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Tatar, Mehtap (1992)
Languages: English
Types: Unknown
Subjects:
This study aims at analyzing Turkish health policy from a Primary Health Care perspective as pronounced in Alma-Ata, 1978. The Alma-Ata Declaration has long been regarded as a watershed in the health field and 134 countries, including Turkey, have endorsed the Declaration showing their support for the views expressed in the Document. However, although the international community gave its full support, in practice, different interpretations and implementation of the principles have emerged. Turkey, one of the countries where health has rarely occupied the agenda, has been undergoing radical reforms since the mid 1980s with the ultimate aim of achieving Health for all by the Year 2000 through Primary Health Care. There is full commitment at the national policy-making level to endorse policies coherent with the principles of Alma-Ata. However, not all policies adopted seem to be consonant with what was declared in Alma-Ata requiring a detailed analysis of the policies suggested and implemented. In the light of this, the aims of the study are: (1) to analyze Turkish health policy since the 1960s from a Primary Health Care perspective with the aim of exploring the Turkish response to Alma-Ata; (2) to explore the perceptions of Turkish health policy-makers about Primary Health Care and related issues; (3) to discuss the prospects for Primary Health Care in Turkey. Basic principles of the Primary Health Care approach as declared in Alma-Ata have been taken as a guideline in analyzing Turkish health policy and the perceptions of the Turkish health policy-makers. These principles and their implementation, or the way they are perceived, have guided the research in answering the question ''what are the prospects for Primary Health Care in Turkey?" The nature of the research, based on document analysis and semi-structured interviews, has necessitated a qualitative stance. It was concluded that the Turkish version of Primary Health Care differs from the Declaration in a number of ways. A number of possible reasons for this have been offered. The perceptions of the policy-makers on certain issues that are closely related with the Approach, inter alia, has been found as one of the most possible explanations behind the current situation and a need to alter the ascendant approach towards health issues in general has been emphasized.
  • The results below are discovered through our pilot algorithms. Let us know how we are doing!

    • APPENDIX 1: List of the Interviewees.......................................................................................... 401 APPENDIX 2: Interview Format..................................................................................................... 402 APPENDIX 3: Number of Patients Accepted to Hospitals by Selected Diseases................. 406 Distribution of Selected Notified Infectious Diseases..................................... 406 APPENDIX 4: The Organization Chart of the Ministry of Health (Centre)......................... 407 APPENDIX 5: The Organization Chart of the Ministry of Health (Periphery)................... 409 Table 1: Comparison of Turkey with other Countries for Selected Indicators.............................................................................................
    • Table 2: IMRs for Turkey by Type of Place of Residence and Region. 1979-1982.............................................................................................
    • Table 3: IMRs for Turkey by Type of Place of Residence and Region 1985-1987.............................................................................................
    • Table 4: Distribution of Total Fertility Rate by Province Groups and Type of Settlement............................................................................
    • Table 5: Distribution of Hospitals and Hospital Beds by Providers..............................................................................................
    • Table 6: The Breakdown of the MH's Budget by the Type of the Services Provided...............................................................................
    • Table 7: Population Under Social Insurance Coverage by Social Insurance Organization.....................................................................
    • Table 8: Health Workforce...............................................................................
    • Table 9: Distribution of Selected Health Personnel by Selected Provinces..............................................................................................
    • 23 25 26 31 36 48 49 58 Figure 1: A Conceptual Model for a Comprehensive Health System Based on the Principles of PHe......................................................
    • STARK, R., (1985), "Lay Workers in Primary Health Care: Victims in the Process of Social Transition" Social Science and Medicine. 20(3). pp.269-275.
    • STATE PLANNING ORGANIZATION, (1984), Fifth Five Year Development Plan 1984-1989. Ankara.
    • UNGER, J.P.; KILLINGSWORTH, J.R., (1986), "Selective Primary Health Care: A Critical Review of Methods and Results" Social Science and Medicine. 22(10). pp.1001-1013.
    • UNICEF, (1982), "Popular Participation in Basic Health Setvices. Lessons Learned Through UNICEF's Experience" Assignment Children. 59/60. pp.121-132.
    • UNICEF, (1986), Turkish National Immunization Campaign of 1985. Rapid Assessment. Draft.
    • UNICEF, (199Oa), The State of the World's Children 1990. Oxford, Oxford University Press.
    • VAN DER GEEST, S., et at, (1990), "Primary Health Care in a Multilevel Perspective: Towards a Research Agenda" Social Science and Medicine. 30(9). pp.1025-1034.
    • VAUGHAN, P., (1990), "Lessons from Experience" in Mills, A, et aI., Health System Decentralization. Geneva, WHO/ pp.11-42.
    • WHO, (1988), From Alma-Ata to the Year 2000. Midpoint. Geneva, WHO
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