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4. health care systems


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4. health care systems

  2. 2. AIMS OF HEALTH AGENCIES <ul><li>Increase in life expectancy. </li></ul><ul><li>Reduction in mortality rate. </li></ul><ul><li>Decrease in population growth. </li></ul><ul><li>Improvement in nutritional status. </li></ul><ul><li>Provision of basic sanitation and literacy. </li></ul>
  3. 3. FEATURES OF HEALTH AGENCIES <ul><li>Should be able to cure and prevent the spread of any disease. </li></ul><ul><li>The system and its activities should be acceptable to the people in the community. </li></ul><ul><li>Should allow the community members to participate in its activities. </li></ul><ul><li>The treatment should be low in cost or atleast affordable by all the members of the community </li></ul>
  4. 4. HEALTH CARE SYSTEMS <ul><li>Two types depending on the location </li></ul><ul><li>Urban health care systems </li></ul><ul><li>Rural health care systems </li></ul>
  5. 5. URBAN HEALTH AGENCIES <ul><li>Modern hospitals with all facilities </li></ul><ul><li>Nursing homes etc </li></ul><ul><li>Urban health centre </li></ul><ul><li>Voluntary organisations </li></ul>
  6. 6. RURAL HEALTH AGENCIES <ul><li>Village health guides </li></ul><ul><li>Local dayees </li></ul><ul><li>Anganwadi workers </li></ul><ul><li>Rural hospitals </li></ul><ul><li>Primary health centres </li></ul><ul><li>Community health centres </li></ul>
  7. 7. VILLAGE HEALTH GUIDES <ul><li>Social worker - not a government employee </li></ul><ul><li>Receives a small amount of money as honorarium </li></ul><ul><li>Link between community & government health care system     </li></ul><ul><li>Government trains him & provides the necessary information for the treatment & small medical kit </li></ul><ul><li>Treatment of simple ailments, giving first aid, providing information regarding sanitation, mother & child health care & small family norms </li></ul>
  8. 8. LOCAL DAYEE <ul><li>The traditional birth attendant. </li></ul><ul><li>Untrained dayees conduct deliveries in unhygienic conditions and endanger the life of both the child and the mother. Therefore, the government trains them. </li></ul><ul><li>Trained dayees perform deliveries at patients’ home and under safe and hygienic conditions thereby reducing the mortality rate of the mother and child </li></ul><ul><li>Play an important role in propagating small family norms </li></ul>
  9. 9. ANGANWADI WORKER <ul><li>Anganwadi means “courtyard” </li></ul><ul><li>Under the I C D S, one anganwadi worker is allotted to a population of 1000 </li></ul><ul><li>Trained in various aspects of health, nutrition and child development </li></ul><ul><li>Duties are to ensure regular check up, immunisation, health education to the people </li></ul><ul><li>Conduct non-formal pre-school education. </li></ul>
  10. 10. RURAL HOSPITALS <ul><li>Situated in remote rural and interior places </li></ul><ul><li>Serve people who cannot afford to go to towns and cities for health problems </li></ul>
  11. 11. SUB-CENTRE HOSPITALS <ul><li>For a population of about 3000 – 5000 </li></ul><ul><li>One male and one female health worker take care of each such centre </li></ul><ul><li>Taking care of the health of mothers & children, provide information regarding family planning and handling the immunisation programme </li></ul>
  12. 12. PRIMARY HEALTH CENTRE <ul><li>Health needs of rural population     </li></ul><ul><li>1 lakh spread over 100 villages </li></ul><ul><li>One Medical Officer, one Block Extension Educator, one female Health Assistant, a compounder, a driver and a laboratory technician </li></ul><ul><li>Equipped with a jeep and necessary facilities to carry out small surgeries </li></ul><ul><li>Deals with medical care, mother & child health, family planning, safe water supply and sanitation, </li></ul><ul><li>Prevention and control of diseases,collecting statistical information, health education, training of health workers, dayees, health guides etc.,basic laboratory investigations </li></ul>
  13. 13. COMMUNITY HEALTH CENTRES <ul><li>Covers a population of 1 lakh </li></ul><ul><li>30 beds and is looked after by specialists in medicine and surgery </li></ul><ul><li>Equipped with x-ray machine and necessary facilities to carry out surgeries and treat complicated cases also </li></ul>