HEALTH A state of complete physical, mental and social well being and not merely the absence of disease or infirmity and ability to lead a socially and economically productive life.

Purpose of Health Services  TO IMPROVE HEALTH STATUS OF THE POPULATION.  REDUCTION OF MORTALITY & MORBIDITY  INCREASE IN EXPECTATION OF LIFE  DECREASE IN POPULATION GROWTH  IMPROVEMENT IN NUTRITIONAL STATUS  PROVISION OF BASIC SANITATION  MANPOWER REQUIREMENT & RESOURCES DEVELOPMENT.  OTHER SECTORS, EDUCATION, AGRICULTURE, POVERTY REDUCTION

Themes of Health Services Entire population Entire population Full range of services Full range of services Effective Primary Health Care Effective Primary Health Care Appropriate referral system Appropriate referral system

HEALTH SYSTEM Health system is intended to deliver health care services. Health care system refers to institutions, people, and resources involved in delivering health care to individuals whose primary purpose is to improve health. H.S are designed to meet H. needs of the population.

Levels of Health Care Primary Care level Secondary Care Level Tertiary Care Level

HEALTH CARE SYSTEM  Public Health Sector (a) PRIMARY HEALTH CARE CENTERS (b) HOSPITALS (c ) HEALTH INSURANCE SCHEMES (d) OTHER AGENCIES  Private Health Sector (a) PRIVATE HOSPITALS & DISPENS (b) GENERAL PRACTITIONERS AND CLINICS  INDIGENOUS SYSTEM OF MEDICINE  VOLUNTARY HEALTH AGENCIES  NATIONAL HEALTH PROGRAMMES

Characteristics of Health Care  1. Appropriateness  2. Comprehensiveness  3. Adequacy 4. Availability  5. Accessibility 6.Affordability  7. Feasibility

Components of Health system  Concepts:Health, disease  Ideas:Equity, coverage, effectiveness, efficiency, impact  Objectives:hospitals, health centers, health programmes  Persons:providers, consumers

HEALTH FOR ALL BY YEAR 2000 AD (HFA) 1977 – WORD HEALHT ASSEMBLY - Attainment by all the people of the world by the year 2000 AD of a level of health that will permit them to lead a socially and economically productive life – International Conference – PHC.

PRIMARY HEALTH CARE “Primary Health care is essential health care based on scientifically sound and socially acceptable methods and technology, made universally accessible to individuals and families in the community through their full participation and at a cost that that a country and community can afford to maintain in every stage of development in the spirit of self-reliance and self- reliance and self-determination”.

Principles of Primary Health Care Equitable Distribution Community Participation Intersectoral coordination Appropriate technology

ELEMENTS OF PRIMARY HEALTH CARE  Education concerning prevailing health problems and the methods of controlling & preventing them.  Promotion of food supply & proper nutrition.  Adequate supply of safe water and basic sanitation.  Maternal & child health care including family planning.  Immunization against major infectious diseases.  Prevention and control of locally endemic diseases.  Appropriate treatment of common diseases &injuries.  Provision of essential drugs.

MILLENNIUM DEVELOPMENT GOALS(MDGS)  Eradicate extreme poverty and hunger  Improve Maternal Health & reduce child Mortality  Combat HIV/AIDS, malaria and other diseases  Achieve Universal Primary Education  Ensure environmental sustainability  Develop a global partnership for development

District Health System A well functioning health district is one that contributes to sustained health status improvement through the provision of equitable, efficient, technically good quality, acceptably appropriate and affordable health care.

Strengthening Health Care System  Strengthening Distt. health system  Strengthening existing health facilities  Rationalizing human resources  Greater responsibility of private sector  Empowering community to take role in health system  Decentralization of health system

Sustainable health system  Making quality care  Preventing & controlling disease & protecting health  Promoting legislation & regulation in support of health system  Developing health information system & ensuring active surveillance  Fostering the use and innovation in health – related science & technology  Building & maintaining human resources for health  Securing adequate & sustainable financing

PRESENTED BY MMMMR. IJAZ HAIDER SANGI P P.A/STENOGRAPHER DEPARTMENT OF COMMUNINTY MEDICINE SHEIKH ZAYED MEDICAL COLLEGE RAHIM YAR KHAN