2m
pre-natal services
delivery
and
post-partum
services,
and
other
obstetrical
and
gynecologic services
child health services (for children of all ages not just
Funder-fives"
or "school age", etc.)
prevention/detection services for all desiring them j.e.
Jmmunization,
detection and prevention of malnutrition, health educati@n, 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, al
hol,
drugs,
mental health
family planning-child spacing services
emergency curative services i.e. injuries, drownings, poigonings
chronic disease problems i.e. insulin shots for diabetics]
b.
etc.
Organization, supervision and stockingof clinic:
The clinic facility should be stocked, equipped, andforganized in
such a way that any preventive or curative service required|by a patient
can be delivered efficiently and quickly at one site.
To
several other things need to be done:
1.
There is the need for one single “integrated” medica?
that utilizes individualized forms on which all info
written irrespective of the types of services deliverdd.
forms for each kind of service delivered should be
i.e.
separate forms for maternal health,
physical, etc.
Separate
iscontinued
child hea§th, general
Streamlining of the record system wif] mean less
work for the health worker and will be more meaningful to the
patient.
result.
Accuracy in data gathering should also ifcrease as a
In this regard the use of a patient-retained
health care form is to be tested.
The latter is a system in which
most records are kept by the patient in a plastic bagf and carried
by him/her to wherever
health
services
are
delivgred.
This
encourages patient cooperation and means all relevang
background
medical data is always available whether the patient
Js at a home
island clinic or at another clinic away from home.
ThiB
system has
been found to work particularly well where the pdpoulation is
Spatially mobile (as is the case in the Marshalls).]
Use of the
radio for data reporting (i.e. monthly visits) is tofbe tried as