In 1948 the world health organization produce a constitution.
All over the world health policy maker, financiers
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Introduction to Community medicine
Lecture content: Introduction Basic definition Aims objective Preventive medicine Public health International organization
In 1948 the world health organization produce a constitution. All over the world health policy maker, financiers, health provider and consumers are aware of the need to reform the health care system. Informed opinion and active cooperation on the part of the public are the most importance in the improvement of the health of the people. Clinical medicine has its focus on care of the diseased patient Community medicine is concerned largely with improving the health status of the community. Introduction to community medicin e :
There is also a growing realisation that preventive health technology has a greater role for a healthy life than clinically based technology. In order to meet these requirements, the future physicians should be, what boelen calls a “ five star doctor” that is; Leader Care provider Communicator Decision maker Manager
Community medicin e: A technical decision group of WHO defined community medicine as “ a system of delivery of comprehensive health care of the people by a health team in order to improve the health of the community” Also community medicine is defined as “ the art and science of application of technical knowledge and skills to the delivery of health care to a given community, designed in collaboration with related professionals as well as human and social science on the one hand, and the community on the other hand. Definitions:
To reduce unnecessary morbidity and premature mortality in the whole population Explore greatest potential for health improvement. Aims of community medici ne :
“Improve health status of a community” Information required: Population data Health problems Disease pattern Availability of health services Action plan: Community health program Objective:
Preventive medicine, an academic discipline, and a medical speciality , with its own certifying board, is defined as; “The science and art of preventing disease, prolonging life and promoting physical and mental health and efficacy. Preventive medicine :
Public health defined as; “the science and art of preventing disease, prolonged life, and promoting physical and mental health and efficacy through organized community efforts for, The sensation of the environment The organization of medical services for the early diagnosis prompt treatment and prevention of disease The development of the social machinery while will ensure to every individual in the community a standard of living adequate for the maintenance of health. Public health:
Municipal corporations or municipalities Cantonment boards Railway and industrial organization Social security councils and institutions Voluntary agencies like, tuberculosis and public health association Medical association Governmental hospitals and health department. The agencies concerned with organized community health activities include;
“ social medicine is the study of man in his total environment , physical , biological, and socioeconomic.” It is concerned not only with curative medicine, but also with health promotion and prevention. Social medicine:
Social hygiene refer to the science of prevention and treatment of sexually transmitted infections, previously known as “venereal disease” Community orientation: Community oriented medical education is defined as “relevant medical education which takes into consideration in all aspect of its operation, the health problem of community, in which it is conveyed, its aim is to produce community oriented doctors who are both, able to and willing to serve their community and deal effectively and efficiently with health problems at every level. Social hygiene :
Community based education is defined as “ a system of education which carried out outside the teaching hospitals and inn the community whose first and second level healthcare facilities are available for this purpose. E.g Urban or rural health care based unit, MCH center. Comprehensive health care: This refer to the provision of personal ( MCH, child welfare, school health, occupational health, etc.) and impersonal health services( water supply, communicable disease, vector control) to a community for the prevention of disease, cure of illness, prevent disability and economic insecurity and dependency associated with illness. Community based education: ( CBE)
Vertical program: A single program of health service for community. For example expanded program of immunization. The staff of this service is concerned only with the immunization project. Horizontal program: It is the health service delivery program which covers the two dimension of health personal and community health. Comprehensive health care: This refers to the provision of personal and impersonal health service to a community for the prevention of disease, cure of illness, prevent disability, and economic insecurity and dependency associated with illness.
1)World health organization ( WHO) year of existence ( 1948) 2)United nation children fund ( UNICEF) year of existence ( 1946) 3)United nation fund for population activities ( UNFPA) International organization:
Muhammad ilyas public health in community medicine 2006 Text book of community medicine by H.A Siddique 2 nd edition. Referances