Healthcare: Terms, Definitions and Systems

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson
Download our mobile app to listen on the go
Get App

Questions and Answers

Match the health policies with their focus areas:

National Health Policy 1988 = Based on the Alma-Ata declaration, promoting health for all by 2000. Revised National Health Policy 2004 = Aligned with the health sector reform agenda. National Health Act 2014 = Provides a legal framework for health services. National Health Policy 2016 = Focuses on achieving universal health coverage.

Match the components of the health system with their primary objective:

Health Financing = Sustainable funding and financial risk protection. Health Infrastructure = Adequate and well-distributed facilities. Health Information System = Integrated system for decision making. Human Resources for Health = Adequate health workforce at all levels.

Match the levels of the Nigerian health system with their responsibilities:

Primary Level = Providing preventive care at the local community. Secondary Level = Providing services for serious cases referred from primary care. Tertiary Level = Formulating national health policies and providing specialized care. All Levels = Integrating inter-sectoral collaboration for health delivery.

Match the cultural elements with their descriptions:

<p>Tradition = Customary way cultural activities are conducted. Customs = Norms of society and ways regarded as ideal. Beliefs = Opinions or feelings about events and activities. Taboos = Forbidden practices or activities.</p> Signup and view all the answers

Match the stages of the cultural process with thier characteristics:

<p>Cultural Understanding = Requires comprehending multiple cultural dimensions to promote inclusivity. Cultural Integration = Incorporates diverse viewpoints into strategic planning. Cultural Implementation = Ensures equitable outcomes across cultural spectrums. Cultural Evaluation = Assesses the effectiveness of interventions in diverse populations.</p> Signup and view all the answers

Match the elements of culture in the Nigerian context with examples of their impact on health

<p>Harmful Customs = Includes practices such as female genital mutilation and drinking blue to prevent pregnancy. Helpful Customs = Includes prolong breastfeeding and avoiding hard work for pregnant women. Food Taboos = Denying children protein such as eggs, meat, or fish. Health Beliefs = The conviction of causation or prevention of ill-health.</p> Signup and view all the answers

Match the components of Task Shifting Policy (TSP) with the appropriate description:

<p>Task Shifting Policy = Redistributes tasks among health workforce teams to improve resource utilization. Goal of TSP = To get the right workers with the right skills in the right places doing the right things. Priority Area 1 = Reproductive, Maternal, Newborn and Child health (RMNCH). Priority Area 2 = Tuberculosis, Malaria, and HIV</p> Signup and view all the answers

Match the levels of Emergency Obstetric and Newborn Care (EmONC) with their healthcare services:

<p>Basic EmONC = Provided at primary care facilities with seven essential medical interventions. Comprehensive EmONC = Provided at hospitals, covering the BEmONC signal functions plus two more. BEmOC for Mothers = Involves parental administration of MgSO4 for severe pre eclampsia and eclampsia. CEMOC for Mothers = Involves Cesarean Section and Laparotomy for ectopic pregnancy.</p> Signup and view all the answers

Match the AnteNatal Care (ANC) tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Providing couples counseling and HIV testing. HCW Task 2 = Sending and receiving CD4 lab tests. HCW Task 3 = Maintaining antiretroviral therapy for HIV positive pregnant women without complications. HCW Task 4 = Educating families regarding self-care during pregnancy.</p> Signup and view all the answers

Match the Labour and Delivery Tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Use partograph to monitor labor progress, maternal and fetal well-being. HCW Task 2 = Screen women for STIs/HIV, take first-line measures and ensure effective referral. HCW Task 3 = Support women living with HIV/AIDS, including through antiretroviral therapy. HCW Task 4 = Manage normal vaginal delivery.</p> Signup and view all the answers

Match the Immediate Post Natal Tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Administer uterotonic (oxytocin or misoprostol). HCW Task 2 = Perform manual removal of placenta with active bleeding. HCW Task 3 = Start and maintains administration of IV fluids. HCW Task 4 = Educate women on exclusive breast feeding.</p> Signup and view all the answers

Match the Immediate Newborn Care Tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Helps the baby breath in the first one minute from birth (using Ambu bag with cup, penguin bulbs syringes and mask). HCW Task 2 = Initiate ARV prophylaxis in HIV-exposed newborn. HCW Task 3 = Promote initiation of breastfeeding and educate mother positioning and attachment for breastfeeding. HCW Task 4 = Helps perform Vitamin K injections routinely.</p> Signup and view all the answers

Match the Postnatal Care Tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Support women living with HIV/AIDS including antiretroviral therapy. HCW Task 2 = Screens women and families for signs of domestic and sexual violence. HCW Task 3 = Takes preventive measures against malaria. HCW Task 4 = Identify postnatal complications.</p> Signup and view all the answers

Match the Post Abortion Care Tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Screens women and families for signs of domestic and sexual violence. HCW Task 2 = Provides contraceptive method or refers as necessary. HCW Task 3 = Identify complications of miscarriage perform first management. HCW Task 4 = Screen women for STIs/HIV, take first line measures and ensure effective referral.</p> Signup and view all the answers

Match the Family Planning Tasks with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Provide FP education/counseling and help women choose preferred method of contraception. HCW Task 2 = Promote dual protection for HIV positive. HCW Task 3 = Provide contraceptive method or refer as appropriate. HCW Task 4 = Inserts and remove contraceptive implants</p> Signup and view all the answers

Match the IMCI Tasks for Under-5 children with the associated frontline Health Care Workers (HCWs):

<p>HCW Task 1 = Identify, classify and treat for difficult breathing as severe and pneumonia or very severe disease. HCW Task 2 = Identify, classify and treat dehydration as severe; some or no dehydration. HCW Task 3 = Identify, classify and treat diarrhoea as severe persistent diarrhea or persistent diarrhea. HCW Task 4 = Identify, classify and treat fever as very severe febrile disease, malaria or fever; no Malaria</p> Signup and view all the answers

Match this policy plan with the following description: Designed to improve the numerical strength of the existing health facilities rather evolving a clear health care policy, federal government with the assistance of the World Health Organization introduced the Basic Health Service Scheme as part of efforts to achieve the then WHO standard of 1 doctor to 10,000 populations.

<p>The Second National Development Plan 1970-1974 = Priorities were focused on correcting the deficiencies and provision for the immediate restoration of health facilities destroyed during the civil war. The Third National Development Plan 1975-1980 = The emphasis was to improve the numerical strength of the existing health facilities rather than evolving a clear health care policy. The Fourth National Development Plan 1981 -1985 = Participation of all levels of governments through self-reliance and community participation that led to focus on full implementation of the Basic Health Service Scheme. The Walkers-Harkens Plan (1946-1956) = The first attempt to officially plan for development of health services in the country.</p> Signup and view all the answers

Match the descriptions to the correct Tier in the Nigerian Healthcare System

<p>Primary Tier = Emphasizes on preventative care and mobilization of community members. Secondary Tier = This level provides services for more serious cases referred from the primary health centers. Tertiary Tier = Apex of healthcare delivery in Nigeria that formulates national health policies. All Tears = Work together to holistically achieve a nationwide and strategic public health policy.</p> Signup and view all the answers

Match the following descriptions to the correct disease or condition:

<p>Kunin-Kanwa = Potassium pap. Wankan-Jego = Very hot bath following child birth. Yankan Gishiri = Deep perenial cut. Post Puerperal Diet = Foods consumed exclusively during or following pregnancies.</p> Signup and view all the answers

Match the following examples of public communication campaigns to the best description:

<p>Harm Reduction Campaign = Disseminating information about safe injection practices. Anti-Smoking Campaign = Advertising the dangers of lung cancer and other ailments related to smoking. Vaccine Education Campaign = Providing statistics that compare illness between vaxxed and unvaxxed populations. Mental Health Campaign = Describing the importance of mindfulness and gratitude for a happy life.</p> Signup and view all the answers

Match the factors for a developed country with the correct disease profile:

<p>Health problems are mainly non-communicable = High level of education, exposure, education, information and communication. High level of employment = Government and economy and stable. Medical services are readily available = Mortality or morbidity rate is low. Health problems are mainly non-communicable diseases and accidents = They take actions based on Scientific Theories and Practices.</p> Signup and view all the answers

Match the following steps to the best description:

<p>First Step = To establish the need to shift tasks, identify which tasks require more resources and could be performed by less specialized workers. Second Step = Task redistribution in the current staff structure to optimize capacity. Third Step = To invest in training. Fourth Step = To invest in more workers to the task pool.</p> Signup and view all the answers

Match the following descriptions to the best example of bias:

<p>Selection Bias = Surveying only people in one certain location or group when trying to poll the whole population. Confirmation Bias = Relying on research and statistical evidence that supports a personal belief. Observer Bias = When researchers are aware of the hypothesis and unconsciously influence participants. Funding Bias = When the funder is in charge of writing research.</p> Signup and view all the answers

Match the best term to the following description: 'When individuals in studies give answers to what makes them look good, instead of the truth'

<p>Social desirability bias = To provide opinions or examples that reflect positively, and hides real feelings. Volunteer bias = When a volunteer in a study may be more in line than a random participant. Recall bias = When participants are asked to recall something from their past. Sampling bias = Non accurate or non representative selection from selection process.</p> Signup and view all the answers

Match the study design to the description:

<p>Cross sectional = Observing a population during a single point in time. Longitudinal = Observing and measuring a population over a longer period of time. Experimental = Random assignment to study participant for certain groups for causation. Cohort = Following a group of people who share a common characteristic.</p> Signup and view all the answers

Match the following to the best description: How one treats a condition or an illness.

<p>Clinical guidelines = A protocol for managing a certain scenario. Treatment algorithm = Best method of handling a type of injury. Standard of care = Baseline expectations. Medical Negligence = Departing from established procedures and processes.</p> Signup and view all the answers

Match the descriptions to the best public health initiative:

<p>Water fluorination = Adding fluoride to the water supply for the purpose of decreasing tooth decay. Sanitation = Ensuring trash and other toxic materials are far from living spaces. Safe roadways = Implementing and enforcing safer roads for drivers and pedestrians. Clean air = Monitoring and policing of air pollution.</p> Signup and view all the answers

Match the term to the BEST description of what it means:

<p>Incidence = New cases during a period of time. Prevalence = Total disease in the population. Morbidity = Disease state. Mortality = Death state.</p> Signup and view all the answers

Match the public health description to what it is testing and for

<p>Sensitivity = The ability to see the condition present. Specificity = To rule OUT the condition when it is not present. Reliability = Consistent and repeated results. Validity = Correctly measure what it is intended to.</p> Signup and view all the answers

Match the government organization to the specific responsibility:

<p>World Health Organization = Provide coordination of health issues within the United Nations system. Centers for Disease Control = Protect America from health, safety and security threats, both foreign and in the U.S. National Institutes of Health = Conducts and supports medical research. Department of Health and Human Services = To protect the health of all Americans and providing essential services.</p> Signup and view all the answers

Match the best statement to this description: A method for quantifying the disease impact on a population that incorporates both the length of life lost as well as the level of the impairment during life into one composite metric.

<p>YPLL = Years of Potential Life Lost. Measures health in terms of dying early. DALY = Disability-Adjusted Life Years. Accounts for years of life lost due to death and the years lived with any disability. HALE = Health-Adjusted Life Expectancy. Quantifies based on years spent with disability. Quality of Life = General health and happiness.</p> Signup and view all the answers

Match the stage to the best description: An approach to address health issues that considers factors beyond medical treatments, involving social, economic and environmental factors to impact.

<p>Socio Economic status health impact = Addressing economic standing, such as wealth or poverty that impact public health. Behavior = Individual habits and choices that affect health, such as smoking, diet and physical activity. Social Support Networks = Considering how one's friends, neighbors, peers affect someone's health. Access to healthcare = Focusing on improving transportation and awareness for general wellness.</p> Signup and view all the answers

Match the descriptions to the best word used in public health:

<p>Equity = Everyone has fair and equal opportunity to lead a healthy life. Equality = The state of being equal. Disparity = Differences in health outcomes and access. Determinant = Factors that affect health outcomes.</p> Signup and view all the answers

Match the word with the description to assess public health:

<p>Health Impact Assessment = Estimates potential effects of a proposed project or policy population health. Public Health Surveillance = Systematic ongoing collection, analysis, interpretation, and dissemination of health data. Needs Assessment = Assess public needs to ensure effective and resources. Cost-Benefit Analysis = Compared effectiveness or efficiency to provide insights.</p> Signup and view all the answers

Match the public health intervention with the description for how to prevent a disease or death:

<p>Primary prevention = Prevent the onset of disease, injury or exposure. Secondary prevention = Detect the disease at an early stage and prevent it from progressing. Tertiary prevention = Treatment and rehabilitation for those that are chronically sick. All prevention = All of the above are designed to stem disease and mortality.</p> Signup and view all the answers

Match the theory to best behavior change application in public health for individual or community impact:

<p>Health belief model = To address individual perceptions and motivation influence healthy behavior. Stages of Change Model = To give interventions based individual readiness or to adopt health behavior. Social Cognitive Theory = To understand influence and interactions between personal factors. Diffusion of Innovations = To spread information through society promote and encourage adaption.</p> Signup and view all the answers

Match the following terms to describe health systems with their definition:

<p>Universal Healthcare = All citizens have access to healthcare services. Single-payer system = Healthcare is financed by single government entity. Market-based system = Healthcare driven by competition and consumer choice. Socialized medicine = State owns and operates most healthcare facilities.</p> Signup and view all the answers

Match the correct description to the following common term: Policies that protect individuals health in workplace.

<p>OSHA = Ensure safe and healthful working conditions. Ergonomics = Design environment fit individual physical needs. PPE = Protective clothing, gloves mask minimize risk of exposures. Hazard Communication Standard = To give information workplace hazards minimize risks.</p> Signup and view all the answers

Flashcards

Health

A state of complete physical, mental, and social well-being, not merely the absence of disease.

Policy

Statements and decisions defining priorities and main directions for attaining a goal.

Health Policy

A set of clear statements and decisions defining priorities and main directions for improving health and health care in a country.

System

A complex whole formed from many parts that relate to achieve objectives.

Signup and view all the flashcards

Health System

All organizations, institutions, and resources devoted to producing health actions.

Signup and view all the flashcards

Population

The number of people in a geographical area.

Signup and view all the flashcards

Population Policy

Measures aimed at affecting demographic processes like fertility, mortality, and migration.

Signup and view all the flashcards

First Ten Year Development Plan

A plan by Walkers-Harkens (1946-1956) that was the first attempt to officially plan for development of health services in the country.

Signup and view all the flashcards

First National Development Plan

An action designed by the Nigerian government after independence, focused on curative medical approaches.

Signup and view all the flashcards

Second National Development Plan

Corrected deficiencies from the first plan and restored health facilities after the civil war.

Signup and view all the flashcards

Third National Development Plan

Improved the number of health facilities. WHO standard of 1 doctor to 10,000 populations. Introduced Basic Health Service Scheme.

Signup and view all the flashcards

Fourth National Development Plan

Local goverment tier allowed to participate fully in its own right, focus on full implementation of the Basic Health Service Scheme

Signup and view all the flashcards

National Health Policy 1988

The first time a National Health Policy predicated on the Alma-Ata declaration of 1978 which promoted “health for all by the year 2000”.

Signup and view all the flashcards

Governance and Stewardship

Aims to provide directives with authority, effective leadership and accountability in healthcare.

Signup and view all the flashcards

Health Services

Preventive, curative, promotive and rehabilitative services; aiming for high-quality and equitable care for all.

Signup and view all the flashcards

Health Financing

Funding that will efficiently and equitably be used to provide quality health services and ensure financial risk protection.

Signup and view all the flashcards

Human Resources for Health

Providing an adequate human resource for health care at all levels of the health system.

Signup and view all the flashcards

Health Infrastructure

Facilities necessary for health activities, ensuring a well-distributed network that meets quality and safety standards.

Signup and view all the flashcards

Health Information System

An integrated and sustainable system for decision making at all levels.

Signup and view all the flashcards

Health Research

Organized study and investigation into health matters to discover facts and improve healthcare.

Signup and view all the flashcards

Partnership for Health

Cooperation and relationship of groups working together to actualize better health for the people.

Signup and view all the flashcards

Community Participation and Ownership

Encouragement to growth and development, taking active part, involvement and ownership by the community.

Signup and view all the flashcards

Objective of National Health Policy

To improve accessibility to primary, secondary, and tertiary care.

Signup and view all the flashcards

Primary Level of Healthcare

Local level that provides primary health care services to the local community; emphasizes preventive care.

Signup and view all the flashcards

Secondary Level of Healthcare

Provides services for more serious cases referred from primary health centers, establishes secondary health facilities

Signup and view all the flashcards

Tertiary Level of Healthcare

The apex of health care delivery in Nigeria. Formulate national health policies

Signup and view all the flashcards

Cultural Factors (affecting health)

Factors that include customs, beliefs, taboos and practices. Have effect or determine the health status or well-being of individuals in the community.

Signup and view all the flashcards

Tradition

The customary way by which cultural activities are conducted and implemented.

Signup and view all the flashcards

Customs

Norms of the society and ways regarded by individuals or groups to be ideal and believed to be correct.

Signup and view all the flashcards

Beliefs

Opinions or feelings one holds about events, activities, objects, and persons.

Signup and view all the flashcards

Taboos

Things that are forbidden can affect the well-being of individuals

Signup and view all the flashcards

Practices

Events or activities embarked upon or carried out by individuals or groups in the society. Harmful practices tend to affect the well-being of people in the society.

Signup and view all the flashcards

Personal Factors

Factors including personal hygiene, illiteracy level, health awareness, attitude towards our modern health system and education.

Signup and view all the flashcards

Task Shifting Policy

Rational redistribution of tasks among health workforce teams. Specific tasks are moved from highly qualified workers to other workers.

Signup and view all the flashcards

Basic Emergency Obstetric and Newborn Care

Provided at primary care facilities, has seven essential medical interventions, known as signal functions

Signup and view all the flashcards

Comprehensive Emergency Obstetric and Newborn Care

Provided at hospitals, covers the seven BEMONC signal functions plus two more.

Signup and view all the flashcards

Study Notes

Common Terms and Definitions Relating to Healthcare

  • Health: A state of complete physical, mental, and social well-being
  • Policy: Clear statements and decisions defining priorities to attain a goal through organizational decisions and mechanisms.
  • Health Policy: Clear statements and decisions to improve health and healthcare, aiming to enhance communication among health policy stakeholders.
  • System: A complex whole with interconnected parts to achieve objectives.
  • Health System: Organizations, institutions, and resources devoted to producing health actions, with the goal of protecting and improving people's health, promoting, restoring, and maintaining health, and preventing household poverty due to illness.

Building Blocks of a Health System

  • Leadership and governance
  • Health financing
  • Health human resources
  • Health services
  • Health information system
  • Medical products, vaccines, and technology
  • Population: The number of people in a geographical area, or a subgroup of people or animals.
  • Population Policy: Purposeful measures aimed at affecting demographic processes like fertility, mortality, and migration.

Health System Development in Nigeria

  • Before 1988, health care programs were in development plans, with no comprehensive National Health Policy.

First Ten Year Development Plan for Development and Welfare 1946-1956

  • The Walkers-Harkens Plan (1946-1956) was the first official plan for developing health services in Nigeria, conceived as a modest framework, however the 1952 constitution divided the country into three regions, transferring powers to Regional Representatives.

Regional Health Plans in the Period 1952-1962

  • The Government of Western Nigeria produced the first regional health policy paper, with the Northern and Eastern Regions following.
  • These plans were mostly noncommittal on new issues, and the Federal Minister of Health's attempt to introduce a Health Insurance Scheme in Lagos in 1963 was unsuccessful.

First National Development Plan 1962-1968

  • The Nigerian government designed this plan after independence emphasizing construction of health centers to improve public health, however it neglected provenative medicine and the rural population.

Second National Development Plan 1970-1974

  • The General Yakubu Gowon administration focused on correcting deficiencies from the first plan and restoring health facilities destroyed during the civil war from May 30, 1967, to January 8, 1970.
  • The plan's failure was due to the civil war's aftermath and the resulting challenges.

Third National Development Plan 1975-1980

  • The focus was on improving the number of existing health facilities as apposed to evolving clear health care policy, in 1976, the federal government, partnered with the World Health Organization, introduced the Basic Health Service Scheme, aiming for the WHO standard of 1 doctor to 10,000 people.

Main Objectives of the Basic Health Service Scheme

  • Increase the coverage of medical services from 25% to 60%.
  • Give priority to preventive health measures.
  • Guarantee community involvement in health service delivery.
  • Use suitable medical technology in each community.

Strategies of Basic Health Service Scheme

  • Train health personnel from the community to support doctors and nurses.
  • Build health structures, including 19 schools of health technologies and comprehensive health center in each local government with 4 primary health centers and 20 health clinics.

Fourth National Development Plan 1981-1985

  • Designed under President Alhaji Shehu Shagari, it identified shortage of manpower and poor state of private medical practice, mal-distribution of health institutions favoring of urban centers with just 20% of the total population as problems.
  • It was the 1st plan allowing the local government tier to participate fully and included all government levels through self-reliance, focusing on equitable distribution of healthcare through the Basic Health Service Scheme.

Objective of the Fourth National Development Plan

  • Provide adequate and effective PHC for the entire population and achieve 80% coverage.
  • Correct imbalance among preventive programs in the 8 components of PHC
  • Use local government authorities as the basic implementation unit and the federal ministry of health as the coordinating agency.

Factors Facilitating the Success of the 4th National Development Plan

  • Global awareness and pressure to make healthcare accessible.
  • Favorable political
  • Effective leadership from the federal ministry of health

Reasons for the Failure of the 4th National Development Plan

  • Inadequate strategies for implementation.
  • Huge amount spent on salaries and personnel.
  • The scheme was delayed due to a change in government in 1983.

The National Health Policy 1988

  • The first National Health Policy predicated on the Alma-Ata declaration of 1978 which promoted “health for all by the year 2000”.
  • Minister of Health Professor Olikoye Ransome-Kuti worked to implement PHC Policy based on the Alma Ata Declaration, introducing a comprehensive national health policy focusing on preventive medicine and healthcare services at the grass root.

The National Health Policy 1996

  • Maintained Primary Health Care, however was not formally endorsed.

The Revised National Health Policy 2004

  • The National Health Policy was revised.

Other Relevant Policies

  • National Strategic Health Development Plan (or NSHDP) (2010-2015)
  • National Health Act 2014
  • National Health Information System Policy 2014
  • National Health Policy 2016
  • Health Sector Component of the National Food and Nutrition Policy and Strategic Plan of Action 2014-2019
  • National Strategic Health Development Plan II (NSHDP II) 2018-2022.

Managerial Tools in Health Development

  • Governance and Stewardship: Control to ensure directives with authority, leadership, and policy environment to deliver health care.
  • Health Services: Preventive, curative, promotive, and rehabilitative health care to ensure access to quality care for all Nigerians and strengthen traditional medicine.
  • Health Financing: Sustainable funding to provide quality health services and ensure financial risk protection, including revenue generation, and purchasing.
  • Human Resources for Health: Providing an adequate health workforce for all levels.
  • Health Infrastructure: Adequate and well-distributed healthcare facilities that meets quality and safety standards.
  • Health Information System: Integrated health information system for decision-making at all levels, providing data to inform policy and resource allocation.
  • Health Research: Organized study to discover facts related to health, developing a robust research system for reliable health data.
  • Partnership for Health: Cooperation among groups to improve health, promoting partnerships among sectors for optimal resource use.
  • Health Promotion, Community Participation and Ownership: Encouraging community involvement to strengthen active participation and ownership in health planning.

Philosophy of the Nigerian Health Care System

  • The goal is to improve healthcare accessibility to primary, secondary, and tertiary care. PHC is seen the main focus for delivering effective service through community planning, inter-sectoral collaboration, and enhancing functional integration.
  • Decree No 29 established a National Primary Health Care Development Agency (NPHCDA) in 1992 to institutionalize PHC services, including monitoring, resource mobilization, and technical support.

Levels of the Nigerian Health System

  • The Nigeria health system operates inter related federal, state, and local government levels with primary, secondary, and tertiary levels of health care delivery.

Functions of the 3- Tiers (Level) Of Health Care

  • Local Government Area (Primary) Level: provides community focused preventative PHC services, mobilizing community members, recruit PHC staff, enforces environmental laws and implements PHC services
  • The State Government (Secondary) Level: provides health centers services for serious cases referred from PHC, establishes facilities, and manages institutions.
  • The Federal Government (Tertiary) Level: the height of health care, which formulates polices and gives funds and support.

Primary Level Health Team

  • Medical officer of health - chairman, community health officers, community health Extension workers (Junior & Senior), Voluntary Village Health workers (VVHW) and TBAS, Registered Nurses and Midwives, Environmental health Officers, Medical laboratory and Pharmacy Technicians, Dental therapist, medical health record officer and others as relevant.

State Level Health Team

  • Medical Doctors, Registered Nurses/Midwives, Pharmacists, Laboratory Technologists, Radiologists and other supportive staff.

Tertiary Level Health Team

  • Ophthalmologists, Otolaryngologists, Gynaecologists, Obstetricians, Consultants, Professors, Pharmacists, Laboratory Scientists, Radiologists, Psychiatrists, Dermatologists, Statisticians, and Nurses/Midwives

Rationales for the 3-tiers

  • Ensures prevention and treatment of common problems from the grass-root level
  • To facilitate the referral and treatment of more serious cases to a more specialized centre
  • To avoid waste of resources

Factors Affecting Health Globally and in Nigeria

  • Health is influenced by cultural, social, economic, environmental, and personal factors.

Cultural Factors

  • Customs, beliefs, taboos, and practices that affect health and well-being.
  • Elements of Culture:*
  • Tradition (customary activities), Customs ideal norms with negative health impacts
  • Beliefs opinions regarding events
  • Taboos forbidden activities
  • Practices event carried out by individuals

Socio-economic Factors

  • Includes lack of knowledge, inadequate infrastructure, poverty, illiteracy, and negative attitudes towards modern health systems affecting people's health and ability to address health needs.

Environmental Factors

  • Air pollution, inadequate waste disposal, poor housing, water, and air pollution.

Personal Factors

  • Personal hygiene and health awareness, affect individual's well-being including observance of simple rules about health behaviour

Approaches to Health in Different Political Development Levels

Healthcare System in Developing Countries

  • Characterized by the coexistence of modern and traditional health services without integration.
  • Modern health services are inversely proportional to the health needs of the majority
  • Modern health care services are concentrated in the urban areas
  • Health care services are institutionalized for dealing with specific diseases
  • Healthcare systems are more curative oriented

Health Care System in Developed Countries

  • Priorities on modern health care services, directly proportional services
  • The services are directly proportional to the health needs of the majority of the population
  • The services are equitably distributed across the nation
  • Health care services are institutionalized for dealing with all forms of diseases
  • The services are preventive oriented

Health Status in Developing Countries

  • Low health status
  • Uncontrolled population growth
  • High mortality/morbidity rates
  • Lack of infrastructure
  • Unstable government and economy
  • Lack of medical services

Health Status in Developed Countries

  • High health status
  • controlled population growth
  • Low mortality/morbidity rates
  • Infrastructure is functional
  • stable economy
  • readily accessible medical services

Introduction to Task Shifting

  • One of the strategies for achieving the MDGs 4, 5, & 6 and in recent times SDG 3. The policy focuses on priority areas like reproduction, maternal and newborns as well as HIV, TB, malaria and communicable diseases.
  • Task shifting aims to scale access to effective health services by using mid-level workers.

Task Shifting Policy

  • Rational redistribution of tasks to improve the efficient usage of less qualified workers for a greater amount. This aims to strengthen the health system and improve critical services within reproductive, maternal, newborn and child health RMNCH, tuberculosis, malaria and HIV

Emergency Obstetric and Newborn Care (EmONC)

  • Integrated care to equip facilitate to offer with evidence based interventions. This caters to material and new born mortality, with basic (BEmONC) and comprehensive (CEMON.
  • Signal functions are the indicators of the leverl of care being providing at a maternity centre or key intervention to maternal and newborn death.

Routine Maternal Care

  • Monitoring and managing labour using the Partograph
  • Infection prevention measures
  • HIV testing and counseling
  • Care for HIV-positive mothers and HIV-exposed infants
  • Use of ARV for PMTCT if mother is HIV-positive

BEMOC for Mothers

  • Parental administration of MgSO4 for severe pre eclampsia and eclampsia
  • Assisted vaginal delivery
  • Parental administration of oxytocin for haemorrhage
  • Parental administration of antibiotics for maternal infection
  • Manual removal of placenta and retained product of conception

CEMOC for Mothers

  • Cesarean Section
  • Laparotomy for ectopic pregnancy

Routine Newborn Care

  • Thermal protection
  • Exclusive breastfeeding
  • Infection prevention including hygienic cord care and application of chlorhexidine to prevent umbilical cord sepsis
  • Use of antiretroviral drugs for HIV-exposed babies

BEMONC for Newborn

  • Antibiotics for prevent infection
  • Corticosteroids in preterm labour
  • Newborn resuscitation using ambu-bag
  • Kangaroo mother care for low birth weight babies
  • Alternative feeding for baby unable to breastfeed
  • Injectable antibiotics for neonatal sepsis.

CEMONC for Newborn

  • Intravenous fluids and administration of oxygen

Frontline Health Care Workers: Tasks and Recommendations

  • ANC Tasks assigned to CHEW*
  • Identify and refer pregnant women in the community to go to the antenatal clinic (JCHEW)
  • Takes appropriate history by asking relevant questions
  • Conducts physical examination
  • Assesses needs of women and her family
  • Gives appropriate advice and guidance
  • Perform routine screening test including testing for HIV

Labour and Delivery Tasks

  • Perform vaginal examination
  • Identifies onset of labor
  • Initiate and/or Continue ARV for HIV positive pregnant women
  • Use partograph to monitor progress of labor, maternal and fetal well-being and take appropriate action, including referral where required

Immediate Post Natal Tasks assigned to CHEW

  • Performs active management of the third stage of labour (AMTSL)
  • Administers uterotonic (oxytocin or misoprostol)

Immediate Newborn Care Tasks assigned to CHEW

  • Provides essential newborn care
  • Helps the baby breath in the first one minute from birth
  • Promotes initiation of breastfeeding and educate mother positioning and attachment for breastfeeding.

Postnatal Care Tasks assigned to CHEWs

  • Provides information and counseling on self- care, nutrition, safer sex, breastfeeding, PP family planning, healthy lifestyle.
  • Assesses maternal well-being including maternal nutrition
  • Supports exclusive breastfeeding

Post Abortion Care assigned to CHEWS

  • Provides contraceptive method or refers as necessary
  • Provides emergency contraceptives
  • Screen women and families for signs of domestic and sexual violence, take first line measure and ensure effective referral

Family Planning Tasks assigned to CHEW

  • Provide FP education/counseling and help women choose preferred method of contraception
  • Promote dual protection for HIV positive
  • Provide contraceptive method or refer as appropriate

Tasks in IMCI for Under-5 children

  • Identify and Check for general Danger Signs for referral
  • Identify, classify and treat for difficult breathing as severe and pneumonia or very severe disease; pneumonia or no pneumonia
  • Identify, classify and treat dehydration as severe; some or no dehydration

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Related Documents

More Like This

Health Policy and Systems in Togo
18 questions
Public Health Participation
10 questions

Public Health Participation

GroundbreakingHilbert avatar
GroundbreakingHilbert
Health Systems and Economic Regulation
38 questions
Health Systems Science Quiz
16 questions
Use Quizgecko on...
Browser
Browser