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PHCmanual2010

PHCmanual2010

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Published by primaryhc
This is the Third Edition of The Primary Health Care manual for medical students and other health workers
This is the Third Edition of The Primary Health Care manual for medical students and other health workers

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Published by: primaryhc on Jan 11, 2011
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1__________________________________________________________________________  _ 
DEDICATION
Remembering Prof. Donald A. Hillman
Professor Donald Hillman died on 4th July 2006. He was a world renownedpaediatrician, a champion of International Health, and a strong advocate forimproving child health worldwide, particularly in developing countries. This thirdedition of “The Primary Health Care manual for medical students and other health workers” is dedicated to Don Hillman. His work will forever live on through thegenerations of undergraduate and postgraduate medical students all over the world whom he mentored and influenced in their careers, together with his wife Liz Hillman.Dr. Donald Hillman graduated in Medicine at McGill University in Montreal, Canadain 1949. He received his postgraduate education at the Montreal Children’s Hospital,the Hospital for Sick Children in Toronto and at the Massachusetts General Hospitalin Boston. He completed his PhD. in Investigative Medicine at McGill University in1961. He subsequently became a Professor of Paediatrics and Associate Dean ofPostgraduate studies at McGill University, and a Professor in Paediatrics at MemorialUniversity in Newfoundland.From 1976 to 1989 Don Hillman and his wife Liz Hillman joined the then new Facultyof Medicine at Memorial University of Newfoundland as Professors of Paediatrics.Don Hillman became Physician-in-Chief and Liz Hillman was Director of AmbulatoryEducation at the Janeway Child Health Centre. In 1989 The Hillmans joinedMcMaster University in Hamilton in the field of international health. They later movedon to the University of Ottawa in the same field, now generally referred to as GlobalHealth.Internationally the Hillmans have also had a long and illustrious career having worked in more than 15 countries as consultants or visiting Professors. This includesKenya, Uganda, Tanzania, Zambia, South Africa, China, Kuwait, Singapore, Laos,Malaysia, Bhutan, India, Guyana, Philippines and Pakistan. In the early 1970s McGillUniversity teamed up with the Canadian International Developing Agencies (CIDA) tosupport the development of a new medical school at the University of Nairobi inKenya. In 1974 Don and Liz Hillman accepted a four year appointment in theDepartment of Paediatrics and Child Health at the University of Nairobi. They workedtogether with Prof. Nimrod Bwibo and Dr. Alan Ross to strengthen the teaching ofPaediatrics and Child Health at the University of Nairobi. This has now grown to beone of the largest undergraduate and postgraduate medical teaching programmes inAfrica. Don and Liz Hillman later moved on to Makerere University in Uganda wherethey managed another CIDA funded project known as CHAMP (the Child Health andMaternal Educational Programme). They also served in senior advisory positions with UNICEF Kampala
 
2__________________________________________________________________________  _ 
The McGill and Nairobi programmes and the CHAMP programme in Uganda werelater to influence the development of the CIDA funded Primary Health Care EastAfrica (PHCEA) project in the late 1980s which was negotiated and championed bythe Hillmans. The PHCEA project focused on improving the teaching of Paediatricsand Child Health in Kenya, Uganda, Tanzania and Zambia, including the exchangeof students and staff. This project produced a popular teaching manual - The PrimaryHealth Care manual for medical students and other health workers - which is still inuse today in at least five medical schools and is stocked in several libraries.The Hillmans have also supported the development of new medical schools at MoiUniversity (in Eldoret, Kenya), at Mbarara University for Science and Technology(Uganda), and at Gulu University (Uganda). Following their retirement in Canada,they continued their active involvement abroad in international health by serving asconsultants or visiting professors. They undertook and completed assignments forCanadian External Services Organization (CESO) in Kenya, India, Guyana,Philippines and Pakistan. At the time of Don's death, the Hillmans were working on aproject funded by the Royal College of Physicians and Surgeons of Canada inZambia, Tanzania, Kenya and Uganda.In recognition of this lifetime commitment and tremendous contribution to GlobalHealth spanning over thirty-five years, the Hillmans received several awards. Thisincludes the Ross Award (1989), the prestigious Orders of Canada (1994), theJames H. Graham award (1995) the Lifetime Achievement Award of the CanadianSociety for International Health, recognition by the American Academy of Paediatrics,and honorary doctor of laws degrees.As we celebrate the life of Don Hillman, we thank him and his wife Liz for thetremendous contribution and lifetime commitment to international health, which willremain an inspiration for many years to come, to all of us including many generationsof medical students and paediatricians all over the world. We dedicate this thirdedition of the “Primary Health Care Manual for medical students and other health workers” to our friend Don Hillman.May His Soul Rest in Eternal Peace!Prof. Kopano Mukelabai,Department of Paediatrics and Child Health, University of Zambia, Lusaka, ZambiaFormerly:Chairman of the Department of Paediatrics and Child Health at the University ofZambiaDean School of Medicine, University of Zambia (1984-1992)Senior Health Adviser in UNICEF (1992-2009)
 
3__________________________________________________________________________  _ 
PREFACE TO THE THIRD EDITION
The Third Edition of the Primary Health Care manual has finally been produced.Lack of funding due to the global economic recession, has partly contributed to thedelay in producing the current manual. We are very grateful to the University ofBritish Columbia and specifically to Prof. Stuart Macleod and his wife Nancy for theirconcerted efforts to raise the critical funds needed to print the manual. We are alsovery grateful to Prof. Elizabeth Hillman and the Hillman Foundation for providingextra funds to print more copies of the manual and for providing funds to distributethe manual.
The third edition of the PHC manual is dedicated to our friend and colleaguethe late Prof. Donald Hillman who died on 4th July 2006.
Don Hillman, together with his wife Liz mooted the whole idea of the PHC East AfricaProject and the subsequent publication of the PHC manual. We have written anobituary printed in this book to honour the life and work of Prof. Donald Hillman.The PHC manual is still very frequently used to teach both undergraduate andpostgraduate medical students. This new edition will be distributed free of charge toseven medical schools in five countries in Eastern and Southern Africa. These areZambia, Kenya, Tanzania, Uganda, and Ethiopia. The first two editions of the manualproved to be extremely popular among medical students and other health workers.The major preparation of the third edition of the PHC manual took place at a meetingheld at the Silver Springs Hotel in Nairobi in October 2008. It was a wonderful andproductive meeting with representatives of 10 Universities present, including onerepresentative from UNICEF. Other topics covered during the meeting included;sharing information on the postgraduate curriculum, exchange of staff and students,and conduction of joint research.With five years remaining towards the attainment of the MDGs by 2015, the PHCmanual will make an important contribution in assisting countries to achieve thehealth related MDGs. A few new chapters have been added to the manual to make itmore comprehensive. We have also included the April 2008 OuagadougouDeclaration on PHC in Africa, which was signed by Ministers of Health from allcountries in Africa.May the spirit of Don Hillman continue to guide the future direction of the PHCmanual and its use by medical students and other health workers!Finally let me once again thank all my colleagues who participated in the productionof this third edition. Their commitment was total as they showed an incrediblepatience and understanding in waiting for the final production of the new manual. Ialso wish to thank Ms. Ruth Matano and Ms. Rosemary Mwasya for assisting us inorganizing an extremely successful workshop to revise the third edition of themanual. Ms. Matano also assisted in preparing the final script of the new manual.
Kopano Mukelabai, 31
st 
March 2010.

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