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Overview of Primary Health Care in UAE

Overview of Primary Health Care in UAE. Dr. Kalthoom Mohammed Ali Family Physician United Arab Emirates. Some Health Indicators Over Two Decades. 1995. 2005. 1985. Population in millions Crude death rate /1000 population Infant mortality rates / 1000 live births

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Overview of Primary Health Care in UAE

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  1. Overview of Primary Health Care in UAE Dr. Kalthoom Mohammed Ali Family Physician United Arab Emirates

  2. Some Health Indicators Over Two Decades 1995 2005 1985 • Population in millions • Crude death rate /1000 population • Infant mortality rates / 1000 live births • Under 5 years mortality rate / 1000 live births • Maternal Mortality Rate / 100,000 live births • Number of PHC centers • Population / PHC center • Population / PHC physician • Population / PHC nurse 1.26 3.8 14.6 - 2.1 82 12,300 - - 2.83 3.07 9.49 12.6 0.01 98 21,300 6,785 5,056 4.01 1.49 7.8 9.9 0.01 127 31,800 6,394 3,654 Including DOHMS

  3. Leading Causes of Death (1996 – 2005) % From all causes of death

  4. Partnership in Providing PHC Services (Governmental Sector) 17 Centers 46 Centers 64 Centers Total no. of health centers: 127 (2005)

  5. Primary Health Care Manpower Technical (total = 723): Pharm & Assist. Districts Centers Doctors Dentists Nurses Tech. Dubai 9 35 15 60 23 6 Sharjah 16 53 - 72 35 18 Ajman 6 21 3 28 10 5 UAQ 4 12 2 18 14 10 RAK 17 56 2 82 28 17 Fujirah 9 23 5 29 14 17 Total 61 200 27 289 124 83

  6. Primary Health Care Manpower (cont.) Administrative (total = 338): Psychologist &Social Workers Districts Administrators Clerks Others Dubai 20 6 20 21 Sharjah 33 2 23 23 Ajman 2 - 10 10 UAQ 5 1 9 5 RAK 16 1 40 57 Fujirah 1 4 10 20 Total 77 14 112 136

  7. Population, Hospitals Out-patient Attendance & PHC Centers Attendance (1995 – 2000 – 2005)

  8. PHC Centers Attendance to Hospitals Out-patient Attendance (2000 – 2005)

  9. Essential PHC Programs & Services Provided Through MOH Health Centers • Health education. • Maternal and child health. • Treatment of common illness and injuries. • Control and management of common chronic diseases. • Oral health.

  10. Main Reasons for Visiting The PHC Centers in 2005 % from total attendance Disease Upper respiratory infections 36.6% Musclo-skeletal disorders7.7% Skin diseases 6.6% Hypertension6.5% Diabetes Mellitus4.9% Acute bronchitis & bronchiolitis 3.7% Bronchial asthma3.4%

  11. Vaccination Coverage1986 - 2005

  12. Average Numbers for Antenatal visits(1996 – 2005) Average no. of visits

  13. Other Health programs Provided Through Some PHC Centers • Nutrition education clinics (1993). • National Breast Cancer Screening Program (1995). • National Neonatal Screening Program (1995). • Diabetes miniclinics (1996). • Preventive genetic counseling.

  14. UAE Ministry of HealthPrimary Health Care Strategy 2006 - 2015

  15. The United Arab Emirates Ministry of Health has developed its Primary Health Care Strategy (2006 – 2015) based on: • The morbidity and mortality trends over the last 10 years. • Situational analysis of the PHC services. • Political directions, especially improving the services in the remote areas. • Study results of demands and needs of PHC consumers and providers.

  16. PHC Service Consumers Demands More dental clinics More imaging services More lab. services Specialized doctors More staff 56% 46% 22% 22% 14% May 2004 – Sample size = 10323 persons

  17. PHC Service Consumers Demands (cont.) Availability of drugs More ultrasound units More concern to health education Improving the management of the ch. diseases Expansion of nutrition education service 14% 4% 2% 2% 2% May 2004 – Sample size = 10323 persons

  18. PHC Service Providers Opinions 1. Priority Health problems Diabetes Mellitus Hypertension Oral & dental problems Bronchial asthma 40% 39% 26% 25% May 2004 – Sample size = 1423 HCPs

  19. PHC Service Providers Opinions (cont.) 1. Priority Health problems (cont.) Chronic diseases Obesity Respiratory system diseases Mental disorders 17.5% 12.5% 9% 4% May 2004 – Sample size = 1423 HCPs

  20. PHC Service Providers Opinions (cont.) 2. Priority services and programs Health education Nutrition services Oral and dental health Staff training 56% 36.5% 30% 19% May 2004 – Sample size = 1423 HCPs

  21. PHC Service Providers Opinions (cont.) 2. Priority services and programs (cont.) Improving the imaging services Organizing diabetes & hypertension care Expansion of PHC drugs list Improving laboratory services 16% 12.5% 10% 9% May 2004 – Sample size = 1423 HCPs

  22. UAE Ministry of HealthPrimary Health Care Strategy 2006 - 2015 The Vision “The primary health care services will pro-actively work with people to maintain and improve their health, both in remote and central areas, by continuously offering high quality, cost effective and comprehensive essential health care services with full equity.”

  23. Key Directions of the PHC Strategy: • Work with the community and involve people. • Strengthen and improve the existing PHC services. • Develop and implement PHC services and programs that help in achieving comprehensive health care. • Continuously improve quality.

  24. Goals and Objectives • Participating in fulfilling the political directions concerned with improving services in remote areas. • Improving the community health. • Strengthening the preventive services. • Improving the inter-sectorial cooperation. • Encouraging community participation. • Ensuring the maintenance of the current health achievements. Seven goals and eighteen objectives are chosen to be implemented. In the short and intermediate run, the chosen goals and objectives can help in the following:

  25. Improve the structure of the PHC facilities in the remote areas. Ensure the manpower development in the remote areas. 1.High quality, accessible, essential health services in the remote and central areas. Goals and Objectives Goals Objectives

  26. 3.Support and promote breast feeding. 4.Support policies and programs that promote positive ageing. 2.Healthy individuals, families and communities. Goals and Objectives Goals Objectives

  27. 5. Reduce smoking. 6. Improve nutrition. 7. Reduce obesity. 8. Increase the level of physical activity. 3. Healthy lifestyles. Goals and Objectives Goals Objectives

  28. 9.Reduce the incidence and impact of stress. 10.Reduce the incidence and impact of depression. 4. Better mental health. Goals and Objectives Goals Objectives

  29. 11. Reduce the incidence and impact of cardiovascular diseases. 12. Reduce the incidence and impact of diabetes. 13. Reduce the incidence and impact of bronchial asthma. 14. Improve oral health. 15. Reduce the incidence and impact of infectious diseases. 5. Better physical health. Goals and Objectives Goals Objectives

  30. 16.Reduce the incidence and impact of road traffic injuries. 6. Injury prevention. Goals and Objectives Goals Objectives

  31. 17.Ensure access to the appropriate PHC services for all age groups. 18.Ensure services are patient-centered. 7. Accessible and appropriate health care services Goals and Objectives Goals Objectives

  32. Thank You We are going to work with people to achieve the goals and objectives of our strategy.

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