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G.S.P.L.A.J. LIBYA General people’s Committee for Health & Environement. Primary Health care development plan. Technical levels:. Primary Health care. Secondary Health Care. Tertiary Health care. Health Services Structure. Specialized hospitals (21). Tertiary health care.

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G.S.P.L.A.J. LIBYA

General people’s Committee for Health & Environement

Primary Health care development plan


Technical levels:

Primary Health care.

Secondary Health Care.

Tertiary Health care.


Health services structure
Health Services Structure

Specialized hospitals

(21)

Tertiary health care

Rural hospitals (26)

Secondary health care

General hospitals (36)

Polyclinics (37)

Primary health care

Communicable disease centers (23)

Primary health care units & centers (1355)

)


Core elements of Health plan 2009-2013.

Promoting health care system.

Disease control program.

Maintenance of health care facilities.

primary health care developments.

Development of health manpower.

Developments of health care programs.

Development of national heath environment program.


Reforming the health services developmental plan 2009- 2013 take in consideration of changing the approach from Hospital based to community based.

PHC developmental plan depend on family practice as core element for this changes:


LIBYAN ARAB JAMAHIRIYA take in consideration of changing the approach from Hospital based to community based.

1.665.000 S.KM

6


No of population 1984 2006
No, of take in consideration of changing the approach from Hospital based to community based.Population 1984 - 2006

Population Doubling Time = 30 Years

7


Phc coverage
PHC coverage (%) take in consideration of changing the approach from Hospital based to community based.

Population with safe drinking water 89

Population with local health care 100

Infants attended by trained personnel 94

Deliveries attended by trained Personnel 99

Infants immunized against :T.B {BCG } 99

POLIO 99

DPT 98

Measles 96

8


Population growth from 1973 2006
Population Growth From 1973 - 2006 take in consideration of changing the approach from Hospital based to community based.

9


Distribution of population urban rural
Distribution of Population Urban \ Rural take in consideration of changing the approach from Hospital based to community based.

10


Population gender distribution 2006
Population Gender Distribution take in consideration of changing the approach from Hospital based to community based.2006

11


Population pyramid
Population pyramid take in consideration of changing the approach from Hospital based to community based.


Distribution of population 2006 libyan non libyan
Distribution of Population ( 2006 ) take in consideration of changing the approach from Hospital based to community based. Libyan \ Non-Libyan

13


Health system structure

Health System Structure take in consideration of changing the approach from Hospital based to community based.


People’s Committee for Health & Environment take in consideration of changing the approach from Hospital based to community based.

Secretary

Central hospitals & Medical Centers

Libyan board for medical specialties

Health Information Center

General Authority of Environment

National Center for Communicable Diseases

National Company for Drugs & Supplies

National Council for Medical responsibilities

National company for maintenance of med equip

Under Secretary

National program for organ transplantation

General company for manufacturing of medical equipment & supplies

Offices

Directorates

Committee Affairs

Primary Health Care

Emergency & Ambulance Services

Health Construction Projects

Admin & Finances

Health Education

Private Sector & National Services

Drugs & Medical Equipment

Medical Services

Planning

Legal Affairs

Departments

Technical Cooperation

Hospital Affairs

Drugs & Narcotics

Information section

Evaluation & Follow up

Admin & relation services

Study and Planning

Media Education

National services

Technical affairs

Internal auditing

Labs & Blood banks

Medical equipment and supplies

Human Resources Development

School Health

Air & sea ambulance

Research & Studies

Financing

Supervision & Follow up

Written material education

Private sector

Dental Services

Mother and Child Health

Vehicles & Stores

Registration and Inspection

Follow up

Personnel

Contracting

Conferences

Recruitment & Evaluation

Programming & Planning

Quality Assurance

Occupational Health

Notification

Drug Research


Health services indicators

Health Services indicators take in consideration of changing the approach from Hospital based to community based.


Healthcare expenditure financing
HealthCare Expenditure Financing take in consideration of changing the approach from Hospital based to community based.


Health status indicators
Health status indicators take in consideration of changing the approach from Hospital based to community based.

Infant mortality rate for (1000 life births ) 24.4

Under five mortality rate (1000 life births ) 30.1

Maternity mortality rate (10,000 life births ) 4

Main causes of death are : -

cardiovascular diseases , accidents ,(RTA) and

Tumors .

NO major health hazard due to any infectious disease in Libya.

18


PHC take in consideration of changing the approach from Hospital based to community based.

development

plan

2009- 2013


Elements of Primary health care In Libya. take in consideration of changing the approach from Hospital based to community based.


In addition to elements of PHC declared in Ala mata Libya had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


In view of presence of: had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.

High coverage by PHC facilities.

Human resources.

Materials and financial resources.

Strong political well to have functioning health services at highest level required for Libyans.


The reforms of phc system is possible

The reforms of PHC system is possible had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


All we need is to put all of this together in one system

All we need is to put all of this together in one system had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


The family practitioner will: had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


This will lead to: had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


PHC Center had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.

Family Physician

Family Physician

Family Physician


Tertiary had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.

Services

Secondary

Services

Family

Physician

Family

Physician

Family

Physician

Family

Physician


  • The implementation of the plan is already started by: had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.

  • Training of doctors in family practice (400 doctor).

  • increasing salaries for medical and paramedical personnel.

  • implementing of relative logistics' as family medical documents (file)- re-location of equipments and maintains of some heath facilities.

  • computing rates (1 family practice team per 2000 citizen).

  • mapping & geographical distribution of health centers targeted by this plan.


Areas of Cooperation had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


training of medical personnel. had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.

development of referral system.

documentation system.

Development of guidelines.


Thanks had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.


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