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G.S.P.L.A.J. LIBYA General people’s Committee for Health & Environement

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

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  1. G.S.P.L.A.J. LIBYA General people’s Committee for Health & Environement Primary Health care development plan

  2. Technical levels: Primary Health care. Secondary Health Care. Tertiary Health care.

  3. 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) )

  4. 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.

  5. 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:

  6. LIBYAN ARAB JAMAHIRIYA 1.665.000 S.KM 6

  7. No, of Population 1984 - 2006 Population Doubling Time = 30 Years 7

  8. PHC coverage (%) 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

  9. Population Growth From 1973 - 2006 9

  10. Distribution of Population Urban \ Rural 10

  11. Population Gender Distribution2006 11

  12. Population pyramid

  13. Distribution of Population ( 2006 ) Libyan \ Non-Libyan 13

  14. Health System Structure

  15. People’s Committee for Health & Environment 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

  16. Health Services indicators

  17. HealthCare Expenditure Financing

  18. Health status indicators 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

  19. PHC development plan 2009- 2013

  20. Elements of Primary health care In Libya.

  21. 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.

  22. In view of presence of: 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.

  23. The reforms of PHC system is possible

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

  25. The family practitioner will:

  26. This will lead to:

  27. PHC Center Family Physician Family Physician Family Physician

  28. Tertiary Services Secondary Services Family Physician Family Physician Family Physician Family Physician

  29. The implementation of the plan is already started by: • 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.

  30. Areas of Cooperation

  31. training of medical personnel. development of referral system. documentation system. Development of guidelines.

  32. Thanks

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