Community-Oriented Primary Health Care

1
Community-Oriented Primary Health Care
Voice of one man is the voice of none

• Partnership
• Donetsk-Pittsburgh
• Prepared by
• Latyshev Ye. E., Partnership Coordinator

2
Goal of the Partnership

• Community health promotion with an accent on
  miners and their families health through
  establishment of Community-Oriented Primary
  Health Care Center on the basis of City Hospital
  25

3
On 27 February 2001 Miners Health Center was
opened at City Hospital ?25 in Donetsk

• The Center covers 7, 640 miners and
• 11, 860 their family members with its
  services
• Morbidity profile
• General Diseases
• Occupational diseases
• black lung, dust bronchitis, peripheral nervous
  system diseases, hearing disorders,
  skeleto-muscular system disorders and acute
  poisoning with carbon monoxide

4
Self-Assessment

• Center staff have performed their self-assessment
• 1. The purpose of the organization was defined
  as
• delivery of accessible, quality, timely
  preventive care, diagnostics and treatment of
  miners and their family members at Miners
  Health Center -
• 2. Staffing
• Physicians - 21
• Nurses - 35
• 3. Search for and attraction of external sources

5
Attraction of Resources

• Community Council
• Volunteers, consultants, interns
• Sources for attraction of resources
• Public and state organizations
• Educational establishments
• Trade Unions
• Political organizations etc.

6
Community Council

• Established in December 1999
• The Community Council includes
• Directors of Coal Mines
• Coal Mines Trade Union Chairmen
• Representatives of the City and Oblast health
  Departments
• Committee on Issues of Family and Youth
• Womens Council and Business Women League
• State Administration representative
• Representatives of other organizations

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Community Council (continued)

• Main directions of work of the Community Council
• To implement Family Medicine concept in the
  region
• To increase medical knowledge of the community
• To attract funds for the out-patient facility
  reconstruction

8
Volunteers, consultants, interns

• Intelligentsia representatives
• - layers (2), accountants (3), programmers (1),
• designers (5), artists (2)
• Educational establishments representatives
• - teachers (4), students (6)
• Public organizations
• - Womens Council, Business Women League,
  Miners Trade Unions, Youth League etc.
• Pensioners - 8 people

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Results of working with community

• A patient screening questionnaire was developed
• Classification of health care requirements of the
  community was worked out
• Community Council was created
• Educational programs were developed for the
  community
• - about hazardous impact of smoking
• - and about injuries at work and at home
• We are working on creating a Learning Resources
  Center for patients

10
Results of Anonymous Questionnaire
1. Desire to improve ones health 2. To have
accessible, qualified health care with up-to-date
diagnostic capacity in a comfortable
environment 3. Better attitude of health care
workers towards their patients 4. Increase level
of medical knowledge
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Results of working with community (continued)

• Educational materials were developed for miners
• - what do you need to know about vibration and
  noise at work site
• - how to protect oneself from dust
• - physical exercise and miners health
• - about hazardous impact of smoking and alcohol
• - miners water drinking regimen
• - prevention of pyoderma in miners
• - work and rest ratio of a miner
• - about rational nutrition

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Results of working with community (continued)

• A group of volunteers have been created out of
  those miners who quit smoking - 3 people
• There were Clubs created for those patients who
  have general diseases
• - diabetes
• - dust bronchitis in miners
• - oncological diseases in women
• Together with the Trade Union of Miners training
  course is taught about prevention of occupational
  injuries

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Work Plan for 2001

• Legalization of the Community Council
• - May 2001
• Conduct classes, workshops for the community with
  the purpose to increase their medical knowledge
• Open a Learning Resources Center for patients
• - June 2001

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Work Plan for 2001 (continued)

• Create volunteer groups to work on programs
• - Family medicine concept promotion - May
  2001
• - Increased responsibility of patients for their
  own health - August 2001
• - Health promotion - September 2001
• Attract additional resources for the out-patient
  facility reconstruction