THE DESIGN AND STRUCTURING OF A STANDARD AND FUNCTIONING PRIMARY HEALTH CARE (PHC)
CHAPTER ONE
1.0 INTRODUCTION
The Primary Health Centre is the basic Structure and functional unit of public Health service in developing countries. Primary Health Centre (PHC) to people, in accordance with Alma at a declaration of 1978 by the number nation of world Health Organization (WHO).
1.1 DEFINITION
Primary Health Centre (PHC) can be define as an Essential Health care based on practical scientifically sound and social 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 can afford.
1.2 BACKGROUND INFORMATION
In August 1987, the Federal Government launches its primary health care (PHC) plan, which president Ibrahim Babangida announce as the corner stone of health policy. Intended to affect the entire national population accelerated health care personal development improved collection and monitoring of health data.
1.3 JUSTIFICATION
Based on the personal observation, there is virtually on standard primary health centre (PHC) where people can receive a Good care service in Oke-Ero Local Government in Kwara State, hence provision for one is very important and justified.
1.4 AIM AND OBJECTIVES
AIM
To design a standard and functioning primary health care (PHC) centre where by Good health care service can be receive and with a well- functioning standard facilities.
OBJECTIVES.
i. To provide social and physiological pleasant environment for health users.
ii. To provide proper links within the units of the primary health centre (PHC).
iii. To provide open access primary health centre (PHC) to all community and its environment to the best standard.
1.5 DESIGN BRIEF
ADMINISTRATIVE UNIT.
1. Entrances
2. Reception / waiting area
3. Nurses station
4. Card room
5. Consulting room/conveniences
6. Pharmacy/ Drug store
MATERNITY UNITY
1. Immunization area/ store
2. family planning
3. counseling room
4. Insertion
5. Labour area
6. Lying ward
OUTPATIENT DEPARTMENT
1. Treatment room
2. Injection room
3. Laboratory and store
4. Convenience
INPATIENT DEPARTMENT
1. Male ward
2. Female ward
3. Emergency drop –off
4. Ambulance bay
DESIGN SCOPE
- Admin section
- Immunization, family planning and Delivery Section
- In patient
- Out patient
1.6 LIMITATION OF STUDY
The proposed project is limited to only one main building, mosque, mini mart, eatery, pharmacy.
1.7 CONTRIBUTION OF THE BODY OF KNOWLEDGE
Visiting existing primary healthy care helps a lot, vital information’s and experience were gather before proposing the new project. Also seen how the structure of the existing project were placed and the arrangement of the unit will contribute to the proposed project. Knowledge getting from primary health care contribution to the body of the proposed project..
1.8. REACH METHODOLOGY
i. Field survey (case study)
ii. Oral interview
iii. Internet
iv. Literature Review
FIELD SURVEY: It involves the designer paying a visit to the site of existing related Project. Appraisal is drawn from the existing building tell about the merits and demerits of the existing structure. The merits incorporated in the new structure and the demerit is corrected.
ORAL INTERVIEW
Regular user of the various office and official charge of the building were integrated to what problems they are facing in the use of the office and hear views as regards to the needs for selling up a more pleasant been derived.
LITERATURE REVIEWS
Effort were made of consult available architectural journals test and planning needs of the erection of such problems.
INTERNET
This is the process by which a study carried our online to obtain useful information about the proposed project topic.
CONCLUSION
From the reach above many existing primary health care is not well arrange and will functioning and there is no provision of drug in the pharmacy.
1.9 TYPES OF HEALTH INSTITUTIONS
1. Mobile Health centre
2. Clinic
3. Maternity and Dispensary
4. Primary Health centre
5. Comprehensive Health Centre
6. General Hospital
7. Teaching Hospital
MOBILE HEALTH CENTRE
This is health care unit concerned with rendering of mini mum health care service to the community with the participation of the community leader and health auxiliaries.
The service may include Health education, preventive and curative activities etc. It serves a population of 10,000
CLINIC
A clinic is defined as a place or part of a hospital where a particular knoll of medical treatment of device is given. It is also a medical establishment for a specified purpose e.g An Immunization clinic.
MATERNITY AND DISPENSARY
This is an institution established mostly in rural area by the missionary and British Administrators. Then may be up to five beds in the admission ward and may serve a population of up to 7,500 peoples.
PRIMARY HEALTH CENTRE
This is a physical and more define building rendering primary level of health service to the community in which it is located. It consist of 16 to 20 beds and may serve a population of about 10,00 to 15, 000 people.
COMPREHENSIVE HEALTH CENTRE
This is also called college hospital with its comprehensive structure and equipment. It is mostly founds in rural area.
It carries out health complicated issues referred to it from primary health centre/Basic health centers. It serves a capacity between 10,000 to 25,000 people and has 10 to 30 beds in it.
GENERAL HOSPITAL
This is an addition to general health care services, it handles cases referred from low level of health institution. It is well equipped to cater for all common medical and surgical cases.
TEACHING HOSPITAL
This is a health institution attached to university for academic and research purpose.
It also renders health care service to the public and training of medical and para-medical student.
2.0 FUNCTIONS OF PRIMARY HEALTH CENTRE
1. Provision of jobs to medical and para-medical personnel.
2. Maternal –child health including family planning
3. Prevention and control of locally endemic disease.
4. They performs basic laboratory workers.
5. Training of health guides, health workers, local dais and health assistants.
6. Education about health
7. National health programmes as relevant provisions of medical care.
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