pre-natal services
delivery
and
post-partum
services,
and
other obstetrical
and
gynecologic services
child health services (for children of all ages not just “under-fives"
or “school age", etc.)
prevention/detection services for all desiring them i.e. immunization,
detection and prevention of malnutrition, health education, screening
tests for hypertension, hearing loss, etc.
communicable disease control as well as education i.e. parasites, TB,
leprosy
health
promotion
counselling
services
i.e.
smoking,
alcohol,
drugs,
mental health
family planning-child spacing services
emergency curative services i.@. injuries, drownings, poisonings
chronic disease problems i.e. insulin shots for diabetics, etc.
b.
Organization, supervision and stockingof clinic:
The clinic facility should be stocked, equipped, and organized in
such a way that any preventive or curative service required by a patient
can be delivered efficiently and quickly at one site.
To achieve this
several other things need to be done:
There is the need for one single “integrated" medical record system
that utilizes individualized forms on which al] information can be
written irrespective of the types of services delivered.
Separate
forms for each kind of service delivered should be discontinued
i.e.
separate forms for maternal] health, child health, general
physical, etc.
Streamlining of the record system will mean less
work for the health worker and will be more meaningful to the
patient.
result.
Accuracy in data gathering should also increase as a
In this regard the use of a patient-retained comprehensive
health care form is to be tested.
The latter is a system in which
most records are kept by the patient in a plastic bag and carried
by him/her
to wherever
health
services
are
delivered.
This
encourages patient cooperation and means all relevant background
medical data is always available whether the patient is at a home
island clinic or at another clinic away from home.
been
found
to work
particularly well
This system has
where the population
spatially mobile (as is the case in the Marshalls).
is
Use of the
radio for data reporting (i.e. monthly visits) is to be tried as
a ee a
1.