14 تشرين الأول، 19 1 و ما توفيقي الا بالله

Transcript:14 تشرين الأول، 19 1 و ما توفيقي الا بالله:
14 تشرين الأول، 19 1 و ما توفيقي الا بالله عليه توكلت واليه انيب سورة هود(اية 87) صدق الله العظيم Prof. Lamia Dhia AlDeen Primary Health Care PHC Course Learning Objectives: To define PHC& its concept To state requirements ,principles , pillars, & levels of PHC . To describe elements & Strategies of PHC ,. To identify current health system Problems. To list Obstacles to PHC, limitations of medical care system. To apply for developing a functional Referral system in PHC. WHO definition of health Health is…. “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity” Definition of health it is a state of complete physical , mental ,social and spiritual wellbeing , the ability to lead a socially and economically productive life and not merely the absence of disease or infirmity. Determinants of health Generally, the context in which an individual lives is of great importance for his health status and quality of life. It is increasingly recognized that health is maintained and improved not only through the advancement and application of health science, but also through the efforts of lifestyle choices of the individual and society. Factors affecting health HEALTH parenting styles geographical mobility family dynamics social resources biological factors family finances culture employability age gender McMurray, A. (2003) pg.12 Slide 8 Levels of Care Primary health care Secondary health care Tertiary health care 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 The Basic Requirements for PHC (the 8 A’s and the 3 C’s) Appropriateness Availability Adequacy Accessibility Acceptability Affordability Assessability Accountability Completeness Comprehensiveness Continuity Appropriateness Whether the service is needed at all in relation to essential human needs, priorities and policies. The service has to be properly selected and carried out by trained personnel in the proper way. Adequacy The service proportionate to requirement. Sufficient volume of care to meet the need and demand of a community Affordability The cost should be within the means and resources of the