Planning for Primary Health Care: The Case of the Sierra Leone National Action Plan

1990 ◽  
Vol 20 (1) ◽  
pp. 167-177 ◽  
Author(s):  
Josef Decosas

The National Action Plan for Primary Health Care, a planning document of the Sierra Leonean Ministry of Health for the restructuring of the country's rural health services, is analyzed in its social, economic, and historical context. It appears to be an attempt of the national government to gain control over the highly devolved health care delivery system, but the state has neither the political will nor the power to achieve this goal. The utility of the document is therefore in doubt, which raises two important questions: Whose interests does this plan serve, and at whose cost?

Author(s):  
Vistolina Nuuyoma ◽  
Daniel Opotamutale Ashipala

Primary health care is an approach adopted for the delivery of health services to the Namibian population. In terms of this approach, these services are made universally available, accessible, affordable, acceptable, and appropriate to meet the needs of communities. The health care delivery system in Namibia comprises services provided by both the Ministry of Health and Social Services (MoHSS) and the private sector. In addition to these services, some people consult traditional health care providers. All in all, health care comprises a combination of promotive, preventive, curative, and rehabilitative services. In addition to government funding, donations and technical support are also provided by non-governmental organisations. The MoHSS health care delivery system is coordinated at national, regional and district levels. This chapter elaborates on the Namibian health care delivery system, the structure and functions of each coordinating level, primary health care services in Namibia, as well as successes and challenges experienced.


Author(s):  
Chippagiri Soumya

The health care delivery system in India faces challenges due to disparity in geographical, cultural and economic aspects. Nonetheless, health is an issue which brings all humans under one umbrella. It is primary health care that lays the foundation on which health of the people are built and protected. Realizing the strengthens of the primary health care system is of utmost importance especially in the era of vaccinations and disease eliminations. This requires for the health system to move towards mass approach and heath protection concept sooner than later. And what better way than the primary health care system?


PEDIATRICS ◽  
1975 ◽  
Vol 56 (4) ◽  
pp. 620-621
Author(s):  
Patricia A. McAtee ◽  
Henry K. Silver

We appreciate the commentary of Dr. Austin regarding our article. The nurse practitioner role was created because the needs of children for primary health care were not being adequately met through the existing health care delivery system. Pediatricians who practice with nurse practitioners have found that the pediatrician and the nurse can provide more primary health services to children and can give more personalized care than they previously were able to do. Acceptance by patients and their parents has been excellent; more than one half of the parents indicated that joint care was better than that received from the same pediatrician alone.


2018 ◽  
Vol 8 (7) ◽  
pp. 44 ◽  
Author(s):  
Hajer Arbabi ◽  
Jessie Johnson ◽  
Daniel Forgrave

Background and objective: The Primary Health Care Corporation in Qatar was established in 2012 and is comprised of 23 Health Centers. One of its goals is to create excellence in its workforce. A preceptorship program needs to be initiated at the Primary Health Care Corporation to ensure a high level of training for its nurses. The purpose of these preceptorship programs is to ensure nurses are equipped to carry out Qatar’s National Health Strategy and in doing so the Primary Health Care Corporation has this as its goal. This study amis to assess the effectiveness of preceptorship program models that can eventually be used for adoption as training programs for nurses in Health Centers in Qatar.Methods: A literature review of twenty articles published between 2006 and 2017 that focused on different models of preceptorship programs was conducted. The Mixed Methods Appraisal Tool was used to assess the quality of these studies. The data was analyzed by categorizing the included articles in a matrix sheet based on study design.Results and conclusions: Preceptorship programs are effective in four key areas: increasing nursing knowledge, supporting effective and safe care delivery by newly graduated nurses, increasing organizational support, and decreasing turnover rate and cost. 


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