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Development of primary health care in Jamaica
McCaw Binns, Affette M; Moody, Christine O.
Afiliação
  • McCaw Binns, Affette M; University of the West Indies, Mona, Jamaica. Department of Community Health and Psychiatry, e-mail: abinns@uwimona.edu.jm
  • Moody, Christine O; Jamaica. Ministry of Health
West Indian med. j ; 50(Suppl 4): 6-10, Sept. 2001.
Artigo em Inglês | MedCarib | ID: med-296
Biblioteca responsável: JM3.1
Localização: JM3.1; R18.W4
ABSTRACT
The development of primary health care in Jamaica is explored, tracing its early roots to the abolition of the slave trade, the collapse of estate-based services after emancipation and the subsequent establishment of the Island Medical Services in 1875. Most developments in the health sector occurred after World War I in response to the high infectious disease mortality rates. The Rockefeller Foundation was asked to assist with the control of hookworm, tuberculosis, malaria and yaws. Its recommendation led to the growth of public health programmes (eg environmental health, public health nursing, community midwifery) alongside community-based curative services run by hospitals. The most significant period of development occurred in the 1970s when the various vertical programmes were integrated into the current primary care system. Jamaica was integral in the development of the World Health Organization's Alma Ata Declaration on Primary Health Care, tabling the "Jamaican Perspective on Primary Health Care" which set out its goal that all citizens should be within 10 miles walking distance of a primary health care facility. At the close of the twentieth century, the health reform process led to the development of regional health authorities aimed at integrating the management of primary and secondary care under four Regional Boards of Health. This has led to a change in the role of the central Ministry of Health to one of policy-making, health promotion, setting standards, monitoring and evaluation of the quality of health care. (AU)
Assuntos
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar / Doenças Negligenciadas / ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis Problema de saúde: Meta 3.8 Atingir a cobertura universal de saúde / Malária / Tuberculose / Bouba / Malária / Tuberculose Base de dados: MedCarib Assunto principal: Atenção Primária à Saúde / Reforma dos Serviços de Saúde Limite: Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2001 Tipo de documento: Artigo
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Coleções: Bases de dados internacionais Contexto em Saúde: ODS3 - Saúde e Bem-Estar / Doenças Negligenciadas / ODS3 - Meta 3.3 Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis Problema de saúde: Meta 3.8 Atingir a cobertura universal de saúde / Malária / Tuberculose / Bouba / Malária / Tuberculose Base de dados: MedCarib Assunto principal: Atenção Primária à Saúde / Reforma dos Serviços de Saúde Limite: Humanos País/Região como assunto: Caribe Inglês / Jamaica Idioma: Inglês Revista: West Indian med. j Ano de publicação: 2001 Tipo de documento: Artigo
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