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Levels of health care Dr Mirza Inam ul haq Year one Health care philosophies Health care is defined as multitude of the services rendered to the individuals ,families, community by the agent of the health services, for the purpose of promoting ,maintenance, monitoring and restoration of health Health The state of perfect functioning of the body is the positive health Spectrum of the health Positive health Better health Freedom from sickness Unrecognized sickness Mild Severe Death Health care Includes general care and medical care Must be appropriate Comprehensive Adequate Available Accessible Affordable Health system It constitute the delivery of health services Involves Policy Management Planning Resources Action Components of health care Concepts Health and Disease Ideas Coverage,equity ,effectiveness objects Hospitals,THQ,RHC,BHU,Dispensaries Persons Consumer and providers Levels of health care Primary health care First level of contact between the individuals and the health system LEVELS OF PREVENTION 1. Primordial Prevention Prevention of emergence or development of risk factors in chronic diseases 2. Primary Prevention Health Promotion Specific Protection 3. Secondary Prevention Early Diagnosis & Treatment 4. Tertiary Prevention Disability Limitation Rehabilitation Secondary health care This care involves curative services and is given by the district hospitals Referral for first level Tertiary care This care involves super specialist care Provided at the central or regional level Referral for secondary level Responsibility of health Individuals Community State International Health care facilities 6000 5000 Number 4000 3000 2000 1000 0 1941 1951 1961 1971 1981 1991 2001 2011 -1000 Hospitals Dispensaries MCH Centres RHCs BHUs TB Centres Health Facilities, 2008-9. Number Health Outlets 13937 Doctors 107835 Nurses 43646 Hospital Beds 105005