World Health Organization : Year 1994 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 94.3: The Health Centre in District Health Systems

By World Health Organization

Book Id: WPLBN0000040223
Format Type: PDF eBook:
File Size: 3.71 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1994 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 94.3: The Health Centre in District Health Systems
Author:	World Health Organization
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Health Organization, B. W. (n.d.). World Health Organization : Year 1994 ; World Health Organization, Strengthening of Health Service, District Health Systems, No. 94.3. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Desptte its critical position in national health systems, the health centre has been somewhat neglected and sidelined as the implementation of primary health care continues to be dominated by the delivery of separate vertical programmes. The vertical programme approach, as well as overcentralization, precludes the optimum use of health centres and effective community participation.

Table of Contents
TABLE OF CONTENTS INTRODUCTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v CHAPTER 1: HISTORY OF THE HEALTH CENTRE MOVEMENT . . . . . . . . . . . . . . . . . . . 1 CHAPTER 2: THE PLACE OF THE HEALTH CENTRE IN THE DISTRICT HEALTH SYSTEM . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 2.1 Place of Research in Improving Health Centre Function . . . . . . . . . . . . . . . 8 2.1.1 Action or Intervention Research . . . . . . . . . . . . . . . . . . . . . . . . . . 9 2.1.2 Priorities and Sequencing of Research Questions . . . . . . . . . . . . . . 9 2.1.3 Community Particbation in Research . . . . . . . . . . . . . . . . . . . . . . 9 2.1.4 Balancing Top-down and Bottom-up Initiatives in Decentralization . . . 9 2.1.5 Financing Services in a Time of Economic Adjustment and Recession . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 2.1.6 Rapid Appraisal Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 CHAPTER 3: THE HEALTH CENTRE AND ITS COMMUNITY RESPONSIBILITY . . . . . . . . 11 3.1 Defined Population Base . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 3.2 Identification of Needs and Development of Action Programmes . . . . . . . . 11 3.3 Identifying and Targeting Groups with Special Needs . . . . . . . . . . . . . . . . 14 3.4 Surveillance for Equity . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 3.5 Intersectoral Collaboration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 3.6 Decentralization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 3.7 Community Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 CHAPTER 4: HEALTH CENTRE SERVICES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 4.1 Relevance of Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 4.2 Specific Characteristics of Services in Health Centres . . . . . . . . . . . . . . . 23 4.2.1 Comprehensiveness of Services . . . . . . . . . . . . . . . . . . . . . . . . . 23 4.2.2 Integration of Vertical Programmes and Services . . . . . . . . . . . . . 24 4.2.3 Services Channelled to Individuals. Families. and Communities . . . . 25 4.2.4 Skills in Human Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 4.2.5 Continuity of Care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 4.3 Quality of Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 4.3.1 Standardized Diagnostic and Treatment Rules . . . . . . . . . . . . . . . 26 4.3.2 Essential Drugs Programmes . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 4.3.3 Referral. Supervision. and Improved Information Systems . . . . . . . 30 4.3.4 Health Education and the lnvolvement of People in Health Activities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31 4.3.5 Occupational Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 CHAPTER 5: 5.1. 5.2 5.3 5.4 5.5 5.6 5.7 5.8 5.9 5.10 HEALTH CENTRE MANAGEMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Optimum Staffing Pattern . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 The Role of the Health Centre.Team . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Physical Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 Equipment and Supplies . . . . .. .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Appropriate Technology . i . . .* . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Partnerships for Health . . . . . : . . . . . . . . . . . . . . . . .