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1. Primary health care
By Dr Mabasa RA

2. Why primary health care (PHC)
•Initiated by the WHO, UNICEF, governments,
NGOs, the teachers and the mass media
•To achieve ‘ health for all’ by:
Creating awareness about diseases and illness
Empowering the community with health
knowledge and skills
Involving communities in delivering PHC

3. WHAT PROMPTED ADOPTION OF PHC
• It was the global health strategy by WHO, UNICEF and
other org to address:
Outrage of global low life expectancy and
high mortality rates amongst children-in low socio-
economic conditions
 WHA (World Health Assembly)- developed
strategies-Through local, inexpensive solutions to
health problems eg oral rehydration

4. Contin……
•Health indicators also pointed the need to
combine economic and social development with
health
• hence WHA introduced the future of health care
deliver which is health promotion and disease
preventive than curative approach

5. Aims and objectives of PHC
•Promotion of healthy life style
•Prevention of preventable conditions
•And therapy for existing conditions

6. Aims continu…..
•Create awareness about diseases and
illnesses
• ensure accessibility of health services
•Tackle health problems using affordable
technology and
•Involvement of the community in health
care planning and delivery

7. Principles of PHC
•Derived from the definition eg
•essentiality
•Availability and accessibility
•Equity and affordable
•Use of appropriate technology, acceptability and
sustainability
•Community participation, involvement and
empowerment

8. Components of phc
•10 components
Information, education and
communication(IEC) and Health promotion
Food and nutrition
Maternal and child health including family
planning

9. Components contin……
Environmental health
The national immunization programme
Prevention and control of locally
endemic diseases
Provision of essential drugs

10. Components cont…..
Appropriate treatment of common
diseases and injuries
Mental health
Dental Health
Mobilization strategies for community
participation and involvement

11. Organization of PHC
 PHC directorate has various divisions both National
and Local
Each tier has a an important role to play in the
organization of PHC services
The national Government
Role players- president of the state
- health minister

12. The role of the national Government in
organizing PHC
Formulation of policies On PHC
Financial support for states/provincial and local
government for the implementation of PHC
Provides guidelines on how to implement the
policies
Supervise the training of PHC workers
Promotes research activities and collaborates
with international health agencies

13. National continu…
Provides Monitoring &Evaluation on the
implementation of PHC programmes
Provision of vaccines for states, districts and
local governments

14. Provincial Government
•Role players- the president
• - the minister
• - the MEC
The role of the provincial government
Formulation of provincial policies
Provision of facilities of training of PHC workers
e.g Universities, colleges etc

15. Provincial Govern….
Provide storage of vaccines
Provides guidelines to the local
governments regarding the
implementation of PHC
Promotes research activities

16. Local/District Government
The are responsible for the provision of PHC
programmes at community level
-Organize PHC facilities within the local
communities
-Form a PHC team for local area programme
plans e.g. maternal health, child health, Family
Planning etc.
-Formulation of local policies which are based on

17. Community health care workers at local
government
• This includes- Drs, nurses, environmental health officers, health
assistants, etc
• ROLES OF COMM HEALTH WORKERS
Manage resources
Plan and implement programmes
Patient care
Record keeping and data collection for M&E
Intersectoral collaboration
Referral services

18. Evaluation of PHC programmes
• The process by which one can measure the extent to
which the prior objectives have been met.
• Most common and objective method of evaluation is
carrying out survey
• Types of evaluation
Process evaluation- evaluation of the process by
which the program is being implemented eg resources
being used
Outcome evaluation-detailed assessment of the

19. Evaluation cont…
It can also be classified as continuous and
terminal evaluation

20. •Inkomu!!!!!!!!!
•Thank you!!!