on information to the next level on frequency of malaria diagnosis and clinical results of treatment; § House alternative drugs for those who need it. § Setting out the criterion for referral and how to deal with emergencies due to malaria. • Treatment of Common Condition The role of the CHWs should be strengthened so that they can diagnose these conditions and refer or treat them early before complications set in. The health centre or dispensary should train and monitor CHWs; maintain records and reports of activities as well as forward them to higher levels. They should also ensure that field staff, including shop keepers, are well informed and equipped with necessary supplies such as ORS. • Essential drugs At the community level, the health centres are responsible for technical supervision of the use of drugs by CHW. They should train the community on rational use of drugs. • Dental health At this level, the role of health workers is providing health education to the other community members on good dental health practices. Dispensary and health centre staff together with CHWs may need training on simple procedures for treating dental diseases. • Community Based Rehabilitation At the community level health workers have been trained to cater for CBR services within PHC. Their role here is to mobilise the community to adopt measures that promote good physical health and accept people with disabilities. They should also train CHWs on how to identify and prevent disabilities; basic techniques of disability rehabilitation at the community level; referral methods and integration techniques of the disabled; • HIV/AIDS, TB/STI Control At the community level health workers should facilitate health promotion activities; carry out outreach services including immunization and distribution of condoms; provide the correct
31 treatment using national guidelines; promote early diagnosis and treatment; support home based care givers; and implement the HIV/AIDS and TB package The District Level As we had discussed earlier, the district focus for rural development strategy was an important policy shift in support of PHC. It provided new grounds for practical collaboration between the Government sectors and NGOs based at the district level. Before we discuss the implementation of the elements at the district level do the following activity. Who is the coordinator of PHC at the District level? Good! I am sure you wrote down the District Health Management Team. The main members of this team will be discussed in the next Unit. From time to time this team co-opts other members depending on the need at hand to bring in special expertise. The District-Level Health System A health system where the central authorities within the Ministry of Health (MOH) are responsible for running the health services for the entire nation is known as a centralised health system . Primary health care is best implemented in a decentralised system, which transfers the authority and responsibility for planning, managing resources and/or decision- making from the central MOH to the district and local levels.
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- Fall '19
- primary health care