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G.S.P.L.A.J. LIBYAGeneral people’s Committee for Health &
Environement
Primary Health care development plan
Primary Health care development plan
Primary Health care. Primary Health care.
Secondary Health Care.Secondary Health Care.
Tertiary Health care.Tertiary Health care.
Technical levels:
Tertiary health care
Specialized hospitals(21)
Primary health care
Polyclinics (37)
Primary health care units & centers (1355)
)
Communicable disease centers (23)
Secondary health care
Rural hospitals (26)
General hospitals (36)
Health Services Structure
Maintenance of health care facilities.
primary health care developments.
Development of health manpower.
Developments of health care programs.
Development of national heath environment program.
Disease control program.
Promoting health care system.
Core elements of Health plan 2009-2013.
Reforming the health services
developmental plan 2009- 2013 take
in consideration of changing the
approach from Hospital based to
community based.
PHC developmental plan depend on
family practice as core element for
this changes:
Reforming the health services
developmental plan 2009- 2013 take
in consideration of changing the
approach from Hospital based to
community based.
PHC developmental plan depend on
family practice as core element for
this changes:
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LIBYAN ARAB JAMAHIRIYALIBYAN ARAB JAMAHIRIYA
1.665.000 S.KM1.665.000 S.KM
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No, of Population 1984 - 2006
The Annual Growth Rate
Census YearNo. of Population
4.2119843.231.059
2.8619954.389.739
1.8320065.323.991
Population Doubling Time = 30 Years
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PHC coverage )%(
Population with safe drinking water 89Population with local health care 100 Infants attended by trained personnel 94 Deliveries attended by trained Personnel 99 Infants immunized against :T.B {BCG } 99 POLIO 99 DPT 98 Measles 96
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Population Growth From 1973 - 2006
1973
1984
1995
2006
2.052.372
3.231.059
4.389.739
5.323.991
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Distribution of Population Urban \ Rural
urban 85%
Rural15%
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Population Gender Distribution 2006
female49%
male51%
Population pyramidPopulation pyramid
0
0
50,000 100,000 150,000 200,000 250,000 300,000
350,000
Male
Female
فوق-8580-84 75-79 70-74 65-69 60-64 55-59 50-54 45-49 40-44 35-39 30-34 25-29 20-24 15-19 10-14 5-9 0-4
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Distribution of Population ( 2006 ) Libyan \ Non-Libyan
Libyan94%
Non -Libyan6%
Health System Structure
Secretary
Under Secretary
Directorates
Legal Affairs
Committee Affairs
Offices
Technical Cooperation
Internal auditing
Follow up
Quality Assurance
Human Resources Development
Health Information Center
Central hospitals & Medical Centers
National Center for Communicable Diseases
National Council for Medical responsibilities
National program for organ transplantation
General Authority of Environment
Libyan board for medical specialties
National Company for Drugs & Supplies
National company for maintenance of med equip
General company for manufacturing of medical equipment & supplies
People’s Committee for Health & Environment
Health Construction
Projects
Study and Planning
Supervision & Follow up
Contracting
Admin & Finances
Admin & relation services
Financing
Personnel
Health Education
Media Education
Written material education
Conferences
Private Sector & National
Services
National services
Private sector
Departments
Planning
Information section
Research & Studies
Programming &
Planning
Medical
Services
Hospital Affairs
Dental Services
Labs & Blood banks
Recruitment & Evaluation
Drugs & Medical
Equipment
Registration and Inspection
Medical equipment and supplies
Drugs & Narcotics
Drug Research
Primary Health Care
Evaluation & Follow up
School Health
Mother and Child Health
Occupational Health
Emergency & Ambulance
Services
Technical affairs
Air & sea ambulance
Vehicles & Stores
Notification
Health Services indicators
HealthCare Expenditure Financing
Indicators %YEAR Total health expenditure as % of GDP3.3 2006
Per capita Government expenditure on health (USD)
1802006
Expenditure on health as % of total government expenditure
7.52006
Out of pocket as % of total expenditure on health 23 2004
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Health status indicators Infant mortality rate for (1000 life births ) 24.4 Under five mortality rate (1000 life births ) 30.1Maternity mortality rate (10,000 life births ) 4Main causes of death are : - cardiovascular diseases , accidents ,(RTA) and Tumors .NO major health hazard due to any infectious
disease in Libya.
PHC development
plan 2009- 2013
Elements of Primary health care In Libya.
Elements of Primary health care In Libya.
In addition to elements of PHC declared in Ala mata Libya had add other areas of PHC care these are : mental health, school health, occupational health and social and medical care of elderly.
In view of presence of:
High coverage by PHC facilities.
Human resources.
Materials and financial resources.
Strong political well to have functioning
health services at highest level required
for Libyans.
The reforms of PHC system is
possible
All we need is to put all of this
together in one system
Provide medical care to the all family members
including referring patients to appropriate
secondary and tertiary levels
Document and reporting of family health events
Participate in Primary health care programs:
MCh, Immunization, school health...
The family practitioner will:
Improvement Provision of medical care.
Improvement of reporting system and
documentation.
Development of referral system.
Improvement of the quality of PHC programs
This will lead to:
PHC Center
Family PhysicianFamily Physician Family Physician
Tertiary Services
Secondary Services
Family Physician
Family Physician
Family Physician
Family Physician
4 main points to focus on:
1- Skilled health care personnel.
2- Health care facilities reforms.
3- Other supportive services.
4- Referral system.
The implementation of the plan is already started by:
Training of doctors in family practice (400 doctor).
increasing salaries for medical and paramedical personnel.
implementing of relative logistics' as family medical documents (file)- re-location of equipments and maintains of some heath facilities.
computing rates (1 family practice team per 2000 citizen).
mapping & geographical distribution of health centers targeted by this plan.
Areas of Cooperation Areas of Cooperation
Development of guidelines. Development of guidelines.
documentation system.documentation system.
development of referral system.development of referral system.
training of medical personnel.training of medical personnel.