“II PUBLIC HEALTH DAY”

ADVANCES IN THE DEVELOPMENT OF PRIMARY HEALTH CARE

NATIONAL HEALTH STRATEGY

FAMILY HEALTH
General Directorate of People's Health
Produced by:
National Coordination of the Family Health Strategy
MARCH-2010
 DEFINITION OF FAMILY IN THE MAIS:
Y
o

The family is the privileged environment where the person is born, grows, is formed and
develops. It is based on the union between man and woman, on the love between them and
in the manifestation of the same towards the children. It is the area where the person knows
loved, and is capable of loving. The family is therefore the basis of every community of people,
love and life, where all its members are called to full human development. The
Family is the fundamental institution for the life of every society. That's why in the field
of health, the family is the basic health unit, in which its members
“they are committed to nourishing themselves emotionally and physically by sharing resources such as
time, space and money”9, so it is to her that attention should be directed to
improve the health of the country's population.
E a SYSTEMIC DEFINITION OF FAMILY: i

“Open system (exchange with the outside) constituted by a set of

elements linked together by rules of behavior and by dynamic
relationships in constant interaction (interdependence).
n SYSTEMIC PERSPECTIVE OF HEALTH i

Understand the multilevel belonging of individuals in a society (person-

family-clan-community-region-nation-society) is
necessary:
It avoids the dangers of excessive simplification that does not allow
us to see its determinants.
• The systemic perspective of health involves relating three spaces:
– a) individual
– b) family
– c) community
• In this social network it is impossible to separate the relationships from its
elements. The three levels are determined by each other .

The health of social groups is determined by variables and facts of the

individual, family and community spaces.
 Around
Person Family Community
environ
Life stage
ment
BREAKING PARADIGMS:
 FAMILY AND COMMUNITY, YOUR
IMPACT ON HEALTH

Support from families, friends and communities is associated with better

health.

• People who have less social and community contact are more likely to die
than those with greater social relationships.

• High levels of unemployment and economic instability cause significant

mental health problems and adverse effects on the physical health of
unemployed people, their families and communities (WHO).
4 CHANGES IN THE CURRENT FAMILY i
■ Increase in pregnancies
of adolescents and women
□ Increase in single
separations ■ Replacing
and divorces the
authoritarian
model with the
permissive
model

□ Economic
autonomy
 CONSEQUENCES OF THE CHANGES
RELATIVES
CHANGES
• Decrease in family number
•Increased working hours
and incorporation of
women into working life
• Education: Passage from
the authoritarian model to
the permissive model
CONSEQUENCES
• • Human resources to raise children
and care for the elderly
• • of conflict mediators
• T of economic resources
• Less contact and communication
with children. The children of the
“key” emerge.
• Loss of authority of parents and
teachers
 JUSTIFICATION OF WORK WITH
FAMILIES

Why is working with families important?

■ The family is the fundamental component for human development and

community.

The family is where health and disease processes have the greatest impact.

■ The family is where the habits and practices of a healthy life begin.
 DEFINITION OF THE PROGRAM
FAMILY HEALTH
■ Comprehensive Family Care Strategy, based on Primary Health Care.

■ Developed through basic health teams (EBSs).

■ With abilities to respond to the needs of the family.

■ The first level of care is the entry door, guaranteeing continuity through a
reference and counter-reference system.

■ It requires a strategy for effective participation of the organized population.

■ It requires a new way of organizing provision, with multidisciplinary

intervention through the EBS.
■ Keep in mind that it is a process so it will increase the coverage and
content of the intervention.
 INTERVENTIONS WILL TAKE INTO ACCOUNT THE
MAIS FAMILY LIFE CYCLE

• Family in formation: new family that does not yet have children.

• Expanding family: The family that has already had the birth of one or more
children, who are going through various stages of growth.

• Dispersed family: The family in which at least one of its members is already
in a position to develop their own family.

Family in contraction: The family that has seen the children leave and in
which the couple is once again left alone, to face the process of aging and
loss.
 AXES OF INTERVENTION IN THE
FAMILY

■ Anticipatory counseling for family life cycle: intrafamily

relationships.

■ Development of healthy behaviors and lifestyles.

■ Development of healthy environments with emphasis on housing:

basic sanitation, etc.

■ Monitoring compliance with individual packages of its members:

Care Plan.
w "i Establish the National Health Strategy for Family
Health
MINISTERIAL RESOLUTION Nº 587-2009IMINSA

Article 1.- Establish the National Health Strategy for Family Health, whose responsible
body is the General Directorate of People's Health.
Article 2.- The National Health Strategy for Family Health will be in charge of a National
Coordinator , who will be nominated by Ministerial Resolution.
Article 3.- The National Coordinator will have the functions of designing, planning,
programming, monitoring, supervising and evaluating the implementation and execution of
the National Strategy, as well as its intra- and intersectoral articulation.
Article 4.- The management of the National Health Strategy for Family Health will be in
charge of a Permanent Technical Committee and a Consultative Committee , which
will have the following functions:
 National Health Strategy
Y
o Family and Community

• It is defined as a Comprehensive Care Strategy for

the Family and Community, based on Primary
Health Care, developed through basic
multidisciplinary teams with the capacity to respond
to their health needs, in a determined territorial area
at the first level of care. , as a gateway to the
National Health System.
 Purpose
• Its purpose is to contribute to the improvement of family
health, implementation of health sector policy guidelines with
emphasis on comprehensive health care, Universal Health
Insurance and decentralization.
 General objective

• Expand families' access to quality health care, strengthening

the first level of care with competent multidisciplinary basic
health teams and promoting active community participation,
social empowerment and intersectoral action.
 Basic Equipment Concept
of health

It is the team responsible for the health of a certain number of families

located in a delimited territorial area without taking into account race,
social class or any other factor that is discriminatory.
They must have the appropriate skills for comprehensive care based
on Primary Health Care.
The functions and responsibilities of the Health Teams are framed in
those corresponding to the implementation of Comprehensive Care.
It is made up of professionals in medicine, nursing, obstetrics and
nursing technicians.
For an EBAS number, a complementary support team can be counted
at the head of the microgrid, according to the needs of the intervention
area (specialist doctors, dentists, nutritionists, psychologists, etc.)
THE PROCESS OF CONSTRUCTION OF THE FAMILY AND
COMMUNITY HEALTH STREGGY

Background:

• Workshops for the formulation of training standards in Family and

Community Medicine (MINSA-IDREH and ASPEFAM).
• Formulation of a training proposal for the Family Doctor strategy
(IDREH, DGSP, DGPS, INS, 2008).
• Formulation of a technical document for the implementation of the
Family Health strategy (MINSA-DPSIII, CPE; CPO)
• Application for CR-III of the CMP to train in Family Medicine (January
2009).
• Meeting with managers and technical team of the CRIII-CMP to plan
activities. It was decided to extend the call to the Professional College
of Nurses, Professional College of Obstetricians, Universities, DGSP
and DGPS.
• It is agreed to form a Work Team and establish work meetings on
Wednesdays from 3 to 5 PM (February 2009).
 THE CONSTRUCTION PROCESS OF THE
FAMILY AND COMMUNITY HEALTH STRAGE

diplomat Process of in
in self-learn Family Health and
Attention dizaje
Comprehe (Tutoring Community
nsive to Speciality on
of health Distance) Medicine
Specialization Family and
Community

MEDICINE,
BASIC HEALTH MEDICINE, NURSING,
NURSING,
EQUIPMENT OBSTETRICS
OBSTETS

5 MONTHS 7 MONTHS 12 MONTHS 12

MONTHS
22 credits 30 credits 52 credits 52 credits
156 academic credits
 COMPREHENSIVE NETWORK FOR THE
DEVELOPMENT OF
HEALTH CAPABILITIES

FIRST LEVEL OF NETWORK

CARE NETWORK NETWORK HEADER
WITH PHC HEADER
APPROACH
HEADBOAR
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MICRORNET

HEADBOAR BECERA
D ICRORRED
MICRORNET

HEADBOAR
ABECERA
D
MICRORNET
MICRORNET

HEADBOAR
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MICRORNET NETWORK
HEADER
E a HEALTHY FAMILY
A healthy family is one that manages to build an environment that favors the human development of its members and allows them
to grow and develop, respecting their dignity and in accordance with their expectations and needs, achieving a successful
adaptation to the developmental challenges inherent to each stage of the life of its members and overcoming the problems and
difficulties of family life.
A healthy family makes the most prudent decisions in
order to improve the conditions related to their health
and life, as well as those around them or under their
responsibility, exercising their main functions,
especially with the most defenseless and fragile. ,
seeking to cover their basic needs (providing food,
clothing, housing, security, supervision, hygiene and
healthy habits, medical care, education), as well as
personal needs (affection, care and protection, growth
and self-esteem, participation and communication, and
acquisition of values in a culture of peace and
friendship.