Primary health care (PHC) aims to make essential health services universally accessible and affordable. It was introduced in 1978 with the goal of "Health for All" by 2000. PHC is defined by the WHO as essential care accessible to communities through their participation and affordable at every development stage. The key concepts are being accessible, acceptable, affordable, available, and accountable. PHC's strategies focus on strengthening infrastructure and training more health workers to expand rural services. Its objectives include reducing disease incidence and mortality rates.
This presentation deals with Primary Health Care in India. It describes in detail concept & characteristics of PHC. It focuses on structure, service delivery & challanges in front of Primary Health Care in India.
This presentation deals with Primary Health Care in India. It describes in detail concept & characteristics of PHC. It focuses on structure, service delivery & challanges in front of Primary Health Care in India.
The course offers an opportunity to develop a holistic understanding of Primary Health Care, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
Primary Health Care is an essential health care made universally accessible to individuals and acceptable to them through their full participation and at the cost the community and country can afford.
The course offers an opportunity to develop a holistic understanding of Primary Health Care, its functions, and scope. The course attendants will learn the principles of Primary Health Care, the course is expected to help the students to understand and internalize international health and public health transition facilitating the integration of health sector with other sectors.
Primary Health Care Strategy:
Key Directions for the Information Environment. Case study report and composite success model.
Steve Creed & Philip Gander
Primary Health Care is an essential health care made universally accessible to individuals and acceptable to them through their full participation and at the cost the community and country can afford.
PUBLIC HEALTHPromoting Public health. Introducti.docxamrit47
PUBLIC HEALTH
Promoting Public health.
Introduction:
In order to understand what public health means we need to begin with what health means.
We will use the definition of health that was adopted by the World Health organization (WHO).
The definition of health originated in the Alma Ata Declaration which was signed by participants at a WHO international conference in 1978 on Primary Health Care.
By defining what health means, we will be able to get a firm foundation for then by identifying what differentiate public health from other arenas.
2
Health
Definition of health
According to Alma Ata Declaration, it states that health is a state of complete physical, social and mental wellbeing and not just the absence of disease or infirmity.
Apart from providing the definition of health, The Alma-Ata Declaration also said some important things about health that PHANZ also endorses.
Health is characterized as a fundamental human right as well as attaining the highest possible level of health that is an important social goal worldwide.
3
Continuation:
Alma-Ata Declaration also said some important things about health that PHANZ also endorses.
Apart from providing the definition of health, health is characterized as a fundamental human right as well as attaining the highest possible level of health that is an important social goal worldwide.
The Alma-Ata Declaration recognizes that by realizing the goal, it also required the actions of other social and economic sectors apart from the health sectors.
Continuation
Our own Public Health Advisory Committee further emphasized the importance of recognizing the breadth of the determinants of health. According to the research of the committee, they revealed that the strongest influences on the health of individuals normally comes from the factors that are outside the health system.
They includes the social, physical, cultural and economic environment in which we live
Public Health
It is a science and art of promoting health preventing disease as well as prolonging life through education, research as well as promotion of healthy lifestyle.
Public health focuses on health promotion as well as disease or injury prevention which contrast to the medical model of care.
Medical model of care focuses more on diagnosis and treating illnesses as well as conditions after they occur.
How to differentiate Public health from other health care?
Based on the definition of public health, there are a number of key things that differentiate it from personal health and public health interventions from person health services. These include;
Public health is all about keeping people well instead of treating their diseases, disorders as well as disabilities after they emerged hence this is why the definition of public health emphasizes more on promoting health, prolonging life as well as preventing disease.
Public health focuses more on populations and not individuals hence it is oft ...
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. INTRODUCTION
The concept of PHC was similar to basic health service in India proposed by
Bhore Committee in 1946.
Primary health care concept was introduced jointly by WHO & UNICEF after
the conference held at Alma Ata 1978, to achieve a Goal of “Health for all by
2000 AD”
3. DEFINITION
As defined by the WHO as :
“Essential health care made universally accessible to individuals and families
in the community by means acceptable to them through their full participation
and at a cost that the community and country can afford to maintain at every
stage of their development in the spirit of self-determination”.
4. CONCEPT OF PRIMARY HEALTH CARE
Affordable by the country & community
Universally accessible to all citizens of Country
Available to all irrespective of rural or urban , rich or poor
communities
Socially acceptable based on practical and scientifically sound
technology
Accountable to health care agencies of the country
6. GOAL
to fulfill the global commitment of HFA 2000 AD
to achieve an improved state of health and quality of life for all people attained
through self reliance
to place peoples health in peoples hands
7. STRATEGIES
To strengthen the existing infrastructure of health care system
To train the manpower to increase the strength of health care workers
To enable the health services reach to rural area at grass root level as primary
health care is the back bone of health services delivery
8. OBJECTIVES
To reduce the incidence of communicable & non communicable diseases
To sustain the population growth as per the available resources
To reduce the mortality and morbidity rate among infants and preschool
children
To improve the level of health care of the community
Maximizing the contribution of other sectors for social and economic
development of the community
Extension of essential health services in rural areas and underserved sectors
Improvement in basic sanitation
9. ELEMENTS
There are 8 essential elements of
PHC are:
Health education
Nutrition
Water and Sanitation
Maternal and child health
including Family Planning
Immunization against the major
infectious disease
Prevention and control of locally
endemic diseases
Treatment
Provision of essential drugs
10. PRINCIPLES
5 Principles of Primary health care given by WHO:
Equitable Distribution
Community participation
Appropriate technology
Focus on Prevention
Multisectoral Coordination
11. RESPONSIBILITY OF NURSES IN PRIMARY HEALTH CARE
In 1984, the expert committee of WHO, recommended the following
responsibilities for Nurses for taking care of primary health:
Assessing the health level of Individuals and Community
Activating the participation of community and encouraging the individual to
participate
Providing treatment in emergencies and taking care of the general health
Referring the patients to the specialists
Keeping an eye on the epidemics
Training and supervision of health worker
Coordinating with other health program
Monitoring the progress of primary health worker
12. MILLENIUM DEVELOPMENT GOALS
In September 2000, representatives
from 189 countries met ata a summit
at new york to adopt UN Millenium
Declarations.
Health was the main focus
8 targets out of 18 and 18 indicators
out of 48 are related to health
13. PROMOTION AND MAINTENANCE OF HEALTH
According to WHO (2005),
“Health promotion is the process of enabling people to increase control over
their health and its determinants and there by improve their health.”
Health promotion involves all sectors : ie.,Social, political, cultural and
economical, Behavioral and environmental to participate toward promotion of
health
Pre requisites of health promotion are employment , security, quality , working
condition , sanitation and healthy environment.
Health promotion in HOSPITAL And COMMUNITY setting
14. MAINTENANCE OF HEALTH
A Systematic program or procedure planned to prevent illness , maintain
maximum function and promote health.
Maintenance of health is central to all levels of care and in all patterns i.e,
preventive, episodic, acute, chronic and catastrophic. It includes the
following:
1. Health education
2. Immunization
3. Nutrition
4. Guidance and Counseling
5. Recognition of health Problems
6. Timely medical advice and appropriate treatment and follow up of the
health problems
15. SUSTAINABLE DEVELOPMENT GOALS
MDG came to end in 2015 and UN
general assembly adopted new
development agenda in September 2015
SDG comprises of 17 goals and 169
targets
On Jan 2016, SDG of 2030 Agenda for
sustainable development came into
force.
The 2030 agenda is designed to benefit
all universal in scope. Eradicating
poverty , inequality, developing
economic growth and preserving
environment are deeply linked to health.