Health delvery system by Dr Najeeb Memon .ppt

Health delvery system by Dr Najeeb Memon .ppt

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  By PROF: NAJEEB MEMON MPH,DFHC CommunityMedicine Deptt: LUMHS, Jamshoro, Sind PAKISTAN e mail mnajeeb80@gmail.com
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  Leaning objectives  Theparticipants will be able to  Know the definition of Health  Health Care  Know different partners in health.  Levels of healthy care with differentiating points  PHC with its functions  Other sectors than Government in health care  Summary of health structure and functions
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  HEALTH Physical Complete Mental & Socialwell being & not merely the absence of disease.
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  Bb
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  THE DECLARATION OF ALMAATA 1978 Health for all
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  Primary Health Care Anew approach to health care Came in to existence in 1978 following an international conference at Alma-Ata (USSR) This known as “Primary Health Care” It has all the hallmarks of a Primary health care delivery, first proposed by “Bhore Committee in 1946, & now espoused world-wide by international agencies & national Govt: Global strategy for “Health for All” 34th World Health assembly in 1981.
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  Health For All(1978) “the attainment by all peoples of the world, a level of health that will permit them to lead a socially and economically productive life”.
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  Improving Health Individual / Family Community Governments/ NGOs / Private
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  Prevention Treatment Management Health Care By Medical& Allied Health Prof:
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  June 2011  18thAmendment in the constitution of Pakistan  Health POLICY by Federal Government, implementation by Provincial Government  From July 2011 responsibilities and resources shifted to provincial Government  From 2014, Local Governments have an important role in health delivery systems???
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  The Local Government (DistrictHealth System) in the context of devolution after 2014 Very important District Nazim / Deputy Commissioner. (Planning, Implementation, Monitoring, data collection, analysis, interpretation, evaluation and planning)
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  A mechanism forproviding services that meet the health-related needs of the individual.
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  Primary health care The“first” level of contact between the individual and the health system. Essential health care (PHC) is provided. A majority of prevailing health problems can be satisfactorily managed. The closest to the people. Provided by the primary health centers. Secondary health care More complex problems are dealt with. Comprises curative services Provided by the district hospitals The 1st referral level Tertiary health care Offers super-specialist care Provided by regional/central level institution. Provide training programs Levels of Care
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  What is UniversalHealth Coverage (UHC)?  UHC means that all individuals and communities receive the health services they need without suffering financial hardship.
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  Situated in ruralunion council. Area covered 15-25 square miles. Serves 5000 – 10 000 population 5 – 10 BHUs linked to one RHC Services provided at BHUs included -MCH services -Child care -Immunization -Diarrheal control -Malaria control -Mental Health -School Health services BHU Staff: 10 people. Male M.O. LHV or Female health technician. Male medical technician/ dispenser Trained or unqualified midwife. Sanitary inspector. Vaccinator. 2 – 3 Support staff. .
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  BASIC ELEMENTS OF “PRIMARYHEALTH CARE”  Health education ( Health problems- preventing & controlling)  Identifying & controlling prevailing health problems.
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   Promotion ofFood supply and proper nutrition.  Provision of safe water and basic sanitation.  Maternal & child health care, including family planning.
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  BASIC ELEMENTS (cont:) Immunization  Prevention and control of locally endemic disease
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   Appropriate treatmentof common diseases and injuries  Promotion of mental health  Provision of essential drugs
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  Principles Equitable Distribution PHC mustbe given to all individuals in equal amount in community irrespective of their gender, age, caste, color, urban, rural and social class. Community Participation Involvements of Individuals, families & communities in promotion of their own health & welfare is an essential ingredient of PHC Intersectorial coordination Alma-Ata states that PHC involves in addition to the health sector, all related sectors & aspects of national & community development, in particular agriculture ,food, industry, education, housing , public works, communication & other sectors. Appropriate Technology Technology i,e scientifically sound, adapted to local needs & acceptable to those who apply it & those for whom it is used. Prevention
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  RHC Each has 25beds Laboratory Provision for minor surgery Ambulance Each RHC ( linked to) Taluka Hospital Taluka Hospital ( linked to) District Head quarter’s Hospital Whole system is designed as integrated Rural Health Complex
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  The whole systemof BHUs, RHCs, Tehsil hospitals & DHQH are designed as: “Integrated Rural Health Complex”
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  Tertiary Health CareSpecialized level Tertiary hospitals Teaching hospitals also provide Sub-specialty care (29) Curative care Available Preventive services Limited Hospitals General hospital Special hospitals Regional / teaching hospitals District hospitals e.g. civil hospital
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  (3) Components of HealthCare System