We believe that the Zimbabwe experience constitutes a major learning opportunity for our understanding of how to organize Primary Health Care (PHC). We analyse the factors, both internal and external to the health system, which contributed to the success at the time.
The redirection of the healthcare system towards Primary Health Care (PHC) along with the concomitant establishment of the District Health System (DHS)as a framework for PHC delivery and management has been the transformation event in the public health sphere in South Africa since 1994.
The project of health planning at the Primary Health Center Lagoa da Conceição, in Florianópolis (Brazil) emerged as a need to change a model of care assistance, based on the spontaneous demand and a limited scope in the practice of health (passive attitude) for a model of Family Health Strategy, with shares epidemiological data on […]
This abstract highlights finding of an intervention research called Extending Services to Communities. The aim of the study was to document the impact of improving the advisory, referral and health promotion skills of storekeepers, volunteers, and community health committee in improving early care seeking for tuberculosis.
Malawi is currently experiencing an acute healthcare worker crisis taking place in a context of severe HIV/AIDS epidemic with 14% of the 12 million total population infected by HIV. While the formal health system structures are not easily accessible by most Malawians, there are several close-to-communities providers known as community based organizations (CBOs) linked to […]
Investigate the performance of two types of Community Health Centres (CHCs): Private (individual-owned and operated or Factory-sublet CHC to private and operated) and State-owned community health centres (Factory owned and operated; Hospital owned and operated) within the city of Dalian, Liaoning province.
Ministry of Health committed to improving elective services waiting times from 1999.The idea of using GP Liaisons (GPs who liaise) to assist this work came from an article in the BMJ.
The idea of a health ‘worker’ from the community is not a new one; from a public health point of view, it may be an ideal vehicle for another development in the field. But it failed miserably in the case of the Community Health Guide/Volunteer (CHV) scheme due to several reasons.
The 2006 World Health Report, entitled Working together for health, contains an expert assessment of the current crisis in the global health workforce. The report reveals an estimated shortage of almost 4.3 million health workers worldwide, but also underlines, among others, severe problems e.g. of training, geographic distribution, working conditions, and brain drain.
Facing the challenges of high rates of infant and maternal mortality, HIV/AIDS, TB infection, endemic malaria and pervasive poverty, countries in Africa, need to develop an accessible, high quality comprehensive primary healthcare system.