Health Service
Packages
05/08/2024 1
Objectives
By the end of this session, participants will be able to:-
• Explain list of health services to be provided by FHT and how to
provide them.
05/08/2024 2
Service packages
PHCU services:-
• Health promotion.
• Disease prevention.
• Curative service.
• Linkage .
05/08/2024 3
Discussion
List out major activities and service packages by FHT at:-
1. House hold level
2. Schools
3. youth center
4. Work place &
5. Homeless
05/08/2024 4
Service Packages
Community
Street -
Service Packages Facility HH
homeless
Work
Schools Youth C.
places
Maternal Health services
Child health
NCDS
CCDs /HIV,TB,
Hygiene and sanitation
Palliative care
Prevention and management of
Injuries
School health
Occupational health
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Group work:
4-5 members of six groups
Group 1: Maternal health
Group 2: Child health
Group 3: CDs and NCDs
Group 4: Hygiene and sanitation
Group 5: palliative & prevention and management of injuries
Group 6: School health and Occupational health
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Which services can be provided by the FHT on each service
delivery points: explain major activities/procedures
Community level
Facility Street –
Service type Based
HH level
homeless
Schools Youth C. Work places
Family Planning
Antenatal care
Delivery
Postnatal care
New born care
Vaccination
Nutrition
Management of Childhood illness
NCDS
Communicable diseases
Hygiene and sanitation
Accident and injuries
Palliative care services
School
05/08/2024
health services 7
Maternal health
1.1 Family planning service
• HE: family spacing/size, need of F/P, F/P options , its benefits
• If the client is not accessible to the service with any of the reason
Provision of services
– Short acting F/P methods:
Injectable,
OCPs and
condom
– Referral
Long-term, permanent,…
05/08/2024 8
Maternal health
1.2 Antenatal Care:
– HE and counseling
• ANC follow-up
• Danger signs and actions to be taken while
• Nutrition
• Birth preparation
– MUAC measurement
– Provision of ANC service
Physical examination, BP, Urine, BG, HCG,
HCT
Supplementation of micronutrient: Iron,
– Referral
05/08/2024 9
Maternal health
1.3 Delivery:
• Only for precipitating labour
– third stage management of labor
» Admiration
• Referral .
05/08/2024 10
Maternal health
1.4 Postnatal Care
• Provide postnatal care on the 1st , 3rd and 7th
– History taking and physical examination
• Assessment of other related problems:
bleeding,
infection,
blood pressure,
Postnatal psychosis …
– Health education and consultation.
– Referral.
05/08/2024 11
Child health
2.1 Neonatal care
– Assessment
– HE to the mother on:-
• the major signs of neonatal infection
• Exclusive breast feeding
• Other general conditions on neonatal care
• Assessment of the child condition on the 1st , 3rd and 7th dates.
• Immunization.
2.2 Immunization.
– HE: -
– Observation of proper BCG vaccination
– Defaulter tracing and linkage
– If not accessible: provide outreach services
05/08/2024 12
Child health
2.3 Management of Childhood illness.
– General Examination and first level
management
– Follow-up for those who are in medical
care/treatment
– First aid, before referral
– HE: encouraging breast feeding
– Prevention
– General Examination and management
• First aid; First dose of treatment .
05/08/2024 13
Child health
2.4 Nutrition
– GM: every month for < 3 aged children
– Breast feeding:
• Exclusive,
• complimentary feeding
– Education and demonstration of
Supplementary food preparation
– Benefit of Iodine salt and proper preparation
– Balanced diet
– Referral for:
Based on the nutritional assessment
05/08/2024 14
NCDs
3,1 HPT, DM, CVD
• General examination and vital sign
– MEASURING: b/p, blood sugar level,
• Counseling and HE
– Healthy life style: Balanced diet; physical exercise;
alcohol and smoking; fat, sugar and salt; and other
life skills
3.2 Ca, and other chronic NCDs (CPD, )
Breast, cervical and prostate
– Examination: screening check list
– Promotion of screening: cervical Ca …
– Counseling and Psychological support
– Referral
– Educating self assessment: self breast examination
– Counsel on drug adherence
05/08/2024 15
NCDs
3.3 Mental illness:-
– Assessment
– Counseling
– Drug adherence
– Referral
05/08/2024 16
Chronic Communicable Diseases
4.1 HIV/AIDS
– Counseling and referral
– Follow up for those who are on medical care (Adherence)
– Promote partner testing (for both HIV and other STIs)
– HE: on means of transition and protection
– Other home care services
• 4.2 TB
– Community TB screening
– Awareness creation and health education on MDR TB
– Encourage family members for test
– Refer
• Prophylaxis for children's whose Mather is sputum + for TB (in two months after delivery)
Malaria, Hepatitis
05/08/2024 17
Hygiene and sanitation
• Health education, demonstration and Intersect-oral collaboration:-
Constriction of toilet and utilization.
Promotion of hand washing on critical time.
Clean water and food: preparation and handling.
HH Environmental sanitation and personal hygiene.
Proper Sold and liquid waste disposal.
05/08/2024 18
05/08/2024 19
Occupational health; and
prevention and management of Accident and emergencies
• Occupational health
• Accident and emergencies prevention and controls
– Provide first
– Teach the HHs on emergency response.
– Teach HH on first aid management.
• Schools, in construction and industry ,
– Referral.
05/08/2024 20
Palliative care
• Home care service.
– Curative and relief of pain
– Educating and counseling of families: on Physiotherapy and psychological
support.
• Support the family on patient care on intervals.
• Consulting and support family members on how to care their diseased
family member.
05/08/2024 21
PaPalliative care re
05/08/2024 22
School services
• RH services
• Visual acuity screening
• Hearing test/screening
• Nutritional screening
– Food Allergy
• Oral health
05/08/2024 23
Thank You
05/08/2024 24
