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Challenges in primary health care
Health care challenges in Kenya counties
Primary health care: a new approach
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INTRODUCTION
Primary Health Care(PHC)
Primary health care(PHC) is considered to be:
• Highly effective
• Low cost
• Culturally appropriate and
• Best way of provision of quality health care(ewww.who.int/topics/primary_health_care/en/)
These are the benefits that accrue to the community where PHC is the mode of health care provision. This is possible since PHC puts emphasis on:
• Preventive medicine
• Child birth assistance
• First Aid
• Basic drug dispensing
• Nutrition
• Clean water
• Sanitation and
• Health Education
The main vehicle that moves PHC forward are the community health providers. These are members of the community(CHW) who have undergone 6 to 9 months of intensive training and are supervised, undergo regular training and are able to handle 75% of all the diseases(illnesses), health problems of both individuals and the community. The area of coverage by the CHW include:
• First Aid for injuries
• Immunization
• Vaccination
• Provision of antibiotics
• Oral rehydration therapy
• Growth monitoring
• Nutrition Education/Information
• Micronutrient supplementation(vitamin A, Iron)
• Maternal and Child health
There is a referral procedure, where the CHW can refer seriously ill patients to the nearest health facility. Countries like China, Costa Rica, Cuba and other countries in Africa have used the PHC model of health care provision to great success and has resulted in the lowering of infant, child and maternal mortality rates and raised the over all life expectancy and other health indicators.
When the national health systems of health facilities, doctors, health personnel, nutritionists and public health workers around the CHWs who are well trained and motivated is able to provide a superior healthcare to the comm...
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...2 health policy project USAID
• KNBS(2003). The Kenya Household Health Survey
• Wamai R.G.(2009). The Kenya Health System-Analysis of the Situation and enduring Challenges . JMAJ. 52(2):134-140
• ewww.who.int/topics/primary_health_care/en/
• www.un.org/en/documents/udhr
• www.who.int/healthsystems/.../abuja_declarati.
• www.who.int/.../ContractingPrimaryHealtServ..
• http://www.who.int/healthsystems/universal_health_coverage/en/
• WHO(2013). Country Cooperation Strategy at a Glance
• WHO(2011).The Abuja Declaration: Ten years on
• MOH(2005). Reversing the Trends. The Second National Health Sector Strategic Plan of Kenya(NHSSP II 2005-2010).
• Ramare G.N.V., Chepkoech R. Worke N.W(2013). Improving Universal Primary Healthcare in Kenya. A case study of the health sector Service Fund. World Bank. Washington DC.
• The universal Declaration of Human Rights, Helsinki.
In conclusion, the ultimate significance to this type of work is to improve the quality of healthcare in these extremely impoverished nations. This argument is represented in Tracy Kidder’s Mountains Beyond Mountains, Monte Leach’s “Ensuring Health Care as a Global Human Right”, and Darshark Sanghavi’s “Is it Cost Effective to Treat the World’s Poor.” The idea that universal healthcare is a human right is argued against in Michael F. Cannon’s “A “Right” to health care?” Cannon claims that it would not work, and fills the holes that the other authors leave in their arguments. All of these articles share the same ultimate goal, and that is to provide every individual with adequate health care, and to not let so many people die from things that could easily have been prevented or treated.
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Primary health care is the essential step to the Canadian health system. It is often associated with other specialized health care sectors, and community services. Many patients visit various services under primary health care such as family doctors' offices, mental health facilities, nurse practitioners' offices; they make phone calls to health information lines, for example, Tele-health; and receive suggestions from physicians and pharmacists (First Ministers; meeting on healthcare, n.d.). This service can prevent patients from visiting the emergency department, when all that is required is some guidance and advice. Having primary care services can reduce the consumption of acute beds, where only seriously ill patients can use the acute beds when it is available. Primary care not only deals with sickness care, but it helps patients receive preventable measures; it promotes healthy choices (Primary health care, n.d.). The focus on appropriate health care services, when and where they are needed, enhanced the ability of individuals to access primary care in various settings: at home, in a hospital or any number of family health care venues, such as Family Health Teams (FHTs), Community Health Centres (CHCs), or Nurse Practitioner- led clinics. This paper will look at the litigious heated argument in the Romanow Report concerning primary care. It will begin with a discussion of the outcome of the Accord on Health Care Renewal (2003) and The First Ministers' Meeting on the Future of Health in Canada (2004), both referring to primary care, which will then be followed with an assessment and analysis of the different ways in which the accords have been addressed in support of primary care. Followed by a discussion about the changes on ...
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In today's health care environment many factors contribute to quality care. As a medical practice manager it is important to provide the best medical service for patients in addition to excellent levels of service. Appointment scheduling is a very important aspect of a smooth running medical practice. Appointment cancellation, no shows, and long waiting time by patients have a negative impact on the efficient running of the practice not only in lost revenue but the practices professional reputation as well (Kruse 2010).
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possible care at the lowest cost which then allows patients to receive a better quality of care at a
Access to health care in Ethiopia has left many people without proper health care and eventual death. Millions of people living in Ethiopia die because of the lack of access to the health care system; improving the access to the healthcare system in Ethiopia can prevent many of the deaths that occur, but doing so will pose a grueling and challenging task. According to Chaya (2012), poor health coverage is of particular concern in rural Ethiopia, where access to any type of modern health institution is limited at best (p. 1). If citizen of Ethiopia had more accessibility of the healthcare system more individuals could be taught how to practice safe health practices. In Ethiopia where HIV, and maternal and infant mortality rates are sky high, more education on the importance of using the healthcare system and makin...
However, the framework may perhaps be used as an instrument for policy-makers, planners, program managers when considering the growth of current projects or the outline of new interventions (Gericke, Kurowski, Ranson & Mills, 2005). The complexity of this particular framework has to be strategically planned in order to have maximum results. As stated earlier, the cost will always have an affect on just how well this health care delivery system can be utilized to its maximum potential. The United States allocates the most money on medical amenities than any other developed country (Shi & Singh, 2017). Academic health centers have a chance to focus their significant guidance and expertise on health systems revolutions to produce new tactics to service delivery and to foster leaders of transformation (Ellner, Stout, Sullivan, Griffiths, Mountjoy & Phillips, 2015). The United States has a distinctive healthcare system, however, it lacks the accessibility by all Americans which will forever be an on-going battle that needs to be the central focus (Shi & Singh,
Primary health care is the indispensable care based on the real – world, systematically sound, socially adequate technique and technology which made unanimously available to the families and every individuals in the community through their fully involvement where the community is capable to afford at a cost to uphold at every phase of their growth in the essence of self-reliance and self-government. Primary health care in international health is associated with the global conference held at Alma Ata in 1978; the conference that promoted the initiative health for all by the year 2000. “Primary health care defined broadly at Alma Ata emphasized universal health care across to all individuals and families , encouraged participation by community members in all aspects of health care planning and implementation and promoted the delivery of care that would be scientifically sound , technically effective , socially relevant and acceptable” (Janice E.Hitchcock,2003). Primary health care is commonly viewed as a level of care or as the entry point to the health care system for its client. It can also taken to mean a particular approach to care which is concerned with containing care, accessibility, community involvement and collaboration between other sectors. The primary health care policy has some principals that have been designed to work together and be implemented simultaneously to bring about a better health outcome for the entire society.
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At the base of this operation are “health workers” (HW), who provide primary care to local community