primary health care, health for all ,BASIC HEALTH SERVICES, FIRST CONTACT CARE, EASILY ACCESSIBLE CARE, SERVICES PROVIDED BY GENERALISTS

1. ----A WAY TO ACHIEVE “HEALTH FOR ALL.”
6thsemester

3. o PRIMARY HEALTH CARE IS DEFINED AS AN
ESSENTIAL HEALTH CARE MADE
UNIVERSALLY ACCESSSIBLE AND
ACCEPTABLE TO INDIVIDUALS, THROUGH
THEIR FULL PARTICIPATION AND AT A
COST THE COMMMUNITY AND THE
COUNTRY CAN AFFORD.

5. o TO STOP THE UNACCEPTABLE GROSS INEQUALITY IN THE HEALTH
STATUS OF PEOPLE PARTICULARLY BETWEEN THE DEVELOPED
AND THE DEVELOPING COUNTRIES AS WELL AS WITHIN THE
COUNTRIES.
o FAILURE OF THE EXISTING HEALTH SERVICES TO PROVIDE
HEALTH CARE.
o SYNONYMS----BASIC HEALTH SERVICES
FIRST CONTACT CARE
EASILY ACCESSIBLE CARE
SERVICES PROVIDED BY GENERALISTS

7. o CAME INTO LIGHT IN 1978 AT JOINT WHO-UNICEF CONFERENCE
AT ALMA-ATA(USSR) WHERE ABOUT 134 COUNTRIES JOINED FOR
A REVOLUTIONARY APPROACH TO HEALTH CARE.
o ALL COUNTRIES TOOK AN OATH TO FORMULATE NATIONAL
POLICIES, PLANS OF ACTION & STRATAGIES ACCORDING TO THEIR
OWN CIRCUMSTANCES TO PROVIDE PRIMARY HEALTH CARE.
o THEY STARTED WITH A THEME “HEALTH FOR ALL BY 2000 A.D.”
o ACCEPTED AS AN INTEGRAL PART OF COUNTRY’S HEALTH
SYSTEM

8.  SOCIAL EQUITY;
 NATION WIDE COVERAGE;
 SELF-RELIANCE;
 INTERSECTORAL COORDINATION;
 PEOPLES INVOLVEMENT IN THE PLANNING AND
IMPLEMENTATION OF HEALTH PROGRAMMES IN PURSUIT OF
COMMON HEALTH GOALS.

9. 1.EDUCATION CONCERNING PREVAILING HEALTH
PROBLEMS AND THE METHODS OF PREVENTING AND
CONTROLLING THEM:
Eg. Health education
Group discussions
Demonstrations

10.  2.PROMOTION OF FOOD SUPPLY AND PROPER
NUTRITION:
• Food safety
• Equal distribution (Fair price shop)
• Proper nutrition (Mid-day meal programs & School health services)

11.  3.ADEQUATE SUPPLY OF SAFE WATER AND
BASIC SANITATION:
• Government should provide a potable safe drinking water and basic
sanitary facilities.
• A mission called “Swhatcha Bharath” is started by the Gov. of India.
The Aim is every house should have a latrine, avoid open air
defecation.

12.  4.MATERNAL AND CHILD HEALTH CARE,
INCLUDING FAMILY PLANNING:
• From Antenatal period to child birth care should be taken by the Gov.
as well as individual.
• A separate family clinics should be run by the Gov. and also NGO’s for
promotion of mothers health and infants & child health and also
spacing of the children

13.  5.IMMUNIZATION AGAINST MAJOR
INFECTIOUS DISEASES
• To prevent vaccine preventable diseases .
• E.g.. Measles,
• Mumps
• Polio
• Rubella
• Hep. B

14.  6.PREVENTION AND CONTROL OF LOCALLY
ENDEMIC DISESES;
• To prevent and control local endemic diseases like malaria, diarrhea,
worm infestations etc.

15.  7.APPROPRIATE TREATMENT OF COMMON
DISEASES AND INJURIES
• For example—
• RTA(Minor injuries)
• Tetanus
• Anti-diarrheal treatment
• Anti-malarial treatment
• Dog bite

16.  8.PROVISION OF ESSENTIAL DRUGS
Examples:
• Birth control pills
• Nutrition supplements

17. o THIS IS THE FIRST LEVEL OF CONTACT BETWEEN THE INDIVIDUALS AND THE HEALTH
SYSTEM WHERE ESSENTIAL HEALTH CARE IS PROVIDED.
o A MAJORITY OF PREVAILING HEALTH CARE PROBLEMS CAN BE SATISFACTORILY DEALT
WITH AT THIS LEVEL.
o THE LEVEL OF CARE IS CLOSEST TO THE PEOPLE.
o IN INDIA, THIS PRIMARY HEALTH CARE IS PROVIDED BY PRIMARY HEALTH CENTRES AND
THEIR SUBCENTERS.
o A PRIMARY HEALTH CENTRE COVERS A POPULATION OF 20,000-30,000 WHOSE
FUNCTIONS INCLUDE THE ELEMENTS OF PRIMARY HEALTH CARE.
o A SUB-CENTRE IS THE PERIPHERAL OUTSPOT OF THE EXISTING HEALTH DELIVERY
SYSTEM IN RURAL AREAS COVERING A POPULATION OF 5,000 IN GENERAL AND ONE
FOR EVERY 3,000 IN HILLY, TRIBAL AND BACKWARD AREAS.