PRIMARY HEALTH CARE BY DR SAEED ALGAHTANI CONSULTANT

PRIMARY HEALTH CARE BY: DR. SAEED ALGAHTANI CONSULTANT FAMILY MEDICINE, DIRECTOR OF PRIMARY CARE CENTRE. INTRODUCTION ESTABLISHMENT OF PHC ELEMENTS OF PHC PRINCIPLLES AL-ISKAN CENTER

INTRODUCTION Every country has to develop a health system capable of meeting the priority health needs l Area of 2, 240, 000 Sg. Km. l 16 million. Density of 6 persons/Sg. Km. l

INTRODUCTION 45% Lives in large cities l Hajj & Omra l Climate l

ESTABLISHMENT OF PHC l Till the year 1399 H, health services were delivered in terms of Curative: – Hospital – Dispensaries Preventive: – Health offices – MCH Centres

ESTABLISHMENT OF PHC Ministerial Decree No. 2571/1459/50 dated 17. 8. 1400 (1980) ESTABLISHMENT OF HEALTH CENTRES: – Health offices – MCH centres – Dispensaries PHC CENTRES development was initiated in 1404

ESTABLISHMENT OF PHC The World Health Assembly decided in 1977 that the main social target for Governments & WHO is: – HEALTH FOR ALL BY THE YEAR 2000 Alma Ata Declaration 1978 PRIMARY HEALTH CARE

DEFINATION OF PHC – Essential health care – Based on practical, scientifically sound and social acceptable methods & technology – Accessible to individuals & families – It is their first level of contact – Cost that the community & country can afford – It forms an integral part for both the country’s health system & the overall social & economic development

ELEMENTS OF PHC PROMPOTIVE : Health Education l Food supply & proper nutrition l Maternal & Child care l PREVENTIVE: l Immunization l Prevention & control of locally endemic diseases l Adequate supply of safe water & basic sanitation

ELEMENTS OF PHC CURATIVE: Treatment of common diseases & injuries l Provision of essential drugs. l ADDITIONAL ELEMENTS: l Dental care l School health l Home health care

PHC PRINCIPLLES l Equity in distribution : Services to all & more services to the needy l Appropriate Technology: That the people can use & afford. l Multisectoral approach: Municipalities, Ministry of agriculture, Education

PHC PRINCIPLLES Community participation: - Social awareness & community self reliance. - The people has the right and duty to participate in the process for the improvement and maintenance of health. l Support from higher levels of care : - Hospitals has to share the social goal of making essential health services. - Referral l

MISSION STATMENT: To provide the highest quality of Primary Health Care services by providing Promotive, Preventive, Curative, and Rehabilitative care while ensuring efficiency and the proper utilization of available resources.

SCOPE OF SERVICES : MATRNAL CARE Antenatal Care: l Healthy baby in a hand of healthy mother l Health Education l Early detection l Reduce Infant & Maternal Mortality & M. R l Remove anxiety & fear associated with pregnancy l Promote mutual trust

CHILD CARE WELL BABY Comprehensive health care l Assess Growth & development l Early referral l Health Education IMMUNIZATION l New healthy generation l Achieve 100% coverage l l Minimize efforts & cost

FAMIL PHYSICIAN l l l l Assessment & screening Treatment of common diseases & injuries Health Education Management of chronic diseases Management of emergency cases Referral Shared care Training

HEALTH EDUCATION To induce changes in the peoples Knowledge, Attitudes, & Behaviour to enable them to have a healthy lifestyles. l Antenatal class l School visit l International health days

DENTAL CARE Early detection of dental problems l Treatment l Prevention of complications l Health Education l

PERVENTION & CONTROL OF ENDEMIC DIESEASES l l l Pre-school examination Sport fitness examination Screening Health Education Immunization compaign Water analysis

EMERGENCY 24 Hours emergency services l Referral l PHARMACY Provision of essential drugs l Drug formulary l

CONTINUOUS MEDICAL EDUCATION Training Centre l Daily Education l Weekly activity l Educational Programs l

NURSING CARE l l l l Measuring vital sign Prepare patient examination Dressing Health Education Sterilization Attend well baby clinic Immunization Others

SUPPORT SERVICES l l l l l Medical Records X-Ray Laboratory Secretarial Maintenance Transport Computer system Dining Housekeeping

COMMUNITY PARTICIPATION l l l Liaison with community Leaders Friends of the Centre Committee Liaison with School Healthy Women Group Liaison with Preventive Medicine Liaison with Joint Program

COMMITTES Management l Quality improvement l Infection Control l Continuous Medical Education l Wound Care l Health Education CLINICAL INDICATORS l Immunization Coverage rate l Rate Communicable diseases l Mortality & Morbidity rates l