GOVT.

COLLEGE OF
NURSING, JODHPUR

Subject- Nursing Education

practice teaching
On
Primary health care

Submitted to- Submitted by

Mr. N.P.S Choudhary Dheeraj vyas
HOD (CHN) M.Sc Nursing Previous
Year (2021)

Govt. College of Nursing, Jodhpur Govt. College of Nursing,

Jodhpur
 Date of submission-

INRODUCTION

 Student Teacher Name - Dheeraj vyas

 Subject - Community Health Nursing

 Topic - Primary Health Care

 Group -Basic B.sc Nursing part II

 Venue -Lecture Hall 10

 Date and Time -

 Duration -45 minutes

 Method of Teaching -Lecture cum discussion

 A.V. Aids -PPT, black board and chart

 Previous knowledge of the group- Students has some basic knowledge

regarding primary health care.

GENERAL OBJECTIVE

 At the end of the class students will be able to gain knowledge regarding primary health
care and will apply this knowledge in their future practice.

SPECIFIC OBJECTIVES: At the end of the class the group will be able to...
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objective activity

Self introduction- My name is Dheeraj vyas

and I am student of M.sc nursing previous year.

Topic introduction- Health is a state of

complete physical, mental and social well being
and not merely absence of disease or infirmity
(WHO Definition of Health 1948).
Health is a fundamental human right. The state
holds the responsibility for the health of its people.
National Governments all over the world are
striving to expand and improve their health care
services. The current situation is urban oriented,
mostly curative in nature and accessible to a small
part of population.

Announcement of the topic- Today we will

be going to discuss primary health care.
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1. Explain Primary Health Care- Student Student PPT
primary Primary health care may be defined as: Essential teacher listens
health care Health care based on practical, scientifically sound, explains the carefully
and socially acceptable methods and technology primary What is
made universally accessible to individuals and health care primary
families in the community through their full
participation and at a cost that the country and health care?
community can  afford.

2. Describe the History of PHC- At the international level, the Student Students PPT
history of Universal Declaration of Human Rights established a teacher writes notes
primary breakthrough in 1948, by stating in Article 25: describes the
health care “Everyone has the right to a standard of living history of
adequate for the health and well being of himself and
PHC
his family” The preamble to the WHO Constitution
also affirms that it is one of the fundamental rights of
every human being to enjoy “The highest attainable
standard of health”. Increasing importance has been
given to social justice and equity, recognition of the
crucial role of community participation, changing
ideas about the nature of health and development, the
importance of political will called for new
approaches to make medicine more effective in the
service of humanity.
Against the above background, the 30th World health
Assembly resolved in May 1977 at Alma Ata , that
“the main social target of governments and WHO in
the coming decades should be the attainment by all
citizens of the world by the year 2000 of a level of
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health that will permit them to lead a socially and
economically productive life”
This culminated in the international objective of
HEALTH FOR ALL by the year 2000 as the social
goal of all governments. In the joint WHO –
UNICEF international conference in 1978 at Alma –
Ata (USSR), the governments of 134 countries and
many voluntary agencies called for a revolutionary
approach to health care. Declaring that “The existing
gross inequality in the health status of people
particularly between developed and developing
countries as well as within countries is politically,
socially and economically unacceptable”
Health for all means that health is to be brought
within the reach of every one in a given community. 
It implies the removal of obstacles to health – that is
to say the elimination of
•    Malnutrition
•    Ignorance
•    Disease
•    Contaminated water supply
•    Unhygienic housing etc.
It depends on continued progress in medicine and
public health. Alma Ata Declaration called on all
governments to formulate national policies, strategies
and plans of action to launch and sustain primary
health care as part of a national health system. It is In which
left to each country to innovate, according to its own year Alma
circumstances to provide primary health care
Ata
This was followed by the formulation and adoption conference
of the Global Strategy for Health for all by the 34th
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World Health Assembly in 1981.
Primary Health care got off to a good start in many was held?
countries with the theme “Health for All by 2000
AD”
Primary Health Care is a new approach to health
care, which integrates at the community level all the
factors required for improving the health status of the
population.

Concept of Primary Health Care-

PHC is for all especially the needy. Regardless of
social and economic status every individual in the
3 Enumerate nation must have access to good health care. Student Students PPT
The services should be acceptable to the community
concept of teacher nodes head
and there must be active involvement of the
PHC community. The health services must be effective, enumerates
preventive, promotive and curative. The services the concept
should form an integral part of the country’s health of PHC Explain the
system. The programme must be efficient, multi- concept of
sectorial because health does not exist in isolation PHC?

Levels of Health Care-

There are 3 level of health care service:
1.    Primary care level
2.    Secondary care level
4 Enlist levels 3.    Tertiary care level Student Students PPT,
of health care Primary care level teacher writes notes handou
First level of contact of individual, family and enlists the t
community with health system. It is most effective levels of
and close to the people and includes: health care
•    PHC
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•    BHU, RHC, THQ
•    Clinics
•    RMO
•    GP
Secondary care level
Higher level of care at which more complex problem
are dealt with. It includes:
•    DHQ
•    THQ
•    Health centers
•    Hospitals
Tertiary care level
Specialized health care is provided at tertiary care
What do
level. Specific facilities are available. Specialized
health workers are present. It involves you mean
•    Teaching hospitals, by
•    Regional hospitals secondary
•    Central hospitals health care?
•    Specializes hospitals

Principles of Primary Health Care-

1.    Equity
2.    Community Participation
3.    Intersectoral Coordination
4.    Appropriate Technology
5 Describe 1. Equity/Equitable Distribution Student Students
principles of The first key principle in primary health care strategy teacher listens Leaflet
primary is equity or equitable distribution of health services. describes the carefully
health care Health services must be shared equally by all people principles of
irrespective of their ability to pay and all ( rich or
PHC Enlist the
poor, urban or rural) must have access to health
services. Currently health services are mainly in principles of
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towns and inaccessibility to majority of population in
the developing world. primary
health care?
2.Community Participation
Overall responsibility is of the State. The
involvement of individuals, families, and
communities in promotion of their own health and
welfare is an essential ingredient of primary health
care. PHC coverage cannot be achieved without the Explain
involvement of community in planning, equitable
implementation and maintenance of health services. distribution.

3.Intersectoral Coordination
Declaration of Alma –Ata states that PHC involves in
addition to the health sector all related sectors and
aspects     of national and community development,
in particular education, agriculture, animal
husbandry, food, industry, education, housing,  public
works and communication.
To achieve cooperation, planning at country level is
required to involve all sectors.

4.Appropriate Technology
Technology that is scientifically sound, adaptable to
the local needs, and acceptable to those who apply it
and  those for whom it is used and can be maintained
by the people themselves with the resources of the
community and country can afford.

Essential Component / Elements-

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1. E– Education concerning prevailing health

problems and the methods of identifying,
preventing and controlling them.

2. L–  Locally endemic disease prevention and

control.
6 Explain Student Students
essential 3. E–  Expanded programme teacher listens PPT
components of immunization against major infectious  explains the carefully and and
of PHC diseases. essential writes notes handou
components t
4. M– Maternal and child health care including of PHC
family planning.

5. E–   Essential drugs arrangement.

6. N– Nutritional food supplement, an adequate

supply of safe and basic nutrition.

7. T–   Treatment of communicable and non-

communicable disease and promotion of mental
health.

8. S–  Safe water and sanitation.

Extended Elements in 21st Century

1. Expanded options of immunizations
2. Reproductive Health Needs
3. Provision of essential technologies for health
4. Health Promotion
5. Prevention and control of non-communicable
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diseases
6. Food safety and provision of selected food
supplements Enlist the
components
Role of nurse in PHC- of primary
A model of the roles of nurses is that their work may health care.
cover:
7 Describe role Student Students
of nurse in  Health promotion teacher listens
PHC  Illness prevention describes the carefully PPT Explain the
 Antenatal and postnatal care role of nurse role of nurse
 Child and family health nursing in PHC in primary
 Treatment and care of sick people health care.
 Rehabilitation and palliation
 Community development
 Population and public health
 Education and research
 Policy development and advocacy.
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Summary- Primary health care was put forward 30 years ago as a set of values, principles and aimed at raising the level of health
population and so to meet the several objectives, better health, less diseases and vast improvement in the performance of health
system.

Assignment- Write an assignment on role of nurse in primary health care.

Conclusion- Further I want to conclude that the students will be able to answer about levels, principles and elements of primary
health care and establishment of primary health care.
Bibliography –

 Soni Samta, textbook of advance nursing practice, second edition, Jaypee Brothers
Medical Publishers,page no-379-388
 Basheer P. Shebeer, Textbook of Advanced Nursing Practise, 2 nd edition, EMMES
medical publisher, 2017,page no- 305-323
 https://in.search.yahoo.com/search?
fr=mcafee&type=D214IN91168G0&p=primary+health+care
 http://www.arthapedia.in/index.php?title=Primary,_Secondary_and_Tertiary_HealthCare