Rural Health Program in Egypt: Challenges and Solutions
Explore the rural health program led by Dr. Mahmoud Abdelfattah Alshereef in Egypt, focusing on addressing higher morbidity and mortality rates, inefficiencies in health services, and underlying issues like education, culture, and socioeconomic factors. Discover the objectives and key components of the program aimed at improving rural health outcomes in Egypt.
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Presentation Transcript
Rural health program By Dr. Mahmoud Abdelfattah Alshereef Professor of preventive medicine 2020
Rural health Rural Egypt is made of about 4100 villages, and many thousands of small collections of people. They are inhabited by around 53% of total population, while 47% are urban (2017).
Rural health Health Problems 1. Higher Morbidity: the rural people suffer from endemic diseases: Communicable diseases: infectious and parasitic. Nutritional deficiency diseases. 2. Higher Mortality : rural mortality is relatively higher, due to higher morbidity and unsatisfactory health services, specially age - specific mortality of children below five years : infant mortality, child 1-4 year mortality, and under - five - year mortality. 3. Unsatisfactory effectiveness of rural health services, due to factors related to efficiency and utilization of services. A) "Efficiency: inconvenient system of work and limited resources. B) Underutilization: reluctance of the people to make benefit of available health services.
Rural health Underlying Problems: I- Education and Culture Problem: 1. High illiteracy rate 2. Faulty health - related behavior of the public. II. Socioeconomic Problem: Causes: High - fertility motives with big family size and low per-capita income. Chronic diseases, are responsible for impaired health, with low work capacity and productivity. The majority of people work in low - paying jobs, in agriculture and farming. Hazards of socioeconomic problem: 1. Unsanitary environment and poor living conditions, with: More spread of communicable diseases, and sequelae. Impaired health.
Rural health 2. Malnutrition leading to: Nutritional deficiency diseases. Impaired health. Low family income and the many children are early - employed, for economic support.
Rural health 3. Urbanization problem. Urbanization is the process of movement of the people from rural to urban areas, specially cities and big towns.
Rural health The rural health program Objectives : Rural community development, to fulfill satisfactory living conditions. Health promotion of the people. Prevention and control of morbidity. Items of rural health program : Sanitary rural environment Rural health services : primary health care, to provide basic health services, preventive and curative, with participation of community leaders, and the public. Health education of the public, to be health aware. Rural Health Services Rural health centers and units, and hospitals provide preventive, curative and outreach services of primary health care.
Rural health 1. Preventive Services : A) FOR the community : Monitoring sanitation of the environment. Health education of the public, by group discussion and mass media. Family planning service. Health office service. B) for vulnerable groups : Maternal and child health services. School health services.
Rural health 2. Curative Services : Outpatient clinic and inpatient service. a) Outpatient clinic For diagnosis of attending cases. Small laboratory Provide prescribed drugs, and how to be taken. Referral system for some screened cases in need of specialized diagnosis or / and management. First aid and emergency service, for injuries, and acute and emergency cases.
Rural health B) Inpatient Service: by rural hospitals in some big villages, with limited number of beds, for minor surgical and medical cases. 3. Outreach program, to reach the people within their community, for : Home visits, for health education, social service, mothers and children not attending regular visits. Immunization campaigns Visit isolated localities and communities, to provide health services.
Rural health Staffing and job description of the different members of the rural health team: -Physician: his functions are 1- prevention and control of endemic diseases. 2-Treatment of common diseases and minor injuries. 3-Providing maternal and child health care including family planning. 4-Perform immunization. 5-Examination of school children. 6-Giving health education. 7- Promotion of food availability and proper nutrition. 8-Organizing manpower. 9- Increase coverage by referral system.
Rural health -A clerk: his functions: 1-Registration of births and deaths. 2-Listening of contacts of infectious disease patients. 3-Listening of pilgrims and immunizing them. - A food inspector: his functions: Inspect village market and peddlers and revising certificates of food handlers. - An environmental sanitarian: his functions: Inspection of water plant and take a sample and send it to regional lab. - A pharmacist: provides essential drugs. - Nurses: Assist the physician in his work.
Rural health THANK YOU
