1st week for community medicine and had mention before, we were divided into 2 in a group and given a presentation topic and this topic as well are the topic we were supposed to find out throughout the community medicine posting. so yup, nobody could run away from getting a topic and had a presentation done..
i (aka jolyn) paired up with ming zhi were given the big topic PRIMARY HEALTH CARE : DIABETES MELITUS, HYPERTENSION and ASTHMA. wow, big enough to tell there are sure plenty to talk about. having known to our own dear topic thru facebook updated by our dear leader, JIVETHA both of us separated to find out the topic.. and unfortunately, instead of SPECIAL CLINICS which was supposed to be the topic, both of us found out about primary health care and the system about it. so here goes our presentation..
starting off the presentation, we talked about the establishment of primary health care. prior to the declaration which is Alma Ata Declaration declared by the World Health Organization in 1978, the whole system of primary health care was not in system and many fall into under-treatment especially the poor and uneducated citizen. seen by the WHO, Alma Ata Declaration includes the requirement of each and every country to have an efficient primary health care based on the 7 criteria.
after finishing with Alma Ata Declaration, the presentation proceeds into determinants of health. as we had already read about the determinant, the slide served as a refreshment purposes. now that we knew a little about health and also the set up of primary health care, so question is, WHAT DEFINE PRIMARY HEALTH CARE?
so here it says that the value driven are dignity, equity,solidarity and ethics, to protects and promotes health centred on people but allowing self reliance. focus is quality including cost effectiveness and sustainable finances, allowing universal coverage and equitable access.
so based on this definition, here we are PRIMARY HEALTH CARE IN MALAYSIA.
in Malaysia, the population was 27 millions and with the size of 329 000 sqkm. the urban population was 56% and literacy rate was 86% with elderly population of 5.7% (more than 60 years old). with this big size and population, the number of public health centres was 802, public community clinics of 1927, public maternal and child health clinics of 95, public mobile health clinics of 193, dental clinics of 1707 and public mobile dental clinics of 493. the private consists of 6371 private medical clinics and 1435 private dental clinics.
on 1957, a Three Tier System was set up for the coverage of 50 000 people but due to lack of efficiency in giving out health attention, it was changed to Two Tier System at 1973.
the presentation when on with health information system in PHC which include how data of patient receiving treatment in any clinics in Malaysia was collected. with this Teleprimary care was talked thru the presentation. and this end the presentation.
at the end we were briefed by Dr Kyi on what we were supposed to find out. the things that we should be noted is
1. establishment
2. manpower
3. data
4. facilities available in each clinics
5. assessment of the patient
6. monitoring of patient
7. no of patient receiving treatment
8. budget
9. types of medication available.
with this, it concludes the presentation summary from Jolyn and Mingzhi.
thank you! *bow*
-by Jolyn Chng & Koh MingZhi -
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