1. PRIMARY CARE IN THE HEALTH CARE SYSTEMBy
Dr. Hamda Qotba, B.Med.Sc, M.D, ABCM
Dr.Hamda Qotba

2. Problems with the health care services
Urban oriented
Curative in nature
Accessible to small part of people
Dr.Hamda Qotba

3. Alma-Ata declaration
1978 international conference on primary care reaffirmed HFA as social goal of the governments can be achieved by primary health care
Essential health care provided to all individual
that is accessible, affordable and acceptable
With their own participation
Dr.Hamda Qotba

4. HEALTH FOR ALL 2000 (WHO, 1981)
“The main social target of governments and of WHO should be the attainment by all the people of the world by the year 2000 of a level of health which would permit them to lead a socially and economically productive life.”
Dr.Hamda Qotba

5. Medical care versus Health care
Medical care: personal services provided by physicians
Health care: services provided to individuals or communities by health service professionals for purpose of
Promoting
Maintaining
Monitoring
Restoring health
Dr.Hamda Qotba

6. PRIMARY HEALTH CARE (WHO)
“the essential health care based on practical, 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 the community and country can afford to maintain at each stage of their development, in the spirit of self-reliance and self-determination”
Dr.Hamda Qotba

7. Elements of primary health care
Health education
Promotion of food supply and proper nutrition
Safe water supply
Maternal and child care
Immunization
Prevention of endemic diseases
Appropriate treatment
Provision of essential drugs
Dr.Hamda Qotba

8. Principles of primary health care
Equity of distribution
Health services must be shared by all people
Provide access to all people
Community participation
Financial and man power wise
Let them promote their own health
Intersectoral coordination
Education, hosing, agriculture,ect….
Appropriate technology
According to need not on demand
Dr.Hamda Qotba

9. Other important attributes of primary care
First contact care
Accessibility
Continuity
Case-management (responsibility for coordinating all the care that a person needs)
Dr.Hamda Qotba

10. Draft Charter of General Practice/Family Medicine (WHO-EURO, 1998)
General (unselected health problems)
Continuous
Comprehensive
Coordinated
Collaborative
Family-oriented
Community-oriented
Dr.Hamda Qotba

11. PRINCIPLES OF PRIMARY CARE
The doctor-patient relationship is central to what we do as family physicians
The practice of family medicine is community-based
The family physician is a resource to a defined population
The family physician must be a skilled, effective clinician
Dr.Hamda Qotba

12. Head of Primary Care Center
After finishing postgraduate studies, all of a sudden you found your self in the position of primary care center, what are the first steps you would like to take?
Dr.Hamda Qotba

13. Management of primary care center
Analyzing health situation
Population (catchment area)
Statistics
Area Epidemiology
Medical facilities
Manpower
Training facilities
Attitude and believes of population
Dr.Hamda Qotba

14. Establishment of objectives and goals
At all levels
Long term
Short term
Putting in mind resources
Assessment of resources
Manpower
Money
Skills
Knowledge
Materials
Fixing priorities
Dr.Hamda Qotba

15. Programming and implementation
Write up your plan
Detailed covering all aspects
Well defined cost and time
Programming and implementation
Fix responsibility for every person to achieve goals
For implementation
Define task
Involve selection , training, motivation, manpower
Organization and communication
Dr.Hamda Qotba

16. Monitoring Evaluation
Its continuous process of observation, recording, and reporting on activities thus it involves keeping activities on the track and correction of any deviation
Evaluation
Assessment of achievement of the stated goals
Adequacy
Efficiency
Acceptance
Good plan has built-in
Evaluation
(feed back)
Dr.Hamda Qotba