SlideShare uma empresa Scribd logo
FRAMEWORK
 Concept & importance of Primary Health
Care
 Brief History Of Primary Health Care in India
 Evolution of PHC in India
 Current Structure of PHC
 Services Provided Through PHC
INTRODUCTION
 Health: A state of complete physical,
mental, and social well being and not
merely absence of disease or infirmity.
 What does health for all means?
• “Large numbers of the world’s
people, perhaps more than
half, have no access to health
care at all, and for many of the
rest the care they receive does
not answer the problems they
have.”
WHAT IS PRIMARY HEALTH CARE
 PHC is essential health care that is a socially
appropriate, universally accessible, scientifically
sound first level care provided by a suitably trained
workforce supported by integrated referral systems
and in a way that gives priority to those most in
need, maximises community and individual self-
reliance and participation and involves
collaboration with other sectors.
 It includes the following:
 health promotion
 illness prevention
 care of the sick
 advocacy
 community development
HISTORY
 1946 – Bhore Committee- put forward concept
of Primary Health Care.
 1974- Integrated cadre of MPWs.
 In 1977, GoI launched a Rural Health Scheame.
based on principle of ‘ placing people’s health in
people’s hand.’ ( Recommendation of Shrivastava
Committee
1975)
 1978 – Alma Ata Decleration-Health for All
through Primary Health Care.
The Joint WHO –
UNICEF
international
conference in 1978
at Alma-Ata (USSR)
Declared that
“the existing gross
inequalities in the
status of health of
people particularly
between developed and
developing countries
as well as within the
countries is politically,
socially and
economically
unacceptable.”
POPULATIONNORMSFOR PHC
 Bhore Committee – PHC/ 10- 20,000 population.
 Mudaliar Committee (1962) – PHC/ 40,000
population.
 ByFifth Plan (1975-80) – PHCwascatering health
needsof 1,00,000 population.
 Alma Ata – New philosophy of Primary Health
Care
 1983- National Health Plan – PHC/ 30,000 in
plain areas & per 20,000 in hilly region.
CURRENT STATUS OF PHC
TheUltimateGoal of PHC
1. Reducingexclusion& social disparities in health.
( Universal Health Coverage Reform)
2. Organizing health services around people’s
needs. ( Service delivery reforms)
3. Integrated health in to all sectors( Public
Policy Reforms)
4. Pursuingcollaborative modelsof policy dialogue
( Leadership reform)
5. Increasing stakeholder participation
SERVICESPROVIDEDTHROUGH PHC
Services
Provided
From
PHC
Provision of
Essential
Drugs
Health
Education
Food Supply &
Nutrition
Safe water &
Sanitation
Mother & Child
Health &
Family
Welfare
Immunization
Prevention &
Control Of
Diseases
Appropriate
Treatment of
Common
Diseases &
Injuries
SPECTRUM OF PRIMARY HEALTH CARE
Preventive
Promotive
Curative
Rehabilitative
Supportive
THE 30TH WORLD HEALTH ASSEMBLY
IN MAY 1977 RESOLVED
 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 AD of a level of
health that will permit them to lead a
socially and economically productive
life.’’
HEALTH FOR ALL BY 2000 AD
Principles of primary
health care
Equitable
distribution
Community
participation.
Inter-
sectoral
coordination
Appropriate
technology
PRINCIPLES OF PHC
PHC is:
 Essential health care based on practical,
scientifically sound and socially acceptable
methods and technology made universally
accessible to individuals and families in the
community through their full participation and
at a cost that community and the country can
afford … (Alma-Ata, 1978)
CONTINUED….
• PHC based on the following principles :
– Social equity
– Nation-wide coverage
– Self-reliance
– Inter-sectoral coordination
– People’s involvement in the planning and implementation
of health programs
CORE ACTIVES OF PHC
 Education concerning
prevailing health problems
and the methods of
preventing and controlling
them
 Promotion of food supply
and proper nutrition
 An adequate supply of
safe water and basic
sanitation
 Maternal and child health
care, including family
planning
 Immunization against the
 Prevention and control of
locally endemic diseases
 Appropriate treatment of
common diseases and
injuries
 Basic laboratory services
and provision of essential
drugs.
 Training of health guides,
health workers and health
assistants.
 Referral services
WHO STRATEGIES OF PHC
1. Reducing excess mortality of poor marginalized
populations:
PHC must ensure access to health services for the
most disadvantaged populations, and focus on
interventions which will directly impact on the major
causes of mortality, morbidity and disability for
those populations.
2. Reducing the leading risk factors to human health:
PHC, through its preventative and health promotion
roles, must address those known risk factors, which
are the major determinants of health outcomes for
local populations.
CONTINUED….
3. Developing Sustainable Health Systems:
PHC as a component of health systems must
develop in ways, which are financially sustainable,
supported by political leaders, and supported by
the populations served.
4. Developing an enabling policy and institutional
environment:
PHC policy must be integrated with other policy
domains, and play its part in the pursuit of wider
social, economic, environmental and development
policy.
THE BASIC REQUIREMENTS FOR SOUND PHC
(THE 8 A’S AND THE 3 C’S)
 Appropriateness
 Availability
 Adequacy
 Accessibility
 Acceptability
 Affordability
 Assessability
 Accountability
 Completeness
 Comprehensiveness
 Continuity
MAINNATIONAL HEALTHPROGRAMMES THROUGHPHC
☼ RNTCP
☼ National Programmefor blindness (NPCB)
☼ National Leprosy Elimination Programme (NLEP)
☼ NVBDCP
☼ National AIDSControl Programme (NACP)
☼ National Program for Prevention & Control of
Cancer,Diabetes, Cardiovascular diseases&
Stroke
☼ National Program ForHealth Care of the
Elderly (NPHCE)
☼ Programmesfor Iodine Deficiency,Tobacco
Control
OBSTACLES FOR THE IMPLEMENTATION OF THE
PHC STRATEGY
 Misinterpretation of the PHC concept
 Lack of political will
 Centralized planning and management
OBSTACLES TO THE IMPLEMENTATION OF THE
PHC STRATEGY
☼ Misinterpretation of the PHC concept
☼ Lack of political will
☼ Centralized planning and management
☼ Infrastructure for rising population Size& diversity
☼ Rapid urbanization
☼ Changing demographic profile –Ageing
population
☼ Triple burden of diseases
☼ Manpower crisis
☼ Quality care & client satisfaction
☼ Quality research in PHC
SUMMARY
Primary care is an approach that:
 Focuses on the person not the disease,
considers all determinants of health
 Integrates care when there is more than one
problem
 Uses resources to narrow differences
Primary Health Care

Mais conteúdo relacionado

Mais procurados

Health policy in developing countries
Health policy in developing countriesHealth policy in developing countries
Health policy in developing countries
Dr. Ankit Mohapatra
 
Health education
Health educationHealth education
Health education
Dr Lipilekha Patnaik
 
HEALTH PROMOTION - NEW PUBLIC HEALTH
HEALTH PROMOTION - NEW PUBLIC HEALTHHEALTH PROMOTION - NEW PUBLIC HEALTH
HEALTH PROMOTION - NEW PUBLIC HEALTH
Vineetha K
 
National Health Policy (Nepal)
National Health Policy (Nepal)National Health Policy (Nepal)
National Health Policy (Nepal)
SwikritiKoirala3
 
Presentation of health policies
Presentation of health policiesPresentation of health policies
Presentation of health policies
goverment nursing college.
 
History of Public health in India
History of Public health in IndiaHistory of Public health in India
History of Public health in India
Kannan Anjurtupil
 
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)
Prabesh Ghimire
 
Health Systems and Health Care Services
Health Systems and Health Care ServicesHealth Systems and Health Care Services
Health Systems and Health Care Services
Prabesh Ghimire
 
Health promotion
Health promotionHealth promotion
Health promotion
Megan Ash
 
Health system
Health systemHealth system
Health system
Shiva Ram Khatiwoda
 
Universal Health Coverage
Universal Health Coverage Universal Health Coverage
Universal Health Coverage
sourav goswami
 
Historical Development of Health System in Nepal
Historical Development of Health System in NepalHistorical Development of Health System in Nepal
Historical Development of Health System in Nepal
lal bahadur Kunwar
 
Health promotion conferences 30 years
Health promotion conferences  30 yearsHealth promotion conferences  30 years
Health promotion conferences 30 years
Ahmed-Refat Refat
 
Primary health care
Primary health carePrimary health care
Primary health care
Atul Yadav
 
National health policy 2071
National health policy 2071National health policy 2071
National health policy 2071
RAVIKANTAMISHRA
 
Primary Health Care (PHC)
Primary Health Care (PHC)Primary Health Care (PHC)
Primary Health Care (PHC)
MamataSharma3
 
Determinants of health
Determinants of healthDeterminants of health
Determinants of health
Drsasi116
 
Presentation1 phc
Presentation1 phcPresentation1 phc
Presentation1 phc
lakhanpal1
 
Health System in India
Health System in IndiaHealth System in India
Health System in India
Dr.Santosh Kadle
 
Health systems strengthening
Health systems strengtheningHealth systems strengthening
Health systems strengthening
Juan Seclen
 

Mais procurados (20)

Health policy in developing countries
Health policy in developing countriesHealth policy in developing countries
Health policy in developing countries
 
Health education
Health educationHealth education
Health education
 
HEALTH PROMOTION - NEW PUBLIC HEALTH
HEALTH PROMOTION - NEW PUBLIC HEALTHHEALTH PROMOTION - NEW PUBLIC HEALTH
HEALTH PROMOTION - NEW PUBLIC HEALTH
 
National Health Policy (Nepal)
National Health Policy (Nepal)National Health Policy (Nepal)
National Health Policy (Nepal)
 
Presentation of health policies
Presentation of health policiesPresentation of health policies
Presentation of health policies
 
History of Public health in India
History of Public health in IndiaHistory of Public health in India
History of Public health in India
 
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)
Organogram/ Organization Structure of Nepalese Health System (Updated- Nov 2021)
 
Health Systems and Health Care Services
Health Systems and Health Care ServicesHealth Systems and Health Care Services
Health Systems and Health Care Services
 
Health promotion
Health promotionHealth promotion
Health promotion
 
Health system
Health systemHealth system
Health system
 
Universal Health Coverage
Universal Health Coverage Universal Health Coverage
Universal Health Coverage
 
Historical Development of Health System in Nepal
Historical Development of Health System in NepalHistorical Development of Health System in Nepal
Historical Development of Health System in Nepal
 
Health promotion conferences 30 years
Health promotion conferences  30 yearsHealth promotion conferences  30 years
Health promotion conferences 30 years
 
Primary health care
Primary health carePrimary health care
Primary health care
 
National health policy 2071
National health policy 2071National health policy 2071
National health policy 2071
 
Primary Health Care (PHC)
Primary Health Care (PHC)Primary Health Care (PHC)
Primary Health Care (PHC)
 
Determinants of health
Determinants of healthDeterminants of health
Determinants of health
 
Presentation1 phc
Presentation1 phcPresentation1 phc
Presentation1 phc
 
Health System in India
Health System in IndiaHealth System in India
Health System in India
 
Health systems strengthening
Health systems strengtheningHealth systems strengthening
Health systems strengthening
 

Semelhante a Primary Health Care

Primary health care concept
Primary health care conceptPrimary health care concept
Primary health care concept
Swasthavritta Akhandanad
 
Primary health care.pptx
Primary health care.pptxPrimary health care.pptx
Primary health care.pptx
Anubha Pal
 
Primary health care
Primary health carePrimary health care
Primary health care
rohini harikrishnan
 
Primary health care
Primary health carePrimary health care
Primary health care
rohini harikrishnan
 
HEALTH FOR ALL.pptx
HEALTH FOR ALL.pptxHEALTH FOR ALL.pptx
HEALTH FOR ALL.pptx
Rohma Yusuf
 
Primary health care
Primary health carePrimary health care
Primary health care
pramod kumar
 
Health promotion phc and prevention
Health promotion phc and preventionHealth promotion phc and prevention
Health promotion phc and prevention
MD Danish Rizvi
 
Primary health care.pptx
Primary health care.pptxPrimary health care.pptx
Primary health care.pptx
DrkAnwerAli
 
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docx
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docxHEALTH PROMOTION AND PRIMARY HEALTH CARE.docx
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docx
Suraj Pande
 
Final lecture on health care system in pakistan
Final lecture on health care system in pakistanFinal lecture on health care system in pakistan
Final lecture on health care system in pakistan
DrSyedaNadiaFirdous
 
health promotion and primary prevention: Mamta Suryavanshi
 health promotion and primary prevention: Mamta Suryavanshi health promotion and primary prevention: Mamta Suryavanshi
health promotion and primary prevention: Mamta Suryavanshi
MamtaSuryavanshi1
 
Community Health Nursing-I Unit II.pptx
Community Health Nursing-I Unit II.pptxCommunity Health Nursing-I Unit II.pptx
Community Health Nursing-I Unit II.pptx
AsifAliLashari2
 
Primary health care
Primary health carePrimary health care
Primary health care
Kailash Nagar
 
Primary Health Care India
Primary Health Care IndiaPrimary Health Care India
Primary Health Care India
Kailash Nagar
 
Primary health care in india
Primary health care in indiaPrimary health care in india
Primary health care in india
Kailash Nagar
 
Health promotion , phc and prevention
Health promotion , phc and preventionHealth promotion , phc and prevention
Health promotion , phc and prevention
frank jc
 
Healthcare for community india
Healthcare for community indiaHealthcare for community india
Healthcare for community india
Sana Saiyed
 
1 Introduction to PHC.pptx
1 Introduction to PHC.pptx1 Introduction to PHC.pptx
1 Introduction to PHC.pptx
AYONELSON
 
Health care delivery system
Health care delivery systemHealth care delivery system
Health care delivery system
DrKHReddy
 
PRIMARY HEALTH CARE.doc
PRIMARY HEALTH CARE.docPRIMARY HEALTH CARE.doc
PRIMARY HEALTH CARE.doc
Suraj Pande
 

Semelhante a Primary Health Care (20)

Primary health care concept
Primary health care conceptPrimary health care concept
Primary health care concept
 
Primary health care.pptx
Primary health care.pptxPrimary health care.pptx
Primary health care.pptx
 
Primary health care
Primary health carePrimary health care
Primary health care
 
Primary health care
Primary health carePrimary health care
Primary health care
 
HEALTH FOR ALL.pptx
HEALTH FOR ALL.pptxHEALTH FOR ALL.pptx
HEALTH FOR ALL.pptx
 
Primary health care
Primary health carePrimary health care
Primary health care
 
Health promotion phc and prevention
Health promotion phc and preventionHealth promotion phc and prevention
Health promotion phc and prevention
 
Primary health care.pptx
Primary health care.pptxPrimary health care.pptx
Primary health care.pptx
 
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docx
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docxHEALTH PROMOTION AND PRIMARY HEALTH CARE.docx
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docx
 
Final lecture on health care system in pakistan
Final lecture on health care system in pakistanFinal lecture on health care system in pakistan
Final lecture on health care system in pakistan
 
health promotion and primary prevention: Mamta Suryavanshi
 health promotion and primary prevention: Mamta Suryavanshi health promotion and primary prevention: Mamta Suryavanshi
health promotion and primary prevention: Mamta Suryavanshi
 
Community Health Nursing-I Unit II.pptx
Community Health Nursing-I Unit II.pptxCommunity Health Nursing-I Unit II.pptx
Community Health Nursing-I Unit II.pptx
 
Primary health care
Primary health carePrimary health care
Primary health care
 
Primary Health Care India
Primary Health Care IndiaPrimary Health Care India
Primary Health Care India
 
Primary health care in india
Primary health care in indiaPrimary health care in india
Primary health care in india
 
Health promotion , phc and prevention
Health promotion , phc and preventionHealth promotion , phc and prevention
Health promotion , phc and prevention
 
Healthcare for community india
Healthcare for community indiaHealthcare for community india
Healthcare for community india
 
1 Introduction to PHC.pptx
1 Introduction to PHC.pptx1 Introduction to PHC.pptx
1 Introduction to PHC.pptx
 
Health care delivery system
Health care delivery systemHealth care delivery system
Health care delivery system
 
PRIMARY HEALTH CARE.doc
PRIMARY HEALTH CARE.docPRIMARY HEALTH CARE.doc
PRIMARY HEALTH CARE.doc
 

Último

Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
Torstein Dalen-Lorentsen
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
anaghabharat01
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
rishi2789
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
Tina Purnat
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
Jim Jacob Roy
 
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptxCLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
Government Dental College & Hospital Srinagar
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
shivalingatalekar1
 
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptxOutbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
Pratik328635
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
Dr. Jyothirmai Paindla
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
rishi2789
 
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathologypathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
ZayedKhan38
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Dr. Rabia Inam Gandapore
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
LEFLOT Jean-Louis
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
NephroTube - Dr.Gawad
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
Dr. Nikhilkumar Sakle
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
suvadeepdas911
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
PsychoTech Services
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
chiranthgowda16
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
taiba qazi
 

Último (20)

Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptxMuscles of Mastication by Dr. Rabia Inam Gandapore.pptx
Muscles of Mastication by Dr. Rabia Inam Gandapore.pptx
 
Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024Physical demands in sports - WCSPT Oslo 2024
Physical demands in sports - WCSPT Oslo 2024
 
DECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principlesDECLARATION OF HELSINKI - History and principles
DECLARATION OF HELSINKI - History and principles
 
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 1_ANTI TB DRUGS.pdf
 
share - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptxshare - Lions, tigers, AI and health misinformation, oh my!.pptx
share - Lions, tigers, AI and health misinformation, oh my!.pptx
 
Osteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdfOsteoporosis - Definition , Evaluation and Management .pdf
Osteoporosis - Definition , Evaluation and Management .pdf
 
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptxCLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
CLEAR ALIGNER THERAPY IN ORTHODONTICS .pptx
 
Cardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdfCardiac Assessment for B.sc Nursing Student.pdf
Cardiac Assessment for B.sc Nursing Student.pdf
 
Outbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptxOutbreak management including quarantine, isolation, contact.pptx
Outbreak management including quarantine, isolation, contact.pptx
 
Efficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in AyurvedaEfficacy of Avartana Sneha in Ayurveda
Efficacy of Avartana Sneha in Ayurveda
 
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdfCHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
CHEMOTHERAPY_RDP_CHAPTER 4_ANTI VIRAL DRUGS.pdf
 
pathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathologypathology MCQS introduction to pathology general pathology
pathology MCQS introduction to pathology general pathology
 
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptxVestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
Vestibulocochlear Nerve by Dr. Rabia Inam Gandapore.pptx
 
Cervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptxCervical Disc Arthroplasty ORSI 2024.pptx
Cervical Disc Arthroplasty ORSI 2024.pptx
 
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.GawadHemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
Hemodialysis: Chapter 5, Dialyzers Overview - Dr.Gawad
 
Pharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and AntagonistPharmacology of 5-hydroxytryptamine and Antagonist
Pharmacology of 5-hydroxytryptamine and Antagonist
 
CBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdfCBL Seminar 2024_Preliminary Program.pdf
CBL Seminar 2024_Preliminary Program.pdf
 
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPromoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotes
 
Complementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLSComplementary feeding in infant IAP PROTOCOLS
Complementary feeding in infant IAP PROTOCOLS
 
Tests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptxTests for analysis of different pharmaceutical.pptx
Tests for analysis of different pharmaceutical.pptx
 

Primary Health Care

  • 1.
  • 2. FRAMEWORK  Concept & importance of Primary Health Care  Brief History Of Primary Health Care in India  Evolution of PHC in India  Current Structure of PHC  Services Provided Through PHC
  • 3. INTRODUCTION  Health: A state of complete physical, mental, and social well being and not merely absence of disease or infirmity.  What does health for all means? • “Large numbers of the world’s people, perhaps more than half, have no access to health care at all, and for many of the rest the care they receive does not answer the problems they have.”
  • 4. WHAT IS PRIMARY HEALTH CARE  PHC is essential health care that is a socially appropriate, universally accessible, scientifically sound first level care provided by a suitably trained workforce supported by integrated referral systems and in a way that gives priority to those most in need, maximises community and individual self- reliance and participation and involves collaboration with other sectors.  It includes the following:  health promotion  illness prevention  care of the sick  advocacy  community development
  • 5. HISTORY  1946 – Bhore Committee- put forward concept of Primary Health Care.  1974- Integrated cadre of MPWs.  In 1977, GoI launched a Rural Health Scheame. based on principle of ‘ placing people’s health in people’s hand.’ ( Recommendation of Shrivastava Committee 1975)  1978 – Alma Ata Decleration-Health for All through Primary Health Care.
  • 6. The Joint WHO – UNICEF international conference in 1978 at Alma-Ata (USSR) Declared that “the existing gross inequalities in the status of health of people particularly between developed and developing countries as well as within the countries is politically, socially and economically unacceptable.”
  • 7. POPULATIONNORMSFOR PHC  Bhore Committee – PHC/ 10- 20,000 population.  Mudaliar Committee (1962) – PHC/ 40,000 population.  ByFifth Plan (1975-80) – PHCwascatering health needsof 1,00,000 population.  Alma Ata – New philosophy of Primary Health Care  1983- National Health Plan – PHC/ 30,000 in plain areas & per 20,000 in hilly region.
  • 8. CURRENT STATUS OF PHC TheUltimateGoal of PHC 1. Reducingexclusion& social disparities in health. ( Universal Health Coverage Reform) 2. Organizing health services around people’s needs. ( Service delivery reforms) 3. Integrated health in to all sectors( Public Policy Reforms) 4. Pursuingcollaborative modelsof policy dialogue ( Leadership reform) 5. Increasing stakeholder participation
  • 9. SERVICESPROVIDEDTHROUGH PHC Services Provided From PHC Provision of Essential Drugs Health Education Food Supply & Nutrition Safe water & Sanitation Mother & Child Health & Family Welfare Immunization Prevention & Control Of Diseases Appropriate Treatment of Common Diseases & Injuries
  • 10. SPECTRUM OF PRIMARY HEALTH CARE Preventive Promotive Curative Rehabilitative Supportive
  • 11. THE 30TH WORLD HEALTH ASSEMBLY IN MAY 1977 RESOLVED  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 AD of a level of health that will permit them to lead a socially and economically productive life.’’ HEALTH FOR ALL BY 2000 AD
  • 12. Principles of primary health care Equitable distribution Community participation. Inter- sectoral coordination Appropriate technology
  • 13. PRINCIPLES OF PHC PHC is:  Essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that community and the country can afford … (Alma-Ata, 1978)
  • 14. CONTINUED…. • PHC based on the following principles : – Social equity – Nation-wide coverage – Self-reliance – Inter-sectoral coordination – People’s involvement in the planning and implementation of health programs
  • 15. CORE ACTIVES OF PHC  Education concerning prevailing health problems and the methods of preventing and controlling them  Promotion of food supply and proper nutrition  An adequate supply of safe water and basic sanitation  Maternal and child health care, including family planning  Immunization against the  Prevention and control of locally endemic diseases  Appropriate treatment of common diseases and injuries  Basic laboratory services and provision of essential drugs.  Training of health guides, health workers and health assistants.  Referral services
  • 16. WHO STRATEGIES OF PHC 1. Reducing excess mortality of poor marginalized populations: PHC must ensure access to health services for the most disadvantaged populations, and focus on interventions which will directly impact on the major causes of mortality, morbidity and disability for those populations. 2. Reducing the leading risk factors to human health: PHC, through its preventative and health promotion roles, must address those known risk factors, which are the major determinants of health outcomes for local populations.
  • 17. CONTINUED…. 3. Developing Sustainable Health Systems: PHC as a component of health systems must develop in ways, which are financially sustainable, supported by political leaders, and supported by the populations served. 4. Developing an enabling policy and institutional environment: PHC policy must be integrated with other policy domains, and play its part in the pursuit of wider social, economic, environmental and development policy.
  • 18. THE BASIC REQUIREMENTS FOR SOUND PHC (THE 8 A’S AND THE 3 C’S)  Appropriateness  Availability  Adequacy  Accessibility  Acceptability  Affordability  Assessability  Accountability  Completeness  Comprehensiveness  Continuity
  • 19. MAINNATIONAL HEALTHPROGRAMMES THROUGHPHC ☼ RNTCP ☼ National Programmefor blindness (NPCB) ☼ National Leprosy Elimination Programme (NLEP) ☼ NVBDCP ☼ National AIDSControl Programme (NACP) ☼ National Program for Prevention & Control of Cancer,Diabetes, Cardiovascular diseases& Stroke ☼ National Program ForHealth Care of the Elderly (NPHCE) ☼ Programmesfor Iodine Deficiency,Tobacco Control
  • 20. OBSTACLES FOR THE IMPLEMENTATION OF THE PHC STRATEGY  Misinterpretation of the PHC concept  Lack of political will  Centralized planning and management
  • 21. OBSTACLES TO THE IMPLEMENTATION OF THE PHC STRATEGY ☼ Misinterpretation of the PHC concept ☼ Lack of political will ☼ Centralized planning and management ☼ Infrastructure for rising population Size& diversity ☼ Rapid urbanization ☼ Changing demographic profile –Ageing population ☼ Triple burden of diseases ☼ Manpower crisis ☼ Quality care & client satisfaction ☼ Quality research in PHC
  • 22. SUMMARY Primary care is an approach that:  Focuses on the person not the disease, considers all determinants of health  Integrates care when there is more than one problem  Uses resources to narrow differences