Transcript 2- What is Primary Health care

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2- What is Primary Health care ?

Provides preventive and curative services
of the public ,usually for individuals , as
mother, children. It is recommended,
however, to provide basic health services
on family [unite of the community ] rather
than individual basis
1.
2.
3.
Health promotion {physical, mental,
social}
Prevention of health hazards
Control of health hazards, through :
- Early diagnosis and management of
disease
- First aid, intensive care ,and
emergency service for injuries,
accidents and critical cases
1- Health for All.
2- Humman rights.
3- Access to services and
the weak and poor.
4- Community involvement .
priority to
6 - Primary Health care services in Palestine
1- Curative & first aid services
2- Specialized services including diabetic
clinics, hypertension, cardiovascular,
dermatology and ophthalmology services
depending on the needs of populations.
3- Preventive and MCH services including
prenatal and post natal care, well baby
clinics and vaccinations.
4- Epidemiological surveillance and
infectious disease management and
5-Womens health including family planning
6- Laboratories with facilities to provide
hematology, clinical chemistry and
microbiology tests.
7- Dental care services
8- Health education and promotion programs
9- An ambulatory surgery section for minor
surgical procedures and emergency condition.
10- Child delivery facilities
11- Water and food control and environmental
monitoring
Providers of Primary Health care
services in Palestine .
The Palestinian health care system is a
complex mix of different providers
operating at both primary and secondary
levels.
 Services provided by 4 main sectors :
 MOH +military medical services
 UNRWA
 The non governmental sector
 Private sector
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PHC Sectors
In Gaza strip
In West Bank
7- Classification of PHC
CURATIVE
PREVENTIVE
control of health
hazards and
rehabilitation
for health promotion and
prevention of health
hazards
General services
care of vulnerable group
1-General services
Some Examples:
a)
Health Education
Is a teaching process that provides basic knowledge of health
behavior example :
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personal cleanliness (personal hygiene )
practice of proper health-related habits in every day
activities
healthy life style:
-physical exercise and activate, open air recreation
- non cigarette smoking ,alcohol consumption, drug abuse
and drug dependence
Nutrition education
b) Monitoring of the environment:
regular supervision and inspection, to check fulfillment
of sanitary requirement, and manage defect if exist
especially water supply, food sanitation and insect and
rodent control
c) Prevention and control of endemic disease
of Registration of birth, death, and infection disease that
must be notified (by law ) to the local health officer so the
community. control measure for involved or at risk area
when necessary.
d) Active immunization :
*infant & child, according to schema of
compensatory immunization if not given by
MCH.
*at risk community, for prevention of disease .
e) Family planning services :
Regulation of child birth, and not to leave it to chance .
Increase maternal health and save mother risk with
many un-spaced pregnancies & favorable outcome of
pregnancy .
Family welfare and better child care when having
suitable family size.
1- Maternal & Child health services :
a) Maternal : mother are responsible for health
promotion and culture of children, and family welfare
,and so must be healthy ,and aware of requirement
of health
They are at risk of morbidity &mortality during
pregnancy , labor and puripuruim ,and whish are
largely preventable and controllable through
maternal care (pre conceptional care ,pregnancy
care , inter conceptional care ) .
b) Child care :that should begin before birth ,and
continues from birth and through to school age
2-Geriatric health services :
parents and grandparents used to live comfortably ,with
love and respect ,within extended families in traditional
societies . but social changes associated with busy
crowded urbane life , and young generations like to have
their own separate life on getting married. Eventually the
aged find themselves live lonely without care and
warmth of family life.
-Aging process is associated with varied hazards , du to
progressive impairment
of physiological functioning , and pathological changes and
their squeal
So the elderly are exposed to morbidity ,injuries and
disability that are responsible for physical ,mental ,and
social hazards
3) School health services.
4) Occupational health services
They are clinical services for diagnosis and
management of disease ,and first aid and emergency
service like:
 Outpatient
clinics – polyclinics (some cases
may need referral)
 Dispensary
(pharmacies )
to provide prescribed drugs
 First
aid and emergency service.
 Inpatient service :
some PHC centers have a number of beds, for
hospital treatment of minor and surgical cases
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Laboratory services :
small laboratory for simple tests
Health professionals
especially those in
primary health care,
have an important
role to play in
nurturing health
promotion and
enabling it to
happen .