Stakeholders of PHC

MAIGA AYUB HUSSEIN

M&E, ADSHM, BScN,Ms-Epid

ZZIWA SWAIBU
BEH,MPH(MUK)

1
 Course objectives
By the end of this section learners will be
introduced to;-
• Stakeholders of PHC
• Roles of stakeholders at different levels
• Roles of nurses/midwives, duties and
responsibilities in PHC implementation

2
 Stakeholders of PHC
• What is a stakeholder?
• A stakeholder is an entity who has an interest
in an organization and whose support is
required in order for an organization to be
successful
• Stakeholders are persons, groups or
organizations who have a vested interest or
concern in a given program or project

3
 Different stakeholders at various levels in PHC implementation

• There are several key parties that play major roles in

the PHC. These include communities; local
governments; national governments, regional
institutions; NGOs, Corporations, Media and scientific
communities. They have been discussed below;-
• Communities
• Local governments
• National governments
• Regional institutions and organizations
• International agencies
4
 IDENTIFICATION OF STAKE HOLDERS OF PHC
• PHC requires an institutional • Ministry of Information and
frame work through which Broad casting
implementation can be • Ministry of Internal affairs
carried out at all levels • Department of community
• National level development
• Ministry of health • NGOs at National level like
• Ministry of local government USAID, UKAID,ADD
• Ministry of Agriculture
• Ministry of planning and
economic development
• Ministry of Education and
ports
• Ministry of Gender youth and
culture 5
 Institutional structures of PHC
cont’d
• At District Level
• District Resistance
councils(DRC)
• District Development
Councils(DDC)
• District Health Committees
(DHC)
• District Health team (DHT)
• NGOs at district level
• At community level
• Local council I,II , III and ex-
officials from government
departments and NGOs
• Sub county Health committees
and ex- officials from
government departments and
NGO’s.
• Parish /village Health
committees
• Existing Health committees
6
 Roles of stakeholders at different levels
National Level
• Establish a National Management Committee to monitor
and document PHC service delivery
• Develop a contingency plan for PHC as part of the overall
health sector strategic plan and this must be clearly spelt
out:
• the technical personnel required at all levels of management;
• nursing staff,
• Monitoring & Evaluation experts
• surveillance officers,
• Health Education experts and
• logisticians or supplies chain management specialists to
estimate the logistics required to provide PHC
7
National level cont.
• Ensure regular monitoring and •
evaluation of district data
• Develop and produce
appropriate Information
Education and Communication •
materials to sensitize the
public about diseases.
• Provide technical assistance to
the district hospital and health
sub district on PHC.
• Ensure availability of medicine
stocks at national, district
levels and health sub district.
• Ensure coordination of donor
support and resource
mobilization.
Prepare facilities for regular
press conferences to update
the public and disseminate
health messages.
Integration of PHC into the
National health policies
• Formulation of National
Policies and guidelines on
PHC.
• Training of health care workers
of various cadres on disaster
management
8
District level
• Ensure regular monitoring and
evaluation of district data on •
PHC
• Develop and produce
appropriate Information
Education and Communication
materials to sensitize about
disease prevention.
• Provide technical assistance to •
the district hospital and health
sub district on PHC
implementation.
• Ensure availability of medicine
stocks at national, district
levels and health sub district.
Ensure coordination of donor
support and resource
mobilization.
• Prepare facilities for regular
press conferences to update
the public and disseminate
health messages
Formulation of National
Policies and guidelines on
PHC.
• Training of health care workers
of various cadres about PHC
implementation
9
• District level cont.
• Health education programs
aiming at bringing good
lifestyle to promote health
within the community
conducted by health workers
and religious leaders
• Improving communication
systems and transport within
the community by the
government agencies like
UNRA
• Construction of health facilities
for easy access to health
services by the community.
• Construction of schools to
reduce on level of illiteracy
which is a disease in the
community. by Ministry of
education, Church
organizations, and other NGOs
• Empowering community for
income generating activities
for self-reliance and
independency.
• Collaborating with the
community for community
mobilization and resource
identification for running the
services.
10
 Health facility Level:(HSD)
• Re-orient the clinical staff to
update them on PHC
implementation
• Report any epidemic to higher
authorities
• Adopt national guidelines and •
policies on PHC
• Ensure that health education
materials are available and
displayed.
• Organize and conduct health •
education sessions about PHC
at the facility on a weekly basis
• Ensure that medicines and
supplies are adequate at the
health facility.
• Ensure that the community
health workers are well
informed about the PHC
Organize outreaches and
sensitization workshops with
community health workers
concerning PHC in the
community
11
Health facility level (HSD)
• Improving communication
systems and transport within
the community by the
government agencies like
UNRA
• Construction of health facilities identification for running the
for easy access to health
services by the community.
• Construction of schools to
reduce on level of illiteracy
which is a disease in the
community. by Ministry of
education, Church
organizations, and other NGOs
• Empowering community for
income generating activities for
self-reliance and independency.
• Collaborating with the
community for community
mobilization and resource
services.
• Health education programs
aiming at bringing good
lifestyle to promote health
within the community
conducted by health workers
and religious leaders
12
Community Level
• Orient the community health education sessions about PHC
workers on the possible in the community to promote
recommended actions to behavioral change
implement PHC • Distribution of IEC materials
• The Village Health on PHC and control in the
Teams(VHTs) should be community such as posters.
encouraged to sensitize the • Advocate for behavior change
community members about using media channels such as
disasters radios, televisions and social
• Organize regular screening media
exercises in the community • Enforcement of national
for early detection of guidelines and policies on
epidemic diseases PHC
• Organize and conduct health
13
 Community Level
• Health education programs
aiming at bringing good lifestyle
to promote health within the
community conducted by health
workers and religious leaders
• Improving communication
systems and transport within the
community by the government
agencies like UNRA
• Construction of health facilities
for easy access to health services •
by the community.
• Construction of schools to reduce
on level of illiteracy which is a
disease in the community. by
Ministry of education, Church
organizations, and other NGOs
• Empowering community for
income generating activities for
self-reliance and independency.
• Collaborating with the
community for community
mobilization and resource
identification for running the
services
•
14
Roles of nurses/midwives, duties and responsibilities
in PHC implementation

• Health education on • Nutrition matters;-

matters concerning;- • The importance of good
• Environmental nutrition for all family
matters;- members, what food to
• The importance of the grow, how to prepare a
adequate and clean water balanced diet, how to
supply. store food and how to
• Good sanitation with the protect it from getting
use of pit latrines and contaminated and
proper refuse disposal. indicators of malnutrion
• Control of mosquitos,
keeping the home and
compound clean 15
 Roles of the nurses/midwives cont.;
• Promote behavioral
change;-
• Ensure personal hygiene to all
community members
• educate the community the
effects of smoking and
alchoholism
• Sexual behavior to control
and prevent STD’s and AIDs
• Community mobilization for
better health and
development through;-
• Home improvement
• Community cleaning and
removal of stagnant water.
• Protection of water sources
• Construction of pit latrines
and refuse dumps
• Promote income generating
activities such as poultry,
vegetable gardens, farming,
fisheries and life skills
education.
16
 Roles of the nurses/midwives cont.;
• Promote maternal and
young child health care
through;-
• Encouraging pregnant
women to visit health
centres to receive
antenatal services e.g.
tetanus vaccine, iron and
folic acid
• Give nutritional advise
and education
• Assess the growth and
development of young
children
• Assess nutritional
indicators using basic
indices
• Routine immunization
• Give advice on family
planning
• Teach mothers how to
make ORS in order to
treat diarrhea
17
Other roles of nurses/midwives
• Helps in promoting the the communities
PHC program in the • Helps to supervise and
community advise the TBAs on the
• Helps in identifying concepts of safe
problems and utilization motherhood
of resources to promote • Makes on spot
the elements of PHC diagnoses and screening
program in the and gives advice
community. accordingly
• Helps to promote •
reproductive health in
18
 Other roles of nurses/midwives
• Plan, support and their own health and
implement activities living circumstances
and programs of PHC using PHC program.
in the community.
• Make advocacy for
communities and
empowering them to
take responsibility for

19
 References
• World Health Organization. Declaration of Alma-Ata. Adopted at the International
Conference on Primary Health Care, Alma-Ata, USSR, 6–12 September 1978
• Starfield, Barbara. "Politics, primary healthcare and health." J Epidemiol
Community Health 2011;65:653–655 doi:10.1136/jech.2009.102780
• Secretariat, WHO.
"International Conference on Primary Health Care, Alma-Ata: twenty-fifth anniver
sary"
(PDF). Report by the Secretariat. WHO. Retrieved 28 March 2011.
• "Health topics: Primary health care". World Health Organisation. Retrieved 28
March 2011.
• Braveman, Paula; E. Tarimo (1994).
Screening in Primary Health Care: Setting Priorities With Limited Resources.
World Health Organization. p. 14. ISBN 9241544732. Retrieved 4 November 2012.
• World Health Organization. World Health Report 2005, Chapter 5: Choosing
Interventions to Reduce Specific Risks. Geneva, WHO Press.

20
Thanks

21