SlideShare a Scribd company logo
CONCEPT OF HEALTH,HEALTH FOR ALL AND PRIMARY HEALTH CARE Dr AbdelrahimMutwakel
LEARNING OBJECTIVES ,[object Object]
Causatives factors and effects on human life
Concepts of ‘health for all’ and ‘primary health care’
Role of different stakeholders.
Challenges for PHC,[object Object]
 SIGNIFICANCE OF HEALTH   Fundamental human right.  Central to quality of life and human development  Essence of a productive life An intersectoral issue and an integral part of socioeconomic system   Involves individuals, community, state and international responsibilities   A major social investment   Worldwide a social goal
DIMENSIONS OF HEALTH PHYSICAL Functioning of body organs Ability to do daily tasks MENTAL Balance with surroundings Self- esteem Know problems and goals Self control Faces problems. SOCIAL Harmony with society  Involvement with community Social skills
DETERMINANTS OF HEALTH INTERNAL EXTERNAL ,[object Object]
Socioeconomic conditions
Welfare services
Food and nutrition
Education
Occupation
CultureBiological and cognitive Genetics, race, sex, age Diabetes, breast cancer are genetic in nature Diarrhoea more common in children Psychological and spiritual Life stress causes mental disorders, hypertension, heart attack, diabetes, gastric ulcer
PHYSICAL ACTIVITY INCOME JOB DISEASE AFFECTS LIFE STYLE SOCIAL CONTACTS SADNESS ANXIETY
HEALTH FOR ALL Attainment byall people of the world of a level of health that can permit them to lead a socially and economically productivelife.                           “30th World health assembly, Alma Ata, 1977”
PRIMARY HEALTH CARE “Essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-determination. ”            “WHO, 1978”
PRINCIPLES OFPRIMARY HEALTH CARE ,[object Object]
   Acceptable
   Accessible
   Affordable
   Community participation
   Appropriate technology

More Related Content

What's hot

National health policy
National health policyNational health policy
National health policy
Suman Maurya
 
Evolution of concept of health promotion
Evolution of concept of health promotionEvolution of concept of health promotion
Evolution of concept of health promotion
Nabin Lamichhane
 
Public health function and principle
Public health function and principlePublic health function and principle
Public health function and principle
Arjun Hamal
 
Universal health coverage
Universal health coverageUniversal health coverage
Universal health coverage
Vivek Varat
 
Public Health - Introduction
Public Health - IntroductionPublic Health - Introduction
Public Health - Introduction
Zulfiquer Ahmed Amin
 
Health Promotion: Introduction
Health Promotion:   IntroductionHealth Promotion:   Introduction
Health Promotion: Introduction
Zulfiquer Ahmed Amin
 
Health promotion (2)
Health promotion (2)Health promotion (2)
Health promotion (2)
University of Khartoum
 
Theories of disease causation
Theories of disease causationTheories of disease causation
Theories of disease causation
Bhoj Raj Singh
 
Historical Development of Health System in Nepal
Historical Development of Health System in NepalHistorical Development of Health System in Nepal
Historical Development of Health System in Nepallal bahadur Kunwar
 
Monitoring and Evaluation of Health Services
Monitoring and Evaluation of Health ServicesMonitoring and Evaluation of Health Services
Monitoring and Evaluation of Health ServicesNayyar Kazmi
 
Primary Health Care
Primary Health CarePrimary Health Care
Primary Health Care
yakubuahmed1
 
Central health services management in nepal
Central health services management in nepal Central health services management in nepal
Central health services management in nepal
Sunita Rajbanshi
 
Selective Vs Comprehensive Primary Health Care in Nepal
Selective Vs Comprehensive Primary Health Care in NepalSelective Vs Comprehensive Primary Health Care in Nepal
Selective Vs Comprehensive Primary Health Care in Nepal
Manik Rajbhandari
 
PMH
PMHPMH
International health regulations(ihr).pptx
International health regulations(ihr).pptxInternational health regulations(ihr).pptx
International health regulations(ihr).pptx
ADESH MEDICAL COLLEGE
 
Primary Health Care
Primary Health CarePrimary Health Care
Primary Health Care
Doc Lorie B
 
Primary health care
Primary health carePrimary health care
Primary health care
Kalpana B
 
Primary health care system in nepal
Primary health care system in nepalPrimary health care system in nepal
Primary health care system in nepal
Rajan Chaudhary
 
Primary health care and alma ata
Primary health care and alma ataPrimary health care and alma ata
Primary health care and alma ata
AkeFid
 

What's hot (20)

National health policy
National health policyNational health policy
National health policy
 
Evolution of concept of health promotion
Evolution of concept of health promotionEvolution of concept of health promotion
Evolution of concept of health promotion
 
Public health function and principle
Public health function and principlePublic health function and principle
Public health function and principle
 
Universal health coverage
Universal health coverageUniversal health coverage
Universal health coverage
 
Public Health - Introduction
Public Health - IntroductionPublic Health - Introduction
Public Health - Introduction
 
Health Promotion: Introduction
Health Promotion:   IntroductionHealth Promotion:   Introduction
Health Promotion: Introduction
 
Health promotion (2)
Health promotion (2)Health promotion (2)
Health promotion (2)
 
Theories of disease causation
Theories of disease causationTheories of disease causation
Theories of disease causation
 
Historical Development of Health System in Nepal
Historical Development of Health System in NepalHistorical Development of Health System in Nepal
Historical Development of Health System in Nepal
 
Monitoring and Evaluation of Health Services
Monitoring and Evaluation of Health ServicesMonitoring and Evaluation of Health Services
Monitoring and Evaluation of Health Services
 
Primary Health Care
Primary Health CarePrimary Health Care
Primary Health Care
 
Central health services management in nepal
Central health services management in nepal Central health services management in nepal
Central health services management in nepal
 
Selective Vs Comprehensive Primary Health Care in Nepal
Selective Vs Comprehensive Primary Health Care in NepalSelective Vs Comprehensive Primary Health Care in Nepal
Selective Vs Comprehensive Primary Health Care in Nepal
 
PMH
PMHPMH
PMH
 
International health regulations(ihr).pptx
International health regulations(ihr).pptxInternational health regulations(ihr).pptx
International health regulations(ihr).pptx
 
Primary Health Care
Primary Health CarePrimary Health Care
Primary Health Care
 
Primary health care
Primary health carePrimary health care
Primary health care
 
Primary health care system in nepal
Primary health care system in nepalPrimary health care system in nepal
Primary health care system in nepal
 
Primary health care and alma ata
Primary health care and alma ataPrimary health care and alma ata
Primary health care and alma ata
 
Global health
Global healthGlobal health
Global health
 

Similar to Concept Of Phc

Chn Ratio
Chn RatioChn Ratio
Chn Ratio
Peak Review/FSUU
 
193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg
AbdirahmanYusufAli1
 
CONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPH
CONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPHCONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPH
CONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPH
Modupe Sarratt
 
Week 1 notes
Week 1 notesWeek 1 notes
Week 1 notes
Miry Tuks Thaggard
 
Community and environmnetal hygiene
Community and environmnetal hygieneCommunity and environmnetal hygiene
Community and environmnetal hygiene
Sool College
 
Global Health Care Challenges and Trends
Global Health Care Challenges and TrendsGlobal Health Care Challenges and Trends
Global Health Care Challenges and Trends
Diksha Chauhan
 
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...ramseyr
 
Health care delivery ppt
Health care delivery  pptHealth care delivery  ppt
Health care delivery pptancychacko89
 
Primary health care p p t
Primary health care p p tPrimary health care p p t
Primary health care p p t
Fatma Ibrahim
 
Global health care challenges and trends_ besty
Global health care challenges and trends_ bestyGlobal health care challenges and trends_ besty
Global health care challenges and trends_ besty
Besty Varghese
 
Global health care challenges and trends_ besty
Global health care challenges and trends_ bestyGlobal health care challenges and trends_ besty
Global health care challenges and trends_ besty
Besty Varghese
 
Chn Concepts
Chn ConceptsChn Concepts
Chn Concepts
shuomamay
 
Chn Concepts
Chn ConceptsChn Concepts
Chn Conceptsamir_RED
 
Healthcare challenges & solutions in india
Healthcare challenges & solutions in indiaHealthcare challenges & solutions in india
Healthcare challenges & solutions in india
kripak93
 
Health care delivary system
Health care delivary systemHealth care delivary system
Health care delivary system
CHETAN RSANGATI
 
Global health
Global healthGlobal health
COMMUNITY AND ENVIRONMENTAL HEALTH.pptx
COMMUNITY AND ENVIRONMENTAL HEALTH.pptxCOMMUNITY AND ENVIRONMENTAL HEALTH.pptx
COMMUNITY AND ENVIRONMENTAL HEALTH.pptx
JaypeeCancejo
 
health care delivery ppt
health care delivery ppthealth care delivery ppt
health care delivery ppt
nikunjpatel409
 
Health Economics
Health EconomicsHealth Economics
Health Economics
Ronald Magbitang
 

Similar to Concept Of Phc (20)

PHC .ppt phc
PHC .ppt phcPHC .ppt phc
PHC .ppt phc
 
Chn Ratio
Chn RatioChn Ratio
Chn Ratio
 
193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg193414920-Primary-Health-Care-Ppt.ppt ggg
193414920-Primary-Health-Care-Ppt.ppt ggg
 
CONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPH
CONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPHCONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPH
CONCEPTS OF HEALTH BY Segufta Dilshad (SgD), MDS, EMPH
 
Week 1 notes
Week 1 notesWeek 1 notes
Week 1 notes
 
Community and environmnetal hygiene
Community and environmnetal hygieneCommunity and environmnetal hygiene
Community and environmnetal hygiene
 
Global Health Care Challenges and Trends
Global Health Care Challenges and TrendsGlobal Health Care Challenges and Trends
Global Health Care Challenges and Trends
 
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
HLN004 Lecture 3 Primary healthcare and introduction to strategies and approa...
 
Health care delivery ppt
Health care delivery  pptHealth care delivery  ppt
Health care delivery ppt
 
Primary health care p p t
Primary health care p p tPrimary health care p p t
Primary health care p p t
 
Global health care challenges and trends_ besty
Global health care challenges and trends_ bestyGlobal health care challenges and trends_ besty
Global health care challenges and trends_ besty
 
Global health care challenges and trends_ besty
Global health care challenges and trends_ bestyGlobal health care challenges and trends_ besty
Global health care challenges and trends_ besty
 
Chn Concepts
Chn ConceptsChn Concepts
Chn Concepts
 
Chn Concepts
Chn ConceptsChn Concepts
Chn Concepts
 
Healthcare challenges & solutions in india
Healthcare challenges & solutions in indiaHealthcare challenges & solutions in india
Healthcare challenges & solutions in india
 
Health care delivary system
Health care delivary systemHealth care delivary system
Health care delivary system
 
Global health
Global healthGlobal health
Global health
 
COMMUNITY AND ENVIRONMENTAL HEALTH.pptx
COMMUNITY AND ENVIRONMENTAL HEALTH.pptxCOMMUNITY AND ENVIRONMENTAL HEALTH.pptx
COMMUNITY AND ENVIRONMENTAL HEALTH.pptx
 
health care delivery ppt
health care delivery ppthealth care delivery ppt
health care delivery ppt
 
Health Economics
Health EconomicsHealth Economics
Health Economics
 

Recently uploaded

The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
Vivekanand Anglo Vedic Academy
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
kaushalkr1407
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
PedroFerreira53928
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
Celine George
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
Thiyagu K
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
Mohd Adib Abd Muin, Senior Lecturer at Universiti Utara Malaysia
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
siemaillard
 
ESC Beyond Borders _From EU to You_ InfoPack general.pdf
ESC Beyond Borders _From EU to You_ InfoPack general.pdfESC Beyond Borders _From EU to You_ InfoPack general.pdf
ESC Beyond Borders _From EU to You_ InfoPack general.pdf
Fundacja Rozwoju Społeczeństwa Przedsiębiorczego
 
Language Across the Curriculm LAC B.Ed.
Language Across the  Curriculm LAC B.Ed.Language Across the  Curriculm LAC B.Ed.
Language Across the Curriculm LAC B.Ed.
Atul Kumar Singh
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
Celine George
 
How to Split Bills in the Odoo 17 POS Module
How to Split Bills in the Odoo 17 POS ModuleHow to Split Bills in the Odoo 17 POS Module
How to Split Bills in the Odoo 17 POS Module
Celine George
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
BhavyaRajput3
 
Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......
Ashokrao Mane college of Pharmacy Peth-Vadgaon
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
Excellence Foundation for South Sudan
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
MysoreMuleSoftMeetup
 
How to Break the cycle of negative Thoughts
How to Break the cycle of negative ThoughtsHow to Break the cycle of negative Thoughts
How to Break the cycle of negative Thoughts
Col Mukteshwar Prasad
 
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
AzmatAli747758
 
special B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdfspecial B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdf
Special education needs
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
DeeptiGupta154
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
RaedMohamed3
 

Recently uploaded (20)

The French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free downloadThe French Revolution Class 9 Study Material pdf free download
The French Revolution Class 9 Study Material pdf free download
 
The Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdfThe Roman Empire A Historical Colossus.pdf
The Roman Empire A Historical Colossus.pdf
 
Basic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumersBasic phrases for greeting and assisting costumers
Basic phrases for greeting and assisting costumers
 
Model Attribute Check Company Auto Property
Model Attribute  Check Company Auto PropertyModel Attribute  Check Company Auto Property
Model Attribute Check Company Auto Property
 
Unit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdfUnit 8 - Information and Communication Technology (Paper I).pdf
Unit 8 - Information and Communication Technology (Paper I).pdf
 
Chapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptxChapter 3 - Islamic Banking Products and Services.pptx
Chapter 3 - Islamic Banking Products and Services.pptx
 
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
 
ESC Beyond Borders _From EU to You_ InfoPack general.pdf
ESC Beyond Borders _From EU to You_ InfoPack general.pdfESC Beyond Borders _From EU to You_ InfoPack general.pdf
ESC Beyond Borders _From EU to You_ InfoPack general.pdf
 
Language Across the Curriculm LAC B.Ed.
Language Across the  Curriculm LAC B.Ed.Language Across the  Curriculm LAC B.Ed.
Language Across the Curriculm LAC B.Ed.
 
How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17How to Make a Field invisible in Odoo 17
How to Make a Field invisible in Odoo 17
 
How to Split Bills in the Odoo 17 POS Module
How to Split Bills in the Odoo 17 POS ModuleHow to Split Bills in the Odoo 17 POS Module
How to Split Bills in the Odoo 17 POS Module
 
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCECLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
CLASS 11 CBSE B.St Project AIDS TO TRADE - INSURANCE
 
Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......Ethnobotany and Ethnopharmacology ......
Ethnobotany and Ethnopharmacology ......
 
Introduction to Quality Improvement Essentials
Introduction to Quality Improvement EssentialsIntroduction to Quality Improvement Essentials
Introduction to Quality Improvement Essentials
 
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
Mule 4.6 & Java 17 Upgrade | MuleSoft Mysore Meetup #46
 
How to Break the cycle of negative Thoughts
How to Break the cycle of negative ThoughtsHow to Break the cycle of negative Thoughts
How to Break the cycle of negative Thoughts
 
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...Cambridge International AS  A Level Biology Coursebook - EBook (MaryFosbery J...
Cambridge International AS A Level Biology Coursebook - EBook (MaryFosbery J...
 
special B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdfspecial B.ed 2nd year old paper_20240531.pdf
special B.ed 2nd year old paper_20240531.pdf
 
Overview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with MechanismOverview on Edible Vaccine: Pros & Cons with Mechanism
Overview on Edible Vaccine: Pros & Cons with Mechanism
 
Palestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptxPalestine last event orientationfvgnh .pptx
Palestine last event orientationfvgnh .pptx
 

Concept Of Phc

  • 1. CONCEPT OF HEALTH,HEALTH FOR ALL AND PRIMARY HEALTH CARE Dr AbdelrahimMutwakel
  • 2.
  • 3. Causatives factors and effects on human life
  • 4. Concepts of ‘health for all’ and ‘primary health care’
  • 5. Role of different stakeholders.
  • 6.
  • 7. SIGNIFICANCE OF HEALTH Fundamental human right. Central to quality of life and human development Essence of a productive life An intersectoral issue and an integral part of socioeconomic system Involves individuals, community, state and international responsibilities A major social investment Worldwide a social goal
  • 8. DIMENSIONS OF HEALTH PHYSICAL Functioning of body organs Ability to do daily tasks MENTAL Balance with surroundings Self- esteem Know problems and goals Self control Faces problems. SOCIAL Harmony with society Involvement with community Social skills
  • 9.
  • 15. CultureBiological and cognitive Genetics, race, sex, age Diabetes, breast cancer are genetic in nature Diarrhoea more common in children Psychological and spiritual Life stress causes mental disorders, hypertension, heart attack, diabetes, gastric ulcer
  • 16. PHYSICAL ACTIVITY INCOME JOB DISEASE AFFECTS LIFE STYLE SOCIAL CONTACTS SADNESS ANXIETY
  • 17. HEALTH FOR ALL Attainment byall people of the world of a level of health that can permit them to lead a socially and economically productivelife. “30th World health assembly, Alma Ata, 1977”
  • 18. PRIMARY HEALTH CARE “Essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-determination. ” “WHO, 1978”
  • 19.
  • 20. Acceptable
  • 21. Accessible
  • 22. Affordable
  • 23. Community participation
  • 24. Appropriate technology
  • 25.
  • 26.
  • 27. Clear responsibility – individuals, family and community
  • 28. Linkage – community and community health workers
  • 32. Active women groups, nongovernmental organizations
  • 34.
  • 35.
  • 36. Supporting and strengthening health centres
  • 37. Activist for health promotion and protection
  • 38. Community health workers training
  • 39. Improving sanitation and environment
  • 41. Promoting family planning, breastfeeding, healthy life styles
  • 42.
  • 46. Human resources development
  • 48. Outbreak control
  • 49.
  • 50. Capacity building
  • 51. Technical cooperation among developing countries
  • 52. South-to-south cooperation
  • 53. Information sharing
  • 54. Technical support
  • 55. Building partnerships
  • 56.
  • 57. Introduction and Overview Responding to the challenges of a changing world Growing expectations for better performance From the packages of the past to the reforms of the future Four sets of PHC reforms Seizing opportunities
  • 58. The PHC reforms necessary to refocushealth systems towards health for all
  • 59. The challenges of a changing world Unequal growth, unequal outcomes Longer lives and better health, but not everywhere Growth and stagnation Adapting to new health challenges A globalized, urbanized and ageing world Little anticipation and slow reactions Trends that undermine the health systems’ response Hospital-centrism: health systems built around hospitals and specialists Fragmentation: health systems built around priority programmes Health systems left to drift towards unregulated commercialization Changing values and rising expectations Health equity Care that puts people first Securing the health of communities Reliable, responsive health authorities Participation PHC reforms: driven by demand
  • 60. The shift towards noncommunicable diseases and accidents as causes of death*
  • 61. Five common shortcomings ofhealth-care delivery Inverse care. People with the most means – whose needs for health care are often less – consume the most care, whereas those with the least means and greatest health problems consume the least. Public spending on health services most often benefits the rich more than the poor in high- and low income countries alike. Impoverishing care. Wherever people lack social protection and payment for care is largely out-of-pocket at the point of service, they can be confronted with catastrophic expenses. Over 100 million people annually fall into poverty because they have to pay for health care. Fragmented and fragmenting care. The excessive specialization of health-care providers and the narrow focus of many disease control programmes discourage a holistic approach to the individuals and the families they deal with and do not appreciate the need for continuity in care. Health services for poor and marginalized groups are often highly fragmented and severely under-resourced, while development aid often adds to the fragmentation. Unsafe care. Poor system design that is unable to ensure safety and hygiene standards leads to high rates of hospital-acquired infections, along with medication errors and other avoidable adverse effects that are an underestimated cause of death and ill-health. Misdirected care. Resource allocation clusters around curative services at great cost, neglecting the potential of primary prevention and health promotion to prevent up to 70% of the disease burden. At the same time, the health sector lacks the expertise to mitigate the adverse effects on health from other sectors and make the most of what these other sectors can contribute to health.
  • 62. Primary care: putting people first Good care is about people The distinctive features of primary care Effectiveness and safety are not just technical matters Understanding people: person-centred care Comprehensive and integrated responses Continuity of care A regular and trusted provider as entry point Organizing primary-care networks Bringing care closer to the people Responsibility for a well-identified population The primary-care team as a hub of coordination Monitoring progress
  • 63. How experience has shifted the focus of the PHC movement