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  1. 1. Primary Health Care Group Name–Synergy Mohd.Fraz Farooqui,Karishma,Sringarika Sahu ,Mohd.Talha siddiqui & Naureen Tufail
  2. 2. Primary Healthcare  Primary health care is primary care applied on a population level. As a population strategy, it requires the commitment of governments to develop a population-oriented set of primary care services in the context of other levels and types of services.  Primary care is the provision of first contact, person-focused, ongoing care over time that meets the health-related needs of people, referring only those too uncommon to maintain competence, and coordinates care when people receive services at other levels of care.
  3. 3. Why Is Primary Care Important?  Better health outcomes  Lower costs  Greater equity in health
  4. 4. Continue….  Evidence for the benefits of primary care-oriented health systems is robust across a wide variety of types of studies: -International comparisons -Population studies within countries across areas with different primary care  Physician/population ratios - studies of people going to different types of practitioners  Clinical studies-of people going to facilities/practitioners differing in adherence to primary care practices
  5. 5. Primary health care  The “first” level of contact between the individual and the health system.  Essential health care (PHC) is provided.  A majority of prevailing health problems can be satisfactorily managed.  The closest to the people.  Provided by the primary health centers.
  6. 6. 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
  7. 7. Core Activities for PHC  There is a set of CORE ACTIVITIES, which were normally defined nationally or locally. According to the 1978 Declaration of Alma-Ata proposed that these activities should include: 1. Education concerning prevailing health problems and the methods of preventing and controlling them 2. Promotion of food supply and proper nutrition 3. An adequate supply of safe water and basic sanitation 4. Maternal and child health care, including family planning 5. Immunization against the major infectious diseases 6. Prevention and control of locally endemic diseases 7. Appropriate treatment of common diseases and injuries 8. Basic laboratory services and provision of essential drugs. 9. Training of health guides, health workers and health assistants. 10.Referral services
  8. 8. The Basic Requirements for Sound PHC (the 8 A’s and the 2 C’s) 8 A’s  Appropriateness  Availability  Adequacy  Accessibility  Acceptability  Affordability  Assessability  Accountability 2 C’s Completeness Continuity
  9. 9. 8 A’s  Appropriateness  Whether the service is needed at all in relation to essential human needs, priorities and policies.  The service has to be properly selected and carried out by trained personnel in the proper way.  Adequacy  The service proportionate to requirement.  Sufficient volume of care to meet the need and demand of a community
  10. 10. 8 A’s  Affordability  The cost should be within the means and resources of the individual and the country.  Accessibility  Reachable, convenient services  Geographic, economic, cultural accessibility
  11. 11. 8 A’s  Acceptability  Acceptability of care depends on a variety of factors, including satisfactory communication between health care providers and the patients, whether the patients trust this care, and whether the patients believe in the confidentiality and privacy of information shared with the providers.  Availability  Availability of medical care means that care can be obtained whenever people need it.
  12. 12. 8 A’s  Assessability  Assessebility means that medical care can be readily evaluated.  Accountability  Accountability implies the feasibility of regular review of financial records by certified public accountants.
  13. 13. 2 C’s  Completeness  Completeness of care requires adequate attention to all aspects of a medical problem, including prevention, early detection, diagnosis, treatment, follow up measures, and rehabilitation.  Continuity  Continuity of care requires that the management of a patient’s care over time be coordinated among providers.
  14. 14. Solution Proposed Different way of looking Implementation model Advantage over existing system
  15. 15. Different way of looking  Different way of looking at the remedies that already exist, and new channels for collaboration and collective impact among them  Preference for admission to education and training courses for doctors and nurses to local students from rural and underserved areas  Preference for postgraduate training, financial incentives, communication facilities, and opportunities for Clinicians working in underserved areas and education of their children  Reintroduction of compulsory service in underserved areas by all medical graduates  Develop a holistic ecosystem that incorporates the value additions of all stakeholders simultaneously  Make working at PHCs more attractive and satisfying.  Availability of most critical infrastructure element, electricity  Ensuring that doctors are punctual and give more time to their service.  Education about First-Aid.  Boundation on foreign practice
  16. 16. Implementation Model  Innovations in business, private funding, trained personnel and systems to incentivize them to work in areas of need, support from insurance providers, and conducive interaction between the primary level and higher levels of medical care.  Expand our focus beyond one particular stakeholder or institution and view all of these areas as points in a network with the single goal of quality primary healthcare for all  Increase the effectiveness of doctors who are willing to work in rural areas by a large factor  Reducing the need for doctors in the initial screening of patients, and by allocating one physician for every five PHCs.  Use either solar panels or diesel generators connected to batteries for uninterrupted electric power for computers and laboratory equipment  Effective information systems  Biometric attendance in PHCs  PHC to be taught as subject in school
  17. 17. Advantage over existing system  Increasing and capturing coverage over rural areas.  Exploit the opportunities for patient involvement in self care inherent in modern information technology.  Attracting and holding back doctors and medical practitioners.  More time can be given to patients.  First –aid can prevent from getting more damage to health
  18. 18. THANK-YOU