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Health Education and Community
Pharmacy, an introduction
Dr.Raghavendra S.Hegde
D.Pharm., B.Pharm., Pharm.D.,( MBA., PGDHM)., R.Ph(KSPC)
Lecturer, Dept of Pharmacy Practice
H.S.K College of Pharmacy,Bagalkot
Health Education
• Health education is a process that informs, motivates and
helps people to adopt and maintain healthy practices and
lifestyles, advocates environmental changes as needed to
facilitate this goal and conducts professional training and
research to the same end.
2/16/2020 2Dr.Hegde Lectures(DHL)
According to this definition, the three main objectives of health
education are:
1. Informing the people
2. Motivation of the people
3. Guidance of the people
2/16/2020 3Dr.Hegde Lectures(DHL)
1.Informing the people:
 It Involves providing the information to the people and thus
disseminating scientific knowledge about the prevention of
disease and promotion of health.
 Exposure to knowledge will remove the barriers of ignorance,
prejudices, misconceptions and superstitions which may have
about health and disease.
2/16/2020 4Dr.Hegde Lectures(DHL)
• This objective is concerned with the motivation of the people
to change their habits and ways of Living.
• The commonly adopted health practices which are
detrimental to health have to be changed .
2/16/2020 Dr.Hegde Lectures(DHL) 5
2.Motivation of the people:
For example which includes :
2/16/2020 Dr.Hegde Lectures(DHL) 6
• Outdoor defecation
• Use of polluted water
• Indulgence in drinking and
smoking.
• Abuse of drugs,
• Physical inactivity and
• Not limiting the family size
etc.
Education should motivate the people for adopting healthy
practices which may keep them free of avoidable diseases and
improve the quality of life.
3.Guidance of the people:
• Health education should be provided by a variety of well
trained health personnel starting with the physician.
• People in General need help and maintain healthy practices
and lifestyles.
• People should be encouraged and guided to use
judiciously health services available to them
• E.g. Timely immunization
• Adoption of suitable methods of family planning
• Use of safe drinking water and
• Rehabilitation of alcoholics and drug addicts etc.
2/16/2020 7Dr.Hegde Lectures(DHL)
Components of health education:
• Health education envisages number of effective areas which
are briefly outlined below:
1.Knowledge about the human body, its structure and functions.
2.Nutrition and balanced diet.
3.Personal and environmental hygiene.
4.Family health: Care of the mother and child family planning
5.Immunization and care of elderly.
2/16/2020 8Dr.Hegde Lectures(DHL)
5. Control of communicable and non-communicable diseases.
6. Mental and social health .
7. Prevention of accidents and utilization of first aid measures.
8. Proper use of available Health Services.
2/16/2020 Dr.Hegde Lectures(DHL) 9
Components of health education:
Pharmacist and public health:
• With the rise of population worldwide during last few
decades, it has been realized that the traditional Medical and
Health Services now play a limited role in the overall
improvement of health status.
• This fact has driven all health professionals to the common
goal of disease prevention and Health Promotion.
• In the developed countries the clinical direction of Pharmacy
has de-emphasized the manipulative product oriented and
distributive skills and focus more on the public health
awareness.
2/16/2020 10Dr.Hegde Lectures(DHL)
• Today, the pharmacists is directed towards the patient his
environment and his state of general well-being.
• The Following areas have now emerged where in the
pharmacist can be actively involved in the delivery of
Healthcare to the community.
Pharmacist and public health:
2/16/2020 11Dr.Hegde Lectures(DHL)
(a) All the drug related problems:
• The pharmacist involvement in this area amounts to
performing disease preventing and health promoting
activities which include:
• Counseling on proper use of OTC and prescribed medications
• Taking drug and medical problem histories
• Referring patients to specific Healthcare provisions
• Obtaining immunization schedules from health centres and
advise parents about the importance of adhering to the times
recommended therein.
2/16/2020 12Dr.Hegde Lectures(DHL)
(b)Pharmacoepidemiology:
• Recently a specific area of epidemiology has emerged which is
referred to as pharmacoepidemiology.
• It is concerned with the safety or risk assessment of a new
drug which starts with its early use and continues and wide
spread use.
• It generates information about Pharmaceutical outcomes and
monitors associated risks and adverse drug reactions in the
post marketing phase.
2/16/2020 13Dr.Hegde Lectures(DHL)
(c) Communicable diseases:
• When a number of serious communicable diseases have been
practically eradicated.
• Some like tuberculosis, syphilis and gonorrhea are still
common, and certain viral diseases like herpes genitalis and
acquired immune deficiency syndrome(AIDS) have been
recognised as very serious.
• The recent spread of AIDS has catapulted sexually transmitted
disease into critical dimensions.
2/16/2020 14Dr.Hegde Lectures(DHL)
• The life threatening nature of AIDS has caused it precedence
over all others in this group.
• Cyst can be involved in education programs promoting safe
sexual practices, particularly where the use of condoms is
essential.
• The role of the pharmacist in the control of communicable
diseases consists of an awareness of the natural history of
these disease in both the individual and the community.
(c) Communicable diseases:
2/16/2020 15Dr.Hegde Lectures(DHL)
• Referral of patients to proper medical care facilities when so
required and public education of an informed type at all
times.
• It is in this aspect of community Disease Control that the
pharmacist can play a very important role.
(c) Communicable diseases:
2/16/2020 16Dr.Hegde Lectures(DHL)
(d) Chronic disease Control:
• A community Pharmacist can encourage his/her clients to
avail themselves of the few proven techniques in chronic
disease prevention.
• Good living habits and moderate exercise have been
recommended as methods of preventing cardiovascular
diseases.
• The prevention of strokes is concerned with the control of
high blood pressure.
2/16/2020 17Dr.Hegde Lectures(DHL)
• Pharmacist can take clients blood pressure and refer him or
her to a proper physician for the treatment and encourage the
patient compliance with the prescribed regimens.
• He can promote measures as
• Quitting smoking
• Controlling high blood pressure
• Lowering cholesterol intake
• Increasing physical activity and
• Good overall health consciousness.
(d) Chronic disease Control:
2/16/2020 18Dr.Hegde Lectures(DHL)
• In the developed countries many professional pharmacies
now participate in patient health education through the use
of pamphlets and bulletins freely available on display racks.
(e) Health education:
This cover every important
Major disease, Drug Classes
Drug of abuse
Drug and food interactions
Sexually transmitted diseases
Immunizations
Family planning
Health Promotion
Fluoridation
Poison prevention
 Quackery
disaster preparedness
Environmental protection
and workplace safety.
2/16/2020 19Dr.Hegde Lectures(DHL)
• More than this the pharmacist can actively promote good
health by reaching out to impart professional information to
the public whom he or she serves.
• Formal methods of health education have their place in public
health and preventive medicine but in the pharmacy the
informed direction and guidance of members of the public are
much more realistic.
• The Participation of pharmacists in community health
education should be in the every day person to person
contact with the people whom they can serve most
effectively.
(e) Health education:
2/16/2020 20Dr.Hegde Lectures(DHL)
(f) Maternal and child health:
• No Public health program has proved it's worth more than the
care of the mother and child.
• The basic idea behind the maternal and child health is to take
adequate care of the mother and her child through they are
exposed to the greatest risks of disease and death ie., during
pregnancy the puerperium and the first year of life.
2/16/2020 21Dr.Hegde Lectures(DHL)
• The early diagnosis of pregnancy inform supervision of its
progress through the delivery and the immediate Postpartum
period constitutes the full work of care in maternal and Child
Health programmes the earlier the prenatal care is given the
more beneficial is the effect that only to the mother but also
to the child as the it is directly influenced by the kid it is used
while in utero does the pharmacist understands the normal
course of pregnancy and infancy is at a distance advantage as
he or she can guide the mother in simple matters of hygiene
and management of her pregnancy and of her infant
2/16/2020 22Dr.Hegde Lectures(DHL)
• This is more beneficial to those women who to lack of
education have an incomplete understanding of how
important it is to have early professional prenatal care the
pharmacist must increase breast feeding of the child after it is
born as a mother's milk is the best food designed for it later
on the pharmacist can play under major role bike riding the
mother for the protection of child against the disease of
Childhood by following proper immunization schedule against
polio diphtheria tetanus pertussis mums and typhoid etc
2/16/2020 23Dr.Hegde Lectures(DHL)
(g)Nutrition:
• The pharmacist can make significant contributions in assuring
wheat nutrition by advising his patients about basic food
needs helping to correct improper food habits in children
advising on special requirements for nutrients during prenatal
and maternal periods in females suggesting special diet
instructions for diabetic patients and people with food
allergies and participating in supporting School lunch
programmes and schemes mid day meals etc in rural areas.
2/16/2020 24Dr.Hegde Lectures(DHL)
h) Environmental health:
• The pharmacist in Environmental health is one of the
alertness to the conditions prevailing in in his community and
towards the control of any hazards.
• This is especially true of air and water pollution which require
concerted community action for their control but pharmacist
can also play a much more important role in the control of
food borne diseases the first indication of an outbreak of food
borne disease is an unusually large number of people falling
sick and seeking relief from nausea vomiting and diarrhoea
more so if they are concerted within a short period of time.
2/16/2020 25Dr.Hegde Lectures(DHL)
• If this type of epidemic results in an increase in over the
counter sales of anti-nauseant and anti-diarrheal drugs call
health authority should be noticed immediately.
• The pharmacist should also be aware of local occupations and
their hazards and other to the first symptom of disease for
example or occupations in which he the workers are exposed
to test for hazardous depending upon the size of dust
particles and their ability to penetrate into lungs the workers
of an asbestos industry are prone to lung cancer.
2/16/2020 26Dr.Hegde Lectures(DHL)
• The pharmacist continuing education should include watching
local pattern of society and its disease and changing his or her
emphasis the evolving patterns of disease and their control.
2/16/2020 Dr.Hegde Lectures(DHL) 27
(i)Alcoholism and drug abuse
• The diseases of alcoholism antic abuse also come under the
purview of the community pharmacist.
• The pharmacist will have many opportunities to help
individuals who become upon alcohol during abuse is similar
to alcoholism yet different because it has been gaining more
acceptance among young people on the campuses of
educational institutions again the pharmacist he is in the
unparalleled position of being professionally a competent
member of the community to advise local Agencies about
drugs and their harmful effects
2/16/2020 28Dr.Hegde Lectures(DHL)
• the participation of pharmacist in the prevention of
alcoholism and drug abuse will add to his or her credit both
professionally and financially as the contacts publicity and
recognition from such interest will also reflect in his business
Returns.
• Unfortunately in our country the involvement of pharmacist in
these areas of health education and public health is minimal.
(i)Alcoholism and drug abuse
2/16/2020 29Dr.Hegde Lectures(DHL)
• Without graduation of education level of the professional
pharmacist and greater award Awareness of the public in due
course it is expected that our professional and community
pharmacist shall play a very significant role in prevention of
many communicable and noncommunicable disease their
treatment and Rehabilitation wherever necessary the
important areas of pharmacist involvement in public health
through community pharmacy services have been listed in the
adjoining box.
2/16/2020 30Dr.Hegde Lectures(DHL)
Areas of pharmacist involvement in public health
through community pharmacy
1. Drug and nutritional counseling
2. Proper use of prescribed and OTC drugs
3. Family planning
4. Pregnancy and Infant care
5. Immunizations
6. Sexually transmitted diseases
7. Control of toxic agents
8. Occupational health and safety
2/16/2020 31Dr.Hegde Lectures(DHL)
9.Control of accidental injury
10.Fluoridation of community water supplies
11.Smoking cessation
12.Production of misuse of alcohol and drugs
13.Improved nutrition
14.Environmental protection
15.Programs on weed control
16.Poisoning and cancer signals.
Areas of pharmacist involvement in public health
through community pharmacy
2/16/2020 32Dr.Hegde Lectures(DHL)

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Health Education and Community Pharmacy

  • 1. Health Education and Community Pharmacy, an introduction Dr.Raghavendra S.Hegde D.Pharm., B.Pharm., Pharm.D.,( MBA., PGDHM)., R.Ph(KSPC) Lecturer, Dept of Pharmacy Practice H.S.K College of Pharmacy,Bagalkot
  • 2. Health Education • Health education is a process that informs, motivates and helps people to adopt and maintain healthy practices and lifestyles, advocates environmental changes as needed to facilitate this goal and conducts professional training and research to the same end. 2/16/2020 2Dr.Hegde Lectures(DHL)
  • 3. According to this definition, the three main objectives of health education are: 1. Informing the people 2. Motivation of the people 3. Guidance of the people 2/16/2020 3Dr.Hegde Lectures(DHL)
  • 4. 1.Informing the people:  It Involves providing the information to the people and thus disseminating scientific knowledge about the prevention of disease and promotion of health.  Exposure to knowledge will remove the barriers of ignorance, prejudices, misconceptions and superstitions which may have about health and disease. 2/16/2020 4Dr.Hegde Lectures(DHL)
  • 5. • This objective is concerned with the motivation of the people to change their habits and ways of Living. • The commonly adopted health practices which are detrimental to health have to be changed . 2/16/2020 Dr.Hegde Lectures(DHL) 5 2.Motivation of the people:
  • 6. For example which includes : 2/16/2020 Dr.Hegde Lectures(DHL) 6 • Outdoor defecation • Use of polluted water • Indulgence in drinking and smoking. • Abuse of drugs, • Physical inactivity and • Not limiting the family size etc. Education should motivate the people for adopting healthy practices which may keep them free of avoidable diseases and improve the quality of life.
  • 7. 3.Guidance of the people: • Health education should be provided by a variety of well trained health personnel starting with the physician. • People in General need help and maintain healthy practices and lifestyles. • People should be encouraged and guided to use judiciously health services available to them • E.g. Timely immunization • Adoption of suitable methods of family planning • Use of safe drinking water and • Rehabilitation of alcoholics and drug addicts etc. 2/16/2020 7Dr.Hegde Lectures(DHL)
  • 8. Components of health education: • Health education envisages number of effective areas which are briefly outlined below: 1.Knowledge about the human body, its structure and functions. 2.Nutrition and balanced diet. 3.Personal and environmental hygiene. 4.Family health: Care of the mother and child family planning 5.Immunization and care of elderly. 2/16/2020 8Dr.Hegde Lectures(DHL)
  • 9. 5. Control of communicable and non-communicable diseases. 6. Mental and social health . 7. Prevention of accidents and utilization of first aid measures. 8. Proper use of available Health Services. 2/16/2020 Dr.Hegde Lectures(DHL) 9 Components of health education:
  • 10. Pharmacist and public health: • With the rise of population worldwide during last few decades, it has been realized that the traditional Medical and Health Services now play a limited role in the overall improvement of health status. • This fact has driven all health professionals to the common goal of disease prevention and Health Promotion. • In the developed countries the clinical direction of Pharmacy has de-emphasized the manipulative product oriented and distributive skills and focus more on the public health awareness. 2/16/2020 10Dr.Hegde Lectures(DHL)
  • 11. • Today, the pharmacists is directed towards the patient his environment and his state of general well-being. • The Following areas have now emerged where in the pharmacist can be actively involved in the delivery of Healthcare to the community. Pharmacist and public health: 2/16/2020 11Dr.Hegde Lectures(DHL)
  • 12. (a) All the drug related problems: • The pharmacist involvement in this area amounts to performing disease preventing and health promoting activities which include: • Counseling on proper use of OTC and prescribed medications • Taking drug and medical problem histories • Referring patients to specific Healthcare provisions • Obtaining immunization schedules from health centres and advise parents about the importance of adhering to the times recommended therein. 2/16/2020 12Dr.Hegde Lectures(DHL)
  • 13. (b)Pharmacoepidemiology: • Recently a specific area of epidemiology has emerged which is referred to as pharmacoepidemiology. • It is concerned with the safety or risk assessment of a new drug which starts with its early use and continues and wide spread use. • It generates information about Pharmaceutical outcomes and monitors associated risks and adverse drug reactions in the post marketing phase. 2/16/2020 13Dr.Hegde Lectures(DHL)
  • 14. (c) Communicable diseases: • When a number of serious communicable diseases have been practically eradicated. • Some like tuberculosis, syphilis and gonorrhea are still common, and certain viral diseases like herpes genitalis and acquired immune deficiency syndrome(AIDS) have been recognised as very serious. • The recent spread of AIDS has catapulted sexually transmitted disease into critical dimensions. 2/16/2020 14Dr.Hegde Lectures(DHL)
  • 15. • The life threatening nature of AIDS has caused it precedence over all others in this group. • Cyst can be involved in education programs promoting safe sexual practices, particularly where the use of condoms is essential. • The role of the pharmacist in the control of communicable diseases consists of an awareness of the natural history of these disease in both the individual and the community. (c) Communicable diseases: 2/16/2020 15Dr.Hegde Lectures(DHL)
  • 16. • Referral of patients to proper medical care facilities when so required and public education of an informed type at all times. • It is in this aspect of community Disease Control that the pharmacist can play a very important role. (c) Communicable diseases: 2/16/2020 16Dr.Hegde Lectures(DHL)
  • 17. (d) Chronic disease Control: • A community Pharmacist can encourage his/her clients to avail themselves of the few proven techniques in chronic disease prevention. • Good living habits and moderate exercise have been recommended as methods of preventing cardiovascular diseases. • The prevention of strokes is concerned with the control of high blood pressure. 2/16/2020 17Dr.Hegde Lectures(DHL)
  • 18. • Pharmacist can take clients blood pressure and refer him or her to a proper physician for the treatment and encourage the patient compliance with the prescribed regimens. • He can promote measures as • Quitting smoking • Controlling high blood pressure • Lowering cholesterol intake • Increasing physical activity and • Good overall health consciousness. (d) Chronic disease Control: 2/16/2020 18Dr.Hegde Lectures(DHL)
  • 19. • In the developed countries many professional pharmacies now participate in patient health education through the use of pamphlets and bulletins freely available on display racks. (e) Health education: This cover every important Major disease, Drug Classes Drug of abuse Drug and food interactions Sexually transmitted diseases Immunizations Family planning Health Promotion Fluoridation Poison prevention  Quackery disaster preparedness Environmental protection and workplace safety. 2/16/2020 19Dr.Hegde Lectures(DHL)
  • 20. • More than this the pharmacist can actively promote good health by reaching out to impart professional information to the public whom he or she serves. • Formal methods of health education have their place in public health and preventive medicine but in the pharmacy the informed direction and guidance of members of the public are much more realistic. • The Participation of pharmacists in community health education should be in the every day person to person contact with the people whom they can serve most effectively. (e) Health education: 2/16/2020 20Dr.Hegde Lectures(DHL)
  • 21. (f) Maternal and child health: • No Public health program has proved it's worth more than the care of the mother and child. • The basic idea behind the maternal and child health is to take adequate care of the mother and her child through they are exposed to the greatest risks of disease and death ie., during pregnancy the puerperium and the first year of life. 2/16/2020 21Dr.Hegde Lectures(DHL)
  • 22. • The early diagnosis of pregnancy inform supervision of its progress through the delivery and the immediate Postpartum period constitutes the full work of care in maternal and Child Health programmes the earlier the prenatal care is given the more beneficial is the effect that only to the mother but also to the child as the it is directly influenced by the kid it is used while in utero does the pharmacist understands the normal course of pregnancy and infancy is at a distance advantage as he or she can guide the mother in simple matters of hygiene and management of her pregnancy and of her infant 2/16/2020 22Dr.Hegde Lectures(DHL)
  • 23. • This is more beneficial to those women who to lack of education have an incomplete understanding of how important it is to have early professional prenatal care the pharmacist must increase breast feeding of the child after it is born as a mother's milk is the best food designed for it later on the pharmacist can play under major role bike riding the mother for the protection of child against the disease of Childhood by following proper immunization schedule against polio diphtheria tetanus pertussis mums and typhoid etc 2/16/2020 23Dr.Hegde Lectures(DHL)
  • 24. (g)Nutrition: • The pharmacist can make significant contributions in assuring wheat nutrition by advising his patients about basic food needs helping to correct improper food habits in children advising on special requirements for nutrients during prenatal and maternal periods in females suggesting special diet instructions for diabetic patients and people with food allergies and participating in supporting School lunch programmes and schemes mid day meals etc in rural areas. 2/16/2020 24Dr.Hegde Lectures(DHL)
  • 25. h) Environmental health: • The pharmacist in Environmental health is one of the alertness to the conditions prevailing in in his community and towards the control of any hazards. • This is especially true of air and water pollution which require concerted community action for their control but pharmacist can also play a much more important role in the control of food borne diseases the first indication of an outbreak of food borne disease is an unusually large number of people falling sick and seeking relief from nausea vomiting and diarrhoea more so if they are concerted within a short period of time. 2/16/2020 25Dr.Hegde Lectures(DHL)
  • 26. • If this type of epidemic results in an increase in over the counter sales of anti-nauseant and anti-diarrheal drugs call health authority should be noticed immediately. • The pharmacist should also be aware of local occupations and their hazards and other to the first symptom of disease for example or occupations in which he the workers are exposed to test for hazardous depending upon the size of dust particles and their ability to penetrate into lungs the workers of an asbestos industry are prone to lung cancer. 2/16/2020 26Dr.Hegde Lectures(DHL)
  • 27. • The pharmacist continuing education should include watching local pattern of society and its disease and changing his or her emphasis the evolving patterns of disease and their control. 2/16/2020 Dr.Hegde Lectures(DHL) 27
  • 28. (i)Alcoholism and drug abuse • The diseases of alcoholism antic abuse also come under the purview of the community pharmacist. • The pharmacist will have many opportunities to help individuals who become upon alcohol during abuse is similar to alcoholism yet different because it has been gaining more acceptance among young people on the campuses of educational institutions again the pharmacist he is in the unparalleled position of being professionally a competent member of the community to advise local Agencies about drugs and their harmful effects 2/16/2020 28Dr.Hegde Lectures(DHL)
  • 29. • the participation of pharmacist in the prevention of alcoholism and drug abuse will add to his or her credit both professionally and financially as the contacts publicity and recognition from such interest will also reflect in his business Returns. • Unfortunately in our country the involvement of pharmacist in these areas of health education and public health is minimal. (i)Alcoholism and drug abuse 2/16/2020 29Dr.Hegde Lectures(DHL)
  • 30. • Without graduation of education level of the professional pharmacist and greater award Awareness of the public in due course it is expected that our professional and community pharmacist shall play a very significant role in prevention of many communicable and noncommunicable disease their treatment and Rehabilitation wherever necessary the important areas of pharmacist involvement in public health through community pharmacy services have been listed in the adjoining box. 2/16/2020 30Dr.Hegde Lectures(DHL)
  • 31. Areas of pharmacist involvement in public health through community pharmacy 1. Drug and nutritional counseling 2. Proper use of prescribed and OTC drugs 3. Family planning 4. Pregnancy and Infant care 5. Immunizations 6. Sexually transmitted diseases 7. Control of toxic agents 8. Occupational health and safety 2/16/2020 31Dr.Hegde Lectures(DHL)
  • 32. 9.Control of accidental injury 10.Fluoridation of community water supplies 11.Smoking cessation 12.Production of misuse of alcohol and drugs 13.Improved nutrition 14.Environmental protection 15.Programs on weed control 16.Poisoning and cancer signals. Areas of pharmacist involvement in public health through community pharmacy 2/16/2020 32Dr.Hegde Lectures(DHL)