The document discusses primary health care (PHC). It defines health as a state of complete physical, mental and social well-being, not just the absence of disease. PHC is defined by the WHO as essential health care made universally accessible through community participation and affordable costs. The key principles of PHC include addressing main health problems through promotion, prevention, treatment and rehabilitation. Its essential components are environmental sanitation, disease control, immunization, health education, maternal and child care, nutrition, medical care, and treatment of local diseases. PHC relies on health workers like nurses and community workers to form a team and respond to community needs.

1. UNIT-I
ESSENTIAL OF HEALTH CARE
SERVICES
PRIMARY HEALTH CARE
DR.ANJALATCHI
M.SC(N),MD(AM),MBA(HA)
ERA UNIVERSITY ,LUCKNOW

3. HEALTH /PRIMARY HEALTH CARE
• Health
• A state of complete physical, mental and social well being
not merely the absence of disease or infirmity. ( WHO-
concept of Health)
• Primary health care
• As defined by the WHO as an essential health care made
universally accessible to individuals and families in the
community by means acceptable to them through their full
participation and at a cost that the community and country
can afford to maintain at every stage of their development
in the spirit of self-determination

4. CONCEPT OF PHC
• According to DOH-
• PHC is characterized by partnership and
empowerment of the people that shall permeate
as the core strategy in the effective provision of
essential health services that is community
based, accessible, acceptable and sustainable at a
cost which the community and the government
can afford the concept of primary health care
(PHC) as a strategy to reach the goal of Health for
All in 2000 AD

5. MODERN CONCEPT OF HEALTH
• MODERN CONCEPT OF HEALTH
• Optimum level of functioning among
individuals, families and communities
• HEALTH CARE
• Health care , or healthcare , is the prevention,
treatment, and management of illness and the
preservation of mental health through the
services offered by the medical , nursing , and
allied health professions

6. HEALTH CARE

8. DEFINITION

9. PRIMARY HEALTH CARE

10. HISTORY AND EVOLUTION OF PHC

11. POPULATION NORMS FOR PHC

12. CHARACTERISTIC

13. Characteristics of PHC
• 1. PHC reflects and evolves from the economic
conditions and sociocultural and political
characteristics of the country and its communities and
• 2. PHC is based on the application of the relevant
results of social, biomedical and health services
research and public health experience;
• 3. PHC addresses the main health problems in the
community, providing promotive, preventive, curative
and rehabilitative services accordingly;
• 4. PHC includes at least: education concerning
prevailing health problems and the methods of
preventing and controlling them; promotion of food
supply and proper nutrition; an adequate supply of
safe water and basic sanitation; maternal and child
health care, including family planning;

14. • 5.immunization against the major infectious diseases;
prevention and control of locally endemic diseases;
appropriate treatment of common diseases and injuries;
and provision of essential drugs; Characteristics of PHC II
• 6. PHC should be sustained by integrated, functional and
mutually supportive referral systems, leading to the
progressive improvement of comprehensive health care for
all, and giving priority to those most in need;
• 7. PHC relies, at local and referral levels, on health workers,
including physicians, nurses, midwives, auxiliaries and
community workers as applicable, as well as traditional
practitioners as needed, suitably trained socially and
technically to work as a health team and to respond to the
expressed health needs of the community. Characteristics
of PHC III

16. SPECTRUM OF HEALTH CARE

17. ELEMENTS OF PRIMARY HEALTH CARE

18. PRINCIPLES OF PRIMARY HEALTH CARE

26. LEVEL OF HEALTH CARE

27. PRIMARY HEALTH CARE

28. SECONDARY LEVEL HEALTH CARE

29. TERTIARY LEVEL HEALTH CARE

30. Essential components of primary
health care
The Declaration of Alma Ata outlined the 8 essential
components of primary health care such as principles of,
• 1. Environmental Sanitation- (adequate supply of water and
good waste disposal)
• 2. Control of communicable disease
• 3. Immunization
• 4. Health Education
• 5. Maternal and child health and family planning
• 6. Adequate food and proper nutrition
• 7. Provision of medical care and emergency treatment
• 8. Treatment of Locally Endemic Disease
• 9. Provision of Essential Drugs

31. FOUR CORNERS TONES /PILLARS IN
PHC

32. PHC IN COMMUNITY HEALTH NURSING

33. ROLE OF COMMUNITY NURSES

34. SUMMARY
• Till now we discussed the primary health care
and its introduction, definition of health ,
health care, primary health care, concept
,modern concept, characteristic, history,
elements , principles of PHC, components,
pillars of PHC, role of community nurse in
primary health services.

35. Conclusion
• I hope everybody understand the topic ie
primary health care. If you got chance to work
in primary health centre will you able to apply
this knowledge to perform the effective
function of health care services to the society.

36. Questions related the topic
• Define health, health care, primary health care?
• List out the concept of health?
• Enlist the modern concept of health ?
• Describe the charateristic of PHC?
• Discuss the elements of PHC?
• Draw the spectrum of PHC?
• Describe the principles of PHC?
• Understand the history and evolution of PHC?
• Describe the level of health care ?
• Write the role of nurse in PHC?

37. Reference
K.Park the text book of “preventive and social
medicine “25 th edition, published by Jaypee
brothers, new delhi.
Guidelines from MOH and FW from GOI.