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PRIMARY CARE IN THE HEALTH CARE SYSTEM

PRIMARY CARE IN THE HEALTH CARE SYSTEM. By Dr. Hamda Qotba, B.Med.Sc, M.D, ABCM. Problems with the health care services. Urban oriented Curative in nature Accessible to small part of people. Alma-Ata declaration.

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PRIMARY CARE IN THE HEALTH CARE SYSTEM

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  1. PRIMARY CARE IN THE HEALTH CARE SYSTEM By Dr. Hamda Qotba, B.Med.Sc, M.D, ABCM Dr.Hamda Qotba

  2. Problems with the health care services • Urban oriented • Curative in nature • Accessible to small part of people Dr.Hamda Qotba

  3. Alma-Ata declaration • 1978 international conference on primary care reaffirmed HFA as social goal of the governments can be achieved by primary health care Essential health care provided to all individual that is accessible, affordable and acceptable With their own participation Dr.Hamda Qotba

  4. HEALTH FOR ALL 2000(WHO, 1981) • “The main social target of governments and of WHO should be the attainment by all the people of the world by the year 2000 of a level of health which would permit them to lead a socially and economically productive life.” Dr.Hamda Qotba

  5. Medical care versus Health care • Medical care: personal services provided by physicians • Health care: services provided to individuals or communities by health service professionals for purpose of • Promoting • Maintaining • Monitoring • Restoring health Dr.Hamda Qotba

  6. PRIMARY HEALTH CARE(WHO) • “the essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at each stage of their development, in the spirit of self-reliance and self-determination” Dr.Hamda Qotba

  7. Elements of primary health care • Health education • Promotion of food supply and proper nutrition • Safe water supply • Maternal and child care • Immunization • Prevention of endemic diseases • Appropriate treatment • Provision of essential drugs Dr.Hamda Qotba

  8. Principles of primary health care • Equity of distribution • Health services must be shared by all people • Provide access to all people • Community participation • Financial and man power wise • Let them promote their own health • Intersectoral coordination • Education, hosing, agriculture,ect…. • Appropriate technology • According to need not on demand Dr.Hamda Qotba

  9. Other important attributes of primary care • First contact care • Accessibility • Continuity • Case-management (responsibility for coordinating all the care that a person needs) Dr.Hamda Qotba

  10. Draft Charter of General Practice/Family Medicine(WHO-EURO, 1998) • General (unselected health problems) • Continuous • Comprehensive • Coordinated • Collaborative • Family-oriented • Community-oriented Dr.Hamda Qotba

  11. PRINCIPLES OF PRIMARY CARE • The doctor-patient relationship is central to what we do as family physicians • The practice of family medicine is community-based • The family physician is a resource to a defined population • The family physician must be a skilled, effective clinician Dr.Hamda Qotba

  12. Head of Primary Care Center • After finishing postgraduate studies, all of a sudden you found your self in the position of primary care center, what are the first steps you would like to take? Dr.Hamda Qotba

  13. Management of primary care center • Analyzing health situation • Population (catchment area) • Statistics • Area Epidemiology • Medical facilities • Manpower • Training facilities • Attitude and believes of population Dr.Hamda Qotba

  14. Establishment of objectives and goals • At all levels • Long term • Short term • Putting in mind resources • Assessment of resources • Manpower • Money • Skills • Knowledge • Materials • Fixing priorities Dr.Hamda Qotba

  15. Write up your plan • Detailed covering all aspects • Well defined cost and time • Programming and implementation • Fix responsibility for every person to achieve goals • For implementation • Define task • Involve selection , training, motivation, manpower • Organization and communication Dr.Hamda Qotba

  16. Monitoring • Its continuous process of observation, recording, and reporting on activities thus it involves keeping activities on the track and correction of any deviation • Evaluation • Assessment of achievement of the stated goals • Adequacy • Efficiency • Acceptance Good plan has built-in Evaluation (feed back) Dr.Hamda Qotba

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