2. Lecture content:
Introduction
Basic definition
Aims objective
Preventive medicine
Public health
International organization
3. In 1948 the world health organization produce a constitution.
All over the world health policy maker, financiers, health
provider and consumers are aware of the need to reform the
health care system.
Informed opinion and active cooperation on the part of the
public are the most importance in the improvement of the
health of the people.
Clinical medicine has its focus on care of the diseased patient
Community medicine is concerned largely with improving the
health status of the community.
4. There is also a growing realisation that preventive health
technology has a greater role for a healthy life than clinically
based technology.
In order to meet these requirements, the future physicians
should be, what boelen calls a “ five star doctor” that is;
1. Leader
2. Care provider
3. Communicator
4. Decision maker
5. Manager
5. Community medicine:
A technical decision group of WHO defined community medicine as
“a system of delivery of comprehensive health care of the
people by a health team in order to improve the health of
the community”
Also community medicine is defined as
“the art and science of application of technical knowledge
and skills to the delivery of health care to a given
community, designed in collaboration with related
professionals as well as human and social science on the
one hand, and the community on the other hand.
6. To reduce unnecessary morbidity and premature mortality in
the whole population
Explore greatest potential for health improvement.
7. “Improve health status of a community”
Information required:
Population data
Health problems
Disease pattern
Availability of health services
Action plan:
Community health program
8. Preventive medicine, an academic discipline, and a medical
speciality, with its own certifying board, is defined as;
“The science and art of preventing disease, prolonging life and
promoting physical and mental health and efficacy.
9. Public health defined as;
“the science and art of preventing disease, prolonged life, and
promoting physical and mental health and efficacy through
organized community efforts for,
a) The sensation of the environment
b) The organization of medical services for the early diagnosis
prompt treatment and prevention of disease
c) The development of the social machinery while will ensure
to every individual in the community a standard of living
adequate for the maintenance of health.
10. Municipal corporations or municipalities
Cantonment boards
Railway and industrial organization
Social security councils and institutions
Voluntary agencies like, tuberculosis and public health association
Medical association
Governmental hospitals and health department.
11. “ social medicine is the study of man in his total environment ,
physical , biological, and socioeconomic.”
It is concerned not only with curative medicine, but also with
health promotion and prevention.
12. Social hygiene refer to the science of prevention and treatment of sexually
transmitted infections, previously known as “venereal disease”
Community orientation:
Community oriented medical education is defined as
“relevant medical education which takes into consideration in all aspect of its
operation, the health problem of community, in which it is conveyed, its
aim is to produce community oriented doctors who are both, able to and
willing to serve their community and deal effectively and efficiently with
health problems at every level.
13. Community based education is defined as “ a system of education which
carried out outside the teaching hospitals and inn the community whose
first and second level healthcare facilities are available for this purpose. E.g
Urban or rural health care based unit, MCH center.
Comprehensive health care:
This refer to the provision of personal ( MCH, child welfare, school health,
occupational health, etc.) and impersonal health services( water supply,
communicable disease, vector control) to a community for the prevention
of disease, cure of illness, prevent disability and economic insecurity and
dependency associated with illness.
14. Vertical program:
A single program of health service for community. For example expanded
program of immunization. The staff of this service is concerned only with
the immunization project.
Horizontal program:
It is the health service delivery program which covers the two dimension of
health personal and community health.
Comprehensive health care:
This refers to the provision of personal and impersonal health service to a
community for the prevention of disease, cure of illness, prevent disability,
and economic insecurity and dependency associated with illness.
15. 1)World health organization ( WHO)
year of existence ( 1948)
2)United nation children fund ( UNICEF)
year of existence ( 1946)
3)United nation fund for population activities ( UNFPA)
16. Muhammad ilyas public health in community medicine 2006
Text book of community medicine by H.A Siddique 2nd
edition.