Primary health care in our society has been personally customised to be a waste of time and this has allowed many wander away for the fear of an unknown outcome from primary care centres.
Visits to primary health care centres is mistaken to be for the poor; people who can’t afford the tertiary health system bills, this orientation in itself reduces the effect and efficiency of primary health care in our local communities. The incidence of mortality and morbidity in communities is raised by 20% and this is as a result of primary health care being paralysed by the individuals who are toprotect and keep it running. Primary health care as agreed by the World Health Organization (WHO), is about caring for people, rather than simply treating specific diseases and health conditions. Primary health care must be identified as a frontier for health security in our society.
Primary health care is first committed to preventive care( surveillance and inspection of epidemics and microbial resistance), before the management of Chronic health condition and palliative care. One major reason for this hiccups in the health system hiarachy can be traced to negligence on the part of health care users either as a private system or a public system. We have our focus directed to treatment rather than prevention leaving primary health care centres less utilize and less equipped. It is believed that with an adequately well equipped health care centres ( emergency room, labour ward, mini lab, general ward, etc) there would be a decrease in the rate of maternal deaths arising from complications on home delivery, and other unfavorable outcome of health deals. Primary health care centres is the Closest to the community and so must be allowed to function as such.
Primary health care centres if properly thought through also serve as a way of reducing the workload of health care providers at the secondary and tertiary level. There has been series of reported cases of burnout and death incidence at the point of care which involves physical exhaustion and psychological exhaustion due to the current ratio of work burden and care givers to patients ( ratio: 100:1). The health care system if to be fixed must first begin at the grass root level. The tertiary level can’t bypass this phase until the primary level is sorted; there’s less or nothing complains and protest can do if this is not considered. When the primary health care centre is actively running with promptly licensed individuals in reasonable quantities and specialized qualities we’ll record and have less reported cases of burnout or deaths of care givers both at the primary or tertiary level of the health system.
Increase in man labour and standard equipped centres would not only bring relief to workplace burden on caregivers but also increased community participation in renovating the health system.
At the current level of the country’s economy, the expenditure rate to treating diseases and special conditions is increasingly alarming; we individually spend more on maintaining health ( treating a specific illness either to self or family member). Consider the usefulness if this percentage channeled to prevention of an health condition and investments in the society’s economy, there’ll be more thriving individuals in our small communities grateful for a healthy system, less burden on the government and a safe place for the future.
“Doing the right is preventing wrong from happening” _ Primary health care promotes health security; reforming the primary health care centres is the Right thing to do. Not also forgetting that primary health care is essential to achieve the health related Sustainable Development Goals (SDGs) and also universal health coverage.
The Nurse Next door