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Disease prevention and health promotion -better use of existing preventive measures. CAUSES OF DEATH. World Health Report 2001 has indicated that non-communicable diseases accounted for nearly 60% of deaths and 46% of the global burden of diseases.

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Disease prevention and health promotion -better use of existing preventive measures

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Disease prevention and health promotion-better use of existing preventive measures



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World Health Report 2001 has indicated that non-communicable diseases accounted for nearly 60% of deaths and 46% of the global burden of diseases.

75% of the total deaths due to NCDs occur indeveloping countries.


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WHERE WE ARE STANDING diseases accounted for nearly 60% of deaths and 46% of the global burden of diseases.

D

A

L

Ys

D

A

L

Ys

63.7lakh

22.63

lakh

2004

2004

58.4lakh

20.72

lakh

2000

1998

Diabetes

Stroke


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Communicable disease burden in India diseases accounted for nearly 60% of deaths and 46% of the global burden of diseases.

  • The World Bank estimates 21% ofcommunicable diseases in India are water related. Of these diseases, diarrhoea alone killed over 700,000 Indians in 1999 (estimated) – over 1,600 deaths each day.

  • On 18 August 2010 media reported an outbreak of anthrax.

  • In April 2009 the World Health Organization declared the

    emergence of a novel influenza virus.


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Disease prevention diseases accounted for nearly 60% of deaths and 46% of the global burden of diseases. and health promotion- better use of existing preventive measures reduces the global health burden of disease by 70% (WHR 08)


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Trained nurse diseases accounted for nearly 60% of deaths and 46% of the global burden of diseases. and midwife can deliver approximately 80% of the health care and up to 90% of the pediatric care currently provided by primary care physician at equal or better quality and lower costs.


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Nurses lead the way…….that nursing could serve as a powerhouse of leadership in making PHC a reality.

(Mabler,1985)


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The essence of PHC powerhouse of leadership in making PHC a reality.

Health is not a commodity that is given,

it must be generated from within

Health action should not be imposed from

outside, foreign to the people,

It must be a response of the community

to problems they perceive, supported by,

an adequate infrastructure.

(Mabler 1998)


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Current situation of manpower powerhouse of leadership in making PHC a reality.

As on march 2007,the overall shortfall in the post of HW(F)/ANM was 12.6% of the total requirement.

In case of HW (M) there was a short fall of 55.4%of the requirement.


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Contin…. powerhouse of leadership in making PHC a reality.

Surveys in about 30 developing countries indicate that only 35 % of selected medicines were available in

the public sector and 63 % were available in the private sectors


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Contin…. powerhouse of leadership in making PHC a reality.

  • The share of government in health spending varies from 76% in Europe to 34% in South-East Asia

  • The average annual growth rate was 1.3% for 1997–2007 compared with 1.6% for 1987–1997.


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Contin…. powerhouse of leadership in making PHC a reality.

  • The share of government in health spending varies from 76% in Europe to 34% in South-East Asia.

The average annual growth rate was 1.3% for 1997–2007 compared with 1.6% for 1987–1997.


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Integrative Care model powerhouse of leadership in making PHC a reality.


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Contin…. powerhouse of leadership in making PHC a reality.

  • 1) The patient with sub-acute to chronic low back pain or neck pain consults the primary care unit.

  • 2) The patient and the general practitioner develop a treatment plan.

  • 3) The patient is offered conventional care, i.e. treatment as usual.


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Contin…. powerhouse of leadership in making PHC a reality.

  • 4) Should complementary therapies be considered appropriate, these are integrated into the treatment plan by way of a consensus case conference with the integrative medicine provider team.

  • 5) The patient is offered complementary therapies as part of the treatment plan, i.e. integrative care.

  • 6) When the treatment plan is completed the case management is finished. (Please note that integrative care was only delivered for up to 12 weeks.)


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Now more than ever: Community Health Nursing contributing to PHC(Source: Compendium of PHC studies)

Korea:

  • Utilization of CHN as a Community health practitioners

  • A total of 1850 CPC responsible for1500-2000pop.

    Result: High satisfaction level from clients improved health status & decreased risk behaviour.


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Contin…. PHC

Denmark

Care of the elderly provider by nurses

Health assessment, activity of daily living higher, average bed days lower, running costs for care –lower &life expectancy increased by 30%.





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THANK U PHC


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