towards home-based care for the elderly, next generation scanning and MRI devices, wearable technology, artificial intelligence incorporation, and online connectivity. Experts also see a focus on predictive, preventive, personalized, participatory, and precision medicine, with rising levels of integration of home care and technological innovation.
The average cost of treatment has been rising across the board, creating additional financial burdens to governments, healthcare providers and insurance companies. According to MCG, cost-per-inpatient-stay in the United States alone rose on average annually by over 13% between 2014 to 2021, leading MedTech to focus research efforts on optimized medical equipment at lower price points, whilst emphasizing portability and ease of use. Namely, 46% of the 1,008 medical technology companies in the 2021 MedTech Innovator (“MTI”) database are focusing on prevention, wellness, detection, or diagnosis, signaling a clear push for preventive care to also tackle costs.
In addition, there has also been a lasting impact on consumer and medical demand for home care, supported by the pandemic. Lockdowns, closure of care facilities, and healthcare systems subjected to capacity pressure, accelerated demand away from traditional inpatient care. Now, outpatient care solutions are driving industry production, with nearly 70% of recent diagnostics start-up companies producing products in areas such as ambulatory clinics, at-home care, and self-administered diagnostics.
Health Education on prevention of hypertensionRadhika kulvi
Hypertension is a chronic condition of concern due to its role in the causation of coronary heart diseases. Hypertension is a worldwide epidemic and important risk factor for coronary artery disease, stroke and renal diseases. Blood pressure is the force exerted by the blood against the walls of the blood vessels and is sufficient to maintain tissue perfusion during activity and rest. Hypertension is sustained elevation of BP. In adults, HTN exists when systolic blood pressure is equal to or greater than 140mmHg or diastolic BP is equal to or greater than 90mmHg. The
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
Leading the Way in Nephrology: Dr. David Greene's Work with Stem Cells for Ki...Dr. David Greene Arizona
As we watch Dr. Greene's continued efforts and research in Arizona, it's clear that stem cell therapy holds a promising key to unlocking new doors in the treatment of kidney disease. With each study and trial, we step closer to a world where kidney disease is no longer a life sentence but a treatable condition, thanks to pioneers like Dr. David Greene.
Explore our infographic on 'Essential Metrics for Palliative Care Management' which highlights key performance indicators crucial for enhancing the quality and efficiency of palliative care services.
This visual guide breaks down important metrics across four categories: Patient-Centered Metrics, Care Efficiency Metrics, Quality of Life Metrics, and Staff Metrics. Each section is designed to help healthcare professionals monitor and improve care delivery for patients facing serious illnesses. Understand how to implement these metrics in your palliative care practices for better outcomes and higher satisfaction levels.
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
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Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
4. We all live in the
same word
We are all member of a single
humanity inside our heart we all speak
the same, we all love our children and
our parents, we all live in the same
world…….(Mac Forne Malne)
5. We all live in the same
world
If civilization is to survive we must
cultivate the science of human
relationship the ability of all people
all kind to live together in the same
world at peace (Franklin D Rosevelt)
7. Tujuan Pembelajaran
Menjelaskan isi MDG dan Post MDG yang terkait dengan bidang
kesehatan
Menyebutkan indikator dan target pencapaian MDG dan Post MDG
yang terkait dengan bidang kesehatan
Menjelaskan pencapaian indikator dan target pencapaian MDG
bidang kesehatan di Indonesia dibandingkan dengan negara ASEAN
Menjelaskan permasalahan dalam pencapaian indikator dan target
pencapaian MDG bidang kesehatan
Mengidentifikasi peran dokter dalam sistem pelayanan kesehatan
untuk menjamin pencapaian MDG dan agenda post MDG
Menjelaskan tantangan AFTA 2015 dan UHC dalam bidang kesehatan
dan peran aktif dokter.
15. 5. Improving maternal health
Indicator 1990 Target 2007 Comments
Maternal
mortality rate per
100.000
390 110 300
Birth helped by
trained nurse
40.7% 100% 72.4
Married women
age 15-49 using
contraception
50.5% 100% 57.9
20. Making Pregnancy Safer Messages
All pregnancy is
intended (wanted)
All delivery is helped
by trained health
care attendance
All pregnancy
complication
managed with an
adequate health
1
2
3
21. 6. Combating HIV/AIDS and other
Diseases (TB, Malaria)
Indicator 1997 Target 2007
Prevalence of
HIV/AIDS
Control the
spread
5.6
Case of
Malaria/1000
8.5
Tuberculosis
prevalence
/100.000
786 262
22. Why HIV Epidemic?
PerempuanLaki-laki
3,1 Juta Pria
membeli Sex
(2-20% dari Pria Dewasa)
1,6 Juta
menikah
dg pria risiko
tinggi
230.000
penasun
800,000
GWL
230,000
Wanita
Pekerja seks
Anak-anak
Jumlah Penduduk Indonesia: 240 juta
23. ASEAN Human development index
Rank
Country ASEAN rank HDI Income
category
GDP
Group Rank Index
Singapore High High 25 0.992 High 29.663
Brunei High High 30 0.894 High 28.161
Malaysia Upper med High 63 0.811 Upper med 10.882
Thailand Upper med Medium 78 0.781 Lower med 8.672
Philippine Medium Medium 90 0.711 Lower med 5.137
Vietnam Medium Medium 105 0.733 Low 3.071
Indonesia Medium Medium 107 0.738 Lower med 3.843
Laos Lower med Medium 130 0.601 Low 2.039
Cambodia Lower med Medium 131 0.598 Low 2.727
Myanmar Lower med Medium 132 0.583 Low 1.027
24. ASEAN Human development index
Rank
Thai Mal Phil Indo Vietn. Cam Lao Myan.
Poverty A A A ?
Hunger A A A
Primary
education
A A
Gender
disparity
A A A
Under 5 M A A
MMR A A
HIV/AIDS A A
Infectious
disease
A A
Environment ? ?
Safe water,
sanitation
A A A
25. What are the remaining global
problems?
SUSTAINABILITY AND GOOD GOVERNANCE
26. From MDGs to Sustainable Development
Goals
8 GOALS MDGs
12 GOALS SDGs
27. Comparing MDGs and SDGs
MDGs 2000 - 2015
1. Menanggung Kemiskinan dan
Kelaparan
2. Mencapai Pendidikan dasar untuk
semua
3. Mendorong Kesetaraan Gender dan
Pemberdayaan Perempuan
4. Menurunkan Kematian Anak
5. Meningkatkan Kesehatan Ibu
6. Mengendalikan HIV dan AIDS, Malaria
& Penyakit Menular Lainnya (TB)
7. Menjamin Kelestarian Lingkungan
Hidup
8. Mengembangkan Kemitraan
Pembangunan Tingkat Global
POST 2015
1. Mengakhiri Kemiskinan
2. Memberdayakan Anak Perempuan, Kaum Perempuan
& Pencapaian Kesetaraan Gender
3. Meningkatkan Mutu Pendidikan & Penerapan Belajar
Seumur Hidup
4. Menjamin Hidup Sehat
5. Menjamin Ketahanan Pangan & Gizi Baik
6. Menjamin Tersediannya Akses Air Bersih & Sanitasi
7. Membangun Ketahanan Energi Berkelanjutan
8. Menciptakan Lapangan Kerja, Penghidupan
Berkelanjutan, & Pertumbuhan Berkeadilan
9. Mengelola Aset Sumber Daya Alam secara Berkelanjutan
10. Meningkatkan Penyelenggaraan Pemerintahan yang baik
dan efektif
11. Menjamin Kehidupan Bermasyarakat yang Aman dan
Damai
12. Menciptakan Lingkungan Global yang Kondusif sebagai
Katalisator Pembiayaan Jangka Panjang
32. Health enables sustainable
development
Health is a
Right
Health is
socially
determined
Health
contributes to
growth &
development
Increase access
to health services
Improve level &
distribution of health
Outcomes
Better health
for citizen
Improve country
competitiveness
Inclusive &
sustainable growth
Healthy population mean
higher labor productivity
Higher return to household from
labor market participation
75% of health outcome is
highly depend on working
and living condition
The right of everyone to enjoy
the highest attainable
standard of physical and
mental health is globally
recognized
33. The contribution of health sector
Post 2015 Development Agenda : Wellbeing for All
Sustainable wellbeing for all: poverty
eradication, education, nutrition,
environment, security, etc
Healthy lives at all stages: child survival,
maternal survival, MDG6, adolescent
health NCD burden reduction
Universal Health Coverage; health
promotion, prevention, treatment,
financial risk protection
Health
Sector
Other
Sector
34. UHC Means
All people can access the health service they need
without incurring financial hardship
Access
Financial protection
35. Road map of Indonesian
universal health coverage (UHC)
20% 50% 75% 100%
20% 50% 75% 100%
10% 30% 50% 70% 100% 100%
`Perusahaan 2014 2015 2016 2017 2018 2019
USAHA BESAR 20% 50% 75% 100%
USAHA SEDANG 20% 50% 75% 100%
USAHA KECIL 10% 30% 50% 70% 100%
USAHA MIKRO 10% 25% 40% 60% 80% 100%
2012 2013 2014 2015 2016 2017 2018 2019
Pengalihan Peserta JPK
Jamsostek, Jamkesmas, Askes
PNS, TNI Polri ke BPJS Kesehatan
Perluasan Peserta di Usaha Besar, Sedang, Kecil & MikroPenyusunan
Sisdur
Kepesertaan
dan
Pengumpulan
Iuran
Pemetaan
Perusahaan
dan
sosialisasi
Pengukuran kepuasan peserta berkala, tiap 6 bulan
Integrasi Kepesertaan Jamkesda dan askes
komersial ke BPJS Kesehatan
Pengalihan
Kepesertaan
TNI/POLRI ke
BPJS Kesehatan
Kajian perbaikan manfaat dan pelayanan peserta tiap tahun
Sinkronisasi Data Kepesertaan:
JPK Jamsostek, Jamkesmas dan
Askes PNS/Sosial -- NIK
Penduduk yang
dijamin di berbagai
skema 148,2 jt jiwa
111,6 juta
peserta dikelola
BPJS Keesehatan
60,07 Juta pst
dikelola oleh
Badan Lain
257,5 juta
peserta
(semua
penduduk)
dikelola BPJS
Keesehatan
Tingkat
Kepuasan
Peserta 85%
KEGIATAN:
Pengalihan, Integrasi, Perluasan
73,8 juta belum
jadi peserta
90,4juta belum jadi
peserta
Perpres Dukungan
Operasional
Kesehatan bagi
TNI Polri
86,4 juta PBI
35
72%
(2013)
36. National Health Security System
Regulator
BPJS
Participants Health
facilitiesAccess to Health service
Health Services
National policy for
regulation and implement
Regulation for , health
personal, medical equipment,
medicine formularies etc.
Regulasi Pricing of health
services/provider (TARIF)
KendaliBiaya&kualitasYankes
Government
Sistem Rujukan
Pembayar tunggal, regulasi, kesetaraan
Primary
Secondary Referral
Tertiary Referral
system
