بسم الله الرحمن الرحيم Primary Health Care Basic Concepts. Health . “A state of complete physical, mental and social wellbeing and its not merely the absence of disease or infirmity” WHO 1946. Concepts of health care . Provision of services by health personnel It includes:
Primary Health Care
“A state of complete physical, mental and
social wellbeing and its not merely the
absence of disease or infirmity”
Primary health care
Secondary health care
Tertiary health care
PHC appeared as a concept since 1975 in the 25th conference for WHO
Health for All by the year 2000 (Assembly) -1977
International Conference on Primary Health Care (Alma – Ata) -1978
• Social justice and equity are essential for health
• Recognition of the role of community participation
• The importance of the political will
• The relation between health and development (health is essential for development and development is essential for health)
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 country can
afford to maintain at every stage of their
development in the spirit of self-reliance
Alma Ata declaration, 1978
Health services should be available to each and every one in the community – not depend on one’s capability to pay for the services (rich & poor) Rural or urban
Appropriate technology is one which is – scientifically sound, adapted to local needs, acceptable to those who apply it and to those on whom it is applied, within the resources which can be afforded by the community and the nation.
Examples of appropriate technology are Oral rehydration therapy DOTS and Immunization programme
in addition to the health sector, all related sectors in particular agriculture, animal , food, industry.
While most of the efforts in providing health care come from the Ministry of health, the system of primary health care should be based on full participation and involvement of the community in planning, implementation and evaluation.
• Mental Health
• Care of elderly
• Occupational Health
• School Health
• Reproductive Health
• Adolescent Health
Primary Health Care
Outpatient clinic (referral)
Care of vulnerable groups
Maternal &child health s.
First aid and emergency
Monitoring of environment
School health services
Prev.&control of endemic diseases
Geriatric health services
Occupational health services
4. Inadequate PHC level management capacity.
5. Absence of sustainable financial mechanism for PHC services.
6. The focus of government spending on hospitals leading to an unbalanced health system. Most of the government health expenditure is directed to the secondary and tertiary hospitals