1. IMPROVING THE QUALITY OF
PRIMARY HEALTH CARE

2. INTRODUCTION
What is primary health care?
• Primary health care is nothing but
providing basic health care to the each and every
citizens.
• At the presence scenario, the primary
health care center are better in urban areas than the
rural areas.
• To overcome this situation we suggest
some ideas…….

3. DEMOGRAPHIC TRANSITION
There are three stages in demographic transition:
High birth rate , High death rate
High birth rate , Low death rate
Low birth rate , Low death rate
At the earlier days ,the scenario was like stage1.

4. DEMOGRAPHIC TRANSITION
Then after 30 – 40 years ,there was a dramatic
change in the medical field and the scenario was like
stage 2.
Around 1961 ,family planning scheme was
implemented which made a reduction in population
.
These are applicable only in urban areas than in
rural areas.
 In rural areas ,the situation is still in the stage1.

5. AIM OF THE PRIMARY HEALTH CARE
Primary health care shifts the emphasis of health
care to the people themselves and their needs,
reinforcing and strengthening their own capacity to
shape their lives.
 As a philosophy, primary health care is based on
the overlap of mutuality, social justice and equality.
Primary health care maximizes the involvement of
the community.

6. AIM OF THE PRIMARY HEALTH CARE
It includes all relevant sectors but avoids duplication
of services; and uses only health technologies that
are accessible, acceptable, affordable and
appropriate.
 Primary health care needs to be delivered close to
the people; thus, should rely on maximum

7. ESSENTIAL COMPONENTS
1. education for the identification and prevention /
control of prevailing health challenges
2. proper food supplies and nutrition; adequate
supply of safe water and basic sanitation
3. maternal and child care, including family planning
4. immunization against the major infectious
diseases

8. ESSENTIAL COMPONENTS
 5. prevention and control of locally endemic diseases
 6. appropriate treatment of common diseases using
appropriate technology
 7. promotion of mental, emotional and spiritual health
 8. provision of essential drugs (WHO & UNICEF, 1978).

9. NECESSITY OF HEALTH CARE CENTERS

10. OUR IMPLEMENTATION
 Recently our government has made mandatory for the doctors
to work in rural areas for two years after their completion of
course.
 That will be a better idea ,if we have a few more constraints .
CONSTRAINTS:
Each and every peoples in the particular rural area has to
report about the doctors and his services during the course of
2 years.
If there is only positive comments , he can start his own
clinics and work for any private hospitals that he desires.
If not so ,he should work for another 1 year.