Primary health care, often abbreviated as “PHC”, has been defined as “essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination”. The ultimate goal of primary health care is better health for all.
WHO has identified five key elements to achieving that goal: •reducing exclusion and social disparities in health (universal coverage reforms); •organizing health services around people’s needs and expectations (service delivery reforms); •integrating health into all sectors (public policy reforms); •pursuing collaborative models of policy dialogue (leadership reforms); and •Increasing stakeholder participation. Family Practice Doctor Job Description: The family practice doctor job description includes counselor, healer, friend and in some communities even family member.
Family practice doctors and general practitioners are often the first point of contact for people seeking health care, acting as the traditional family doctor. They assess and treat a wide range of conditions, ailments, and injuries, from sinus and respiratory infections to broken bones and scrapes. Family and general practitioners typically have a patient base of regular, long-term visitors. Patients with more serious conditions are referred to specialists or other health care facilities for more intensive care. They frequently care for families across several generations.
What we need to Egyptian health system after 25 Jan_ 2011. •Simply to follow the Millennium Development Goals (MDGs) _The MDGs were developed out of the eight chapters of the United Nations, signed in September 2000. There are eight goals with 21 targets, and a series of measurable indicators for each target. Goal 1: Eradicate extreme poverty and hunger Goal 2: Achieve universal primary education Goal 3: Promote gender equality and empower women Goal 4: Reduce child mortality rates Goal 5: Improve maternal health
Goal 6: Combat HIV/AIDS, malaria, and other diseases Goal 7: Ensure environmental sustainability Goal 8: Develop a global partnership for development. •Debate Surrounding the MDGs: _Drawbacks of the MDGs include the lack of analytical power and justification behind the chosen objectives. The MDGs leave out important ideals, such as the lack of strong objectives and indicators for equality, which is considered by many scholars to be a major flaw of the MDGs due to the disparities of progress towards poverty reduction between groups within nations. The MDGs also lack a focus on local participation and empowerment (excluding women’s empowerment). The MDGs also lack an emphasis on sustainability, making their future after 2015 questionable. Thus, while the MDGs are a tool for tracking progress toward basic poverty reduction and provide a very basic policy road map to achieving these goals, they do not capture all elements needed to achieve the ideals set out in the Millennium Declaration. the difficulty or lack of measurements for some of the goals. Amir Attaran, an Associate Professor and Canada Research Chair in Law, Population Health, and Global Development Policy at University of Ottawa, argues that goals related to maternal mortality, malaria, and tuberculosis are in practice impossible to measure and that current UN estimates do not have scientifically validity or are missing. Household surveys are often used by the UN organisations to estimate data for the health MDGs.
These surveys have been argued to be poor measurements of the data they are trying to collect, and many different organisations have redundant surveys, which waste limited resources. Furthermore, countries with the highest levels of maternal mortality, malaria, and tuberculosis often have the least amount of reliable data collection. Attaran argues that without accurate measures of past and current data for the health related MDGs, it is impossible to determine if progress has been made toward the goals, leaving the MDGs as little more than a rhetorical call to arms. Egyptian health system The egyptian health system is characterized by oan extensive infrastructure, oan adequate number of physicians and nurses, medical technology and medicines, oand good access to care, oprescence of pioneers and great minds and abilities which consider as a major stength point. oMany levels of care systems ,primary , secoundary and teriary levels of care whice with some organized system of referal could be like an unique health care net. there still exists poor quality of care: hat may be explained by those causes: 1. Working Conditions: overloaded physisans with many heavy wprking hours at unsitable indoors conditions reduce the quality of the provided health service markdly . 2. Lack of program training : in order to provide satysfying medical service the physicans have to be updated with what’s new at the medical field ,either by his own search for the program training or applying with those of the health ministry . 3. Unawarness of many of the puplic with the role of the PHC unites . 4.
Uncoperation of the socity with the health process provided by the PHC, when the individuals share in will appreciate and have more benefit also help to spread the goals and projects held by the PHC . 5. Less support of the media : progression of the egyptian health system have to be a local project well supported by all the media methods ( papaers , tv , radios , puplic meeting ) 6. Lack of oragnaized cooperation between the all pdoviding health services commities . ( PHC. The health ministry ,and the specific centers and univerisity hospitals )
References: •Family Medicine Journal http://www. stfm. org/fmhub/toc. cfm? xmlFileName=fm2011/fammedvol43issue1. xml •http://www. healthcaresalaryonline. com/index. html , Family Practice Doctor Job Description. •http://www. un. org/millenniumgoals/bkgd. shtml , United Nations Millennium Development Goals website, retrieved 16 June 2009. •http://en. wikipedia. org/wiki/Main_Page , Millennium Development Goals. •Observation and collected data during my commenity mdicine round and visits for the different health providing centers.