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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
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.
WHERE WE ARE STANDING D A L Ys D A L Ys 63.7lakh 22.63 lakh 2004 2004 58.4lakh 20.72 lakh 2000 1998 Diabetes Stroke
Communicable disease burden in India • 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.
Disease prevention and health promotion- better use of existing preventive measures reduces the global health burden of disease by 70% (WHR 08)
Trained nurse 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.
Nurses lead the way…….that nursing could serve as a powerhouse of leadership in making PHC a reality. (Mabler,1985)
The essence of PHC 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)
Current situation of manpower 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.
Contin…. 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
Contin…. • 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.
Contin…. • 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.
Contin…. • 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.
Contin…. • 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.)
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.
Contin…. 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%.
