Essential community health service

essential of community health services

1. ESSENTIAL COMMUNITY HEALTH SERVICE

2. MEANING A essential basic health service is understood to be a network of coordinated, peripheral and intermediate health units capable of performing effectively a selected group of function essential to the health of an area and assuring the availability of completed professional and auxillary personnel to perform these functions.

3. Purpose To improve the health status of the population and environment.

4. BROAD AGREEMENT THAT HEALTH SERVICES SHOULD BE COMPREHENSIVE ACCESSIBLE ACCEPTABLE PROVIDE SCOPE FOR COMMUNITY PARTICIPATION AVAILABLE AT A COST THE COMMUNITY AND COUNTRY CAN AFFORD

5. GOAL To reduce the mortality and morbidity To increase in expectation of life To decrease the population growth rate To improve the nutritional status To provide basic sanitation To workout adequate trained manpower requirements in various dept. To provide adequate support in resources development -agriculture -food production -literacy rate -housing/shelter -small scale industry for economic development etc.

6. HEALTH CARE SERVICES AT COMMUNITY LEVEL 1. PUBLIC HEALTH SERVICES 2.PRIVATE SECTORS 3.INDEGENEOUS SYSTEM OF MEDICINE 4.VOLUNTARY HEALTH AGENCIES 5. NATIONAL HEALTH PROGRAM 6. INTERNATIONAL HEALTH AGENCIES SERVICES.

7. SUGGESTED NORMS FOR HEALTH PERSONNEL

8. MANPOWER AT PRESENTLY WORKING IN COMMUNITY SET UP

9. ESSENTIAL AREA FOCUS AT COMMUNITY SERVICES 1. COMMUNICABLE DISEASE 2. NON COMMUNICABLE DISEASES 3. NUTRITIONAL PROBLEMS 4 .MATERNAL AND CHILD HEALTH SERVICES 5 .POPULATION STABILIZATION 6 . ENVIRONMENTAL SANITATION 7.CHILD HEALTH SERVICE

10. continued 8. FAMILY PLANNING/CONTRACEPTION/ COUNSELLING SERVICE 9 . ADOLESCENT HEALTH SERVICE 10.HEALTHPROMOTION/MAINTANANCE/SCREENING/PRIMODIAL PREVENTION 11.TEACHING/TRAINNING/CONTINUING /INSERVICE EDUCATION 12.CO-ORDINATION SERVICES WITH OTHER AGENCY 13.DISEASESURVEY/SURVEILLANCE/MONITORING/ IMPLEMENTATION/FOLLOWUP/NEWPOLICY/REASSESSMENT 14.PROMOTION OF AYUSH SERVICES AT COMMUNITY

11. continued 15.RECORDS AND REPORTS OF VITAL EVENTS 16.CO-ORDINATION AND MONOTORING THE SERVICES OF HEALTH WORKERS 17.OUT-REACH AND FILED SERVICES 18.REFERRAL SERVICES. 19.BASIC LABORATORY SERVICES 20 NATIONAL HEALTH SCHEME AWARENESS PROGRAM.

12. COMMUNICABLE DISEASES ESSENTIOAL SERVICES: Survey periodically Early identification, diagnosis and treatment Counseling and follow-up Referral services Health promotion IEC services for prevention Health education

13. NON COMMUNICABLE DISEASES ESSENTIAL SERVICES: Detections of high risk cases early through survey. Promote healthy life style Diagnosis, management and referral service Follow-up services. Counseling IEC activities /health education/awareness program. Statistical reports based on the condition

14. MCH SERVICES ESSENTIAL SERVICES: ANTENATAL SERVICES: Early registration Minimum 4 ANC visit Immunization Basic laboratory test /general examination Detect the high risk mothers as early Appropriate referral services tie-up Personal hygiene/diet/rest/sexual life/care Counseling for FP/identify suspected STD/RTI Vital statistical

15. INTRA NATAL SERVICES ESSENTIAL SERVICES: Promotion of institutional services Skilled attendant at home deliveries when called for Appropriate and timely referral services for high risk cases. Managing the labour with using of partograph Identification and management of danger sign during labour Proficient first aid treatment for PPH Safe delivery/equipment/hands/environment/birth canal Breast feeding within 30 minutes initiazation

16. POST NATAL SERVICES ESSENTIAL SERVICES: Exclusive breast Feeding Post natal home visit(3,7,42 day) Incase of LBW visit to be(14,21,28 th day) Immunization continue Care of mother/baby/ in perineum observation of lochia /care of breast Examination of newborn for sign of sickness/congenital abnormalities as IMNCI guidelines. Counseling on diet/rest/hygiene/contraception/feeding/sign/symptom of RTI/STD/HIV/AIDS Tracking of missed and left PNC cases documentation

17. CHILD HEALTH SERVICES ESSENTIAL SERVICES: New born care(temperature/KMC/maintain airway/breathing/initiate BF/infection protection/personal care/card care as per guidelines Counseling of EBF up-to 6 months Complementary feeding including BF till 2 years Assess the growth and development Immunization services Vitamin A prophylaxis till 5years Prevention and control of childhood disease. Indentification of high risk cases/referral /documentation

18. ADOLESCENT HEALTH SERVICES ESENTIAL SERVICES: Adolescent friendly clinic for 2 hours once a week on a fixed day. Provide comprehensive care( promotive,preventive,curative and referral services) Information regarding change in reproductives health ,counseling, Services related sexual concerns,pregnancy,contraceptions,abortion,menstrual problems, Services for tetanus immunization Nutritional counselling for prevention of anemia. Prevention and control ,screening about RTI/STD management Referral services for VCTC and PPTCT OUT REACH SERVICES: Periodic health checkup and health education activities. National health program awareness,drugs,alcohol,substance abuse etc Encourage the co-curricular activities.

19. FAMILY PLANNING/POPULATION STABILIZATION ESSENTIAL SERVICES: Full range of family planning services including IEC,counseling,provision of adequate supply of contraceptives etc Permanent family planning method as per family norms completed(NSV/ laboroscopy sterilization and follow up services,incentives ) Safe abortion services Avoid unwanted pregnancy Health education/awareness program documentation

20. ENVIRONMENTAL SANITATION ESSENTIAL SERVICES: Basic water facilities/quality monitoring/adequate supply Drainage facilities Precaution for local endemic disease Housing facilities Road facilities/electricity /transportation/communication etc Recreational facilities like park, sport,play ground,telecast ,news paper etc. Spiritual facilities like temple/ majid /church/ sikkim etc Facilities for domestic animals/pet animals/street animals Polluted free environment Make green environment/sapling tree/agriculture forming etc

21. NUTRIONAL SERVICES ESSENTIAL SERVICES: Prepare the type of dietary pattern Select always fruits, vegetables fresh /seasonal base . Cook always iron base utensil Take always balnced diet( protein,CHO,fat,vitamin , minerals equal) Take adequate water 2500 ml/day Avoid fast food /more fatty food /preservatives food Screening for nutritional problems periodically. Better to take germination food like sprout gram

22. SCHOOL HEALTH SERVICES: ESSENTIAL SERVICES: Screening for general health assessment of anemia/nutritional status/visual acuity/hearing /dental checkup/physical disabilities/learning disorder/ behavioural problems etc Screening for communicable /non communicable/endemic/skin diseases Treatment for minor ailments Immunizationa as per period/schedules Provide midday meals /supplementary nutrition/special micronutrients Provide prophylaxis for filaria / malria /worm infestation.

23. OCCUPATIONAL HEALTH SERVICES ESSENTIAL SERVICES : Nutritional services(canteen facilities,balanced diet at low cost ) Control of communicable diseases measures(early diagnosis,treatment,prevention and rehabilitation) Evnironmental sanitation measures(water , food,toilet ,general plant cleanliness,sufficient space,lighting,ventilation,work safety measure,residence facilities )etc Mental health measure(promote health/ happiness,reduce the stress/ emotion,screen the mental health illness, counseling,rehabilitation,follow -up ) Measure for women and children(maternity leave,MCH services,crech es , sickness leave ,no child can work under14 yrs ) Health education Family planning method to be adopted for small family norm.

24. NURSING EDUCATION ANM GNM B.SC P.B.SC M.SC PH.D BRIDGE COURSE IN ALL PROGRAM SKILLED TRANNING FOR ASHA, USHA, DAI,SBA/TBA ETC.

25. TRAINING PROGRAM Exclusive community area to post like Urban area Rural area Health centre Industrial area Rehabilitation centre. Old age home Maternity centre Proper trainning material Proper trainning faculty Proper return demonstration/simulation and performance skills assessment Proper evaluation system

26. COMMUNITY SERVICES Follow proper guidelines like WHO,CDC,MOH&FW,GOI in clinical service. Daily inventory/demand/ stockout /essential things adequate supply Assessment Implementation to public health service Policy review as per guidelines Maintaining of records/report to submission

27. Health education to community service Sanitation Personal hygiene Environmental sanitation Economic development Primary/secondary/higher education as needed Rest Proper sleep Balanced diet

28. CONTINUED Medication/spiritual practice Screening for communicable/non communicable/hereditary/congenital/genital defect etc Recreational facilities Vaccination/Immunization Work safety Personal safety Public awareness about the pandemic/endemic/epidemic diseases

29. COMMUNITY RESEARCH THE STEPS TO IMPLEMENTATION MIGHT BE Assemble a broad-based, inclusive, participatory coalition or coordinating council to guide the CHIP process, if one does not already exist. Do your research. Identify the issue(s) you’re going to work on, if you haven’t started with a specific issue in mind. Analyze the issue(s) carefully. Take stock of potential resources, particularly those already available in the community.

30. CONTINUED Develop a strategic plan and action plans to carry it out. Agree on who will be accountable for which parts of the plan. Work out how accountability will be monitored. Implement your strategy. Monitor both the process and the outcomes of your effort. Maintain your gains. Start the cycle again, with another issue.

31. Summary We discussed the essential community services like meaning.goal,purpose,area ,manpower,norm,tranning,teaching,research,policy,implementation,achievement and reassessment in health services of individual, family , community and society.

32. conclusion Till now we discussed essential community health services in health care delivery system. I hope you all can perform essential community services to the society with help of this knowledges in present and future.

33. Thanks for listening patience