PHE-113
PHE-113
PHE-113
PHE 113
1.0 INTRODUCTION
People continue to strive for survival throughout their existence on the earth. To survive, people
soon realize that they had to achieve and maintain a specific level of well-being. No wonder in
almost every culture, health was and is a cherished goal.
Health has often been and is still viewed by many people simply as the absence of an obvious
ailment, superficially this appears to be sound, and however, there are complexities.
Today, health is viewed as more than the absence of disease or illness or disabilities, it is a
positive creative force encompassing a variety of factor.
These factors include: social emotional, spiritual, mental and cultural components as well as
physical dimension. Health is derived from Anglo-sat on word. Health means safe, sound in
whole. In number of languages health and wholeness as well as health and holiness are
etymologically linked. Early humans being equate with, well-being, balance, whole, harmony
these words are used to express the concept of health.
Until 1947, health was viewed simply from physical points of view, as illustrated below or health
is generally accepted to mean conditions of the body free from physical diseases.
a. A condition of a living body in which all tissues are in a standing soundness of integrity,
and organs perform their functions normally.
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PHE 113 Introduction to Health Education
b. A condition of soundness of any living organism, that which all the natural functions are
performed freely without disease, freedom from sickness or decay.
c. A state of being, hale, sound or whole in body, mind, or soul, being especially free from
physical disease or pain.
d. A state or condition when one falls well, the functions are doing their work, they intended
to do and tissues are sound and unbroken.
All these definition have two main defects:
They identified health as a state or condition of being which means, it does not account for
variability within a particular individual and among groups of individual. Health is not very
static.
Contemporary view of health views health as a process.
The second defect is that, not one of these definitions goes beyond physical dimension.
In this unit, you will learn about the meaning and objectives of Health Education. Health
education was defined by various authorities in different ways. However, whatever the variations
in these different definitions, all are geared towards attaining the same goal.
2.0 OBJECTIVES
At the end of this unit, you should be able to:
i. Define health education; and
ii. State and explain the objectives of health education.
2.1 HOW TO STUDY THIS UNIT
1. Read carefully this unit twice.
2. Take note of the important points and ideas.
3. Attempt the activities and assignment in this unit.
NOTE: All answers to the activities in this unit are at the end of this book.
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PHE 113 Introduction to Health Education
known about health into desirable individual and community behavioral patterns by means of
educational processes.
According to Mohammed, Suleiman and Umar (2013), health education is the combination of
learning or opportunities and teaching activities designed to facilitate voluntary adaptation of
behaviour that are conducive to health.
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PHE 113 Introduction to Health Education
The awareness of the co-operative efforts among schools, home and community in
health promotion.
ACTIVITY I
i. State two (2) definitions of Health Education
ii. Enumerate five (5) objectives of Health Education
4.0 SUMMARY
In unit I, you have learnt about the different definitions of Health Education. You have also
studied the objectives of Health Education.
6.0 REFERENCE
Mohammed S., Suleiman, M.A., and Umar M., (2013). Handy Tabs on Health Education. Zaria:
Ahmadu Bello University Press Limited.
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PHE 113 Introduction to Health Education
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PHE 113 Introduction to Health Education
2.0 OBJECTIVES
At the end of this lesson, you should be able to:
i. Define Health Education Services
ii. State the meaning of School Health Education Services
iii. Explain the various types of Health Education Services
iv. List the types of Health Services rendered in the different communities in Nigeria
v. Explain the components of Health Education Services such as preventive services,
clinical services, curative services.
2.1 HOW TO STUDY THIS UNIT
1. Go through this unit twice.
2. Note the important points and ideas.
3. Attempt the activities and assignment in this unit.
NOTE: All answers to the activities in this unit are at the end of this book.
3.0 MAIN CONTENT
3.1 HEALTH EDUCATION SERVICES
These are services offered by various organizations of the government including some agencies
at various levels to conserve, improve and supervised health needs of the body. Also health
education services are actions taken to diagnose, prescribe, treat and prevent diseases with the
community and nation as a whole. Health education services are medical attention given by
specialist to improve and develop the lives of these people.
3.2 SCHOOL HEALTH EDUCATION SERVICES
School health education services include all school activities and procedures designed to improve
the present health status of the children and school personnel e.g. Appraisal of student health,
improving, prevention and control of diseases, correction of physical defect, health guidance and
supervision of the child within the school premises.
Each states, federal government ministry of health, through the local government authority help
to keep the health of the nation under supervision. They provide infrastructure and facilities for
basic communities for the up keep of the public health. Certain services been rendered at each
levels of one government which may include;
a. Provision of good housing.
b. Provision of good roads.
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PHE 113 Introduction to Health Education
c. Provision of portable water, sewage and refuse disposal, inspection of public places,
inspection of good food and eating places-such as other public restaurants, inspection of
slaughter houses (abattoirs), inspection of hospitals including clinic services, preventive
services and curative services.
Clinical Services
Clinical services include: government and private hospital where diseases are diagnosed and
treated in the areas. There are needs of regular health program for the enlightenment of the
masses or public on certain diseases or issues affecting their own health. There’s a need for easy
asset to obtain various information for the above services. There are officers to carry out or
manage these services e.g. Doctors etc. prevent the services method.
Curative Service
This includes: government hospitals and private hospitals where diseases are treated (through
various tests).
ACTIVITY I
i. Define Health Education Services?
ii. State three Health Services rendered in the hospitals.
Health Education Services Being Rendered In Most Parts of The African Countries
Especially In Nigeria
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PHE 113 Introduction to Health Education
ACTIVITY II
i. State three Health Education services in the hospitals.
4.0 SUMMARY
You have learnt in the unit the concept of Health Education Services, the services rendered in the
hospitals and the communities in Nigeria and other parts of African countries.
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PHE 113 Introduction to Health Education
1.0 INTRODUCTION
As the world continues to experience advances in technology, it is always hope that such feats
will lead to improvement in the quality of life of the people. The health of an individual is the
sum total of a number of factor ranging from environmental, socio-cultural, political, genetic and
behavioral, to health care delivery. At political independence, many developing countries, rather
take a holistic view about their health care services, decided to copy and build on systems
inherited from their colonial masters. Unfortunately, such systems did not adequately address the
health needs of the emerging nations as the social, cultural, technological and physical
environments were and are still different. With the down turn in their economics, these inherited
structure and system began to collapse.
In the last two and a half decades, many of the diseases that were thought to be declining and
those previously unknown have become major public health problems these are called by experts
in the field of health new and re-emerging diseases. Malaria for example is on the increase due to
resistance of the causative organisms (Plasmodium species) to chloroquine and some other anti-
malarias too, is drug resistant tuberculosis now on the increase in both developed and developing
nations of the world. In the mist of this misfortune, HIV/AIDS has visited mankind with its
heavy toll. The way out therefore is to review ways and means of ensuring that people lead
qualitative and rewarding lives through effective health education, information and
communication. The focus of the national health policy is the provision of health services to all
through the primary health care services. Ever one has the right to a standard of living adequate
for health and well-being of himself and his family.
This unit will acquaint you with knowledge about the goals for which National Health Policy
was established. This goal is based on the establishment of a comprehensive health care system
based on Primary Health Care.
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PHE 113 Introduction to Health Education
2.0 OBJECTIVES
At the end of this lesson, you should be able to:
i. State the aims of the National Health Policy; and
ii. List the goals of National Health policy.
NOTE: All answers to the activities in this unit are at the end of this book.
3.0 MAIN CONTENT
3.1 THE GOALS OF THE NATIONAL HEALTH POLICY
The national health policy aims to achieve health for all Nigerians based on the national
philosophy on social justice and equity.
A health system based on primary health care (PHC) is adopted for the means of achieving the
goals, health for all by the year 2000.
The Goals (The 2nd Aims)
The goal of the national policy shall be to establish a comprehensive health care system based on
(PHC) i.e. promoting protective, preventive, restorative and rehabilitative to every citizens of the
country with the available resources so that individuals and communities are assumed of
productivity, social wellbeing and enjoyment of living.
The health services based on primary health care includes:
1. Education concerning prevailing problems and methods of preventive and controlling
them.
2. Promotion of food supply and people’s nutrition.
3. The adequate supply of safe water and basic sanitations.
4. Maternal and child health care including family planning. In this context, family planning
refers to services offered to people to educate them about family life and encourage them
to achieve their wishes with regard to preventing of
a. Unwanted pregnancy.
b. Securing desired pregnancy.
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PHE 113 Introduction to Health Education
c. Spacing of pregnancy .
d. Limiting the size of the family in the interest of the family and socio economic
status. The method prescribed should be comfortable with their culture and
religious belief.
e. Immunization against the major infection diseases, prevention and control of
locally endemic and epidemic diseases as well as appropriate treatment of
common diseases and injuring, provision of efficient drugs and supply.
ACTIVITY I
i. State the aims of National Health Policy.
ii. List three (3) goals of the National Health Policy.
4.0 SUMMARY
In this unit, you have learnt about the goals of National Health Policy and the aims for which the
policy is established.
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PHE 113 Introduction to Health Education
1.0 INTRODUCTION
In many developing countries the organizations of health services reflects their political power
structure. This is however for administrative convenience through health care is commonly on
concurrent list. In Nigeria three levels of health care exists. They are: Primary, secondary and
tertiary levels.
This unit will acquaint you with information on Health system based on Primary Health care, the
National healthcare system and the three (3) tiers of Health Care system.
2.0 OBJECTIVES
At the end of this lesson, you should be able to:
i. State the objectives of Health Care system
ii. List the three (3) tiers of health care system
iii. Explain the functions of each tier of Health Care system.
2.1 HOW TO STUDY THIS UNIT
1. Read this unit twice and take note of the important points and ideas.
2. Answer all the activities and assignment in this unit.
NOTE: All answers to the activities in this unit are at the end of this book.
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PHE 113 Introduction to Health Education
2. Address the main problem of the community, providing, promoting, preventive, and
curative, rehabilitating services according.
3. Should involve in addition to the home sector all related health sectors and the inspectors
of state and community development particularly agriculture, animal husbandry, food
industry, education housing, public works communications, water supply and sanitation,
and other sectors that demand the co-ordination Ted effort of all sectors.
4. Promote maximum community and individual self-reliance and participation in the
planning organization, implementation and control state, federal government and other
available resources. The government/country should develop through appropriate
education and information for the ability of the community to participate in various
programmes.
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PHE 113 Introduction to Health Education
the foolishness in distancing themselves from their indigenous/traditional health care. Not all
aspects of traditional medicine are scientifically sound but what is required at this stage is the
promotion of the positive aspects of the practice in the spirit of self-reliance.
The level of sophistication at PHC level depends on the socioeconomic development of the
people. Primary health care seek to address the common health problems of the people. Health
care facilities at this level include dispensaries, health posts, clinics, health centers, and
comprehensive health centers, depending on the country.
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PHE 113 Introduction to Health Education
ACTIVITY I
i. State two (2) objectives of healthcare system
ii. Enumerate the three (3) tiers of healthcare delivery system
iii. Explain the functions of primary health care system
4.0 SUMMARY
You have learnt in this unit the objectives of healthcare system and the functions of the three (3)
tiers of health care delivery system.
6.0 REFERENCE
Paul, M.I and Walton, T.R (2004).Core Concept in Health. New York: The McGraw – Hill
Company.
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PHE 113 Introduction to Health Education
iv. Formulate national health legislation as required, for the consideration of the federal
government.
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PHE 113 Introduction to Health Education
v. Act as coordinating authority on all health work in the country on behalf of the federal
government, with a view to ensuring the implementation of this national health policy;
vi. Assess the country’s health situation and trends; undertake the related epidemiological
surveillance and report there onto government;
vii. Promote an informed public opinion on matters of health.
viii. Support state through the local government in developing strategies and plan of action to
give effect to this national health policy.
ix. Allocate federal resources in order to foster selected activities to be undertaken by states
and local government in implementing their health strategies.
x. Issue guidelines and principles to help states prepare, manage, monitor and evaluate their
strategies and related technical programmers, services and institutions;
xi. Define standards with respect to the delivery of health care, and monitor and ensure
compliance with them by all concerned health technology, including equipment, supplies,
drugs, biological product and vaccines, in conformity with WHO’s standards, the human
environment; and education, training, licensing and ethical practice of different categories
of health workers.
xii. Promote cooperation among scientific and professional groups as well as non-
governmental organization in order to attain the goals of this policy.
xiii. Monitor and evaluate the implementation of this national health policy on behalf of
governmental and repot to it on the findings;
b. International Health: Federal ministry of health shall set up an effective mechanism for
the co-ordination of external cooperation in health and for monitoring the performance of
the various activities, this national health policy shall be directed toward:-
i. Ensure technical cooperation on health with other nations of the region and the world at
large.
ii. Ensure the sharing of relevant information on health for improvement of international
health.
iii. Ensuring cooperation in international control of narcotic and psychotic substances;
iv. Collaboration with united nations agencies, organizations of African unity, west African
health community and other international agencies on bilateral and/or regional and global
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PHE 113 Introduction to Health Education
health care improvement strategies without sacrificing the initiative of nation, community
and existing arrangements;
v. Sharing of training and research facilities and the coordination of major intervention
programme for the control of communicable disease.
ACTIVITY I
i. Explain five (5) roles and functions of the Federal Ministry of Health
4.0 SUMMARY
You have learnt about the roles and functions of the Federal Ministry of Health in the
implementation and progress of the health policy in Nigeria.
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PHE 113 Introduction to Health Education
1.0 INTRODUCTION
You will learn about the concept of community base services extension services and the
functions of the public health inspectors in this unit.
2.0 OBJECTIVES
At the end of this lesson, you should be able to:
i. Explain the concept of community based health services
ii. List the roles of community health centers.
iii. State the functions of the extension services to the people
iv. Enumerate functions of the public health inspectors
2.1 HOW TO STUDY THIS UNIT
1. Read this unit twice and take note of the important points and ideas.
2. Answer all the activities and assignment in this unit.
NOTE: All answers to the activities in this unit are at the end of this book.
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PHE 113 Introduction to Health Education
1. Community Diagnosis
Community diagnosis include collecting information essential for planning; such
information as the community needs (including health needs), vital and social statistics of
the disease or condition including age groups involved, geographical and climatic factors.
2. Prioritization of the Community health needs
It is important to note that community health needs may not necessarily be the same as
authority health needs in terms of priority. However, where the community health need is
the same as authority health need, such programme is likely to succeed.
3. Establishing Objectives
Objectives should be defined in terms of short range and long range goals. Objectives
may be stating
a. exactly what specific information the public should acquire (e.g. mode of
transmission of guinea worm)
b. what micro conceptions will need to be corrected (e.g. that malaria is caused by
evil spirit)
c. What specific attitude should be developed (e.g. indiscriminate defeation should
be avoided)
d. what actions of the people are desired either as individuals, families or
community groups (e.g. need for participation).
4. Assessing the barriers to the health programme and how they may be overcome
a. Other interests than health e.g. people are concerned with roads, agriculture,
animal husbandry, schools etc.
b. Community barriers e.g. language differences, literacy
c. Geographical isolation e.g. people far removed from centres of health services,
surrounded by mountains or water etc.
d. Capacity and economic ability of people to take the necessary action e.g. do they
have funds to obtain necessary food to improve nutrition and sanitation, can they
afford to buy the necessary drugs etc.?
e. Community’s attitude toward programmes simulated or initiated by personnel
from outside the community e.g. do the people see government programmes as a
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PHE 113 Introduction to Health Education
way to take their land, to impose taxes, are they willing to take on the additional
responsibility required etc.
5. Appraising Apparent and Potential Resources e.g. their organizations, personnel,
material and funds
a. Organizations
i. The official health ministries, departments and authorities at all levels,
directly responsible for health improvements.
ii. Other official agencies of government such as ministries of education,
agriculture.
iii. The voluntary health agencies with an expressed interest in contributing in
one way or another to the health of the people
b. Personnel
i. Those in communication with the people e.g. community or village
leaders, school teachers, religious leaders, agriculture extension workers
etc. who can help to transmit health information and encourage action.
c. Material and equipment for the educational phase of the programmer
i. Locally available resources and supplies e.g. cooking utensils, model
latrines, hand washing facilities etc.
ii. Mass informational resources – newspapers, radio, television and what
proportion of population are reached through these media.
iii. Educational aids – pamphlets, posters, flannel, graphs etc.
iv. Transport to reach the people – are vehicles available
d. The Funds
i. Amount available from the official agency;
ii. Amount that may be contributed by other organizations and agencies
iii. Amount that the people are willing and able to make available either as
individual or collectively.
6. Evaluation
Evaluation should be an integral aspect of a health programme. It must be planned and
planned with all other parts of a programme.
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PHE 113 Introduction to Health Education
Evaluation is an effort to learn what changes take place during and after an action
programme and what part of those changes can be attributed to the programme. The
American public health association defines evaluation as a process of determining the
value or amount of success in achieving a predetermined objective.
Purpose of Evaluation
We evaluate to aid future planning and to improve programs. To add to the body of
knowledge upon which our work is based. We evaluate to help achieve operational
efficiency and related to this, to obtain administrative support, community support, even
financial support. We evaluate for reasons associated with motivations to give staff and
volunteers satisfaction and a sense of success.
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PHE 113 Introduction to Health Education
1. The public health authority ensures that adequate and good water is supplied to all
citizens.
2. Refuse disposal: authority provides vans for conveying refuse to incinerator burnt and
destroy it/bury it.
3. To control housing conditions.
4. Control of injection diseases by administering immunization or vaccination.
5. Register birth and death in the hospital
6. Report to world health organization of an outbreak of diseases with community.
7. Promote health education by various mean e.g. various media
8. Provide guaranty services like burden checking for both animal and human beings
9. Send laboratory laborers to clean the streets, tiding market places motor parks and collect
waste materials into dustbins.
10. Approves plan for houses before built and inspect to see that builders comply with the
specification.
11. Inspect amateur i.e. the veterinary doctor of the anty and supply satisfy that any
slangteredanane sound before it is being sold to the public.
12. Issue health certificates – it could be birth or death
13. They disinfect public houses/latrine.
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PHE 113 Introduction to Health Education
ACTIVITY I
i. What is community based health services?
ii. Explain the functions of the community health services to the people in Nigerian
communities.
iii. List four (4) roles of the community extension services.
4.0 SUMMARY
You have learnt in this unit the roles and functions of the community extension services and the
functions of the public health inspectors in Nigerian communities.
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PHE 113 Introduction to Health Education
1.0 INTRODUCTION
In this unit, you will learn about the roles and functions of the International Organizations with
specific attention on World Health Organization (WHO) and United Nations Children
Emergency Fund (UNICEF). The WHO and UNICEF are international organization aimed at
assisting both developed and developing nations of the world in health promotion, guidance and
development, particularly the health and wellbeing of both old, young, children, pregnant and
nursing mothers. They also focus on disease control, prevention and research development.
2.0 OBJECTIVES
At the end of this unit, you should be able to:
i. state the roles, functions and objectives of the WHO and UNICEF,
ii. enumerate the progress made in the areas of immunization, health sanitation and children
health and welfare.
2.1 HOW TO STUDY THIS UNIT
1. Read this unit twice and take note of the important points and ideas.
2. Answer all the activities and assignment in this unit.
3. Avoid looking at the answers in this unit before attempting the exercise.
NOTE: All answers to the activities in this unit are at the end of this book.
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PHE 113 Introduction to Health Education
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PHE 113 Introduction to Health Education
Family planning malnutrition e.g. due to multiplication of tomatoes, beans e.t.c. in our
market.
Public health services centres or units have been set up in various levels of governments.
Drug enforcement area (illegal drug use, trafficking, and control of drug) area of material
are not much dying of children rather having healthy babies.
Areas of Weakness in Immunization
1. Inadequate finding and poor management have reduced medical services to a stage of
paralysis in the health sectors from the primary health care level to the secondary health
care to the apex-the tertiary.
2. Individual man power.
3. Lack of basic facilities.
4. Inability to replace absolute and broken equipment.
The 3-4 billion allocated to the health sectors (about 2% of the total budget against the
world health organization recommendation of 5%) which are inadequate in meeting the
health care delivery ratio is one of highest in Africa.
Material death rate is one of highest in Africa and the world at large with 800 deaths per
100,000 we are now in the same league or sometimes lacking behind poorer nations.
Drugs which were better to the eradication or credibility of health care services
frequently in short supply.
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PHE 113 Introduction to Health Education
ACTIVITY I
i. Write the full meaning of:
a. WHO
b. UNICEF
ii. Outline the roles and functions of:
a. WHO
b. UNICEF
iii. Explain the profess made by WHO in the areas of immunization.
4.0 SUMMARY
You have learnt about the roles and functions of the WHO and UNICEF, their activities and
progresses made in the areas of health development, immunization and child welfare in both
developed and the developing nations of the world.
5.0 ASSIGNMENT
1. Discuss the progresses made by WHO in the area of immunization.
2. Write out the roles and functions of
a. WHO
b. UNICEF
6.0 REFERENCE
Piyush, G. (2010). Textbook on Preventive and Social Medicine. 3rd. India: Satish Kumar Jain
Publishers, New Delhi – 110002.
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PHE 113 Introduction to Health Education
CONTENTS
1.0 Introduction
2.0 Objectives
2.1 How to Study this Unit
3.0 Main Content
3.1 Objectives and Principles of Health Education
3.2 Principles of Health Education
4.0 Summary
5.0 Tutor-Marked Assignment
1.0 INTRODUCTION
You will learn in this unit the objectives and principles of Health Education
2.0 OBJECTIVES
At the end of this lesson, you should be able to:
i. state the objectives,
ii. explain the concept “principles of Health Education”.
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PHE 113 Introduction to Health Education
ACTIVITY I
i. State five (5) objectives of Health Education.
ii. Explain four (4) principles of Health Education.
4.0 SUMMARY
You have studied in this unit the objectives and principles guiding health education.
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PHE 113 Introduction to Health Education
6.0 REFERENCE
Piyush, G. (2010). Textbook on Preventive and Social Medicine. 3rd. India: Satish Kumar Jain
Publishers, New Delhi – 110002.
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PHE 113 Introduction to Health Education
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PHE 113 Introduction to Health Education
leaders, and influential non-governmental organizations. They shall mobilize popular support by
involving individuals and families in their own health care and by involving them collectively in
technical and financial community action for primary health care.
3. The ministries of health shall propose to their government’s appropriate
mechanism for ensuring the action required in all relevant social and economic
sectors, such as inter-ministerial communities and multi-sectoral state health
committees.
4. The ministries of health shall advise on the introduction of health reforms and
enabling legislations as necessary, for example, to define the right and obligations
of people concerning their health as well as those of various categories of health
workers and institution to protect people from environmental hazards; and to
permit communities to develop and manage their health and related social
programmers and services. Care should be taken to avoid protracted deliberations
on legislation as a substitute for action, and to ensure that people understand the
nature of the legislation and approve of it.
c. Ensuring economics support
i. Ministries of health shall seize all opportunities of gaining the support of economic
planners and institutions, by convincing them that health is essential for development,
and that it contributes to production, and by refuting the contention that the pursuit of
health consist merely In the consumption of scarce resources of marginally useful
medical care that has limited impact on the health of people.
ii. Ministries of health shall also display vigilance, employing specialized personnel if
necessary, in order to ensure that health needs and protective measures are made integral
parts of development projects, taking account of cost-effectiveness; for example, in
irrigation schemes, dams and industrial development projects.
d. Winning over professional groups: to ensure the support of the health professionals,
ministries of health shall consider ways of involving them in the practice of primary
health area and in providing support and guidance to communities and community health
workers. To this end they shall approach the health and health related professional
organizations providing them with information holding dialogues with them, impressing
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PHE 113 Introduction to Health Education
upon them their social responsibilities and indicating how they can best discharge these
responsibilities. They shall also consider ways of providing tangible incentives.
e. Establishing a managerial process: ministries of health shall establish systematic
permanent managerial process for health development.
f. Public information and education:
i. Ministries of health shall assume a highly captive role in disseminating the kind of
information that can influence various target audiences. Thus statements on aims and
potential socio-economic benefits of the state health strategy as well as progress reports
on its implementation shall be disseminated to the public.
ii. Ministries of health in collaboration with local governments shall promote health
education activities through health personnel and the mass, media and in educational
institutions of all types, with the aim of enlightening the whole population on good
maintenance, the prevailing health problems in their state and community and on the
most appropriate methods of preventing and controlling them.
g. Financial and material resources: Just as the successful implementation of the state health
strategy shall mean mobilizing all possible human resources, shall also depend on
mobilizing all possible financial and materials resources. This implies first of all making
the most efficient use of existing resources. At the same time additional resources shall
undoubtedly have to be generated.
In this context, Ministries of health shall:
i. Review the distribution of the state resources from all sources with particular
reference to primary health care vis-à-vis secondary and tertiary level, urban versus
rural areas, and to specific under-served groups.
ii. Including an analysis of needs in terms of costs and materials in all consideration of
health technology and of the establishment and maintenance of the health
infrastructure.
iii. Reallocate these resources as equitable as possible or, at least allocate any additional
resources for the provision of primary health center, particularly for under derved
population groups.
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PHE 113 Introduction to Health Education
iv. Consider the benefits of various health programmers in relation to the cost, as well as
the effectiveness of different technologies and different ways of organizing the health
system in relation to cost.
v. Estimate the order of the magnitude of the total financial needs to implement the state
health strategy.
vi. Attempt to secure additional resources for the strategy if necessary, having shown
they have made the best possible use of existing funds.
vii. Identify activities that might attract external support and federal government
assistance.
viii. Present to their government a master plan for the use of all financial and material
resources, including for example governmental direct and indirect financing, social
security and health insurance scheme; local community solutions in terms of energy,
labour, materials and cash; individual payments for services, and the use for grants.
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PHE 113 Introduction to Health Education
vii. Assess to the mass media shall be facilitated through ministries on information and the
like;
viii. The industrial sector shall be made aware of the measures required to protect the
environment from pollution and to prevent occupational diseases and injuries.
ix. The industrial sector shall also be requested, as the need arises, to consider the
possibility of establishing industries for essential foods and drugs.
i Coordination within the health sector: To achieve coordination within the health
sector ministries of health shall pay attention to following:
i. Collaboration between the various health services and institutions following
arrangement on allocation of responsibilities in order to make the most efficient use
of resources. These includes services and institutions belonging to government, the
private sector, non-governmental and voluntary in the health sector as well as
women’s youth organizations;
ii. Collaborations between the various levels of the health system following agreement
on the distribution of functions and resources.
iii. Collaboration within and among the various categories of health workers following
agreement on the division of labor.
j. Organizing primary health care in communities: In order to facilitate intersectoral
collaboration, primary health care shall be organized taking account of administrative
boundaries. Communities shall be helped to organize themselves, and responsibility,
authority, and appropriate budgets shall be delegated to them. The ministries of health
shall provide guidelines and practical support as necessary to those communities that
organize their own primary health care.
k. Referral system:
i. Ministries of health shall review the functions, the mechanism and institution in the
health and related sectors, particularly at the first referral level, and shall motivate staff
and retrain them as necessary to provide support and guidance to communities and
community health workers;
ii. Ministries of health shall develop a system of referral of patients and problems so that the
first referral level is not overloaded with problems that could be dealt with by primary
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health care in the community, and so that patients and problems are referred to those who
sent them, accompanied by information on action taken and guidance for further action;
iii. Ministries of health shall review transport and communication facilities together with
local authorities and representatives of the other ministries concerned, to permit the
referral systems to function efficiently.
l. Logistics system: Ministries of health shall review their logistic system to ensure regular
and timely distribution of supplies and equipment, as well as the availability of transport
and its maintenance starting with facilities in communities and working centrally through
intermediate to the peripherals.
m. Health Manpower:
i. State ministries of Health, in collaboration with the federal ministry of health and
their ministries and educational bodies concerned, shall ensure the education and
training of health man power to perform functions that are relevant to the country’s
priority health problems.
ii. Ministries of health and other ministries concerned. For example, education, culture.
Labor, finance and public administration, shall take steps to ensure that health
workers are socially motivated and provided with necessary incentives to serve rural
communities.
n. Health Care Facilities:
i. Ministries of health together with ministries of local government and public works, shall
review the distribution of existing health care facilities run by the state and local
governments as well as other public, private and voluntary bodies, and shall continually
update state master plans of requirement for health centers, clinics and for the first
referral hospitals, accessibility to those most in need shall be the foundation of the health
master plans.
ii. Ministries of health shall review the functions, staffing, planning, design, equipment,
organization and management of health centers, clinics and first referral hospitals in order
to prepare them for their wider function in support of primary health care. Before
investing in building, the cost of running them shall be carefully considered.
o. Priority Health programmes ministries oh health shall identified priority health
programmers in the light of the essential programmer elements of primary health care and
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epidermiological situation in the state, and shall ensure that the delivery of those
programmers is given top priority by all concerned.
p. Health technology ministries of health shall make a systematic assessment of the health
technology being considered for use in each priority programme with the aim of applying
technology that is appropriate for the country or the state concerned.
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vii. Ensure that the essential infrastructures for the primary health care programmes
are available and well maintained with regard to physical facilities the emphasis
should be on making sure that they meet the requirements for providing services
but are not overly elaborate to the point where their maintenance constitutes a
drain on resources.
viii. Collect relevant data about the health resources, the health status of the
community and about their health behaviour including the utilization of health
services such data shall form the basis of the information of the local health
service.
ACTIVITY I
i. Discuss the roles of state ministry of Health.
4.0 SUMMARY
You have learnt in this unit the various roles of the federal and states ministry of health in
Nigeria.
5.0 TUTOR-MARKED ASSIGNMENT
i. State and discuss five (5) roles of the federal ministry of health.
ii. Discuss three (3) major roles of the local government ministry of health in Nigeria.
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