Community based primary health care development

1. COMMUNITY BASED PHC
DEVELOPMENT
By: Aakriti
Thapa
Dipendra
Kadayat
Prasharam B.C
Santosh
Dhakal
Yaman

2. OBJECTIVES
 To know about the development of PHC in the community level

3. OUTLINE OF PRESENTATION
 INTRODUTION
 COMMUNITY BASED PHC
 ALMA ATA BECLARATION
 CONCEPT OF PHC
 NATIONAL HEALTH POLICY
 COMPONENTS OF COMMUNITY BASED PHC DEVELOPMENT
 FUNCTIONS OF PHC
 CONCLUSION
 SUMMARY
 REFERENCES

4. INTRODUCTION
COMMUNITY:
Community is a group of population living in a certain geographical area with some
degree of we feeling and carrying a common interdependent life.
PHC:
PHC , refers to Primary Health Care is an essential health care based on scientifically
sound and socially acceptable methods and technology made universally accessible to
individuals and families in the community through their full participation and at the cost that
community and country can afford.
COMMUNITY BASED PHC:
Community based PHC is health care for and by the community, working together to
achieve “health for all” with the coordination between local leaders, public organizations and
private NGOs.

5. COMMUNITY BASED PHC
 Community-based PHC is for all peoples of all ages who need health care assistance as a
door to door services at home.
 It covers the broad range of primary prevention(including public health)and primary care
services within the community, including health promotion and disease prevention; the
diagnosis, treatment, and management of illness; rehabilitation support; and end of life
care.
 It involves the coordination and provision of integrated care provided by a range of health
providers, including nurses, social workers, pharmacists, dietitians, public health
practitioners, physicians and others in range of community settings.
 It is delivered in a way that is person and population centered and responsive to economic,
social, language, cultural and gender differences.

6. ALMA ATA DECLARATION
 The ideal model of healthcare was adopted in the declaration of the International Conference on
Primary Health Care held in Alma Ata, Kazakhstan in 1978 (known as the "Alma Ata Declaration"),
and became a core concept of the World Health Organization's goal of Health For All.
 It was the first international declaration underlining the importance of PHC that expressed the
need for urgent action by all governments, all health and development workers, and the world
community to protect and promote the health of all people.

7. CONCEPT OF PHC
 PHC is for all specially the needy.
 Regardless of social and economic status every individual in the nation must have to
access to good health care
 The services should be acceptable to the community and there must be active
involvement of the community.
 The health services must be effective, preventive, promotive and curative.
 The services should form an integral part of the country’s health system.
 The programme must be efficient, multi-sectoral because health does not exist in
isolation.

8. NATIONAL HEALTH POLICY
To provide promotive, preventive, curative and rehabilitative health services to the
community through the utilization of available means and resources National Health Policy has
been formulated. The National Health Policy has given main priorities to some of the following
sectors:
i) Nutrition
ii) Prevention of food adulteration and quality of drugs
iii) Water supply and sanitation
iv) Environment protection
v) Immunization programmes
vi) School health programmes
vii) Occupational health services

9. COMPONENTS OF COMMUNITY BASED PHC
DEVELOPMENT
The components are as follows;
i. Community participation
ii. Self-reliance
iii. Recognition of interrelationship of health and development
iv. Social mobilization
v. Decentralization

10. i. Community participation:
• Awareness on health and health related issues
• Planning, implementation, monitoring and evaluation done through small group meetings
• Selection of community health workers
• Formation of health committes
• Establishment of a community health organizations
• Mass health campaigns and mobilization
ii. Self-reliance:
• Community generates support for health programs
• Use of local resources
• Training of community in leadership and management skills
• Incorporation of income generating projects, cooperatives and small scale industries

11. iii. Recognition of interrelationship of health and development:
• Convergence of health, food, nutrition, water, sanitation and population services
• Integration of PHC into national, regional, provincial, municipal development plans
• Coordination of activities with economic planning , education, agriculture, public works,
communication, social services
iv. Social mobilization:
• Establishment of an effective health referral system
• Multi-sectoral and interdisciplinary linkage
• Information, education, communication
• Collaboration between government and non-governmental organizations
v. Decentralization:
• Reallocation of budgetary resources
• Reorientation of health professional and PHC
• Advocacy for political and support from the national leadership down

12. FUNCTIONS OF PHC
 Medical care
 MCH including family planning
 Safe water and basic sanitation
 Prevention and control of locally endemic diseases
 Collection and reporting of vital statistics
 Education about health
 National health programmes
 Referral services
 Training of health guides, health workers, local dais and health assistants

13. CONCLUSION
The PHC has been developing in each community providing them with the
better health services like immunization , nutrition ,etc that a community can affod and
accept. However, due to the different infrastructures like transportation, education are
creating the wall between the people of community and PHC . So, the development of
infrastructures should be done along with the development of PHC to make health
services effective, preventive, promotive and curative.

14. SUMMARY
Thus, the community-based PHC development is the improvement of the
health care according to the need of community and that the community can afford
and accept . Such model of health care was adopted in the Alma Ata Declaration held
in Alma Ata in 1978 with the goal health for all for which different national health
policies were made. Different components like community participation, self-reliance,
social mobilization, decentralization has played a great role to maintain the health of
community along with the coordination and provision of health care providers
including nurses, physicians, etc in responsive to economic, social, language, culture
and gender differences as health does not exist in isolation.

15. REFERENCES
 A textbook of public health and primary health care development
 Nepal national health policy 2071
 WHO