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PRIMARY HEALTH CARE
HEALTH /PRIMARY HEALTH CARE
• Health
• A state of complete physical, mental and social well
being not merely the absence of disease or infirmity.
( WHO- concept of Health)
• Primary health care
• As defined by the WHO as an essential health care
made universally accessible to individuals and
families in the community by means acceptable to
them through their full participation and at a cost that
the community and country can afford to maintain at
every stage of their development in the spirit of self-
determination
CONCEPT OF PHC
• According to DOH-
• PHC is characterized by partnership and
empowerment of the people that shall
permeate as the core strategy in the effective
provision of essential health services that is
community based, accessible, acceptable
and sustainable at a cost which the
community and the government can afford
the concept of primary health care (PHC) as
a strategy to reach the goal of Health for All
in 2000 AD
MODERN CONCEPT OF HEALTH
• MODERN CONCEPT OF HEALTH
• Optimum level of functioning among
individuals, families and
communities
• HEALTH CARE
• Health care , or healthcare , is the
prevention, treatment, and management of
illness and the preservation of mental health
through the services offered by the medical ,
nursing , and allied health professions
HEALTH CARE
DEFINITION
PRIMARY HEALTH CARE
HISTORY AND EVOLUTION OF PHC
Characteristics of PHC
• 1. PHC reflects and evolves from the economic
conditions and sociocultural and political characteristics
of the country and its communities and
• 2. PHC is based on the application of the relevant
results of social, biomedical and health services
research and public health experience;
• 3. PHC addresses the main health problems in the
community, providing promotive, preventive, curative
and rehabilitative services accordingly;
• 4. PHC includes at least: 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;
• 5.immunization against the major infectious
diseases; prevention and control of locally endemic
diseases; appropriate treatment of common
diseases and injuries; and provision of essential
drugs; Characteristics of PHC II
• 6. PHC should be sustained by integrated, functional
and mutually supportive referral systems, leading to
the progressive improvement of comprehensive
health care for all, and giving priority to those most in
need;
• 7. PHC relies, at local and referral levels, on health
workers, including physicians, nurses, midwives,
auxiliaries and community workers as applicable, as
well as traditional practitioners as needed, suitably
trained socially and technically to work as a health
team and to respond to the expressed health needs
of the community. Characteristics of PHC III
SPECTRUM OF HEALTH CARE
ELEMENTS OF PRIMARY HEALTH CARE
PRINCIPLES OF PRIMARY HEALTH CARE
LEVEL OF HEALTH CARE
PRIMARY HEALTH CARE
SECONDARY LEVEL HEALTH CARE
TERTIARY LEVEL HEALTH CARE
Essential components of
primary health care
The Declaration of Alma Ata outlined the 8 essential
components of primary health care such as
principles of,
• 1. Environmental Sanitation- (adequate supply of water
and good waste disposal)
• 2. Control of communicable disease
• 3. Immunization
• 4. Health Education
• 5. Maternal and child health and family planning
• 6. Adequate food and proper nutrition
• 7. Provision of medical care and emergency treatment
• 8. Treatment of Locally Endemic Disease
• 9. Provision of Essential Drugs
FOUR CORNERS TONES
/PILLARS IN PHC
PHC IN COMMUNITY HEALTH NURSING
ROLE OF COMMUNITY NURSES
THANK YOU

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Primary health care

  • 2. HEALTH /PRIMARY HEALTH CARE • Health • A state of complete physical, mental and social well being not merely the absence of disease or infirmity. ( WHO- concept of Health) • Primary health care • As defined by the WHO as an essential health care made universally accessible to individuals and families in the community by means acceptable to them through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self- determination
  • 3. CONCEPT OF PHC • According to DOH- • PHC is characterized by partnership and empowerment of the people that shall permeate as the core strategy in the effective provision of essential health services that is community based, accessible, acceptable and sustainable at a cost which the community and the government can afford the concept of primary health care (PHC) as a strategy to reach the goal of Health for All in 2000 AD
  • 4. MODERN CONCEPT OF HEALTH • MODERN CONCEPT OF HEALTH • Optimum level of functioning among individuals, families and communities • HEALTH CARE • Health care , or healthcare , is the prevention, treatment, and management of illness and the preservation of mental health through the services offered by the medical , nursing , and allied health professions
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  • 12. Characteristics of PHC • 1. PHC reflects and evolves from the economic conditions and sociocultural and political characteristics of the country and its communities and • 2. PHC is based on the application of the relevant results of social, biomedical and health services research and public health experience; • 3. PHC addresses the main health problems in the community, providing promotive, preventive, curative and rehabilitative services accordingly; • 4. PHC includes at least: 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;
  • 13. • 5.immunization against the major infectious diseases; prevention and control of locally endemic diseases; appropriate treatment of common diseases and injuries; and provision of essential drugs; Characteristics of PHC II • 6. PHC should be sustained by integrated, functional and mutually supportive referral systems, leading to the progressive improvement of comprehensive health care for all, and giving priority to those most in need; • 7. PHC relies, at local and referral levels, on health workers, including physicians, nurses, midwives, auxiliaries and community workers as applicable, as well as traditional practitioners as needed, suitably trained socially and technically to work as a health team and to respond to the expressed health needs of the community. Characteristics of PHC III
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  • 16. ELEMENTS OF PRIMARY HEALTH CARE
  • 17. PRINCIPLES OF PRIMARY HEALTH CARE
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  • 29. Essential components of primary health care The Declaration of Alma Ata outlined the 8 essential components of primary health care such as principles of, • 1. Environmental Sanitation- (adequate supply of water and good waste disposal) • 2. Control of communicable disease • 3. Immunization • 4. Health Education • 5. Maternal and child health and family planning • 6. Adequate food and proper nutrition • 7. Provision of medical care and emergency treatment • 8. Treatment of Locally Endemic Disease • 9. Provision of Essential Drugs
  • 31. PHC IN COMMUNITY HEALTH NURSING