Welcome Delegations from ILO CMU Baan Leuk , Potharam District , - - PowerPoint PPT Presentation

CMU Baan Leuk , Potharam District , Rajburi Province

Welcome Delegations from ILO

..

CMU Baan Luek is the primary

care unit which is closed to the people physically and in their hearts

Service provided to all as they are

• ur family members

Quality service ,multi displinary,

and participatory

Develop the quality service system

which is proactive and responsive , work with the network , healthy teamwork

Continuously

Develop capacity

• f

personnel, and technology

Adopt participatory approach with

people ‘s center.

Director of the CMU (1) Medical Doctor (1) Professional Nurses (2) Professional Public Health (1) Administrator (1) Employees (2) Housekeeper (1)

Total Population 15,231

Baan Pong district

Klong Takot Baam Kong

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Started in 1959 as the maternal health

care center and child care

Established a health clinic in 1970 Promoted to become a PCU in 1997 Develop to be CMU in 2008 Received the award as the best PCU in

2010 at the provincial level

Responsible communities : 5 villages / 6 communities Number of Households : 1,123 Population : 4,843 Health Volunteers : 90 Children (0- 5 yrs) : 238 Pregnant women : 14 Population between 25-60 yrs.: 2,946 Population over 35 years : 2,894 Population over 60 years : 848 Persons with disability : 12

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7 Dolls Hair dressing Agric.

Fish

OSH Volunteers in the community

23 persons

Occupational Groups 63 groups IE workers ( over 15 years old) : 1,231

• Total population 4,843
• Population covered by Universal Care : 3,109
• Numbers of visits by the people 17,058
• Number of patients who were referred to hospital

13,779

• OP Visits = 1.24
• Doctor’s cost per person 18 Baht ( average normal

cost = 50-60 Baht)

• In 2010 : October 09 – March 2010 = 6,929 visits, 2,732

patients

1.

High Blood Pressure 2366 persons or 16.33 %

2.

Respiratory system Infection 951 persons or 6.56 %

3.

Fever 936 persons or 6.46 %

• 4. Diabetes 702 persons or 4.85 %

5.

Vertigo 545 persons or 3.13 % Note : Back pain used to be included in list as number 2 , and has been reduced after the ergonomic education and exercise

CMU Baan Leuk provide service according to the

CMU standard with the database programme HCIS which used for the service as well as Family Folder and the Internet system which linking with District level and Provincial level .

CMU Baan Leuk also adopts the system of

consultation through the Video conference which is linked to the specialists from hospitals to the CMU as well as the PCUs in the network

1.

Happy Community Project

2.

PAPSMEAR

3.

Screening of the people above 35 years old

4.

House Visit to the pregnant women and after the delivery

5.

Traditional Thai Medicine , including provide care to people with disabilities

6.

Child care monitoring ( 0-5 )

7.

Information campaign of the epidemics and Dengue

8.

Dental Care

The Abbot of the Temple donated

money to repair the CMU building as well as installation of the new air- conditions

1.

Health check and Inspection of the risk factors among workers in 6

• ccupations 480 persons
• 2. Education and Information about

the rights of the IE leaders : 220 persons

1.

Adopt the CMU standard ( MOPH)

2.

Promote the local traditional Thai spa

3.

Fish spa

4.

Queue card

5.

Health Folders ( Individual , Family )

6.

Video Conference Consultation

7.

HCIS Program

1.

After adoption of the innovations, the CMU has received more projects and subsidy to the operations with the fulltime doctor .

2.

Resutls in the increase of the patients by 184 %

3.

Income increase by 246 %

• 4. Satisfaction 90.8 %

1.

The CMU was selected to be a pilot project to promote the equal access of the IE workers to health care and other welfares ,as formal workers

2.

OSH volunteers to do the surveillance of the risk factors for the occupational groups

3.

Happy Village Project which promote the participation of the community environment for sustainable development

Diabetes Clinic Training the health volunteers

• 1. Monthly Meeting
• 2. Two persons rotate to work at

the CMU everyday

• 3. Volunteers draw the work plan

and evaluation by themselves and with the team

• 4. Building the network to expand

their work

IE workers

Municip. Hosp.

Local Community Council IE Network

Occupational group PCU District HC

Committee

Working group 14

Strengthening the leaders Strengthening the network OSH surveillance

A member of an occupational group Good to be a health volunteer as well Can read and write Over 15 years old Trained of OSH Volunteer spirit

Main Contents Health problem in the

• ccupational groups

Occupational deseases Risk Assesment in the work place Project and Planning Knowledge trasnfer skills

Other subjects

Chemical Law / Labour Rights Ergonomics -Basic Business Knowledge

Total Number 23

Agriculture 7 , Dolls 6 Saloon 4 , others 6

One volunteer look after 5

households , excepts saloon : 1:3 hh

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Training on risk assessment in fish group

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Evaluation

Survey of the database among IE workers Study the risk factors Concluding and analysis Entry data into the family folder Develop the capacity of the data users Divide ,categories the patients to different

channels for proper treatment

Improve the computer program ( Health Care

Information System ) for easier access

Data Entry in the Computer system

1.

Put the category in the Family Folder IFW (Informal workers) 2. And put the WRD (worked relate disease) if the patient has been diagnosed that the sickness related to their work 3. Use tape with color to indicate their sickness

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Health Center Information System ( for IE)

Logics : Using the existing information system of the PCU ,easily applied by the staffs and reduce the use of multiple programmes

Application of the HCIS and IE

What needed to know : 1)Occupations of the workers in the IE 2)Code of Sickness ( Code ICD10 ) 3)Behaviors of the workers and risks factors Special programme HCIS Version 15 July 2009

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