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LECTURE NOTES For Environmental Health Students Introduction to Ecology Worku Legesse, B.Sc.,M.Sc., Ph.D. Teklu Mulugeta, B.Sc. Aragaw Ambelu, B.Sc. Jimma University In collaboration with the Ethiopia Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education November 2002 Funded under USAID Cooperative Agreement No. 663-A-00-00-0358-00. Produced in collaboration with the Ethiopia Public Health Training Initiative, The Carter Center, the Ethiopia Ministry of Health, and the Ethiopia Ministry of Education. Important Guidelines for Printing and Photocopying Limited permission is granted free of charge to print or photocopy all pages of this publication for educational, not-for-profit use by health care workers, students or faculty. All copies must retain all author credits and copyright notices included in the original document. Under no circumstances is it permissible to sell or distribute on a commercial basis, or to claim authorship of, copies of material reproduced from this publication. ©2002 by Worku Legesse, Teklu Mulugeta, and Aragaw Ambelu All rights reserved. Except as expressly provided above, no part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without written permission of the author or authors. This material is intended for educational use only by practicing health care workers or students and faculty in a health care field. PREFACE There is generally scarcity of teaching/ learning materials in the higher education institutions of Ethiopia. The available materials regarding the course on the Introduction to Public Health are not appropriate to our environmental and socio-economic set up. This lecture note is prepared primarily for health officer students, and is organized based on the course outline of introduction to public health in the curriculum of health officers. Nevertheless, the lecture note is deemed to be useful for almost all degree and diploma health science students in the University and elsewhere in the country. Taking in to account the shortage of teaching /learning materials for the course- introduction to public health, this lecture note is recommended to be used as a reference for students. Concepts, principles and terms are defined and described to reduce confusion. This material is presented in ten chapters. Chapters - 1 and 2 present the definitions and various perspectives of health and public health and discusses the determinants of health. Chapters - 3, 4 and 5 deal with culture, traditional health care practice and family health. Chapter i 6 is about personal hygiene. Chapter 7 is about health and development. In this chapter the difference between development and economic growth, the role of health in development and health and development in the Ethiopian context are presented. Chapter 8 is about health service in Ethiopia and the history, the structure and the developments of the health service. Chapter 9 is about Primary Health Care and the definition, historical development, concepts and philosophies of Primary Health Care. Chapters 10 discusses community based health services and team approach in the health service. All chapters begin with learning objectives, by indicating what is expected from students on completion of the chapter. Furthermore, at the end of each chapter there are exercises related to the core issues of the respective chapter. ii
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