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:

6

LIBYAN ARAB JAMAHIRIYALIBYAN ARAB JAMAHIRIYA

1.665.000 S.KM1.665.000 S.KM

7

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

8

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

9

Population Growth From 1973 - 2006

1973

1984

1995

2006

2.052.372

3.231.059

4.389.739

5.323.991

10

Distribution of Population Urban \ Rural

urban 85%

Rural15%

11

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

13

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

18

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.