General Introduction of Community Health Services in the Hongkou District Amy Jiang, MPA Shanghai,...
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Transcript of General Introduction of Community Health Services in the Hongkou District Amy Jiang, MPA Shanghai,...
General Introduction of General Introduction of Community Health Services in tCommunity Health Services in t
he Hongkou Districthe Hongkou District
Amy Jiang, MPA Shanghai , China
Brief IntroductionBrief Introduction
• Jiang Songyun, Amy Jiang• Bachelor of Preventive Medicine Master of Public Administration (MPA)
Work ExperienceWork Experience
• 1995 ~2005 Shanghai Hongkou District CDC Chief of Infectious Disease and Epidem
iology Branch• Disease outbreak investigations• Analytic epidemiology
Working experienceWorking experience
• 2005 ~present: Health Bureau of Shanghai Hongko
u District , Shanghai, China Vice Director, Department of Publi
c Health
Work ResponsibilitiesWork Responsibilities• Recommend public health policy to the
district government• Implement national, municipal and
district health policy Community Health Service (CHS) emergency response, chronic disease control health education and promotion mental, dental, maternal and child health
care• Supervise, evaluate and oversee quality
of work accomplished by the core operating units
Projects ConductedProjects Conducted• Year 2006
Evaluated the Community Health Service in Hongkou District
Year 2004Developed and implemented immigrant communicable disease control
Year 2002HIV/AIDS community prevention and control program
The Bureau at WorkThe Bureau at Work
Annual district-wide public health conference: attended by the chiefs of all the district departments.
Delivering a lecture on HIV/AIDS prevention and control
A profile of Hongkou district (A profile of Hongkou district (20020055))
• Location: Northeast of downtown• Area: 23.4km2
• 10 communities • Life expectancy : Average: 81.29 Male : 79.44 Female:
83.12• Infant mortality 2.92‰ • Percentage of people over 60 20.80% • Resident people: 789, 000• migration: 150, 000
HongKou District Health Bureau
Core Unit of Public Health in HongKou DistCore Unit of Public Health in HongKou Districtrict
HKCDC
Hygiene supervision
Mental Disease prevention
Dental disease prevention
Maternal and child health care
WHO urban collaborating center
Community health service
& Different level hospital
WHO urban primary health care collaborating center
Established in Oct, 1990 the sole WHO cooperating center in Shanghai
downtown within the research field
General Introduction to a Unique
Characteristic of Hongkou District
Public Health
Entrusted projects of the Entrusted projects of the centercenter
To strengthen self-care capabilities through various health education activities, so as to improve living standard and quality of life;
To study the policies of relevant departments to ensure that health is covered in the policies;
To stress on developing the techniques required for the working staffs involved in urban primary health care;
To provide the technical information related to urban primary health care in order to support the efforts of other cities and the activities planned by the WHO.
Network of Disease Control in Shanghai
Family
DistrictDistrict CDCDistrictDistrict CDCDistrict h healthealth BureauBureau
District h healthealth BureauBureau
Community Health Services
Center
Community Health Services
Center
Municipal GovernmenGovernmen
tt
Municipal GovernmenGovernmen
tt
District District GovernmentGovernment
District District GovernmentGovernment
Municipal Health Bureau
Municipal Health Bureau
Municipal SCDC
Municipal SCDC
Community Community GGovernmentCommunity Community GGovernment
School Enterprise and other Units
——Administrative relationship
……Professional supervision relationship
CHS in China—BackgroundCHS in China—Background• Community-based health care receive much
attention; policies concerned are being developed, should integrate health management for population at community level.
• The change of disease pattern: chronic disease is the main type of disease among people.
• Completed health information is needed to make specific prevention programs and to deliver integrated health service, these information should be collected in the community.
The chief mission of the CHS in ShanThe chief mission of the CHS in ShangHaigHai • Collect basic health information,
and analysis of risk factors and predict trends of disease
• Identify target groups • Deliver convenient , cost-effective
and specific health services to community residents.
CHS work method —step 1CHS work method —step 1
• Collect health record -set up Family
Health File residential status, individual health status (age, sex, income, drinking, smoke, disease,
symptom, health service utilization , etc)
CHS work model—step 2,3CHS work model—step 2,3
• Use health record Stratify general population into
different target group (patient, at risk, healthy) Early detection for certain disease Deliver health service upon their need• Take measure on target
people
Implementation --Implementation --Three level Three level networknetwork
Community health service center: Community mobilization and family in
fom Visit families door by door and intervie
w every member, set up Family Health File
Offer health service to target groups Inner quality control and evaluation
Implementation --Implementation --Three level Three level networknetwork
District CDC Organize implementation Train investigator Establish local multi-sectional
cooperation Site direction and monitoring Quality control and evaluation
Implementation --Implementation --Three level Three level networknetwork Shanghai CDC• Design standard questionary and spe
cific management forms• Develop management guideline• Develop software• Establish multi-sectional cooperation• Management, training, quality control
and assessment
Development of CHS in Hongkou distriDevelopment of CHS in Hongkou districtct
• Three phase• Year 1990-1995 establishment of WHO urban primary health
care collaborating center, building the basic model and team for community health service.
Year 1996-1999 the health promotion project sponsored by
World Bank (7th); progress is continuing Year 2000-now solidify, research, cooperate with
international institutions
Status of CHS in Hongkou distriStatus of CHS in Hongkou districtct
• Already set up a steering committee, gaining strong commitment of the district and local government
• Assign the responsibilities and tasks for related government department
• Put up a work model: government leading, multi-department cooperating, citizen participating• Establish a network, integrating the activities of the
community and government departments• Strengthen research and investigation, providing more
scientific basis for policy-making
Having experienced 15 years of CHS
development, we have achieved great progress by ourselves.
In the year 2005, we gained the honored award of “National District for Community Health Service” which shows that we entered into a new phrase of CHS development.
health education
home service for elder people over 80
health promotion
ChallengeChallenge
• Optimize the CHS working model• Lack of general practitioner (GP)• Strengthen CHS work team
Educational Objectives in Educational Objectives in EHIBEHIB
• To learn public health education as it is practiced in the U.S.
• Attend seminars on other fields within public health
• English language study
The first sight in Asia
Shanghai bund