District Health System (DHS)

chuchai.sn@gmail.com

13 2557

District Health System DHS

+

•

• district health system–––– Top Down VS Bottom Up Intersectional Approach

District Health System Network

PHC as Health Hub

4 :

Self care management)

World Health Report 2008

•Concept &

Policy

•Structure &

Organization

•Resources

Allocation &

Sharing

•Manpower

Development

•Information

System

•Supportive

mechanism

•New

Management

(Partnership &

Networking)

1. P &P

2. MCH

3. EMS

4. Acute Minor

Diseases

5. Dental

Health

6. Chronic

Diseases

7. Psychiatric

Diseases &

Mental

Health

8. Disabilities

9. End of life

care

10.High risk

groups (Pre-

school, Adol

escent, Elder

ly):

U : Unity of DHS Team

C : Community Participation

A : Appreciation

R : Resource sharing

E : Essential care / ODOP

DHS : UCARE

UCARE

Unity – teamwork(Unity District Health Team)

Community participation

Appreciation – process Resource sharing

Essential care –comprehensive health care

2552-2554

2557

2556

2554-2555

Core team project DHS

21 DHS +4 +25 buddy

25% DHS

50% DHS

DHS

(4)

(3 )

(2)

- Service plan 10

--

-

[QOF]

PP 20 OP 32 PC

4

• DHS

•

•

•

•

•

• PCA

DHS

QOF 3

DHS+PCA

3.3:

- Priority

DHS

255

-

-- DHS ODOP ,DHSA ,PCA- Convenience Care

PP

1.- 1 CUP- 2 /CUP- 1 /CUP2. FM- 1:10,000 FPL/FM 1 CUP- RNNP 1:5,000- 1:1,2503. CUP- , DHS Leader/Manager

4. PCU

5. PCU FM&PC (Context Base Learning) 255 6. FM&PC

1

PC [4 1 ]

PP, TTM, Rehab.

•• Mapping Grading

•

>7.7 MB)•

••

CUP/PCU

Care giver / CBR

Day care

DMHT

Self Care Home HC

& • System

based learning

• Research & Dev.

•

•

&

• CUP / DHML

• FM / FPL

• NP /

•

•

••

/ •

-PCA

-PCA

DHS- - - - /NGOs

& DHS :

Essential care

( Context Based Learning )

CBLCBL

CBLCBL

Day care

1

26

5 -

- ( 2111 -

21

85 CUP 7 / FPL 5 /NP 558 /CBL 7 / PCA 6 /

5 /

4 -

, 23

3 -

15

2 -

15

12 -

( 25

84 CUP 10 / FPL 2 / NP 694

/CBL 7 / PCA 5 /DHSA 5 /

2

6

( 22

9

(14

10 -

( 25

7 -

27

8 -

, ( 21

District Health

System 2556 -2557

Unity District Health Team

+ - --

Core team

Core team 5 - -

- -

SE

Internal Review

External Review/Award

External

Expert

+

+

People

audit

+

+ + CUP & Community

involvement & Advocacy

DHS 2556 - 2559

PEER

REVIEW

+

+

People

audit

Primary Care Innovation

ACTIVE AGEING: TOWARDS AGE-

FRIENDLY PRIMARY HEALTH CARE

17

-

- /

-

-

1. /

2. :

/

/

- /

-

1. /

2.

3.

4.

:

/

-

/

-

1. /

2.

(Home

services)

(Home

care)

(Home

modification)

(Home nursing

services) (Home-based &

Community Health

services)

(Day care) (Respite care)

(Hospital day care)

(Intermediate care)

(Residential home) (Nursing

home)

(Long-stay ward)

:

: