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Primary Health Care (Hard Copy)

Primary Health Care (Hard Copy)

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Published by Aprille Segarra

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Published by: Aprille Segarra on May 20, 2013
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Primary Health Care
Often abbreviated as "PHC", has been defined as "essential health care basedon practical, scientifically sound and socially acceptable methods andtechnology made universally accessible to individuals and families in thecommunity through their full participation and at a cost that the communityand the country can afford to maintain at every stage of their development inthe spirit of self-reliance and self-determination". (WHO)
PHC was declared in the ALMA-ATA CONFERENCE in 1978, as a strategy tocommunity health development. It is a strategy aimed to provide essentialhealth care that is:
Community – based
Accessible
Part and parcel of the total socio – economic development effort of thenation.
Acceptable
Sustainable at an affordable cost.
Framework 
People’s Empowerment and Partnership is the Key Strategy to achieve thegoal, “Health For all Filipinos by the year 2000 And Health in the Hands of thePeople by the year 2020”
Mission of PHC
Primary health care aims to strengthen the healthcare system by increasingopportunities and supporting the conditions wherein people will manage theirown health care.
Principles of PHC
Health and development are interrelated.
Development is a quest for an improve quality of life for all.
Essential health services must be accessible, available, acceptable, andaffordable.
Genuine people’s participation is essential, the “heart” and “soul” of PHC.
4 A’s of PHC
 
Accessibility
Availability
Acceptability
affordability
Social mobilization enhances people participation or governance, supportsystem provided by the Government, networking, and developing secondaryleaders.
Decentralization
Objectives of PHC
Improvement in the level of health care of the community.
Favorable population growth structure.
Reduction in the prevalence of preventable, communicable and otherdiseases.
Reduction in the morbidity and mortality rates especially among infants andchildren.
Extension of essential health services with priority given to the undeservedsectors.
Improvement in basic sanitation.
Development of the capability of the community aimed at self – reliance.
Maximizing the contribution of the other sectors for the social and economicdevelopment of the community.
Four Cornerstones/Pillars in PHC
Active community participation.
Intra – and Inter – sartorial linkages.
Use of appropriate technology.
Support mechanism made available.
Strategies
Elevating health to a comprehensive and sustained national effort.
 
Promoting and supporting community – health managed system.
Increasing efficiencies in the health sector.
Advancing essential national health search.
Elements of PHC
Education on prevailing health problems.
Locally – endemic disease prevention and control.
Expanded program of immunization.
Maternal and child health and family planning.
Environmental sanitation and safe water supply.
Nutrition and food supply.
 Treatment of communicable & non – communicable diseases conditions.
Supply and proper use of essential drugs and herbal medicine.
Dental health promotion.
Access to and use of hospitals as centers of wellness.
Mental health promotion.
The ultimate goal of primary health care is better health for all. WHO hasidentified five key elements to achieving that goal:
reducing exclusion and social disparities in health (universal coveragereforms);
organizing health services around people's needs and expectations (servicedelivery reforms);
integrating health into all sectors (public policy reforms);
pursuing collaborative models of policy dialogue (leadership reforms); and
Increasing stakeholder participation.
Basic principles identified in the Alma Ata Declaration that should beformulated in national policies in order to launch and sustain PHC as partof a comprehensive health system and in coordination with other sectors:

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