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Community Medicine (MBBS): Course Outline

Course Outline

COMMUNITY MEDICINE

CONTENTS OF CURRICULUM

1. Concept of Health & Disease Introduction to Qualitative research methodology.

Concept of health, Definition of health (Dimensions, physical, mental, social and spiritual). Spectrum of health, Determinants of health. Responsibility for health. Indicators of health.

Concept of disease. Concept of causation (all theories including ecological triad, (agent, host & environmental factors). Spectrum of disease. Iceberg phenomenon. Natural history of disease. Levels of prevention. Disease elimination and eradication. Disease surveillance.

2. Introduction to Public Health and Health Systems in Pakistan

Background and Concepts: Definitions and concepts in Public Health. Development of Public Health in Pakistan. Economics and Health. Health Policy and planning in Pakistan. “Health for all”, background, concepts and progress. “Primary Health Care”: Concepts and progress. The National Disease Control programmes; policies, strategies and operations.

Health System in Pakistan: The role of Federal and Provincial Governments in Health Care. The District Health System, in the context of devolution. The Physician as a manager: Functions of manager, management of material, human and financial resources. Leadership and motivation.

Partners in Health: The public and private sector. Non-governmental Organizations and International Agencies. Resources for health. Community Mobilization.

3. Epidemiology and disease control

General Epidemiology and Research methodology.

Background and concepts, uses, Basic measurements in epidemiology (morbidity, Mortality, disability and fatality). Epidemiological methods (descriptive, analytic and experimental). Epidemiological transition. Association and causation. Investigation of an outbreak or an epidemic. Screening for disease. Community diagnosis. Research and survey methodology.

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