Dr. Aung Soe (a) Aung Kyaw Moe
Retired State Medical Superintendent
A number of family doctors in general public study and obtain post-graduate degree of Family Medicine subject so as to be recognized as Family Physicians. Department of Family Medicine in one of the prominent foreign Medical College States that “Emergence of ‘Family Medicine’ has been hailed as a rediscovery of the human, social and cultural aspects of health and disease, and the recognition of the ‘family’ as a focal point of health care, and the right place for integrating preventive, promotive and curative services”
Doctors, no doubt, are healers or health-care providers whereas families comprise all age groups, from new borns to elderlies including children, adolescents, adults men and women.
Families are on the frontlines of global efforts to realize the bold and inclusive 2030 Agenda for Sustainable Development. They are particularly essential to achieving SDG3, in which all United Nations Member States committed to promoting healthy lives and wellbeing for all ages.
Children thrive when they receive love as well as healthcare education and other basics. During the sensitive time of adolescence, young people need emotional support along with reproductive health information and services. Family life is also crucial to the health of older people, who stay active and healthy when their contributions are appreciated in the family and community.
Family doctors support the crucial role of families in all their diverse forms. They provide access to reproductive health services so that parents can deicide on the timing and size of their families. Maternal healthcare paternal leave are also vital to enable parents to give their newborns the best possible start in life.
Family Medicine may be defined as a discipline concerned with the personal, primary, comprehensive and continuing health care of the individual in relation to his family, community and environment.
Family physicians provide several types of services such as:- Preventive care; Acute care; Chronic disease care management; Stepped down care; Elderly care; Domiciliary care and Palliative care.
There is a ten million dollar worth saying that “Prevention is better than cure,” So let me mention some points regarding Preventive Medicine of family doctors. Preventive Medicine is science and art of:- preventing disease; prolonging life; promoting physical and mental health and efficiency.
It is also Science and art of health promoting disease prevention, disability limitation and rehabilitation.
Family doctor has important roles:- in preventive medicine; in the primary care setting at family and community level; in better position to give preventive services and Encountering illness and disease at early stages of pathogenesis.
Preventable diseases are :- Genetic disorder; Conditions occurring during pregnancy and puerperium; Developmental disorders; Accidents; Infections; Addictions; Behavoural disorders; Occupational disorders; Premature vascular disease; Neoplasms; Handicap; Others; Geriatrics and Cardiology.
Preventive Strategies are:- Primary Prevention; Secondary Prevention; Tertiary Prevention; To make the occurrence of disease impossible by anticipatory action and advanced provision (to prevent the disease occurrence); to check and reduce the numbers of cases of disease on going operation aimed at; reducing the incident of a disease; Duration of d/s, risk of transmission; The ill effect of disease and The burden on the family, community, country, (economic, social).
I. Primary prevention Include
A. Health Promotion
B. Specific Prevention
Action is taken to avert the occurrence of disease by removing the risk factors; Reduce the possibility that the agent and host will ever come in contact; Remove of noxious agent; Preventing contact between agent and host and Strengthening of human host to increase their resistance.
A. Health promotion
HP is process of enabling people to increase control over and improved health; e.g Education about lifestyle; Personal hygience; Elimination of vectors; Environmental Sanitation; Family welfare and Nutrition promotion.
B. Specific Prevention
To prevent occurrence of specific disease; Environmental sanitation for plague, cholera; Active immunization for EPI D/s; Chemoprophylaxis Malaria; Specific health legislation (IHR); Accidence protect measure; Radiation control and Genetic counceling.
II. Secondary Prevention Action taken to stop or delay the progression of disease; Early diagnosis; Prompt and adequate treatment; Screening for early disease detection and prevention measures and Hospitalization and supportive measures.
III. Tertiary prevention
Action taken to minimize disability by managing established disease; All measures instituted under 2 prevention; Disability limitation; Preventing a recurrence; And rehabilitation (physical, mental and social, psychological); To reduce the burden on family; To bring back individual towards normal life and As a productive and independent member of the family.
For the sake of general interest to Myanmar GPs, may I impart the knowledge that seven most important opportunities for prevention in UK are :- Family planning; Antenatal care; Immunization; Fostering the bonds between mother and children; Discouragement of smoking; Detection and management of raised BP and Helping the bereaved.
No doubt, some opportunities may overlap in Myanmar too, in addition to premarital check ups, obesity, diabetes, drug proply laxis, advising people travelling oversea and so on.
My good wishes to all Family Doctors, on the auspicious World Family Doctors’ Day on May 19.