The document discusses primary health care, its origins, principles, and implementation. It defines primary health care as the first level of contact with individuals and families through participation at an affordable cost. The key principles of primary health care are equitable distribution, community participation, intersectoral coordination, appropriate technology, and prevention. Primary health care aims to provide universally accessible essential health services and promote health through these principles.
3. INDEX
Health care
Levels of health care
Origin of concept
Primary health care
Elements of primary health care
Pillars of primary health care
Principles of primary health care
Equitable distribution
Community participation
Intersectoral coordination
Appropriate technology
Focus on prevention
Conclusion
4. HEALTH CARE
Health care is the diagnosis,
treatment, and prevention
of disease, illness, injury,
and other physical and
mental impairments in
humans.
5. LEVELS OF HEALTH CARE
PRIMARY HEALTH CARE
The “first” level of contact between the individual and
the health system.
The closest to the people.
Provided by the primary health centers.
6. SECONDARY HEALTH CARE
More complex problems are dealt with.
Comprises curative services.
Provided by the district hospitals.
The 1st referral level.
TERTIARY HEALTH CARE
Offers super-specialist care.
Provided by regional/central level institution.
Provide training programs.
7. ORIGIN OF CONCEPT
• Primary health care (PHC) became a
core policy following a joint WHO-
UNICEF conference in Alma-Ata on
12 September 1978.
• The Alma-Ata declaration called for
acceptence of the WHO goal of
‘health-for-all by the year 2000’.
Reference: www.cna-aiic.com
8. The commitment to global improvements in
health, was renewed in 1998 by the world health
assembly. This led to the ‘health-for-all for the
twenty-first century’ policy and program, within
which the commitment to PHC development is
restated.
9. THE SERVICES PROVIDED ARE:
Simple and efficient with regard to cost,
techniques and organization.
Readily accessible to those concerned and
contributed to improving the living condition of
individuals, families and community as a whole.
Reference: Essentials of preventive and community dentistry by Soben Peter
10. PRIMARY HEALTH CARE
Primary health care 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
to maintain at every stage of their development in
the spirit of self-reliance and self-determination”.
(Alma-Ata, 1978)
Reference: www.who.int
14. FOUR CORNERSTONES/PILLARS
OF PRIMARY HEALTH CARE
ACTIVE COMMUNITY PARTICIPATION
INTRA AND INTER SECTORAL LINKAGES
USE OF APPROPRIATE TECHNOLOGY
SUPPORT MECHANISM MADE AVAILABLE
Reference: www.who.int
15. PRINCIPLES OF PRIMARY
HEALTH CARE
EQUITABLE DISTRIBUTION
COMMUNITY PARTICIPATION
INTERSECTORAL COORDINATION
APROPRIATE TECHNOLOGY
FOCUS ON PREVENTION
Reference: Essentials of preventive and community dentistry by Soben Peter
16. EQUITABLE DISTRIBUTION
Healthcare services must be equally shared by all
the people of the community irrespective of their
race, creed or economic status. This concept helps
to shift the centre of gravity of healthcare from the
cities to the rural areas where the most needy and
vulnerable groups of the population live.
Reference: Essentials of preventive and community dentistry by Soben Peter
17. COMMUNITY PARTICIPATION
In order to make the
fullest use of local,
national and other
available resources
Community
participation was
considered sustainable
due to its grass roots
nature and emphasis
on self-sufficiency.
Reference: Essentials of preventive and community dentistry by Soben Peter
18. INTERSECTORAL COORDINATION
Agriculture
Education
Communication
Housing
Public works
Industry
Community organizations.
Reference: Essentials of preventive and community dentistry by Soben Peter
19. APROPRIATE TECHNOLOGY
Scientifically sound
Effective
Acceptable
In keeping with local
culture
Capable of further
development
Simple to design, use and
understand
Reference: Essentials of preventive and community dentistry by Soben Peter
20. FOCUS ON PREVENTION
Promote health and healthy
lifestyles with emphasis on
prevention.
Reference: Essentials of preventive and community dentistry by Soben Peter
21. Presently there are 23,109 PHCs in India.
1156 of them are in Madhya Pradesh
Out of which 10 comes under Bhopal district.
22. CONCLUSION
Health care is a basic human right.
Government and non-government agencies
should examine policies in relation to education,
clinical practice, research and administration.
Useful for the entire population and not just a
priviledged few.