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Historical basis of PHC

In 1978, a conference was held at Alma Ata,
Russia.

Primary Health Care The conference was sponsored by the World

Health Organization (WHO) and the United
Nations Children’s Fund (UNICEF).
The purpose of the conference was to develop
a new approach to health care delivery that
would make possible the global goal of the
WHO, i. e., Health for All by the Year 2000.

The output of the conference was entitled the Definition of PHC

“Alma Ata Declaration on Primary Health Care”
Essential
Letter of Instruction 949 issued by then
Accessible
President Ferdinand Marcos mandated the
DOH to use primary health care as an Acceptable
approach in planning and implementing health
Participative
programs.
Affordable
LOI 949 is the legal basis for the use of PHC in
our country. Sustainable

Essential health care Accessible health care

E – Education Geographic accessibility – location of the
health facility as much as possible within 5
L – Local disease control
km or may be reached within 30 minutes
E – Essential drugs
Cultural accessibility – acceptability of
M – Maternal and child health health services
E – Expanded Program on Immunization Financial accessibility – affordability of
health services
N – Nutrition Program
T – Treatment of simple ailments
S – Sanitation, especially safe water supply

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Goal of PHC Support mechanisms are provided by

Health for All through self-reliance The people themselves
4 major features (pillars) of PHC Government institutions, especially the health
sector of the government
1. Support mechanisms made available
Private sector
2. Community participation
3. Multi-sectoral approach
4. Appropriate technology

Multisectoral approach
Intersectoral linkages – working relationships
between the health sector and other sectors
Health workers
Other developmental involved in community development, such as
agencies education, social welfare, public works,
agriculture
Intrasectoral linkages – working relationships
within the health sector itself (2-way referral
system, team approach)

Community

Appropriate technology: criteria Appropriate technology: criteria of effective

diagnostic procedures
Effective
Sensitivity – the ability of the test to identify
Safe
cases and carriers; the degree of avoidance of
Affordable false negative results
Simple Specificity – the ability of the test to rule out
non-cases; the degree of avoidance of false
Acceptable
positive results
With a wide scope of technology
Feasible

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Herbal medicines
Akapulko (ringworm bush)
Anti-fungal
Ampalaya (bitter gourd)
Diabetes mellitus
Bawang (garlic)
To lower cholesterol blood level, hypertension
Toothache
Caution: take on a full stomach to prevent
ulcers

Bayabas (guava)
Antiseptic wash
Relief of diarrhea
Toothache

Erba buena (peppermint)

Analgesic: rheumatism, menstrual and gas
pain
Cough and colds
Swollen gums
Toothache
Nausea and fainting
Insect bite and pruritus

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Lagundi (5 leaves chaste tree)

Asthma, cough, muscle pains and fever
Dysentery
Skin diseases – scabies, eczema, dermatitis
Analgesic – headache, rheumatism, sprain
Contusions
Insect bites
Aromatic bath for sick patients

Niyug-niyogan (Chinese honey suckle)

Anti-helminthic
Caution: not to be given to children below 4
years
Sambong (Ngai camphor)
Diuretic

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Tsaang gubat (wild tea)

Diarrhea
Has a high fluoride content, used as a
mouthwash to prevent dental caries
Ulasimang bato (peperomia)
Lowers uric acid

Sambong grows 1 1/2 to 3 meters in height.

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