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  • 1. District Health System (DHS)chuchai.sn@gmail.com 13 2557

2. District Health System DHS+ 3. District Health System Network health system Down VS Bottom UpdistrictTop 4. PHC as Health Hub4Self care management)World Health Report 2008: 5. 1. 2. 3. 4.P &P MCH EMS 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 (Preschool, Adol escent, Elder ly)Concept & Policy Structure & Organization Resources Allocation & Sharing Manpower Development Information System Supportive mechanism New Management (Partnership & Networking) : 6. DHS :UCARE U : Unity of DHS TeamE : Essential care / ODOPR: Resource sharingC:Community ParticipationA : Appreciation 7. UCARE Unity teamwork (Unity District Health Team) Community participation Appreciation Resource process sharing Essential care comprehensive health care 8. 25572556 2554-25552552-255450% DHS25% DHS 21 DHS +4+25 buddyCore team project DHS 9. DHS- Service plan 10 --)-(4[QOF])(2(3) 10. DHSPP 20OP 32PC 4QOF DHS+PCA3 DHS PCA 11. 3.3:CUP/PCU [41PC]PP, TTM, Rehab.-Priority DHS Mapping Grading255 ->7.7 MB) - DHS -PPODOP ,DHSA ,PCA Convenience Care1. 1 CUP 2 /CUP 1 /CUP 2. FM 1:10,000 FPL/FM 1 CUP RNNP 1:5,000 1:1,250 3. CUP , DHS Leader/Manager 4. PCU 5. PCU FM&PC (Context Base Learning) 255 6. FM&PC 1 12. & DHS : Essential care& CUP / DHML FM / FPL NP /DHS -CBL -PCA-CBL Day carePCA--Day care CBLCBL //NGOsDMHTSelf Care Home HC-Care giver / CBR& ( Context Based Learning ) System based learning Research 13. 126SystemDistrict Health 2556 -25572-( 217 -,3 - 15274 -15 ,6(14 222 12 -21 85 7 / FPL 5 558 /CBL 7 PCA 6 /10 -(9255 23 -- ( 2111 -8-(( 25CUP /NP /84 / FPL 2 /CBL 7CUP 10 / NP 694 / PCA 5 / 14. Internal ReviewDHS 2556 - 2559 Core team 5 -Core teamExternal Review /Award + Exter nalUnity District Health Team PEER REVIEW+-Expert-+-++ People auditSE+ + CUP & Community+People audit 15. Primary Care Innovation 16. ACTIVE AGEING: TOWARDS AGEFRIENDLY PRIMARY HEALTH CARE17 17. 1. -//2.: /1.-/// 2. 3. 4.: // -1. -2./ 18. (Home services) (Home care)(Home nursing services)(Home modification): (Day care)(Home-based & Community Health services)(Respite care)(Hospital day care) (Intermediate care) :(Residential home)(Nursing home)(Long-stay ward)

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