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Primary health care

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Primary Health Care and its concepts!
-characteristics
-elements
-principles
-Alma-ata declaration
-Role of society

Published in: Healthcare
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Primary health care

  1. 1. By DOLY (3rd Year)
  2. 2. D E PA RT M E N T O F P U B L I C H E A LT H D E N T I S T RY D R . H A RVA N S H S I N G H J U D G E I N S T I T U T E O F D E N TA L S C I E N C E S A N D H O S P I TA L PA N J A B U N I V E R S I T Y 2 0 1 5 PRIMARY HEALTH CARE Name: DOLY BDS III Year By DOLY (3rd Year)
  3. 3. CONTENTS  INTRODUCTION  HISTORY  DEFINITION  CHARACTERISTICS OF PRIMARY HEALTH CARE  ELEMENTS OF PRIMARY HEALTH CARE  PRINCIPLES OF PRIMARY HEALTH CARE  BIBLIOGRAPHY  APPENDIX By DOLY (3rd Year)
  4. 4. INTRODUCTION Primary health care is an approach to health care, which integrates at the community level all the factors required for improving the health status of the population. Services provided are,  Simple & efficient with regard to cost, techniques, & organization,  Readily accessible to those concerned & contributes to improving the living conditions of individuals, the families & the community as a whole. By DOLY (3rd Year)
  5. 5. The concept came into existence, following a Joint WHO-UNICEF International Conference at Alma Ata, USSR, on 12th September,1978. WHO goal of Health for All by 2000AD accepted. Primary Health Care proclaimed as a way to achieving Health for All. By DOLY (3rd Year)
  6. 6. By DOLY (3rd Year)
  7. 7. DEFINITION Primary health care is defined as “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 the community and the country can afford to maintain at every stage of their development in the spirit of self- determination”. By DOLY (3rd Year)
  8. 8. CHARACTERISTICS OF PRIMARY HEALTH CARE 1. It is essential health care, which is based on practical, scientifically sound and socially acceptable methods and technology. 2. It should be rendered universally acceptable to individuals and the families in the community through their full participation. 3. Its availability should be at a cost, which the community & country can afford to maintain at every stage of their development in a spirit of self-reliance and self- development. By DOLY (3rd Year)
  9. 9. characteristics of primary health care continued…. 4. It requires joint efforts of the health sector and other health related sectors like, education, food and agriculture, social welfare, animal husbandry, housing, etc. By DOLY (3rd Year)
  10. 10. By DOLY (3rd Year)
  11. 11. ALMA –ATA DECLARATION  Reflects & evolves from the economic conditions and socio- cultural & political characteristics of the country & is based on the application of the relevant results of social, biomedical & health services research & public health experience  Addresses the main health problems in the community, providing promotive, preventive, curative & rehabilitative services accordingly  Involves, in addition to the health sector, all related sectors & aspects of national & community development , in particular agriculture, animal husbandry, food, industry, education, housing, public works, communications & other sectors; and demands the coordinated efforts of all those sectors By DOLY (3rd Year)
  12. 12.  Should be sustained by integrated, functional & mutually- supportive referral systems, leading to the progressive priority to those most in need  Requires & promotes maximum community & individual self-reliance & participation in the planning, organization, operation & control of primary health care, making fullest use of local, national & other available resources, and to this end develops, through appropriate education, the ability of communities to participate By DOLY (3rd Year)
  13. 13.  Relies, at local & referral levels, on health workers, including physicians, nurses, midwives, auxiliaries, community workers, as well as traditional practitioners, suitably trained socially and technically to work as a health team and to respond to the expressed health needs of the community By DOLY (3rd Year)
  14. 14. By DOLY (3rd Year)
  15. 15. 1. The first key principle 2. Health services must be shared equally by all people irrespective of their ability to pay 3. All rich and poor, urban or rural must have access to health services 4. No ‘social injustice’. 5. Shifting the centre of gravity of health care system from cities to rural areas. By DOLY (3rd Year)
  16. 16. Community participation 1. Involvement of individuals, families, and communities in promotion of their own health and welfare. 2. Planning, implementation and maintenance of health services. 3. In India : village health guides and trained dais. 4. In china : ‘bare-foot doctors’. By DOLY (3rd Year)
  17. 17. By DOLY (3rd Year) Local Health Camps
  18. 18. By DOLY (3rd Year) Polio booths
  19. 19. By DOLY (3rd Year) Local Dais
  20. 20. By DOLY (3rd Year) A way to spread awareness by health care organizations
  21. 21. By DOLY (3rd Year) Mid-day meal scheme Bare-foot doctors (China)
  22. 22. Intersectoral coordination 1. Planning with the other sectors to avoid unnecessary duplication of activities. 2. Alma-Ata : “primary health care involves in addition to the health sector, all related sectors and aspects of national and community development, in particular agriculture, animal husbandry, food, industry, education, housing, public works, communication and other sectors.” By DOLY (3rd Year)
  23. 23. Appropriate technology • Scientifically sound. • Adaptable to local needs. • Acceptable to those who apply it and those for whom it is used. • Can be maintained by the people themselves. • Affordable to the community & country. • Using cheaper, scientifically valid & acceptable equipments, procedures & techniques when available. Example: Neem stick, mango leaf for tooth brushing are effective when used in a proper way. By DOLY (3rd Year)
  24. 24. By DOLY (3rd Year)
  25. 25. Focus on prevention Treatment of illness and rehabilitation are important since communities rightly except treatment services and may be less interested in other services unless accompanied by curative services. Health services should however not only be curative but should also promote health and healthy lifestyles with emphasis on prevention. By DOLY (3rd Year)
  26. 26. By DOLY (3rd Year)
  27. 27. By DOLY (3rd Year)
  28. 28. BIBLIOGRAPHY References:  Textbook of Public Health And Community Dentistry by Soben Peter.  Textbook of Preventive and community Dentistry by SS Hiremath  Internet By DOLY (3rd Year)
  29. 29. By DOLY (3rd Year)

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