1. General people’s Committee for Health & Environement
G.S.P.L.A.J. LIBYA
General people’s Committee for Health & Environement
Primary Health care development plan

2. Technical levels: Primary Health care. Secondary Health Care.
Tertiary Health care.

3. Health Services Structure
Tertiary health care
Specialized hospitals
(21)
Primary health care
Polyclinics (37)
Primary health care units & centers (1355) )
Communicable disease centers (23)
Secondary health care
Rural hospitals (26)
General hospitals (36)

4. Core elements of Health plan 2009-2013.
Promoting health care system.
Disease control program.
Maintenance of health care facilities.
primary health care developments.
Development of health manpower.
Developments of health care programs.
Development of national heath environment program. 4

5. 4/19/2017
المركز الوطني
Reforming the health services developmental plan take in consideration of changing the approach from Hospital based to community based.
PHC developmental plan depend on family practice as core element for this changes:

6. LIBYAN ARAB JAMAHIRIYA
S.KM 6

7. No, of Population 1984 - 2006 No. of Population Census Year The Annual
Growth Rate
1984
4.21
1995
2.86
2006
1.83
Population Doubling Time = 30 Years 7

8. PHC coverage (%) Population with safe drinking water 89
Population with local health care
Infants attended by trained personnel
Deliveries attended by trained Personnel 99
Infants immunized against :T.B {BCG }
POLIO
DPT
Measles 8

9. Population Growth From 1973 - 2006

10. Distribution of Population Urban \ Rural10

11. Population Gender Distribution 200611

12. Population pyramid

13. Distribution of Population ( 2006 ) Libyan \ Non-Libyan13

14. Health System Structure

15. People’s Committee for Health & Environment
Secretary
Under Secretary
Directorates
Legal Affairs
Committee Affairs
Offices
Technical Cooperation
Internal auditing
Follow up
Quality Assurance
Human Resources Development
Health Information Center
Central hospitals & Medical Centers
National Center for Communicable Diseases
National Council for Medical responsibilities
National program for organ transplantation
General Authority of Environment
Libyan board for medical specialties
National Company for Drugs & Supplies
National company for maintenance of med equip
General company for manufacturing of medical equipment & supplies
People’s Committee for Health & Environment
Health Construction Projects
Study and Planning
Supervision & Follow up
Contracting
Admin & Finances
Admin & relation services
Financing
Personnel
Health Education
Media Education
Written material education
Conferences
Private Sector & National Services
National services
Private sector
Departments
Planning
Information section
Research & Studies
Programming & Planning
Medical Services
Hospital Affairs
Dental Services
Labs & Blood banks
Recruitment & Evaluation
Drugs & Medical Equipment
Registration and Inspection
Medical equipment and supplies
Drugs & Narcotics
Drug Research
Primary Health Care
Evaluation & Follow up
School Health
Mother and Child Health
Occupational Health
Emergency & Ambulance Services
Technical affairs
Air & sea ambulance
Vehicles & Stores
Notification

16. Health Services indicators

17. HealthCare Expenditure Financing
Indicators %
YEAR
Total health expenditure as % of GDP
3.3
2006
Per capita Government expenditure on health (USD)
180
Expenditure on health as % of total government expenditure
7.5
Out of pocket as % of total expenditure on health 23
2004

18. Health status indicators
Infant mortality rate for (1000 life births ) 24.4
Under five mortality rate (1000 life births )
Maternity mortality rate (10,000 life births ) 4
Main causes of death are : -
cardiovascular diseases , accidents ,(RTA) and
Tumors .
NO major health hazard due to any infectious disease in Libya. 18

19. PHC
development
plan 19

20. Elements of Primary health care In Libya.

21. In addition to elements of PHC declared in Ala mata Libya had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.

22. In view of presence of:
High coverage by PHC facilities.
Human resources.
Materials and financial resources.
Strong political well to have functioning health services at highest level required for Libyans.

23. The reforms of PHC system is possible

24. All we need is to put all of this together in one system

25. The family practitioner will:
Provide medical care to the all family members including referring patients to appropriate secondary and tertiary levels
Document and reporting of family health events
Participate in Primary health care programs: MCh, Immunization, school health ...

26. This will lead to: Improvement Provision of medical care .
Improvement of reporting system and documentation.
Development of referral system.
Improvement of the quality of PHC programs

27. PHC Center
Family Physician
Family Physician
Family Physician

28. Tertiary
Services
Secondary
Services
Family
Physician
Family
Physician
Family
Physician
Family
Physician

29. 4 main points to focus on:
1- Skilled health care personnel.
2- Health care facilities reforms.
3- Other supportive services.
4- Referral system.

30. Training of doctors in family practice (400 doctor).
The implementation of the plan is already started by:
Training of doctors in family practice (400 doctor).
increasing salaries for medical and paramedical personnel.
implementing of relative logistics' as family medical documents (file)- re-location of equipments and maintains of some heath facilities.
computing rates (1 family practice team per citizen).
mapping & geographical distribution of health centers targeted by this plan.

31. Areas of Cooperation

32. training of medical personnel.
development of referral system.
documentation system.
Development of guidelines.

33. Thanks