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FAMILY HEALTH

FAMILY HEALTH. IMPLEMENTATION OF THE NATIONAL HEALTH SYSTEM OUR GREAT CHALLENGE. EL SALVADOR. 5-year Strategic Plan 2004-2009. MSPAS. Strategic Objective:

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FAMILY HEALTH

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  1. FAMILY HEALTH IMPLEMENTATION OF THENATIONAL HEALTH SYSTEM OUR GREAT CHALLENGE

  2. EL SALVADOR

  3. 5-year Strategic Plan 2004-2009. MSPAS Strategic Objective: “Implement a concerted CHANGE in the health sector that promotes an efficient integrated decentralized NATIONAL HEALTH SYSTEM TO ACHIEVE universal coverage, care for all people, in the entire country.”

  4. 1. Eradicate extreme poverty and hunger 2. Achieve universal primary education 3. Promote gender equality and empower women 4. Reduce child mortality 5. Improve maternal health 6. Combat HIV/AIDS, malaria, and otherdiseases 7. Ensure environmental sustainability 8. Develop a global partnership fordevelopment Millennium Development GoalsMDG

  5. Health care put within reach of all individuals and families in the community, through means that are acceptable to them, with their full participation and at a cost that the community and the country can support. Primary Health Care

  6. NATIONAL HEALTH POLICY Strategic Objectives S N S Impact Objectives UNIVERSAL COVERAGE MANAGEMENT MODEL DEVELOPMENT OF HUMAN RESOURCES IN HEALTH MSPAS STEERING ROLE BETTER HEALTH STATUS IN THE POPULATION QUALITY OF CARE AND SERVICES MODEL OF CARE FOCUS ON FAMILY HEALTH SOCIAL PARTICIPATION IN HEALTH SATISFACTION OF CONSUMERS AND PROVIDERS MODEL OF DELIVERY EQUAL ACCESS COMPLEMENTARY CONNECTED NETWORKS 1. Increase State budget allocation for public spending in health. 2. Improve the efficiency ofpublic institutions. 3. New financing sources. FINANCING MODEL ADJUSTMENT OF THE LEGAL FRAMEWORK MECHANISM

  7. PROCESS OF CHANGE IN HEALTH THE INITIATIVE aimed at creating a National Health System, in response to the following strategic objectives: • Expand health services coverage for the population within a framework that gives special importance to family health. • Improve quality AND compassion of health-care services holding askey the model of individual, family and community health care.

  8. FamilyHealth Model IMPLEMENTING THE CONCEPTUAL FRAMEWORK

  9. FAMILY HEALTH PHC-based model, with emphasis on health promotion and community work that views as the unit of analysis the care and intervention of “the family”,provides intra- and extramural services, which promote healthy lifestyles, control of environmental risks and preventive care with focus on family life and life cycle in order to promote and preserve health of the family members and their environment.

  10. Guarantee access to and equity in the supply of health services, based on the strategy of primary care, with emphasis on health promotion, to family members and their environment in order to achieve satisfaction and improve the level of health; promoting co-responsibility. General objective

  11. Determine geographical and population areas of responsibility, assigning families to family health teams and health facilities. Organize the network of services connecting the levels of care and strengthening the process of referrals and follow-up visits. Objective specific

  12. Strengthen the promotion and prevention of health risk and impairments. Establish integral management of service networks. Specific objectives

  13. Characteristics • Family and community focus, respecting their culture and rights. • Define andguarantee continuous health services, applying standards, protocols, instruments, as well as evaluation mechanisms that ensure effectiveness. • Made up ofprocesses andprocedures developedby interdisciplinary and integrated teams.

  14. A flexible, dynamic, and interactive model capable of predicting and responding on a timely basis to the current and future health characteristics and needs of the family. Based on social participation and intersectoral approach. Essential: address and resolvethe population’s most common health problems and risks through family and community participation. Characteristics

  15. Essential Components

  16. Instruments • FamilyFile • Family Registry, reduces time spent on data collection and allows longer time devoted to relation with the patients. • Familiograma (“Family Diagram”) • Structural diagram of family composition and of the system of relationships of several generations in the family, identifies risk factors and dysfunctions, and its important role in causing illness, recuperation and rehabilitation.

  17. What does the Family File contain? • NAME • ADDRESS • LIFE-CYCLE FILES • CLINICAL HISTORIES • HEALTH FILE • INTERVENTION PLAN • FAMILIOGRAMA

  18. Value-added to the model Traditional Model Expansion ofrural coverage, Fosalud, Hospital without walls Community work Service-oriented culture Availability of promoters Culture of volunteer service Population targeting (poverty) Prompt care Greater problem-solving capacity (physician)

  19. interface Phases of Implementation Gradual implementation in the public network of Regional establishments Preparation Pilot Extension Expansion Selection of Units Preparation Inputs Training Implementation of other SIBASI Units in the 5 Regions All Units of all SIBASIS Nov-Dec 06 January-December 07 January-December 08 January 09

  20. Key Elements of Intervention • FAMILIES • EDUCATIONAL CENTERS • WORK ENVIRONMENTS • HEALTH FACILITIES

  21. ORGANIZATION FOR IMPLEMENTING THEFAMILY HEALTH MODEL

  22. Family Health Teams (FHT)Composition The FHT includes preferably: 1 health promoter 1 nurse and 1 physician. A Health Facility can have more than one family health team, according to its installed capacity and defined population. These teams are supported by other professionals (dentists, specialists, psychologists, nutritionists, etc.) as well as technical personnel (laboratory, RX, Pharmacy)

  23. Family Health TeamArea of Intervention The basic geographical unit is the program area of the Family Health Promoters and includes homes, dwellings, blocks, communities, country houses, grouping of cantons, or parts of these. Such geographical units include a maximum group of 250 families, approximately equal to 1,000 - 1,200 people.

  24. Interventions

  25. Families Assigned to the Family Health Model

  26. THANK YOU

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