Podcast
Questions and Answers
What is a key characteristic of locally sustainable technology?
What is a key characteristic of locally sustainable technology?
Which factor indicates that a technology has environmental accountability?
Which factor indicates that a technology has environmental accountability?
How can the impact of a technology be measured effectively?
How can the impact of a technology be measured effectively?
What is a primary focus of health promotion?
What is a primary focus of health promotion?
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Which statement best describes the resources allocated to health promotion?
Which statement best describes the resources allocated to health promotion?
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What is the primary focus of Primary Health Care (PHC)?
What is the primary focus of Primary Health Care (PHC)?
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Which principle emphasizes the need for collaboration between various sectors to address health issues?
Which principle emphasizes the need for collaboration between various sectors to address health issues?
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How does equity manifest in the context of Primary Health Care?
How does equity manifest in the context of Primary Health Care?
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What role does community involvement play in health development?
What role does community involvement play in health development?
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Which of the following is a basic need that has traditionally been a local responsibility?
Which of the following is a basic need that has traditionally been a local responsibility?
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Study Notes
Health for Health Officer Students
- HFA/2000 Means: The goal is to reduce disparities between urban and rural areas, rich and poor, by decreasing morbidity and mortality rates. This allows for a greater contribution to economic development through health improvements.
The Logic of PHC (Primary Health Care)
- PHC is a call for a partnership in health, encompassing both rural and urban areas. It is considered a social reform, not just a medical one.
Principles of PHC
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Equity: This means equal access to health services, utilization, and resources for the entire population, especially focusing on providing access to the rural and peri-urban poor.
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Inter-sectoral Approach (Collaboration): This involves multiple sectors collaborating to identify health problems, programs, undertake actions, and promote health.
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Community Involvement: Encourages individuals and families to take responsibility for the community's health, developing the capacity to contribute to their well-being and the community's development.
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Locally Sustainable Technology: Employs technologies that are not overly reliant on imported skills or supplies for maintenance.
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Evolutionary Capacity: Technologies should be appropriate and lead to further benefits.
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Environmentally Accountable: Technologies should be environmentally harmless or minimally harmful.
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Measurable: Technology impact and performance must be evaluated for widespread recommendation.
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Politically Responsible: Technology implementation should not disrupt existing balances in a counterproductive way.
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Emphasis on Health Promotion and Disease Prevention: Views health as a positive attribute, promoting wellness rather than simply the absence of diseases.
Components Added After the Alma-Ata Declaration
- Mental health
- Oral health
- Control of Acute Respiratory Infections (ARI)
- Control of HIV/AIDS and other Sexually Transmitted Infections (STIs)
- Occupational health
- Use of traditional medicine
Status of PHC in Ethiopia
- Since 1980, PHC has been the main strategy for health policy, with implementation varying across countries based on political, economic, and social conditions.
Contents of PHC Activities in Ethiopia
- Health education: Concerning prevailing health problems and prevention and control methods.
- Locally endemic diseases prevention and control
- Expanded Programme on Immunization (EPI)
- Maternal and child health, including family planning
- Essential drugs provision
- Nutrition, promotion of food supply
- Treatment of common diseases and injuries
- Sanitation and safe water supply
Achievements in PHC Implementation in Ethiopia (1985 Review):
- Expansion of health services to the masses via new health stations and posts
- Expansion in EPI coverage
- Increased numbers of health personnel
- Increased health propaganda to raise health awareness
- Establishment of PHC committees at the local administrative level
Major Problems Encountered in PHC Implementation in Ethiopia
- Lack of district-level infrastructure to support PHC
- Difficulties in achieving inter-sectoral collaboration
- Inadequate health service coverage and distribution
- Insufficient resource allocation
- Absence of clear guidelines for government institutions and mass organizations on PHC implementation
- Culturally influenced harmful traditional practices or unscientific beliefs
- Lack of legal rules to support environmental health activities
What PHC is Not
- Focused only on defined needs
- Meant solely for the urban poor and rural population
- Integrated as a lower quality service
- Only relevant for developing countries
- An obstacle to hospital care development and growth
- A health development process directed solely by community health workers
- A threat to academic excellence in health science and technology
Health Systems
- Traditional health systems
- History of development of health services in Ethiopia
- Modern Health systems
- Millennium Development Goals
- Organization of health services and the Ethiopian health system
- Sustainable Development Goals
- Health service coverage and distribution
- Team approach in health services
Health Service Coverage and Distribution
- Geographical Distribution: It's concerned with the allocation and availability of health services across different locations.
- Health Service Coverage: This focuses on the availability, accessibility, and utilization of a health service within a defined population and area.
- Ethiopia faces challenges in terms of both health service coverage and distribution compared to other developing nations, as seen in various health indicators.
Indicators for Assessing Health Service Coverage and Distribution
- Contraceptive Coverage
- EPI Coverage
- Ante-Natal Care (ANC) coverage
- Coverage of tetanus toxoid (TT2) for pregnant and non-pregnant women
- Postnatal service coverage
- Proportion of deliveries assisted by trained health workers
- Share of the annual health budget
- Coverage of TB prevention and control services
- Provision of safe water supply
- Proportion of the population with access to excreta disposal facilities
- Availability of essential drugs and medical supplies
- Drugs prescribed in generic names
- Per capita expenditure on health
- Blindness prevalence rate
- HIV prevalence rate
- EPI defaulters
- Default rates of TB and Leprosy
Team Approach in Health Service
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Teamwork Definition (WHO): Coordinated actions by two or more individuals with agreed-upon goals, mutual respect for roles and functions.
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Teamwork requirements: Shared goals, resources, supportive relationships, open communication, and evaluation mechanisms
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Health Team Definition: A group with common goals that are determined by the community's health needs. Each member contributes according to their skills and functions.
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Team Approach Definition: Finding balance among diverse individuals and professionals in collaborative health care. Efficient teams can quickly assess complex situations, define problems, and integrate skills for a comprehensive approach.
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Description
This quiz covers key concepts of Primary Health Care (PHC), including its principles and logic. It emphasizes the importance of equity, inter-sectoral collaboration, and community involvement in reducing health disparities. Perfect for students in health officer programs.