The topic of this presentation is, of course, very vast, and much discussion has occurred in recent years. For example, it is widely recognized that the extension of basic health services to underserved rural areas and slums is essential everywhere. Secondly, it is apparent that this can only be done by means of primary health care (PHC) workers which, in turn, implies that the government of th...

Shortages in, and maldistribution of, the primary health care workforce will continue to limit access to health care. The current health reform proposals and policies recognise workforce development as a priority, but only partially address the barriers to improvement. In particular, there will need to be more systematic development of interdisciplinary education within primary health care serv...

In 1920, the Dawson report advocated a population based approach to the organisation of health services, the allocation of resources, and the training of health care staff. It also introduced the concepts of primary and secondary levels of care and of primary care health centres. For several decades these ideas lay dormant, until medical specialisation, fragmentation of health services, and the...

Enhancing primary health care to incorporate mental health services is a key strategy for closing the treatment gap for people with mental disorders. The integration of psychological care into primary health care is a critical step in addressing poor access to mental health specialists. As the psychology profession is increasingly called upon to prepare psychologists for primary health care set...

from 22 may 1976 to 19 february 1977 out of 27742 patients which were referred to health and social welfare network of west azerbaijan in chonqralu (field laboratory of school of public health and institute of public health research in health services development research project in iran), 22693 (81.81%) simple cases were managed by the behvarz (female front line health worker), in nine health ...

The development of integrated care through the promotion of 'partnership working' is a key policy objective of the Scottish Executive, the administration responsible for health services in Scotland. This paper considers the extent to which this goal is being achieved in mental health services, particularly those for people with severe and enduring mental illness. Distinguishing between the hori...

In recent years, there has been an increased national focus on assessing and improving the quality of health care. This statement provides recommendations and criteria for assessment of the quality of primary care delivered to adolescents in the United States. Consistent implementation of American Academy of Pediatrics recommendations (periodicity of visits and confidentiality issues), renewed ...

QUALITY PROBLEM OR ISSUE When the Ministry of Public Health (MoPH) of the Islamic Republic of Afghanistan began reconstructing the health system in 2003, it faced serious challenges. Decades of war had severely damaged the health infrastructure and the country's ability to deliver health services. INITIAL ASSESSMENT A national health resources assessment in 2002 revealed huge structural and r...

INTRODUCTION Access to maternal and child health care services among the nomadic pastoralists community in Kenya and African continent in general is unacceptably low. In Turkana, only 18.1% of the women had seen a nurse or a midwife for antenatal care during pregnancy while only 1.3% of pregnant women reported delivery at health facilities in 2005. Ng'adakarin BAMOCHA model, based on migratory ...