Health and

Maintenance

Birth-17
Check up
1,2,4,6,9,12,15 and 18 months
annually check up for 2-6 times per month.
Vision Screening and BMI: for ages 6-17
Screening Tests
Assessment for risk for TB: To determine risk
factor.

HIV Screening: Between ages 16-25

Immunization
Hepatitis B

Birth, 1-6 months baby

Haemophilus influenza type B

2,4,6,12 months baby

Polio

2,4,6 months baby

Diphtheria, tetanus &

Acellular Pertussis

2,4,6,18 months baby

Rotavirus

2,4,6 months baby

Pneumococcal

2,4,6,12 months baby

Tdap/ Td

2,4,6,12 months baby

Measles, Mumps & Rubella

1 year old baby

Varicella (Chicken Pox)

1 year old baby

Hepatitis A

1 year old baby

Influenza (yearly)

6 months baby

Conjugated Meningococcal

11-16 years old

Human Papillomavirus

11 years old

Age 18- 39
Wellness Check
Check Blood pressure, weight and height to
calculate body mass index (BMI) and health risk.
Screening Test
Diabetes: All non-Caucasians; All Caucasians
with sustained blood pressure Greater than
135/80, or BMI greater than or equal 25, or
history of gestational diabetes, or family history
of diabetes.
HIV Screening: Between ages 15-65.

 IMMUNIZATION
Influenza: yearly
Varicella (Chicken Pox) Vaccine: Individuals born
in 1980 or later should receive a Second
Vaccine.
HPV: Females ages 11-26 and males 11-21
should receive the HPV vaccine at 2-6 months
interval.

MENS HEALTH
Lipid Test: At age 35
WOMENS HEALTH
Chlamydia: Yearly through age 24 for Sexually active
women.
Pap Test: Every 3 years starting from age 21 (between
ages 21-30, may be more often). At the age 30, may
switch to every 5 years with HPV screening
FOLIC ACID: All girls planning or capable of pregnancy
take daily supplement containing 0.4-0.8mg of folic
acid.

Age 40-49
Wellness Check
Check Blood pressure, weight and height to calculate
body mass index (BMI) and health risk.
Screening Test
Hep C: Screening for those born between 1945-1965.
Diabetes: All non-Caucasians; All Caucasians with
sustained blood pressure Greater than 135/80, or BMI
greater than or equal 25, or history of gestational
diabetes, or family history of diabetes.
HIV Screening: Between ages 15-65.

MENS HEALTH
Lipid Test: At age 35
WOMENS HEALTH
Pap Test: Every 3 years starting from age 21
(between ages 21-30, may be more often). At
the age 30, may switch to every 5 years with
HPV screening
FOLIC ACID: All girls planning or capable of
pregnancy take daily supplement containing 0.40.8mg of folic acid.
Mammogram: Optional yearly.

Age 50-74
Wellness Check
Check Blood pressure, weight and height to
calculate body mass index (BMI) and health risk.
Screening Test
Hep C: Screening for those born between 19451965.
Diabetes: All non-Caucasians; All Caucasians with
sustained blood pressure Greater than 135/80, or
BMI greater than or equal 25, or history of
gestational diabetes, or family history of diabetes.

Colorectal Cancer(options): Colonoscopy every 10

years; Fecal occult Blood Testing every 3 years with
sigmoidoscopy every; or annual Fecal Occult Blood
Testing.
IMMUNIZATION
Influenza: Yearly
Tdap/Td: Adults under 65 who have never receive
Tdap should get a Tdap booster, regardless of
when a prior Td was given. After this , Td is required
every 10 years.
Zoster(Shingles): At age 60
Pneumococcal Vaccine: Series beginning at age 65.

MENS HEALTH
Lipid Test: Every 10 years
Prostate Specific Antigen (PSA): Current
evidence does not recommend routine PSA
screening for average risk men.
WOMENS HEALTH
Pap Test: Every 3 years starting from age 21
(between ages 21-30, may be more often). At
the age 30, may switch to every 5 years with
HPV screening.
Mammogram: Every 2 years.
Bone Density: At age 65

Age 75 & over

Wellness Check
Check Blood pressure, weight and height to
calculate body mass index (BMI) and health
risk.
Screening Test
Diabetes: All non-Caucasians; All Caucasians
with sustained blood pressure Greater than
135/80, or BMI greater than or equal 25, or
history of gestational diabetes, or family
history of diabetes.

Colorectal Cancer(options): Colonoscopy every

10 years; Fecal occult Blood Testing every 3
years with sigmoidoscopy every; or annual
Fecal Occult Blood Testing.
MENS HEALTH
Prostate Specific Antigen (PSA): Current
evidence does not recommend routine PSA
screening for average risk men.
WOMENS HEALTH
Mammogram: Every 2 years.

Disease Prevention

E-Health
A resolution on e-Health standardization and

interoperability notes the importance of

standardized, accurate, timely data and
health information to the functioning of health
systems and services, while also highlighting
that the security of this information, and
privacy of personal clinical data, must be
protected. Also noted was evaluation of
information and communications technologies
in health interventions

Global Vaccine Action Plan

Member States reiterated their support to the

Global Vaccine Action Plan to prevent millions

of deaths by 2020 through more equitable
access to vaccines for people in all
communities, and for the proposed Framework
for Monitoring, Evaluation and Accountability
(which is linked to the Commission on
Information and Accountability for Womens
and Childrens Health).

Life-Saving Commodities for

Women and Children
The adopted resolution urges Member States to

improve the quality, supply and use of 13 life-saving

commodities for women and children, such as
contraceptives, antibiotics and oral rehydration
salts; streamline the process for their registration;
and develop plans to increase demand and facilitate
universal access. Delegates also noted progress in
the follow-up to the recommendations of the
Commission on Information and Accountability for
Womens and Childrens Health and called on WHO
to continue supporting them in the implementation
of these recommendations.

Malaria
Delegates noted the report on progress in

implementation of the resolution on global efforts to

prevent, control and eliminate malaria. Mortality rates
decreased by more than 25% worldwide between 2000
and 2010, but a global funding shortfall threatens to
jeopardize further progress. The report highlights
surveillance challenges in many endemic countries and
notes new WHO-led initiatives to address emerging drug
and insecticide resistance. It also underlines that further
progress can only be made if malaria interventions are
substantially expanded in the 17 most affected
countries, which account for an estimated 80% of
malaria cases.

Mental Health Action Plan:

2013-2020
Major objectives
1. strengthen effective leadership and
governance for mental health.
2. provide comprehensive, integrated and
responsive mental health and social care
services in community-based settings.
3. implement strategies for promotion and
prevention in mental health, and strengthen
information systems, evidence and research
for mental health

Non communicable Diseases

(NCDs)
A global action plan for the prevention and control of

NCDs (including heart disease, stroke, diabetes, cancer

and chronic lung diseases) comprises a set of actions.
When performed collectively by Member States, UN
organizations and other international partners, and WHO
these actions will set the world on a new course to
achieve nine globally agreed targets for NCDs including
a reduction in premature mortality from NCDs by 25% in
2025. The action plan also contains a monitoring
framework, including 25 indicators to track mortality and
morbidity; assess progress in addressing risk factors,
and evaluate the implementation of national strategies
and plans.

Poliomyelitis: intensification of
the global eradication initiative
Delegates endorsed the new Polio Eradication and

Endgame Strategic Plan 2013-2018 to secure a lasting

polio-free world and urged for its full implementation and
financing. At the same time, the Assembly received stark
warning of the ongoing risk the disease poses to children
everywhere, with confirmation of a new polio outbreak in
the Horn of Africa (Somalia and Kenya). Noting the
generous pledges made to support polio eradication at the
Global Vaccine Summit, delegates urged donors to rapidly
convert these pledges into contributions. The WHA
pointed out that this funding was critical for accelerated
implementation of the Plan, given the complexity and
scale of introducing inactivated polio vaccine worldwide.

Prevention of avoidable blindness

and visual impairment 20142019
In the resolution Towards universal eye

health: a global action plan 2014-2019

delegates endorsed an action plan that
aims to further improve eye health, reduce
avoidable visual impairment and secure
access to rehabilitation services. The
global target is to reduce the prevalence of
avoidable visual impairment by 25% by
2019.

Steps in Health
Care Process

1. Quality improvement is the

science of process management
The approach they developed to

improvement 75 years ago was remarkably

simple, yet extraordinary powerful. Its
centered on the fact that quality
improvement is really about process
management

2. If you cannot measure it You

cannot improve it.
Meaningful quality improvement must be
data-driven

3. Managed care means managing

the processes of care, not
managing physicians and nurses.
Managed care movement was naively

thinking that managing care meant telling

physician and nurses what to do. The reality
is that you need to engage clinicians in the
process and they are the best equipped to
figure out how to improved the process of
care over time.

4.The right data in the right format

at the right time in the right hand.
If a clinicians are going to manage care,

they need the right data delivered in the

right time and in the right place . And the
data has to be delivered into the right
hands- the clinicians involved in operating
and improving any given process of care.

5. Engaging the smart cogs of

healthcare
smart cogs they are the frontline

workers who understand and own the

process of care.

Assessment of
health problems

Health Impact
assessment
Promoting health across of activity.

Economic sectors such as transport, agriculture

and housing have profound impacts on health.
For instance, transport is a major factor in
traffic injuries, air pollution and noise. But
healthy transport policies can help reduce
these risk, as well as promoting walking and
cycling. In agriculture, fertilizers and pesticides
may boost crop yields . But wise use is
important to protect farm workers and
consumers excessive chemical expose.

HEALTH CARE
STATEGIES AND
INTERVENTION

CAREENHANCEMENT
QUALITIES

Care-enhancement
qualities
2008 circle of care

RESPECT
DIGNITY
CHOICE
COMPETENCE
SAFETY
EMPATHY
PATIENCE
WARMTH
HEARTH
PRIVACY

COMPASION
HONNESTY
KNOWLEDGE
FLEXIBILLITY

PHYSICAL SELFCARE
EMOTIONAL
SELF-CARE
DONT LOSE
HEART