Overview of Primary Health Care in UAE

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Overview of Primary Health Care in UAE

• Dr. Kalthoom Mohammed Ali
• Family Physician
• United Arab Emirates

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Some Health Indicators Over Two Decades
1995
2005
1985

• Population in millions
• Crude death rate /1000 population
• Infant mortality rates / 1000 live births
• Under 5 years mortality rate / 1000 live births
• Maternal Mortality Rate / 100,000 live births
• Number of PHC centers
• Population / PHC center
• Population / PHC physician
• Population / PHC nurse

1.26
3.8 14.6 - 2.1 82 12,300 - -
2.83 3.07 9.49 12.6 0.01 98 21,300 6,785 5,056
4.01 1.49 7.8 9.9 0.01 127 31,800 6,394 3,654
Including DOHMS
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Leading Causes of Death (1996 2005)
From all causes of death
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Partnership in Providing PHC Services (Governmenta
l Sector)
17 Centers
64 Centers
46 Centers
Total no. of health centers 127 (2005)
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Primary Health Care Manpower
Technical (total 723)
Pharm Assist.
Districts
Centers
Doctors
Dentists
Nurses
Tech.
Dubai
9
35
15
60
23
6
Sharjah
16
53
-
72
35
18
Ajman
6
21
3
28
10
5
UAQ
4
12
2
18
14
10
RAK
17
56
2
82
28
17
Fujirah
9
23
5
29
14
17
Total
61
200
27
289
124
83
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Primary Health Care Manpower (cont.)
Administrative (total 338)
Psychologist Social Workers
Districts
Administrators
Clerks
Others
Dubai
20
6
20
21
Sharjah
33
2
23
23
Ajman
2
-
10
10
UAQ
5
1
9
5
RAK
16
1
40
57
Fujirah
1
4
10
20
Total
77
14
112
136
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Population, Hospitals Out-patient Attendance
PHC Centers Attendance (1995 2000 2005)
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PHC Centers Attendance to Hospitals Out-patient
Attendance (2000 2005)
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Essential PHC Programs Services Provided
Through MOH Health Centers

• Health education.
• Maternal and child health.
• Treatment of common illness and injuries.
• Control and management of common chronic
  diseases.
• Oral health.

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Main Reasons for Visiting The PHC Centers in 2005
from total attendance
Disease
Upper respiratory infections
36.6 Musclo-skeletal disorders 7.7 Skin
diseases 6.6 Hypertension 6.5 Diabetes
Mellitus 4.9 Acute bronchitis
bronchiolitis
3.7 Bronchial asthma 3.4
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Vaccination Coverage1986 - 2005
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Average Numbers for Antenatal visits(1996 2005)
Average no. of visits
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Other Health programs Provided Through Some PHC
Centers

• Nutrition education clinics (1993).
• National Breast Cancer Screening Program (1995).
• National Neonatal Screening Program (1995).
• Diabetes miniclinics (1996).
• Preventive genetic counseling.

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UAE Ministry of HealthPrimary Health Care
Strategy 2006 - 2015
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The United Arab Emirates Ministry of Health has
developed its Primary Health Care Strategy (2006
2015) based on

• The morbidity and mortality trends over the last
  10 years.
• Situational analysis of the PHC services.
• Political directions, especially improving the
  services in the remote areas.
• Study results of demands and needs of PHC
  consumers and providers.

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PHC Service Consumers Demands
More dental clinics More imaging services More
lab. services Specialized doctors More staff
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46
22
22
14
May 2004 Sample size 10323 persons
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PHC Service Consumers Demands (cont.)
Availability of drugs More ultrasound units More
concern to health education Improving the
management of the ch. diseases Expansion of
nutrition education service
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4
2
2
2
May 2004 Sample size 10323 persons
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PHC Service Providers Opinions
1. Priority Health problems
Diabetes Mellitus Hypertension Oral dental
problems Bronchial asthma
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39
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May 2004 Sample size 1423 HCPs
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PHC Service Providers Opinions (cont.)
1. Priority Health problems (cont.)
Chronic diseases Obesity Respiratory system
diseases Mental disorders
17.5
12.5
9
4
May 2004 Sample size 1423 HCPs
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PHC Service Providers Opinions (cont.)
2. Priority services and programs
Health education Nutrition services Oral and
dental health Staff training
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36.5
30
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May 2004 Sample size 1423 HCPs
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PHC Service Providers Opinions (cont.)
2. Priority services and programs (cont.)
Improving the imaging services Organizing
diabetes hypertension care Expansion of PHC
drugs list Improving laboratory services
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12.5
10
9
May 2004 Sample size 1423 HCPs
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UAE Ministry of HealthPrimary Health Care
Strategy 2006 - 2015
The Vision
The primary health care services will
pro-actively work with people to maintain and
improve their health, both in remote and central
areas, by continuously offering high quality,
cost effective and comprehensive essential health
care services with full equity.
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Key Directions of the PHC Strategy

• Work with the community and involve people.
• Strengthen and improve the existing PHC services.
  
• Develop and implement PHC services and programs
  that help in achieving comprehensive health
  care.
• Continuously improve quality.

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Goals and Objectives
Seven goals and eighteen objectives are chosen to
be implemented. In the short and intermediate
run, the chosen goals and objectives can help in
the following

• Participating in fulfilling the political
  directions concerned with improving services in
  remote areas.
• Improving the community health.
• Strengthening the preventive services.
• Improving the inter-sectorial cooperation.
• Encouraging community participation.
• Ensuring the maintenance of the current health
  achievements.

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Goals and Objectives
Goals
Objectives

• Improve the structure of the PHC facilities in
  the remote areas.
• Ensure the manpower development in the remote
  areas.

• 1.High quality, accessible, essential health
  services in the remote and central areas.

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Goals and Objectives
Goals
Objectives

• 2.Healthy individuals, families and communities.

• 3.Support and promote breast feeding.
• 4.Support policies and programs that promote
  positive ageing.

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Goals and Objectives
Goals
Objectives

• 5. Reduce smoking.
• 6. Improve nutrition.
• 7. Reduce obesity.
• 8. Increase the level of physical activity.

• 3. Healthy lifestyles.

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Goals and Objectives
Goals
Objectives

• 9.Reduce the incidence and impact of stress.
• 10.Reduce the incidence and impact of depression.

• 4. Better mental health.

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Goals and Objectives
Goals
Objectives

• 11. Reduce the incidence and impact of
  cardiovascular diseases.
• 12. Reduce the incidence and impact of diabetes.
• 13. Reduce the incidence and impact of bronchial
  asthma.
• 14. Improve oral health.
• 15. Reduce the incidence and impact of infectious
  diseases.

• 5. Better physical health.

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Goals and Objectives
Goals
Objectives

• 16.Reduce the incidence and impact of road
  traffic injuries.

• 6. Injury prevention.

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Goals and Objectives
Goals
Objectives

• 17.Ensure access to the appropriate PHC services
  for all age groups.
• 18.Ensure services are patient-centered.

• 7. Accessible and appropriate health care
  services

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Thank You
We are going to work with people to achieve the
goals and objectives of our strategy.