Fortalecer la atención primaria de salud mediante alianzas locales: un enfoque comunitario para lograr la cobertura sanitaria universal – Blog

Solid alianos premises in primary attitude strengthen trust, improve coordinates and optimize the results. Fundamental to be to achieve universal health coverage in 2030.

[Ebenezer Agbana es médico. Estudió el Máster en Investigación Clínica: especialidad en Salud Internacional en ISGlobal, Universidad de Barcelona.]

Why are local alliances in primary health care

The World Health Organization (WHO) states that to achieve the Universal health coverage In 2030, we need a solid primary atangical. Universal significant health coverage that all people can access a basic health service without therefore undergoing economic difficulties. In many environments with limited resources, such as Nigeria, primary attention is the basis of the health system.

Here I explain why we need what I call Alianca «360 degrees» in primary care. That is to say:

• Inter -institutional alianca – Between primary care centers and reference hospitals
• Alianca within primary care– Collaborative between neighboring primary care centers
• Community alleras – Cooperacy with leaders and people influences premises

Together, these layers create a support network that genre Trust in community health personnel and helps us move towards universal health coverage.

For my work as National Health Scholarship In northern Nigeria, where social responsibility and support for primary care centers, he proven The importance of building a solid collaboration system. These alianas improve morality, increase the effectiveness of health services and highlight the fundamental role that health workers play in the consumption of health for all.

1.

«Sometimes we derive patients to second level health centers, but does not attend our derivations. It is real frustrating. There are. Cases that son too complex to handle themMany times we need help, «says a community health worker.

This is a problem. The centers of primary attitude depend on a often on the reference hospitals to handle stifled cases. But when derivation systems do not work well, patients suffer and health personnel feel helpless.

If the reference hospitals inform the primary care centers about the best days for patients and that specialists are available, you can better plan

A solid derivation system is key. For example, if hospitals inform the primary care centers of the best days to refer patients and available from the specialists, they can be better planned. When derived patients have already been expected and scheduled, they receive a more raspid athena and the system works more fluently.

This type of coordinates Improves the service provision, reduce these in patients and sanitary personnel and generate trust between primary care centers and reference hospitals.

2. I share strength: Alianca within primary care

Primary care centers can also collaborate with each other. Instead of working in isolation, health personnel can Share tools, knowledge and personnel To improve attention in all communities.

For example, let’s think about vaccination. If a Primary Care Center is not disputed an operational cold chain (to conserve vaccines), you can associate nearby center that do have it. Thus, the boys and girls of the first center will receive their vaccines on time. This helps a reduced dose lost and encourages equity in vaccination.

Another example: the Primary Atance Centers in Difficult Access areasWhether due to security problems or social barriers, they can be associated with more accessible centers. If a center usually closes due to bandolerism or flood problems, a nearby can support with mobile equipment or medications. This guarantees the continuity of the attitude in difficult situations.

Primary Care Centers can also collaborate with each other. Instead of working in isolation, health personnel can

These alianos practical, flexible and powerful son. They strengthen primary care teams and make them more effective, special elements in environments with few resources.

As the WHO says: “Set the search for health in people and community committed and empowered gives life to the commitment of the primary care of Return to the personality in their entirety and the communities as a whole, instead of in diseases. «

3. Collaborate with local leaders: community alieros

Place of the leaders, such as Youth leaders, religious leaders and traditional rulersThey play a role matters in their communities. People listen to them and, often, trust them more and them than in those of the institutions of the institutions.

That is why it is so important to involve these characters in the planning of primary attitude. Your support can make a health initiative success or fail.

When leaders participate in decision -making and planning from the beginning, they help a creation program that responds to the needs and values of the community

Primary care centers should not be limited to these leaders. They must Take them in decisions and planning from the beginning. When they are part of the process, they help to designed programs that respond to the needs and values of the community.

For example, in a rural area the traditional bosses promoted a vaccination coampa and participation increased 40% in just two weeks. This demonstrates the power of local leadership.

Build a resilient primary care system and center in the community

To achieve universal health coverage, we need more than clinical and political. Need Solid alianca at all levels of the primary care system.

When linking primary attention centers with hospitals, promoting cooperation between centers and working narrowing with community leaders, we create A RED OF SUPPORT That Benicia everyone.

These alianas help the sanitary personnel perform their work better and guarantee that the people receive the attitude they need, when the need.

In the end, a primary and connected care system is our best opportunity to achieve an equitable and community -centered attenIcious sanitary to all.