Primary Health Center ( Issues , Strength and Scope)

August 18th, 2008 | by Michael |
child health
Tafsirul Mazahir asked:

The strategy of primary health? (PHC)? found to be a turning point in the history of politics healthcare. PHC? been defined as health? essential? of? of? based on practical, scientific and healthy acceptable from a social and technology made universally accessible to individuals and families in the community? with their full participation and at a cost that the community? and the country can afford to do at each stage of development in the spirit of? of? the determination? self and confidence in himself. PHC is? thought that form an integral part of both the health system? s? the country?, of which? the central role that the main focus of social and economic development of the general community?. It would be the first level of contact of individuals, families and communities? with the national system of health, the health carrier? close as possible to where people work and live is the first element of a continuous process of healthcare. ? ? PHC contains eight elements:? ? ? ? ? ? DI? à training about the prevailing health problems and methods to prevent and control? ? ? ? ? ? à promotion of supply of food and nutrition adequate? ? ? ? ? ? à supply of sufficient safe water and basic sanitation,? ? ? ? ? ? à of health? child and maternal, including family planning,? ? ? ? ? ? à of immunization against infectious diseases important? ? ? ? ? ? à of prevention and control of locally endemic diseases,? ? ? ? ? ? à suitable for treatment of common diseases and injuries,? ? ? ? ? ? anda of the provision of essential drugs. ? ideology and principles behind PHC match very closely what was and since then? been supported in human development as social justice, fairness?, human rights, universal access to services, giving the priority? the pi? vulnerable and not privileged and participation of the community?. ? a fact acknowledged that the promotion and protection of the health of the people? essential to social and economic trends continue and contribute to better quality? of life and peace of the world. These PHC priority as the main strategy to achieve health for all. Despite these efforts, and several years of work, not much? been achieved. ? l? ? a need? to examine the performance of health? Primary and identify strategic interventions needed to deal with new challenges facing health systems, as a contribution to developing an agenda for the reinforcement of PHC in the twenty-first century. KEY POINTS for? ? ? ? ? ? ? ? ? that may need TO BE REVIEWED / addressed to the reinforcement of? s? PHC? are:? ? ? ? ? ? DI? ? Formulation of policy à PHC: How the policy of PHC? been made? What was the process of policy formulation PHC, the content of policy etc PHC. ? ? ? ? ? ? DI? à Making policy PHC: How policies are realizzande PHC? The functions to be examined include advocacy and sales, actors and partners, structures and so proceed. ? ? ? ? ? ? DI? à PHC Resources: What resources are available for the implementation of PHC, for example human and financial resources, what? as the resources of PHC and physical structures? ? ? ? ? ? ? DI? à Monitoring and review of PHC: How the policy and strategies of PHC are controllande and esaminande? ? ? ? ? ? ? DI? à Health Trends: What are the main health trends and challenges related to health? Data? ? ? ? ? PROCESS? so that? the exhibition are obtained from the following sources:? ? ? ? ? ? DI? à unstructured interviews with respondents / informants who have intimate knowledge of the PHC, as policy makers, Implementers at all levels, other sectors involved, the WHO and other partners. ? ? ? ? ? ? DI? à Discussions with an audience pi? off people who have intimate knowledge of the PHC. This Implementers including policymakers, NGOs, private sector institutions associated with health, WHO and others? ? ? ? ? ? the partners? An à Desk of available documents and reports specific to the country and extensive analysis of all the available documents and materials published and unpublished. ? ? ? ? ? ? ? ? an overview of the health system in rural India: The? Rural? of? the health system? ? ? the structure and the scenario? current infrastructure, healthcare in rural areas? was developed as a system of three rows (see Table 1) and? based on the following rules of the population? ? 1. ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? CentrePopulation Norms2. ? ? ? ? ? ? ? ? ? ? ? ? ? ? ? AreaHilly Normal / Sub-Centers tribal / difficult health Centre1, 20,00080,000? ? ? Centre30 health, 00020.000 community AreaSub-Centre50003000Primary (SCS)? the Sub-Center? the contact point pi? peripheral and pi? first of the primary healthcare system and the community?. Each Sub-Center? equipped by dell'infermiera auxiliary midwife (ANM) and a medical officer male MPW (m) (for details of recruitment of staff model, see box 1). For a lady officer of health (LHV )? entrusted the task of monitoring the six Sub-Centers. The Sub-Centers are assigned tasks regarding communication between people to determine the change of behavior and provide services in relation to maternal and children's greetings, family welfare, nutrition, immunization, control of diarrhea and control of infectious diseases programs . The Sub-Centers are given the drugs for the disorder were secondary to taking care of health needs of men, women and children. The department of welfare of the family is providing the assistance of the central 100% at all Sub-Centers in the country since 2002 in the form of salary of ANMs and LHVs, rental rate of Rs. 3000 / - per year and contingency at the rate of Rs. 3200 / - per year, as well as drugs and associated equipment. The salary dell'operaio male? Governments borne out. As part of the key exchange, the Government of India has taken the direction dell'39554 secondary additional centers by state governments / union territories from April 2002 instead of 5434 the number of rural centers of social assistance family moved to the state governments / union territories. There are 146,026 secondary centers operating in the country in September 2005 as compared to 142,655 in September 2004. The centers of primary health? ? ? ? ? (PHCs)? PHC? the first point of contact between the community? Village and the officer of health. The PHCs? been foreseen to provide health? curative and preventive integrated rural population with the emphasis on preventive work and promorici of healthcare. The PHCs? established and managed by state governments under the minimum needs of the program (MNP) / program of basic minimum services (BMS). Currently, a PHC? fitted by a health official support of 14 paramedics and other staff. Serves as a unit? Referral Centers for 6. Secondary? He 4-6 basis for patients. The activity? PHC involving welfare curative, preventive, the primitive and Family Services. There are 23,236 PHCs that works as in September 2005 in the country compared to 23,109 in September 2004. The health centers of the Community? of? ? ? ? (CHCs)? ? ? ? ? CHCs are established and effettuandi by the state government under the program of MNP / BMS. ? equipped with four medical specialists this? surgeon, doctor, gynecologist and pediatrician support by 21 paramedics and other staff. The Interior has 30 bases with an OT, X-rays, the facilit? Labor and the laboratory room. Serve as a referral center for 4 PHCs and also provides easily? for consultations and specialist obstetric care. As in September 2005, 3346 CHCs are running the country. ************************************************** **********************? ? DI?

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