PRIMARY HEALTH CARE

Health for All Health in the Hands of the People

ELIZABETH PATERNO, MD, MPH DIRECTOR COMMUNITY HEALTH AND DEVELOPMENT PROGRAM

UP MANILA

Primary Health Care is not equal to the delivery of the primary level of health services

Levels of Health Care
 Primary  Secondary  Tertiary

Levels of Health Care
 Primary level of Care
 provision of the most basic health services at the community level  first contact of individuals to the health care system

Levels of Health Care
 Secondary level of Care
 Exemplified by the level of health care that a District Hospital should be able to deliver  Should have diagnostic equipment like X-ray and a laboratory  Includes simple surgery like appendectomy and caesarian sections

Levels of Health Care

 Tertiary level of Care
 Delivery of highly specialized care

The Alma Ata Declaration
 WHO-UNICEF meeting of world health leaders  Alma Ata (now Almaty), Kazhakstan (then part of the USSR)  1978

Primary Health Care Principles
 Health is a state of complete physical, mental and social well being, and not merely the absence of disease  Health is a basic human right

Primary Health Care Principles
 The existing disparity in the health status of peoples in different countries and even within a country is therefore not acceptable and should be a concern of everyone.

Primary Health Care Principles
 Socio Economic development is ESSENTIAL to the attainment of HEALTH FOR ALL

Primary Health Care Principles
 People have the right and duty to participate in their own health care

Primary Health Care Principles
 Governments bear the primary obligation to take care of the health of its people

Primary Health Care
 is ESSENTIAL HEALTH CARE that is

 Scientifically sound  Socially acceptable  Universally accessible

Primary Health Care
 is ESSENTIAL HEALTH CARE that is

 Affordable by the country and the community at every stage of its development  Implemented with the community’s full participation

Primary Health Care
 forms an integral part of the country's health system, of which it is the central function and main focus

Basic Primary Care service package
 health education to the population  treatment of locally endemic as well as common illnesses  immunization of children against the most important preventable diseases in the locality  sanitation and safe water  provision of essentially medicines  maternal and child care  nutrition

Primary Health Care
 forms an integral part of the overall social and economic development of the community

Features of a municipality implementing Primary Health Care
1. Presence of a functional comprehensive municipal development plan
 addresses determinants of health
 Provides livelihood for the majority especially the poor  Ensures food security and safe water  Protects and sustains the environment

 Provides for a functional health system

Features of a municipality implementing Primary Health Care
2. People’s participation institutionalized at every level of governance
 Functional Local Health Board  Barangay Health Committees  Organized Communities

Features of a municipality implementing Primary Health Care
3. Organized Health System
 Clear municipal health plan that is implemented and regularly monitored and evaluated  A well funded municipal/city health center  Adequately equipped Health Station in every Barangay with appropriate health human resource

Features of a municipality implementing Primary Health Care
3. Organized Health System
 Barangay Health Workers (with a BHW to family ratio of 1:20) well trained in  Community Organizing  Public Health Education  Provision of basic health care  Clear two-way referral system from the barangay to the municipal / city health center to a secondary or tertiary center

Everyone of us has a role in ensuring that HEALTH FOR ALL becomes a reality.