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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CAUSES OF DEATH
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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 in
  developing countries.

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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
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Communicable disease burden in India

• The World Bank estimates 21 of communicable
  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 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 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

• 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

• 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
  55.4of the requirement.

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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

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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
  19972007 compared with 1.6 for 19871997.

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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
19972007 compared with 1.6 for 19871997.
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Integrative Care model
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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.

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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.)

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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.

• 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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Progress can be achieved in short time perieds
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• Blaming others for your mistakes or poor response

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Although our job is not easy
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• THANK U