Sunday, January 18, 2009

Primary health care in DHO Kota Star

DHO Kota Star
Group A
14January 2009

A small lecture was taken by Senior Medical Assistant Chong regarding primary health care. He started by showing us the mission and vision of the KKM. He then went on to discuss the 8 goals of primary health care.
  1. Wellness focus - treatment which is focused on provide lifelong health
  2. Individual focus - individual focus treatment which should be on time and in the right place
  3. Informed person - providing information through health education to allow a person to make decisions regarding one's health
  4. Self help - increasing the ability of the individual to take care of his own health
  5. Care provided at home or close to home - using a multimedia service to allow virtual service at home or community centres
  6. Coordinated, conscious and seamless care - providing a complete health service which caters for all levels of life
  7. Service tailored to individual or group needs - provide proper service needed by particular individuals or groups
  8. Effective efficient and affordable servicee - Effective efficient and affordable service for the whole community
Thus one can describe the primary health care as

  • Essential health care
  • Based on practical, scientifically sound and socially acceptable methods and technology.
  • Made Universally  accessible to individuals and families in the community by means acceptable to them
  • It forms an integral part of the country’s health system
  • It is a central function and the main focus of the overall social and economic development of the community.
  • At a cost that the community and the country can afford to maintain at every stage of their development in a spirit of self reliance and self determination.
  • It is the first level of contact of individuals, the family and the community with the national health system, bringing health care as close as possible to where people live and work and constitute the first element of a continuing health care process.
The elements in primary health care service are
  • Health education,
  • Food supply and proper nutrition, safe water and basic sanitation,
  • Maternal and child care, immunisation
  • Family planning,
  • Mental health
  • Prevention and control of endemic diseases,
  • Basic treatment of health problems
  • Provisions of essential drugs.
The role of a health personal in the primary health care is

  • Health advocator
  • Counselor
  • Team Player
  • Call-Center Manager
  • Clinic Practitioner
Subsequently we discussed regarding the change which the primary health care service has underwent. The 1st change is from a 3 level to a 2 level system - which has Klinik Desa and Klinik Kesihatan. The changes are a result of the addition of supporting goals in the 9th Malaysia Plan

Primary Goals

  • Prevent and Reduce Disease Burden
  • Enhance Health Care Delivery

Supporting Goals

  • Optimisation of Resources
  • Enhance Research
  • Manage Crisis and Disasters
  • Strengthen Health Information MS
Description about these goals

Prevent and Reduce Disease Burden

  • Treat the ill
  • Manage those with risk
  • Prevent the onset of preventable risks

The aim of reducing the disease burden.The primary health care now has to pay more attention to the 'with risk' and 'potential risk' groups.

Enhance Health Care Delivery

  • Fast Access
  • Safe and high quality
  • Hassle-free and better comfort

Optimisation of Resources

  • Multi-skilling
  • Sharing
  • Remote management

Enhance Research

  • Participate towards evidence based planning and intervention

Manage Crisis and Disasters

  • Increase HR capacity and capability
  • Adequate and appropriate facilities
  • ‘Current’ protocols for management

Strengthen Health Information MS

  • Reduce repetitive request
  • Increase safety through reducing error
  • Enhance sharing of data and info facilitate continuity of care

The following are the services which should be provided by the primary health services. The bolded entries have been added after the 7th Malaysian plan.

Wellness

  • Maternal
  • Child
  • Adolescent
  • Adult
  • Geriatric

Illness

  • Acute
  • Chronic
  • Infectious

Emergency - Support

  • Pre-hospital
  • Call centre
  • Rapid Response

Support Services

  • Pharmacy
  • Pathology
  • Radiology
  • Rehabilitative

An intergrated system of clinics


A proposal for the way patients are treated in the primary healthcare setting

The powerpoint sildes given Mr.Choong- phc Kota star

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