elfrida nainggolan, skm akper hkbp balige. what is primary health care ? akper hkbp balige
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AKPER HKBP BALIGE
Primary Health Care
Elfrida Nainggolan, SKM
AKPER HKBP BALIGE
What is Primary Health Care ?
AKPER HKBP BALIGE
Primary Health Care – Definition
Primary Health Care is the first level of contact with the health system to promote health, prevent illness, care for common illnesses, and manage ongoing health problems.
AKPER HKBP BALIGE
Primary Health Care- Definition
Primary Health Care extends beyond the traditional health sector and includes all human services which play a part in addressing the inter-related determinants of health.
Physical FactorsCulture
Prenatal / Early Childhood Experiences
Income & Social Status Employment /
Working Conditions
Level of Education
Social Support Networks
Social Environments
AKPER HKBP BALIGE
Primary Health Care- Definition Primary Health Care includes:
Primary Care (physicians, midwives & nurses);Health promotion, illness prevention;Health maintenance & home support;Community rehabilitation; Pre-hospital emergency medical services; &Coordination and referral to other areas of health
care.
AKPER HKBP BALIGE
Primary Health Care – Definition Services are generally provided in the
communitySome services are also provided in hospitals
AKPER HKBP BALIGE
Primary Health Care – Definition Primary Health Care is different in each
community depending upon: Needs of the residents;Availability of health care providers; The communities geographic location; &Proximity to other health care services in the
area.
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Primary Health Care - Benefits
PHC focuses on keeping people healthy & addressing illness early so as to increase probability of cure;
PHC is client focused; Individuals have access to appropriate care;Services are matched to community needs; Targeted services will have a positive impact on
the utilization of health and social services; & Healthy communities with healthy people
contribute to a vibrant & stable economy.
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Primary Health Care ReformMedical model Primary Health Care
Illness Health
Cure Prevention, care, cure
Treatment Health promotion
Episodic care Continuous care
Specific problems Comprehensive care
Individual practitioners Teams of practitioners
Health sector alone Intersectoral collaboration
Professional dominance Community participation
Passive reception Joint responsibilityBarbara Starfield, Johns Hopkins University
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AdvancingPrimary Health Carein Manitoba
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Primary Health Care Policy Framework Approved April 4, 2002; Framework guides the development of PHC
within the province; The goals are:
Promote the development of PHC organizations delivering service to Manitobans based upon the principles of PHC.
Enable PHC service providers to deliver services in ways that reflect PHC principles.
Improve the ability of PHC organizations to deliver services in accordance with the principles of PHC.
AKPER HKBP BALIGE
The Delivery of Health Programs & Services
to Northern Residents (Discussion paper)
Paper completed by the Aboriginal Human Resources Strategy Committee in May 2002.
Goals: To provide an overview of the challenges facing
health service delivery system in the North; and
To suggest a strategy to address these challenges, including the processes required to achieve the objectives.
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Office of Rural & Northern Health
Operational in September 2002. Offices in Dauphin & Winkler.Goal: To increase the number of
graduating physicians & other health care professionals who choose rural and northern Manitoba as a place to live and practice their professions.
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Chronic Diseases Priority Initiatives
Regional Diabetes Program
Chronic Disease Prevention Initiative
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Primary Health Care Transition Fund
Multi-Jurisdictional Provincial/Territorial
Aboriginal
National
Official Languages/Minority Communities
Primary Health Care Transition Fund
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Primary Health Care Transition Fund Initiatives cont’d
Northern & Aboriginal Population Health & Wellness Institute (NAPHWI)
Community driven project; Aboriginal communities identified to NAPHWI 3
health issues of importance to northern communities.
Integration of Traditional Medicine & Primary Health Care; Mental Health & Youth Suicide;& Chronic Disease Management – Diabetes.
Focus is to identify jurisdictional issues that affect the delivery of health services in these 3 areas.
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Aboriginal Midwifery Education Program (AMEP)Impetus of program: Aboriginal communities
identified the need to train more Aboriginal midwives.
Community involvement: in Steering Committee & the development of the curriculum.
Program: 4-year degree – University College of the North;Blend of traditional Aboriginal & western midwifery
knowledge & practice; Competency-based curriculum, delivered in modules;Readiness component;Tutorial, social & financial support; & Prior learning assessment & recognition.
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Primary Health Care Transition Fund Initiatives
Health Links /Info Santé Community Service Integrated System Public Awareness Community Health Centres:
Wabowden, Waterhen, Camperville, Thompson
Technology & information sharing: Churchill Telehealth
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Conclusion
Primary Health Care:Working Together for Better
Health
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