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Posted: 22 Jul 2009 09:36 PM PDT
Definition:
The Alma Ata Conference defines
Primary Health Care
as essential health care based on practical,scientifically sound and socially acceptable methods and technology made universally, accessible toindividuals and families in the community by means of acceptable to them, through their full participationand at a cost that community and country can afford to maintain at every stage of their development in thespirit of self-reliance and self-determination. It forms an integral part of both the country’s health system,of which it is the central function and the main focus and of the overall social and economic developmentof the community.
Goal:
The global goal as stated in the Alma Ata Declaration is
Health for All by the year 2000
throughself-reliance.
Health begins at home, in schools and in the workplace because it is there where people live andwork that health is made or broken.
It also means that people will use better approaches than they do now for preventing diseasesand alleviating unavoidable disease and disability and have better ways of growing up, growingold and dying gracefully.
It also means that here will be even distribution among the population of whatever resources for health are available.
It means that essential health services will be accessible to all individuals and families in anacceptable and affordable way.
Principles and Strategies:
1.
Accessibility, Availability, Affordability and Acceptability of Health Services
Strategies:
Health services delivered where the people are
Use of indigenous/resident volunteer health worker as a health care provider witha ratio of one community health worker per 10-20 households
Use of traditional(herbal medicine)with essential drugs.2.Provision of quality, basic and essential health services
Strategies:
Training design and curriculum based on community needs and priorities.
Attitudes, knowledge and skills developed are on promotive, preventive, curativeand rehabilitative health care.
Regular monitoring and periodic evaluation of community health workersperformance by the community and health staff.
3.
Community Participation
Strategies:
 
Awareness, building and consciousness raising on health and health-relatedissues.
Planning, implementation, monitoring and evaluation done through small groupmeetings (10-20 households cluster)
Selection of community health workers by the community.
Formation of health committees.
Establishment of a community health organization at the parish or municipallevel.
Mass health campaigns and mobilization to combat health problems.4.Self-reliance
Strategies
Community generates support (cash, labor) for health programs.
Use of local resources (human, financial, material)
Training of community in leadership and management skills.
Incorporation of income generating projects, cooperatives and small scaleindustries.5.Recognition of interrelationship of health and development
Strategies:
Convergence of health, food, nutrition, water, sanitation and population services.
Integration of PHC into national, regional, provincial, municipal and barangaydevelopment plans.
Coordination of activities with economic planning, education, agriculture, industry,housing, public works, communication and social services.
Establishment of an effective health referral system.
6.
Social Mobilization
Strategies
Establishment of an effective health referral system.
Multi-sectoral and interdisciplinary linkage.
Information, education, communication support using multi-media.
Collaboration between government and non-governmental organizations.
7.
Decentralization
Strategies
Reallocation of budgetary resources.
Reorientation of health professional and PHC.
Advocacy for political and support from the national leadership down to thebarangay level.
8 Essential Health Services in Primary Health Care (ELEMENTS)
1.
E
– Education for Health
2.
L
 – Locally endemic disease control
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hello there. can i ask a copy of this 3-page document. thnak you. the email add is jinky_abarca@yahoo.com. I am going to use it on a lecture with Community Health Workers. Thank you.

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