COMMUNITY BASED MEDICINE AND

REHABILITATION
Dr. Summyia Siddique Malik
BSPT, PPDPT, MSCPPT
CREDIT HOURS
3 (3-0)
COURSE DESCRIPTION
 Designed for PT students to develop a strong background knowledge regarding
community health, well-being and community based rehabilitation.

 It also gives knowledge about the issues of community health, policies and
procedures for their effective rehabilitation management.

 It provide awareness about the problems faced by people in community at all

levels and effective strategies to solve these issues
LEARNING OBJECTIVES

 Describe impact of environmental, biological, social and behavioral risk factors on

health and disease through the epidemiologic methods.
 Discuss agent, host and environmental factors determining health and disease.
 Describe complete nutritional assessment of individual using clinical, Anthropometric
and diet survey tools
 Discuss the community health, diagnosis and to take remedial measure for
improving community health
 GOALS
 COMMUNITY BASED MEDICINE
oIntroduction
oEnvironmental sanitation & medical entomology
oGenetics
oGeneral and descriptive epidemiology
oHealth education
oNutrition
oAnalytical and experimental epidemiology
oSystemic epidemiology
oNon-communicable diseases
oOccupational health problems
oStructure of health care system in the country
oMCH
MARKS DISTRIBUTION

Mid- term examination 40%

Final-term examination 50%

Internal Assessment (attendance, 10%

assignments, presentations, quiz,
class performance)
KEY
 Text book
RECOMMENDED BOOKS

 Textbooks of Community Medicine, by Prof. H. A. Siddique (2nd Edition).

 Parks text book of preventive & social medicine –K Park.
 Community based rehabilitation worker manual, marion loveday, global health
publication
 Introduction to Special Education By: Allen and Beacon,(1992), A Simon & Superter
Comp.Needham Heights
 Exceptional Children and Adults, Patton, J.R. (1991); Boston Scott Foresmen and Co.
 Exceptional Children in Focus by: Patton J.R. (1991); New York, Macmillan pub. Co
COMMUNITY
o A large no. of individuals, living together in a defined geographical area and
having common interests, goals and ways of life.
MEDICINE
 Branch of medicine that deals with diagnosis, treatment and maintenance of health
COMPREHENSIVE HEALTH CARE
“Provision of personal and impersonal health services to the community for the
prevention of the disease, cure of illness, prevent disability and economic insecurity
and dependency associated with illness”.
COMMUNITY MEDICINE
WHO DEFINITION:
 A system of delivery of comprehensive health care to the people by a health team
in order to improve the health of the community
HEALTH TEAM
• A group of persons who share a common health goal and common objectives
determined by community needs and towards the achievement of which each member
of the team contributes in accordance with his/her competence and skills and
respecting the function of others.
PREVENTIVE MEDICINE
 The science and art of preventing disease, prolonging life and promoting physical
and mental health and efficiency.
PUBLIC HEALTH
The science and art of preventing disease, prolonging life and promoting physical
and mental health and efficiency through organized community efforts for;

- The sanitation of the environment

- Organizing the medical and nursing services for the early diagnosis, prompt
treatment of disease and prevention of disease
-The development of the social machinery that will ensure t every individual in the
community a standard of living adequate for maintenance of health.
PROGRAM
 Ongoing activity which is carried out for an indefinite period of time till the
achievement of objectives according to the specification
TYPES OF PROGRAM
Vertical P:
A single program of health service for the community
E.g. EPI
Staff is concerned only with one activity
Other examples??

AIDS control P
Leprosy control P
Malaria control P
Horizontal P:
 A health service delivery program which covers the two dimensions of health
i.e. personal health and community health.

Social Action P-I (SAP-I) (concerned with primary health, sanitation, primary
education, rural water supply and family planning)
National program to family planning
Primary health care (Benzair program/prime ministers program)