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
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