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Solutions to Challenges Faced by Primary Health Care

Othuke Andrew Akpeli03 mins
primaryhealthcare 3

1.     
Accessibility, Availability,
Affordability and Acceptability of Health Services
  • Strategies:
    • Health
      services delivered where the people are
    • Use
      of indigenous/resident volunteer health worker as a health care provider
      with a ratio of one community health worker per 10-20 households
    • Use
      of traditional (herbal medicine) with essential drugs.
2.     
Provision of quality, basic and
essential health services
  • Strategies:
    • Training
      design and curriculum based on community needs and priorities.
    • Attitudes,
      knowledge and skills developed are on promotive, preventive, curative and
      rehabilitative health care.
    • Regular
      monitoring and periodic evaluation of community health workers
      performance by the community and health staff.
3. Community Participation
  • Strategies:
    • Awareness,
      building and consciousness raising on health and health-related issues.
    • Planning,
      implementation, monitoring
      and evaluation done through small group meetings (10-20 households
      cluster)
    • Selection
      of community health workers by the community.
    • Formation
      of health committees.
    • Establishment
      of a community health organization at the parish or municipal level.
    • Mass
      health campaigns and mobilization to combat health problems.
3.     
Self-reliance
  • Strategies
    • Community
      generates support (cash, labour) for health programs.
    • Use
      of local resources (human, financial, material)
    • Training
      of community in leadership and management skills.
    • Incorporation
      of income generating projects, cooperatives and small scale industries.
4. Recognition of interrelationship of health and
development
  • Strategies:
    • Convergence
      of health, food, nutrition, water, sanitation and population services.
    • Integration
      of PHC into national, regional, provincial, municipal and barangay
      development plans.
    • Coordination
      of activities with economic planning, education, agriculture, industry,
      housing, public works, communication and social services.
    • Establishment
      of an effective health referral system.
5.  Social
Mobilization
  • Strategies
    • Establishment
      of an effective health referral system.
    • Multi-sectoral
      and interdisciplinary linkage.
    • Information,
      education, communication support using multi-media.
    • Collaboration
      between government and non-governmental organizations.
6. Decentralization
  • Strategies
    • Reallocation
      of budgetary resources.
    • Reorientation
      of health professional and PHC.
    • Advocacy
      for political and support from the national leadership down to the
      barangay level
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