Kubang Pasu District

First session

Time:9.00am

Location: Kubang Pasu District Health Office

Topic: primary health care

Person in charge: PPPK Mohd. Amin b. Saad

The fine morning started off with a briefing about the various divisions and functions of the primary health care, activities for the geriatrics age group which included morning workouts and establishments of various clubs which played an active role in geriatrics health. The function of the Primary Health care are:
• Outpatient department
• Maternal and child clinic
• Special programmes ( geriatrics care)
• Rehabilitation
• Library
This is followed by an excursion to the klinik kesihatan Tunjang at around 10.30 a.m. There we were briefed about the green book which is used to record information and track the health record of diabetic patients. This book allows the proper documentation of the health progress of diabetic patients. There are two copies of the green book which are exactly the same in contents, where the larger one is kept as a record by the clinic and the smaller version kept by the patients themselves.
The other book was the blue book for recording information of hypertensive patients

Kuala Muda District - PHC

Kuala Muda DHO Posting
Tenth Day (16th July 2009)

First Session
Venue : Meeting Room (Administration Unit Kuala Muda DHO)
Time : 9.30 pm
Topic : Primary Health Care
Persons in charge : PPP(K) Chong

Definition of Primary Care Services:

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.

8 basic elements of primary care services:
- Health education,
- Food supply and proper nutrition, safe water and basic sanitation,
- Maternal and child care, immunization
- Family planning,
- Mental health
- Prevention and control of endemic diseases,
- Basic treatment of health problems
- Provisions of essential drugs.

Basic health services:
- Out-patient care service, including mental health and provision of essential drug
- Food supply and proper nutrition,
- Safe water and basic sanitation
- Maternal and child care, including immunization and family planning
- Home delivery and nursing
- Prevention and control of endemic diseases
- Dental care
- School health service

Additional services with expanded scope include:
- Geriatric health care
- Adolescent health care
- Community mental health
- Occupational health
- Rehabilitative services
- Home care nursing

Objectives of Primary Health Care Services in consolidation with 9th Malaysia Plan:

- Prevent and Reduce Disease Burden
+ Treat the ill
+ Manage those with risk
+ Prevent the onset of preventable risks

- 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 human resources capacity and capability
+ Adequate and appropriate facilities
+ ‘Current’ protocols for management

- Strengthen Health Information Management System
+ Reduce repetitive request
+ Increase safety through reducing error
+ Enhance sharing of data and info facilitate continuity of care

Current challenges in Primary Health Care Services:
- High load of patients to doctor
- Increasing scope of services
- Lack of building space and equipment
- Poor maintenance
- Increasing demands by clients

Kubang Pasu District

Date:15th July 2009
Time:9.00am
Location: Kubang Pasu District Health Office
Topic: Primary Health Care
Person in charge: PPPK Mohd. Amin b. Saad

The fine morning started off with a briefing about the various divisions and functions of the primary health care, activities for the geriatrics age group which included morning workouts and establishments of various clubs which played an active role in geriatrics health.

This is followed by an excursion to the klinik kesihatan Tunjang at around 10.30 a.m. There we were briefed about the green book which is used to record information and track the health record of diabetic patients. This book allows the proper documentation of the health progress of diabetic patients. There are two copies of the green book which are exactly the same in contents, where the larger one is kept as a record by the clinic and the smaller version kept by the patients themselves. The other book was the blue book for recording information of hypertensive patients. There also we able to see the various procedure that done in primary health care.

In the afternoon session at 2.00p.m.

We made a trip to Hospital Jitra where we were briefed on the various documentations needed for tuberculosis patients. These included
1) Patient file record prepared by the Malaysian Ministry of Health Program for National TB Control.
2) TBIS 10 – 1 (Yellow is for pulmonary TB, White is for extrapulmonary TB)
3) TBIS 10 – E (Yellow is for pulmonary TB, White is for extrapulmonary TB
4) TBIS 10C – 3 (Green card)  Contact Health Card
5) TBIS 10 A – 1(Information regarding Initiation of treatment for TB patients)$
6) TBIS 10-K (Notification of transfer of treatment centre for TB patient)
7) TBIS 10 – F (Notification of treatment continuation and results for follow up check up)