Primary Health Services Development Programme
Session 8: Primary Health Services Development Programme
Learning Tasks
By the end of this session students are expected to be able to:
Define primary health services development programme
Explain concept of primary health services development programme
List objectives of primary health services development programme
List components of primary health services development programme
Overview
In 2007, Tanzania initiated a 10-year Primary Health Care Services Development Program focused on improving the Primary Health Care (PHC) delivery system, with special attention on rural areas.
Tanzania PHC system is embedded throughout the country's health and development goals
Concept of Primary Health Services Development Programme
Since independence in 1961, the Government has consistently focused its development strategies on combating ignorance, diseases, and poverty.
The aim of government commitments is to ensure fair, equitable and quality services to the community.
Furthermore, empowering communities and involving them in health services provision.
Cont…
Unfortunately fair, equitable and quality services remain to be desired, since burden of diseases (communicable and non-communicable ) are still very high.
As a result, communities are still faced with many cases of mortality and morbidity
The biggest problem is inadequate coverage of the health system to deal with the health service needs of all people in the country.
Cont…
This state of affair is due to:
Uneven distribution of health services
Some areas people need to travel long distance or many hours before reaching the point of health services delivery.
Poor infrastructure especially in rural areas.
Poor quality of services as some of communities are left out of health services participation.
Objectives of Primary Health Services Development Programme
To accelerate provision of quality primary health care services to all by 2017 through the following specific objectives:
To rehabilitate, upgrade and establish facilities at primary level to ensure equity and access of quality health care to all Tanzanians
To upgrade and establish more training institutions to ensure quality and adequate availability of skilled Human resources for Health.
To fast track capacity building, upgrading and on job skills development for allied health workers to meet the needs of the primary health facilities.
Cont…
To strengthen and maintain human resource database
To provide standardized medical equipment, instruments, pharmaceuticals and sundries to all primary health facilities to ensure optimal performance
To ensure that referral system is operational, and where necessary to establish teams of consultants to conduct mobile clinics and outreach so as to minimize unnecessary referrals.
To increase financial allocation to the sector with a view to attain the Abuja Call of 15% of the annual budget.
Components of Primary Health Services Development Programme
Human Resources for Health
District Health Services (Infrastructure, Pharmaceuticals and Supplies, Equipment, Transport, Furniture and Plants)
Maternal, Newborn and Child Health
Malaria
HIV/AIDS
Tuberculosis and Leprosy
Environmental Health Services
Health Promotion and Education
Nutrition
Traditional Medicines
Neglected Tropical Diseases
Public Private Partnership
Advocacy
Institutional Arrangements
Health Care Financing
Monitoring and Evaluation
Key Points
In 2007, Tanzania initiated a 10-year Primary Health Care Services Development Program focused on improving the Primary Health Care (PHC).
The policy aimed to accelerate provision of quality primary health care services to all Tanzanian by 2017.
Unfortunately fair, equitable and quality services remain to be desired, this is because the burden of diseases is still very high due to continued existence of communicable and non-communicable diseases.
Review Questions
What are the objectives of the primary health services development programme?
Mention components of the primary health services development programme.
What are the reasons for inadequate health care services?
References
URT (2007):
Primary Health Services Development
Programm
, Dar
es
Salaam, Tanzania: Government Printer.
URT(2003).
The National Health Policy
, Dar
es
salaam, Tanzania: Government Printer
URT(1991).
The National Drugs Policy
, Dar
es
salaam, Tanzania: Government Printer
WHO (2012).
Who Expert Committee on Specifications for Pharmaceutical Preparations:
Geneva, Switzerland:
Forty-sixth report
.
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