MEDICAL DOCTOR & ACADEMIC LECTURER What is Community Medicine?
The study of health and disease in the population
of defined communities in order to identify their health needs, and to plan, implement and evaluate health programs to effectively meet these needs. What is Community Medicine? • OR: Specialty which deals with populations and comprises those doctors who try to measure the needs of the population, both sick and well, who plan and administer services to meet those needs, and those who are engaged in research and teaching in the field (Faculty of Community Medicine of the Royal College of Physicians) Community Medicine • It is often considered synonymous with preventive and social medicine, public health, and community health. All these share common ground, i.e. prevention of disease and promotion of health • Community medicine provides comprehensive health services ranging from preventive, promotive, curative, to rehabilitative services. Economic & social aspects of disease • The relationship between environment and the ways of living of man must be adjusted to eliminate disease . • This require a coordinated progress in economic , cultural and social spheres, leading to better living pattern . • Epidemiological studies showed that physical and social environment particularly sanitary environment determine the occurrence of disease from place to place. • Maintenance of health require sufficient good quality food, social security and domestic stability which are to be provided by sectors other than health. • Poverty, poor housing and ignorance of mother may determine death of a child more than his current infection. • The decline of communicable diseases in educated wealthier countries followed better sanitary amenities as pure water supply, safe disposal of human waste, adequate housing, good income i.e. raised standard of living which entail a combined and integrated efforts of doctors, engineers, economists, educationists, agriculturists and others leading to balanced and continuous development. • Health services must be provided as an integrated whole including preventive, curative and promotive activities. • Faulty habits of living are important factors in maintaining disease in a community. The process of acquiring better habits is by education of mothers. • Real development must be for the people and by the people and should be accompanied by education if it is to be sustained • Development schemes must be balanced, prioritized and accompanied by healthier environment otherwise new problems will arise. • The key factors of health status are control of population growth, balanced development, education, raising standard of living and the appropriate utilization of the country’s resources. • The growing population needs adequate food, more employment which can be solved by improved and mechanized mass agriculture and industrialization. • This will lead to growing town and cities raising further problem, therefore a comprehensive overall adjustment is mandatory. THANKS
(Public Health and Health Promotion Practice) Jennie Naidoo - Jane Wills, MSc-Developing Practice For Public Health and Health Promotion-Bailliere Tindall - Elsevier (2010)