The document summarizes the key outcomes of the 1978 Alma-Ata Conference where 134 countries agreed on the goal of "Health for All" by 2000 through primary healthcare (PHC). The conference found that over half the world's population lacked adequate healthcare, with a large inequality between developed and developing countries. It established PHC as an approach focusing on disease prevention, health promotion, and community participation through intersectoral collaboration. The conference adopted 8 declarations, including defining PHC and its essential elements like immunization, maternal/child care, nutrition, water/sanitation, and community involvement.
The document summarizes the Ottawa Charter for Health Promotion which was adopted in 1986 at the first international conference on health promotion. The charter established five action areas and three strategies for health promotion - building healthy public policy, creating supportive environments, strengthening community actions, developing personal skills, and reorienting health systems using advocacy, enablement, and mediation strategies. It calls on WHO and other organizations to support countries in implementing health promotion strategies and programs.
Universal health coverage aims to ensure everyone has access to health services without facing financial hardship. World Health Day 2022's theme focuses on achieving universal health coverage for everyone everywhere. India's Ayushman Bharat program aims to achieve this through two pillars - providing basic health services through health centers and providing insurance coverage for serious illnesses for poor families. Realizing universal coverage requires addressing issues like inadequate resources, uneven quality of care, and high out-of-pocket costs that push people into poverty.
The Ottawa Charter for Health Promotion was developed at the first International Conference on Health Promotion in 1986. It outlines five areas of action to achieve health promotion by the year 2000: build healthy public policy, create supportive environments, strengthen community actions, develop personal skills, and reorient health services toward health promotion. The Charter calls for governments, health services, and communities to work together to support policies and actions that create physical and social environments conducive to health.
Health is a multifactorial
The factors which determine the health of an individual are many, some are inside the body ( genetic/ intrinsic) and some are outside the body ( environmental factors)
The interaction of these factors may either promote or deteriorate the health.
The important determinants of health are,
The document summarizes the key recommendations from the 1988 International Conference on Healthy Public Policy held in Adelaide, South Australia. The conference built upon the momentum of prior global health conferences, and focused on developing healthy public policy through four priority areas: improving women's health, ensuring adequate nutrition, controlling tobacco and alcohol, and creating supportive environments. It called on governments to consider health in all policy decisions and work across sectors to improve living and working conditions for better health outcomes.
The document discusses primary health care, including its conceptualization, philosophy, principles, strategies, and models. It describes the key outcomes of the 1978 Alma-Ata Conference, including its 10 declarations and 22 recommendations which established primary health care as a global health strategy focused on achieving health for all by 2000 through equitable access to comprehensive services. The document also analyzes selective and comprehensive primary health care approaches and outlines the basic components, principles, and operational aspects of primary health care delivery within national health systems.
This document provides an introduction to key concepts in public health including definitions, major issues, and the history of public health. It discusses how public health differs from clinical medicine by focusing on populations rather than individual patients. Public health aims to prevent disease and injury through community-level interventions and policy changes. The document also summarizes a famous case study where the physician John Snow used epidemiological methods to identify contaminated water as the source of a cholera outbreak in London in the 1850s.
This document discusses universal health coverage (UHC) and India's progress toward achieving it. It provides background on UHC, including definitions, objectives, and the global momentum behind it. It then examines India's current scenario, including existing schemes to promote UHC. Key recommendations from the High Level Expert Group on UHC include increasing public health spending, developing a national health package, and strengthening human resources and community participation. Achieving UHC would lead to benefits like greater equity, efficiency, and improved health outcomes. The document outlines the new architecture needed to achieve UHC through reforms in six critical areas.
The document summarizes the Ottawa Charter for Health Promotion which was adopted in 1986 at the first international conference on health promotion. The charter established five action areas and three strategies for health promotion - building healthy public policy, creating supportive environments, strengthening community actions, developing personal skills, and reorienting health systems using advocacy, enablement, and mediation strategies. It calls on WHO and other organizations to support countries in implementing health promotion strategies and programs.
Universal health coverage aims to ensure everyone has access to health services without facing financial hardship. World Health Day 2022's theme focuses on achieving universal health coverage for everyone everywhere. India's Ayushman Bharat program aims to achieve this through two pillars - providing basic health services through health centers and providing insurance coverage for serious illnesses for poor families. Realizing universal coverage requires addressing issues like inadequate resources, uneven quality of care, and high out-of-pocket costs that push people into poverty.
The Ottawa Charter for Health Promotion was developed at the first International Conference on Health Promotion in 1986. It outlines five areas of action to achieve health promotion by the year 2000: build healthy public policy, create supportive environments, strengthen community actions, develop personal skills, and reorient health services toward health promotion. The Charter calls for governments, health services, and communities to work together to support policies and actions that create physical and social environments conducive to health.
Health is a multifactorial
The factors which determine the health of an individual are many, some are inside the body ( genetic/ intrinsic) and some are outside the body ( environmental factors)
The interaction of these factors may either promote or deteriorate the health.
The important determinants of health are,
The document summarizes the key recommendations from the 1988 International Conference on Healthy Public Policy held in Adelaide, South Australia. The conference built upon the momentum of prior global health conferences, and focused on developing healthy public policy through four priority areas: improving women's health, ensuring adequate nutrition, controlling tobacco and alcohol, and creating supportive environments. It called on governments to consider health in all policy decisions and work across sectors to improve living and working conditions for better health outcomes.
The document discusses primary health care, including its conceptualization, philosophy, principles, strategies, and models. It describes the key outcomes of the 1978 Alma-Ata Conference, including its 10 declarations and 22 recommendations which established primary health care as a global health strategy focused on achieving health for all by 2000 through equitable access to comprehensive services. The document also analyzes selective and comprehensive primary health care approaches and outlines the basic components, principles, and operational aspects of primary health care delivery within national health systems.
This document provides an introduction to key concepts in public health including definitions, major issues, and the history of public health. It discusses how public health differs from clinical medicine by focusing on populations rather than individual patients. Public health aims to prevent disease and injury through community-level interventions and policy changes. The document also summarizes a famous case study where the physician John Snow used epidemiological methods to identify contaminated water as the source of a cholera outbreak in London in the 1850s.
This document discusses universal health coverage (UHC) and India's progress toward achieving it. It provides background on UHC, including definitions, objectives, and the global momentum behind it. It then examines India's current scenario, including existing schemes to promote UHC. Key recommendations from the High Level Expert Group on UHC include increasing public health spending, developing a national health package, and strengthening human resources and community participation. Achieving UHC would lead to benefits like greater equity, efficiency, and improved health outcomes. The document outlines the new architecture needed to achieve UHC through reforms in six critical areas.
This document outlines the process of developing a behavior change communication (BCC) strategy for family planning. It discusses:
1. The 5 steps for developing a BCC strategy - analysis, strategic design, development and testing, implementation and monitoring, and evaluation and re-planning.
2. Key aspects of each step, including conducting a situation and audience analysis, setting SMART objectives, selecting effective communication channels, developing and pre-testing materials, and implementing with benchmarks and responsibilities.
3. Stages in the process of behavior change - from creating awareness to maintaining new behaviors - and how BCC can facilitate moving people through these stages for family planning.
The document provides background information on Nepal's health system. Some key points:
- Nepal is transitioning to a federal democratic republic after a period of political instability and has set a goal to graduate from least developed country status by 2022.
- It faces challenges of poverty, inequality, and a high burden of disease. The health system provides services through a three-tier structure at the federal, provincial, and local levels.
- Financing comes from various sources including government spending which allocates a portion of its budget to health but this share has declined in recent years despite overall spending increases. Out-of-pocket costs remain high.
1. The document discusses the origins and history of primary health care from pre-colonial times through the colonial period and post-independence era, culminating in the 1978 Declaration of Alma-Ata which established primary health care as a global strategy.
2. The Declaration defined primary health care as including health promotion, disease prevention, treatment of common illnesses, and community participation at an affordable cost.
3. While the goals of primary health care were not fully realized due to lack of resources and commitment, the principles of equity, prevention and universal access remain important, and revitalizing primary health care is seen as critical to achieving health-related sustainable development goals.
1. The study evaluated a community-based intervention for dengue control in Cuba that strengthened intersectoral coordination and community empowerment.
2. Surveys found that levels of community participation and positive behavioral changes increased more in pilot areas with the coordination and empowerment interventions compared to the control area.
3. Entomological surveillance data showed that the pilot and extension areas achieved lower Breteau indices, indicating greater effectiveness at controlling the Aedes mosquito, compared to the control area over the six-year period.
This document provides a summary of the primary health care system in Nepal. It discusses the background and principles of primary health care in Nepal since adopting the Alma Ata Declaration in 1978. It then summarizes the progress made in key primary health care indicators from 1980 to 2005 across several components, including health education, nutrition, maternal and child health, immunizations, control of endemic diseases, treatment of common illnesses, essential drugs, water and sanitation. Overall, it shows improvements across many health indicators and the strengthening of primary health care services nationwide over the past few decades in Nepal.
The document discusses global health policies and initiatives. It outlines health policy aims like maintaining and improving population health status. It discusses key global health strategies like Health for All by 2000, the Millennium Development Goals, and Sustainable Development Goals. It provides details on initiatives like the Global Fund to Fight AIDS, Tuberculosis and Malaria, GAIN (Global Alliance for Improved Nutrition), and progress made in combating diseases like HIV/AIDS, tuberculosis, and malaria.
The document discusses the changing concepts of health over time. It begins by defining health as the absence of disease according to the oldest and WHO definitions. It then explains that health is perceived differently by various professional groups. The concept of health has evolved from an individual concern to a worldwide social goal encompassing quality of life. The document outlines 4 main concepts of health - the biomedical concept which views the human body as a machine, the ecological concept which sees health as a dynamic equilibrium between humans and their environment, the psychological concept which is influenced by various social factors, and the holistic concept which synthesizes all previous concepts and sees health as a unified multidimensional process involving well-being in one's environment.
This document provides an overview of global health and the history and work of the World Health Organization (WHO). It discusses how international cooperation on health issues originated from early sanitary conferences and led to the establishment of WHO in 1948. Key details include WHO's structure, membership, priorities such as disease prevention and control, and milestones such as the eradication of smallpox. The roles of other related international organizations such as UNICEF, UNDP, FAO, and the World Bank in global health are also summarized.
The document discusses the health-disease spectrum and defines the domains of health and disease. It states that health and disease exist on a continuum, with death on one end and complete health on the other. The health domain includes positive health and freedom from sickness, while the disease domain ranges from unrecognized sickness to death. It clarifies that public health operates within the health domain, focusing on promoting health up to the level of complete health, while medicine addresses disease from unknown sickness to death. Finally, it concludes that within the health-disease spectrum, the primary responsibility of public health is the health domain before the need for treatment.
The ICPD: Women's Roles and Reproductive Rightsoshaugs
The document summarizes the 1994 International Conference on Population and Development in Cairo, Egypt. The conference focused on issues including women's reproductive rights, health care access, and urbanization. It made significant progress in establishing definitions and plans of action to promote women's reproductive health and equality. Specifically, it outlined goals for including reproductive health in primary health care systems by 2015 and clearly defined related terms and programs to be implemented, leaving little room for interpretation. The conference advanced global support for women's health rights and their connection to overall population well-being.
This document discusses the International Health Regulations (IHR), which provide a framework for international cooperation to control the spread of diseases. Some key points:
1. The IHR aim to prevent the international spread of diseases, encourage surveillance and capacity building, and ensure prompt notification of public health emergencies.
2. Vaccination requirements are outlined for certain diseases like smallpox, plague, cholera, and yellow fever. Smallpox vaccination is no longer recommended.
3. National IHR Focal Points have been established in countries to act as communication channels with WHO. India's focal point is the National Institute of Communicable Diseases.
4. The document outlines core surveillance and response capacities
This document discusses health systems strengthening from a global perspective. It defines health systems strengthening as initiatives that improve the core functions or "building blocks" of a health system, with the goal of permanently improving system performance rather than just filling gaps. The document distinguishes between supporting a health system through improving inputs versus strengthening it by facilitating comprehensive changes to performance drivers. It identifies key priorities for facilitating health systems strengthening as the health workforce, cost-effective primary health care interventions and service delivery models, progressive decentralization, results-based financing, and enhanced integrated management approaches.
Public health deals with preventing disease, promoting health and prolonging life through organized community efforts. It focuses on groups of people rather than individuals. Key dimensions include health promotion, disease prevention, early diagnosis and treatment, disability limitation and rehabilitation. Over time, public health has shifted focus from controlling infectious diseases to addressing chronic conditions and social determinants of health. Major milestones include sanitary reforms in the 19th century, establishing health services in the 20th century, and working towards "Health for All" globally by 2000.
This document discusses key concepts in health policy, including definitions of health policy, the aims of health policies in maintaining and improving population health status, and essential concepts like health status, health services, organization and financing of health systems, and the roles of public health, health commissioning, and ensuring appropriateness of care. It also covers international trends, provider-purchaser models, and major challenges for developing countries, including health reform, decentralization, tools for policymaking, and ensuring equity in health.
Behavior change communication (BCC) is a strategic process that uses communication to promote positive health behaviors and outcomes. It involves formative research, communication planning, implementation, and evaluation. BCC develops tailored messages through various channels to promote individual and community behavior change. The process aims to move people through stages from unaware to sustained behavior change. BCC can be effective at individual, community and national levels by increasing knowledge, skills, and positive attitudes. Some limitations include a focus on materials over conduct and limited local capacity. BCC plays an important role in addressing issues like HIV/AIDS by increasing awareness, stimulating dialogue, advocating for policy changes, and promoting prevention and care services.
The document outlines India's national health policies from 1983 to 2017. It begins with the background of the Alma-Ata Declaration of 1978 which established the goal of "Health for All" through primary health care. The key policies are the National Health Policy 1983 which aimed to achieve health for all by 2000, the 2002 policy which revised goals, and subsequent policies in 2015 and 2017 which set new targets for improving health outcomes and increasing access to care. The policies focus on developing infrastructure, increasing funding, and making progress on reducing diseases and improving health indicators.
The 8th Global Conference on Health Promotion was held in Helsinki, Finland from June 10-14, 2013 with the goal of advancing the health-in-all-policies (HiAP) approach. Participants from 122 countries discussed how to adopt HiAP in their countries to promote health equity. They committed to making health a priority across all sectors of government and to building skills and structures to implement HiAP. The conference statement calls on governments and WHO to support HiAP by strengthening health considerations in policymaking, building institutional capacity, and including communities in HiAP development and monitoring.
Epidemiology is the study of disease distribution and determinants in populations. Hippocrates was the first epidemiologist, observing disease contributing factors. Thomas Sydenham classified fevers in London. In the 1700s, Jesty and Jenner observed cowpox conferred smallpox immunity, leading to vaccination. Lind identified scurvy remedies, reducing cases in sailors. Pasteur and Koch proved germ theories of disease. Advances like microscopy helped early epidemiologists understand disease transmission and dynamics.
Primary health care originated from the Alma-Ata Declaration of 1978 which established health for all as a goal. It is defined as essential health care that is accessible, affordable, and participatory at the community level. The key principles of primary health care are equitable distribution of services, community participation, intersectoral coordination, and use of appropriate technology with a focus on prevention. [/SUMMARY]
The existing gross inequalities in the health status of people, particularly between developed and developing countries as well as within countries are of common concern to all countries. Hence, the need for the Alma- Ata declarations which states that health is a basic human right, and that governments should be responsible to assure that right for their citizens and to develop appropriate strategies to fulfill this promise.
WHO is the leading authority on global health within the United Nations. It provides leadership, shapes health research agendas, sets standards and policies, and monitors health trends. A key achievement was eradicating smallpox in the late 1970s through a global vaccination campaign coordinated by WHO. WHO works to ensure universal access to quality healthcare and helps countries plan their health systems and workforce. The definition of health includes physical, mental, and social well-being, not just the absence of disease.
This document outlines the process of developing a behavior change communication (BCC) strategy for family planning. It discusses:
1. The 5 steps for developing a BCC strategy - analysis, strategic design, development and testing, implementation and monitoring, and evaluation and re-planning.
2. Key aspects of each step, including conducting a situation and audience analysis, setting SMART objectives, selecting effective communication channels, developing and pre-testing materials, and implementing with benchmarks and responsibilities.
3. Stages in the process of behavior change - from creating awareness to maintaining new behaviors - and how BCC can facilitate moving people through these stages for family planning.
The document provides background information on Nepal's health system. Some key points:
- Nepal is transitioning to a federal democratic republic after a period of political instability and has set a goal to graduate from least developed country status by 2022.
- It faces challenges of poverty, inequality, and a high burden of disease. The health system provides services through a three-tier structure at the federal, provincial, and local levels.
- Financing comes from various sources including government spending which allocates a portion of its budget to health but this share has declined in recent years despite overall spending increases. Out-of-pocket costs remain high.
1. The document discusses the origins and history of primary health care from pre-colonial times through the colonial period and post-independence era, culminating in the 1978 Declaration of Alma-Ata which established primary health care as a global strategy.
2. The Declaration defined primary health care as including health promotion, disease prevention, treatment of common illnesses, and community participation at an affordable cost.
3. While the goals of primary health care were not fully realized due to lack of resources and commitment, the principles of equity, prevention and universal access remain important, and revitalizing primary health care is seen as critical to achieving health-related sustainable development goals.
1. The study evaluated a community-based intervention for dengue control in Cuba that strengthened intersectoral coordination and community empowerment.
2. Surveys found that levels of community participation and positive behavioral changes increased more in pilot areas with the coordination and empowerment interventions compared to the control area.
3. Entomological surveillance data showed that the pilot and extension areas achieved lower Breteau indices, indicating greater effectiveness at controlling the Aedes mosquito, compared to the control area over the six-year period.
This document provides a summary of the primary health care system in Nepal. It discusses the background and principles of primary health care in Nepal since adopting the Alma Ata Declaration in 1978. It then summarizes the progress made in key primary health care indicators from 1980 to 2005 across several components, including health education, nutrition, maternal and child health, immunizations, control of endemic diseases, treatment of common illnesses, essential drugs, water and sanitation. Overall, it shows improvements across many health indicators and the strengthening of primary health care services nationwide over the past few decades in Nepal.
The document discusses global health policies and initiatives. It outlines health policy aims like maintaining and improving population health status. It discusses key global health strategies like Health for All by 2000, the Millennium Development Goals, and Sustainable Development Goals. It provides details on initiatives like the Global Fund to Fight AIDS, Tuberculosis and Malaria, GAIN (Global Alliance for Improved Nutrition), and progress made in combating diseases like HIV/AIDS, tuberculosis, and malaria.
The document discusses the changing concepts of health over time. It begins by defining health as the absence of disease according to the oldest and WHO definitions. It then explains that health is perceived differently by various professional groups. The concept of health has evolved from an individual concern to a worldwide social goal encompassing quality of life. The document outlines 4 main concepts of health - the biomedical concept which views the human body as a machine, the ecological concept which sees health as a dynamic equilibrium between humans and their environment, the psychological concept which is influenced by various social factors, and the holistic concept which synthesizes all previous concepts and sees health as a unified multidimensional process involving well-being in one's environment.
This document provides an overview of global health and the history and work of the World Health Organization (WHO). It discusses how international cooperation on health issues originated from early sanitary conferences and led to the establishment of WHO in 1948. Key details include WHO's structure, membership, priorities such as disease prevention and control, and milestones such as the eradication of smallpox. The roles of other related international organizations such as UNICEF, UNDP, FAO, and the World Bank in global health are also summarized.
The document discusses the health-disease spectrum and defines the domains of health and disease. It states that health and disease exist on a continuum, with death on one end and complete health on the other. The health domain includes positive health and freedom from sickness, while the disease domain ranges from unrecognized sickness to death. It clarifies that public health operates within the health domain, focusing on promoting health up to the level of complete health, while medicine addresses disease from unknown sickness to death. Finally, it concludes that within the health-disease spectrum, the primary responsibility of public health is the health domain before the need for treatment.
The ICPD: Women's Roles and Reproductive Rightsoshaugs
The document summarizes the 1994 International Conference on Population and Development in Cairo, Egypt. The conference focused on issues including women's reproductive rights, health care access, and urbanization. It made significant progress in establishing definitions and plans of action to promote women's reproductive health and equality. Specifically, it outlined goals for including reproductive health in primary health care systems by 2015 and clearly defined related terms and programs to be implemented, leaving little room for interpretation. The conference advanced global support for women's health rights and their connection to overall population well-being.
This document discusses the International Health Regulations (IHR), which provide a framework for international cooperation to control the spread of diseases. Some key points:
1. The IHR aim to prevent the international spread of diseases, encourage surveillance and capacity building, and ensure prompt notification of public health emergencies.
2. Vaccination requirements are outlined for certain diseases like smallpox, plague, cholera, and yellow fever. Smallpox vaccination is no longer recommended.
3. National IHR Focal Points have been established in countries to act as communication channels with WHO. India's focal point is the National Institute of Communicable Diseases.
4. The document outlines core surveillance and response capacities
This document discusses health systems strengthening from a global perspective. It defines health systems strengthening as initiatives that improve the core functions or "building blocks" of a health system, with the goal of permanently improving system performance rather than just filling gaps. The document distinguishes between supporting a health system through improving inputs versus strengthening it by facilitating comprehensive changes to performance drivers. It identifies key priorities for facilitating health systems strengthening as the health workforce, cost-effective primary health care interventions and service delivery models, progressive decentralization, results-based financing, and enhanced integrated management approaches.
Public health deals with preventing disease, promoting health and prolonging life through organized community efforts. It focuses on groups of people rather than individuals. Key dimensions include health promotion, disease prevention, early diagnosis and treatment, disability limitation and rehabilitation. Over time, public health has shifted focus from controlling infectious diseases to addressing chronic conditions and social determinants of health. Major milestones include sanitary reforms in the 19th century, establishing health services in the 20th century, and working towards "Health for All" globally by 2000.
This document discusses key concepts in health policy, including definitions of health policy, the aims of health policies in maintaining and improving population health status, and essential concepts like health status, health services, organization and financing of health systems, and the roles of public health, health commissioning, and ensuring appropriateness of care. It also covers international trends, provider-purchaser models, and major challenges for developing countries, including health reform, decentralization, tools for policymaking, and ensuring equity in health.
Behavior change communication (BCC) is a strategic process that uses communication to promote positive health behaviors and outcomes. It involves formative research, communication planning, implementation, and evaluation. BCC develops tailored messages through various channels to promote individual and community behavior change. The process aims to move people through stages from unaware to sustained behavior change. BCC can be effective at individual, community and national levels by increasing knowledge, skills, and positive attitudes. Some limitations include a focus on materials over conduct and limited local capacity. BCC plays an important role in addressing issues like HIV/AIDS by increasing awareness, stimulating dialogue, advocating for policy changes, and promoting prevention and care services.
The document outlines India's national health policies from 1983 to 2017. It begins with the background of the Alma-Ata Declaration of 1978 which established the goal of "Health for All" through primary health care. The key policies are the National Health Policy 1983 which aimed to achieve health for all by 2000, the 2002 policy which revised goals, and subsequent policies in 2015 and 2017 which set new targets for improving health outcomes and increasing access to care. The policies focus on developing infrastructure, increasing funding, and making progress on reducing diseases and improving health indicators.
The 8th Global Conference on Health Promotion was held in Helsinki, Finland from June 10-14, 2013 with the goal of advancing the health-in-all-policies (HiAP) approach. Participants from 122 countries discussed how to adopt HiAP in their countries to promote health equity. They committed to making health a priority across all sectors of government and to building skills and structures to implement HiAP. The conference statement calls on governments and WHO to support HiAP by strengthening health considerations in policymaking, building institutional capacity, and including communities in HiAP development and monitoring.
Epidemiology is the study of disease distribution and determinants in populations. Hippocrates was the first epidemiologist, observing disease contributing factors. Thomas Sydenham classified fevers in London. In the 1700s, Jesty and Jenner observed cowpox conferred smallpox immunity, leading to vaccination. Lind identified scurvy remedies, reducing cases in sailors. Pasteur and Koch proved germ theories of disease. Advances like microscopy helped early epidemiologists understand disease transmission and dynamics.
Primary health care originated from the Alma-Ata Declaration of 1978 which established health for all as a goal. It is defined as essential health care that is accessible, affordable, and participatory at the community level. The key principles of primary health care are equitable distribution of services, community participation, intersectoral coordination, and use of appropriate technology with a focus on prevention. [/SUMMARY]
The existing gross inequalities in the health status of people, particularly between developed and developing countries as well as within countries are of common concern to all countries. Hence, the need for the Alma- Ata declarations which states that health is a basic human right, and that governments should be responsible to assure that right for their citizens and to develop appropriate strategies to fulfill this promise.
WHO is the leading authority on global health within the United Nations. It provides leadership, shapes health research agendas, sets standards and policies, and monitors health trends. A key achievement was eradicating smallpox in the late 1970s through a global vaccination campaign coordinated by WHO. WHO works to ensure universal access to quality healthcare and helps countries plan their health systems and workforce. The definition of health includes physical, mental, and social well-being, not just the absence of disease.
The document discusses the concepts of health, illness, and healthcare. It defines health as a state of complete physical, mental, and social well-being, not just the absence of disease. Illness is defined as a diminished state of functioning. Healthcare is described as more than just medical care, involving public services to promote, maintain, monitor, and restore health. The document then outlines the three levels of healthcare - primary, secondary, and tertiary - provided at different facilities. It focuses on the principles and goals of primary healthcare as outlined at the Alma-Ata International Conference in 1977, which established primary healthcare as the path to achieving "Health for All by 2000" through making essential care universally accessible.
The document discusses primary health care (PHC), which was declared as an essential approach for achieving "Health for All" by 2000 at the International Conference on PHC in Alma-Ata in 1978. PHC aims to make essential health care universally accessible and affordable. It focuses on disease prevention, health promotion, and community participation through locally appropriate technologies. The key principles of PHC are equitable distribution, community participation, appropriate technology, intersectoral coordination, and prevention-focused care.
The document discusses the Alma-Ata Declaration of 1978 which established primary health care as the key to achieving health for all. It outlines the five principles of primary health care - equitable distribution, manpower development, community participation, appropriate technology, and multi-sectoral approach. It also describes the eight essential elements of primary health care - education, nutrition, maternal and child health care, immunizations, treatment of endemic diseases, provision of essential drugs, safe water and basic sanitation. Finally, it provides an overview of how primary health care has been implemented in Pakistan through programs like the Lady Health Worker program.
The document discusses primary health care (PHC) as defined by the World Health Organization (WHO). It outlines the key principles of PHC established at the International Conference on PHC in Alma-Ata in 1978, including making essential health care universally accessible through community participation and affordable locally. The document also examines the history of the PHC movement and WHO's goal of "Health for All" by 2000. Finally, it identifies six pillars that PHC is built on: social justice, preventive health care, community participation, inter-sector cooperation, appropriate technology, and sustainable measures.
health promotion and primary prevention: Mamta SuryavanshiMamtaSuryavanshi1
The document provides an overview of a seminar on primary health care and health promotion. It discusses the background and principles of primary health care, highlighting definitions from the Alma-Ata and Astana declarations. It describes the concepts of comprehensive primary health care and health and wellness centers in India. The role of nurses and challenges in implementing primary health care in India are also summarized, in addition to the topics of health promotion, government initiatives, and the seminar's learning objectives.
The document discusses primary health care (PHC) as defined by the World Health Organization (WHO) and the 1978 Alma-Ata Declaration. It outlines the key principles of PHC including intersectoral collaboration, community participation, appropriate technology, equity, prevention focus, and decentralization. The goals of PHC are to provide essential health care that is universally accessible and affordable. Components of PHC include health education, essential drugs, immunization, maternal and child health/family planning, disease treatment, water and sanitation, and management of local endemic diseases.
The document discusses primary health care. It begins by defining health and describing criticisms of current health care systems. It then explains the concept of health care versus medical care and describes different levels of health care including primary, secondary, and tertiary care. The document outlines principles of primary health care including equitable distribution, community participation, multisectoral coordination, appropriate technology, and prevention-focused care. It discusses the 1978 Alma-Ata Declaration which emphasized primary health care and described it as essential, universally accessible care that involves communities and is affordable.
Primary health care (PHC) refers to essential health care that is accessible, affordable, and provided at the local community level. It aims to address the most common health problems and is the first point of contact for individuals with the health system. PHC services include health promotion, disease prevention, treatment of common illnesses, and community development. It is intended to be universally accessible and rely on community participation. The principles of PHC emphasize equity, self-reliance, and intersectoral coordination.
Primary health care (PHC) refers to essential health care that is accessible, affordable, and provided at the local community level. It aims to address the most common health problems and is the first point of contact for individuals with the health system. PHC services include health promotion, disease prevention, treatment of common illnesses, and community development. It is intended to be universally accessible and rely on community participation. The principles of PHC emphasize equity, self-reliance, and involvement of all community sectors.
The principles of primary health care according to the document include equitable distribution of health services to all people irrespective of ability to pay, community participation in health programs, use of appropriate and affordable technologies, and a multisectoral approach involving coordination between health and other sectors. Primary health care aims to provide universally accessible essential health services through community involvement at a cost communities can afford.
1. Community health workers:
- Educate community on cholera prevention through hygiene promotion and sanitation.
- Identify cholera cases and refer to health facilities.
- Mobilize community for clean up campaigns and construction of latrines.
2. Government:
- Declare cholera outbreak and activate emergency response.
- Provide oral rehydration solution and antibiotics in health centers.
- Improve water sources and sanitation infrastructure.
- Enforce laws on proper waste disposal and food hygiene.
3. Health practitioners:
- Diagnose and treat cholera cases according to protocols.
- Educate patients and communities on prevention and early care seeking.
-
People's health assembly PHA-IV 36th batch (1).pptxNarayanRimal2
The document provides an overview of the People's Health Movement (PHM) and its People's Health Assemblies (PHA). Some key points:
- PHM is a global network of grassroots health activists and organizations from over 70 countries working to address social determinants of health and promote comprehensive primary healthcare.
- The PHA conferences bring together individuals and groups to discuss health issues and strategies. PHA-IV took place in 2018 in Bangladesh with over 1400 participants from 74 countries.
- The assembly featured sessions on political and economic influences on health, social and environmental health determinants, strengthening just and accountable health systems, and organizing for health for all.
- Six thematic areas were
HEALTH PROMOTION AND PRIMARY HEALTH CARE.docxSuraj Pande
The document discusses health promotion and primary health care. It describes how health promotion emerged in the early 20th century to focus on individual health beyond just disease control. Primary health care was later established based on principles of equity, community participation, and multi-sectoral involvement. The key elements of primary health care include health education, nutrition, sanitation, maternal/child services, immunization, treatment, and essential drugs. Nurses play an important role in primary health care through health education, nutrition programs, sanitation, maternal/child services, immunization, and treating minor ailments. Problems implementing primary health care in India include lack of resources, large population, and inequitable distribution of health services between rural and urban
The document discusses the history and principles of primary health care (PHC) in India. Key points include that PHC began in India in 1946 and aims to provide universal and equitable access to basic health services. PHC is focused on health promotion, prevention, and treatment of common illnesses and injuries. It also emphasizes community participation and multisectoral coordination. The document outlines the services provided by PHC in India and challenges faced in implementing the PHC strategy.
The document discusses the history and principles of primary health care (PHC). It begins by outlining the origins of PHC at the Alma-Ata conference in 1978 where it was established as a goal of the WHO. Key principles of PHC include equitable access, community participation, and focusing on prevention. The document then examines PHC in India, describing its establishment and evolution over time. It outlines services provided at PHC centers in India as well as ongoing challenges in effectively delivering PHC. Finally, the document argues that strengthening PHC systems combined with universal health coverage can help achieve health for all in the 21st century.
The document summarizes India's national health policies from 1978 onwards. It discusses the key goals and principles of the 1978 Alma-Ata Declaration on Primary Health Care, including health as a fundamental right and reducing inequality. It outlines India's 1983 National Health Policy which aimed to provide primary health care and integrate related sectors. While some goals were achieved by 2000, many were not, prompting the 2002 National Health Policy to revise strategies and accelerate public health goals.
Management as a function of quality assurancesamehibrahim44
This document discusses health care delivery systems and primary health care. It defines primary health care as essential health care that is accessible to communities based on practical and scientifically sound methods. The key principles of primary health care are intersectoral collaboration, community participation, appropriate technology, equity, prevention and health promotion, and decentralization. The document also outlines the eight essential elements of primary health care: immunization, nutrition, water/sanitation, disease treatment, health education, maternal/child care including family planning, essential drugs, and additional elements like oral health and mental health. It defines key terms related to health care delivery systems.
Lecture notes for Family in sociology and medical anthropologyAYONELSON
The document discusses definitions of family from various sociologists and anthropologists. It provides definitions of family as a social group characterized by common residence, economic cooperation and reproduction. Family is also defined as a set of relationships between kins through blood, marriage or adoption. The document also discusses different classifications and types of families such as nuclear vs extended, patriarchal vs matriarchal, and classifications based on residence like patrilocal, matrilocal etc. It provides examples of different family structures from societies around the world.
MEMORY, PROCESS AND FORGETTING IN PSYCHOLOGYAYONELSON
- Encoding is the first stage of memory, where sensory information is processed and represented so it can be further processed by memory systems.
- Storage is the second stage, where received information is retained over time.
- Retrieval is the third stage, referring to locating stored information and bringing it to awareness when needed.
MEMORY, PROCESS AND FOGETTING IN PSYCHOLOGYAYONELSON
This document provides an outline for a lesson on memory. It defines memory and describes the three stages of memory: encoding, storage, and retrieval. It discusses the multi-store model of memory proposed by Atkinson and Shiffrin, including sensory memory, short-term memory, and long-term memory. The document also outlines four theories of forgetting: decay theory, motivated forgetting theory, interference theory, and cue-dependent forgetting theory. Finally, it briefly mentions the types of memory disorders.
LEARNING AND BEHAVIORAL MEDICINE IN PSYCHOLOGYAYONELSON
This document discusses learning and provides definitions and theories of learning. It begins by defining learning as the process of acquiring new knowledge, attitudes, and skills needed to meet life's demands. Several psychologists' definitions of learning are then provided. The document also discusses the nature and characteristics of learning, including that it is a continuous, goal-directed process that involves change and experience. It notes different types of learning and provides details on Thorndike's trial and error theory of learning and his laws of learning, including the laws of readiness, exercise, and effect.
The document summarizes a workshop on developing research questions. It discusses understanding why academic research questions are important, strategies for formulating questions, and having participants begin developing their own questions. The workshop covers identifying topics of interest, considering what is known and unknown about a topic to reveal potential questions, using rhetorical modes to inspire questions, and focusing a question with supporting questions. The goal is for participants to leave with at least one open-ended research question to explore.
This document discusses research ethics and provides definitions and outlines of key topics in research ethics. It defines research ethics as the application of moral principles guiding research from inception to publication. It identifies the importance of ethics in protecting participants and building public support. The key principles of ethics discussed are consent, harm, privacy, and deception. Informed consent and minimizing risk of harm to participants are emphasized.
Culture refers to the shared ways of thinking, behaviors, and objects that together form a people's way of life. It includes both material and nonmaterial aspects that are learned and shared within a group. The main components of culture are values, norms, symbols, and language. Culture is transmitted between generations and helps shape human behavior and society. Cultural beliefs and practices can influence health by impacting behaviors and perceptions of wellness.
1. The document discusses learning and behavioral medicine. It provides definitions of learning from various psychologists and educationists. 2. Key aspects of learning discussed include it being a process of acquiring knowledge, attitudes and skills through experience. It is influenced by one's environment and can take place anywhere. 3. The document also examines theories of learning including Thorndike's trial and error theory, Pavlov's classical conditioning, and Skinner's operant conditioning theory. It provides examples and explanations of each.
This document discusses the procurement and management of resources in primary healthcare. It covers:
1) The purpose of resource management is to ensure the right quality supplies are available at the right time and place at the lowest cost.
2) The supply chain logistics cycle involves selection, quantification, procurement, distribution, storage, use and management support systems.
3) Procurement methods include open tender, restricted tender, and competitive negotiation. Factors in supplier selection include quality, price, capacity and past performance.
4) Quantification is estimating supply needs over time based on consumption, morbidity, or service projections to inform procurement planning.
This document provides an overview of pharmacy laws and regulations, including definitions of pharmacy and a history of the profession globally and in Uganda. It begins with definitions tracing the term "pharmacy" back to ancient Greek and Latin roots. There is a discussion of ancient medical practices in Mesopotamia, China, Egypt, and Greece. It then covers developments in Europe and America, highlighting contributors like Paracelsus, Scheele, Pasteur, Koch, and Flemming. The document concludes with a brief history of pharmacy education and practice in Uganda from its beginnings in 1988 to the current recognized cadres.
Community diagnosis involves identifying and quantifying health problems in a community through data collection and analysis. It aims to understand factors influencing community health, highlight available resources, and identify local health priorities to improve health status. The process involves initiating a project, collecting both quantitative and qualitative data, diagnosing the community's health status and determinants, and disseminating findings to stakeholders and the public. Challenges can include communities prioritizing other issues over real health problems and rushing conclusions without proper understanding. Regular assessment allows health programs to continuously adapt to community needs.
Lect 1.b THE BUILDING BLOCKS OF A HEALTH SYSTEM - notes pp.pptxAYONELSON
The document discusses the six building blocks of a health system according to the WHO framework: service delivery, health workforce, health information, medical products and technologies, health financing, and leadership/governance. These building blocks constitute the essential functions of a health system and must be strong to achieve goals of improved health, responsiveness, social/financial risk protection, and efficiency. Uganda employs this framework to strengthen its health system through programs focused on these building blocks at district and national levels.
This document discusses the basic control process in organizations. It involves 3 main steps: 1) establishment of standards, 2) measurement of performance against standards, and 3) correction of deviations from standards. Effective control systems focus on critical points, are integrated into existing processes, and have buy-in from employees. Controls make plans effective, ensure consistency, provide feedback, and aid decision making. To be effective, controls must be tailored to individual roles and plans, highlight exceptions, remain flexible, and achieve an appropriate cost-benefit balance.
The document discusses the functions of management, specifically planning. It defines planning as anticipating future trends and determining strategies and tactics to achieve organizational goals. Planning accounts for changing environments and helps performance. The steps in planning include establishing objectives and premises, determining alternative courses of action, evaluating alternatives, selecting a course, formulating derivative plans, implementing plans, and reevaluating. Planning can occur at strategic, intermediate, and operational levels. Potential limitations include lack of integration, understanding, contribution across levels, information, change resistance, and contingency planning.
The document discusses key concepts in organizing, including work specialization, span of control, chain of command, authority, delegation, and centralization vs decentralization. It notes that while specialization increases efficiency, jobs with only narrow tasks can lead to boredom. Modern organizations aim to enlarge jobs and use techniques like job rotation, enlargement, and enrichment. The optimal span of control depends on factors like task complexity and need for supervision. Authority flows down the organizational hierarchy through line, staff, and functional roles. Delegation involves assigning responsibility while maintaining accountability. Organizations must balance centralized control with decentralized decision-making based on factors like environmental unpredictability. Informal groups and the grapevine are important aspects of the informal organization within a
Topic 16-Pricing and Pricing Strategies in entrepreneurship.pptxAYONELSON
This document discusses pricing and pricing strategies. It begins by defining price and explaining that price is the most flexible element of the marketing mix. It then discusses factors that influence pricing decisions, including internal factors like costs, objectives, and products, as well as external factors like competition, demand, and the market. The document outlines various pricing approaches such as cost-based, value-based, competition-based, and demand-based pricing. It also discusses specific pricing strategies for new and existing products, such as market skimming, penetration pricing, bundle pricing, and promotional pricing.
This document defines community health nursing and describes its key characteristics and components. Community health nursing combines nursing and public health to promote population health. It focuses on communities, aggregates, and vulnerable populations. The community health nurse acts as a clinician, educator, advocate, manager, collaborator, leader, and researcher to address the health needs of the community through activities like health promotion, prevention, treatment, rehabilitation, evaluation, and research.
This document discusses research variables. It defines a variable as a characteristic that can take on different values. Variables are classified as independent or dependent. Independent variables influence the dependent variables. Examples of independent variables given are revision time and intelligence. Dependent variables are outcomes and examples include test scores. Other variable types discussed include extraneous, confounding, intervening, moderating, continuous, discrete, quantitative, qualitative, nominal, ordinal, interval and ratio variables. Measurement scales are also explained.
The document summarizes key aspects of the nervous system, including its divisions and functions. The central nervous system includes the brain and spinal cord, which process and store sensory and motor information. The peripheral nervous system transmits signals between the central nervous system and the rest of the body. It includes the somatic nervous system for voluntary muscle control and the autonomic nervous system for involuntary control of organs. The autonomic system has sympathetic and parasympathetic divisions that generally oppose each other's effects on target organs.
This document outlines 7 principles of primary health care (PHC) according to the World Health Organization. The principles are that PHC (1) reflects the economic, social and political characteristics of each country and community, (2) addresses the main health problems in communities through various services, (3) includes at least education, nutrition, water/sanitation, maternal/child care, immunization, disease control and essential drugs, (4) involves coordination with other community development sectors, (5) promotes community self-reliance and participation, (6) uses referral systems to improve comprehensive care starting with those most in need, and (7) relies on health workers from various backgrounds to form teams responding to community needs.
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
1. ALMAATA DECLARATION &
ELEMENTS OF PHC
AYO NELSON
CLINICAL INSTRUCTOR
LIRA INSTTITUTE OF HEALTH AND MANAGEMENT SCIENCES
EMAIL: ayonelson617@gmailo.com
2. OBJECTIVES:
• By the end of this session students should be able to;
Explain overview of the Alma Ata Conference
Outline the objectives of Alma Ata declaration
Describe the situation of the health status by then
Discuss the declarations made during the conference
Explain the essential elements of PHC adopted during the conference
3. Overview of the Alma Ata conference:
• Before 1978, globally, existing health services were failing to provide
quality health care to the people.
• Different alternatives and ideas failed to establish a well-functioning
health care system.
• Considering these issues, a joint WHO-UNICEF international
conference was held in 1978 in Alma Ata (USSR), commonly known
as Alma-Ata conference.
4. Overview………………….
• The conference included participation from government from 134 countries
and other different representatives of 67 United Nations organizations,
specialized agencies and non-governmental organizations in official
relations with WHO and UNICEF.
• The conference declared ‘The existing gross inequality in the health status
of people particularly between developed and developing countries as well
as within countries is politically, socially and economically unacceptable’.
5. Overview………………….
• Thus, the Alma-Ata conference called for acceptance of WHO goal
of ‘Health for All’ by 2000.
• Furthermore, it proclaimed Primary Health Care (PHC) as a way to
achieve ‘Health for All’.
• In this way, the concept of Primary Health Care (PHC) came into
existence globally in 1978 from the Alma-Ata Conference ‘based on
the principles of equity and community participation in health
planning through an intersectoral approach’.
6. Overview………………….
• PHC is a tool for disease protection, prevention, and prophylaxis/
vaccination into the health system and also where people and the
community meet the health system
• The declaration is a brief document that recognizes PHC as a means
to achieving the objectives of health of people for all the nations.
• It is the historic declaration in the global health care stating the
importance of PHC and outlining the world government roles and
responsibilities to the health of its citizens.
7. Overview………………….
• It effectively identified varying factors that contribute to the health of
the people and adversely impact on the physical, mental and social
well-being of people around the world and resolves all country should
take continuous corrective measures to protect and promote the health
of the citizens.
8. OBJECTIVES OF THE ALMAATA
CONFERENCE:
• To promote the concept of primary health care in all countries
• To exchange experience and information on the development of primary health
care within the framework of comprehensive national health systems and services
• To evaluate the present health and health care situation throughout the world as it
relates to, and can be improved by, primary health care.
• To define the principles of primary health care as well as the operational means of
overcoming practical problems in the development of primary health care.
• To define the role of governments, national, and international organizations in
technical cooperation and support for the development of primary health care
• To formulate recommendations for the development of primary health care
9. The world re-view of the health status by
then;
• The Conference declared that the health status of hundreds of millions
of people in the world today is unacceptable, particularly in
developing countries.
• More than half the population of the world does not have the benefit of
proper health care.
10. • In view of the magnitude of health problems and the inadequate and
inequitable distribution of health resources between and within countries,
and believing that health is a fundamental human right and worldwide
social goal.
• The Conference called for a new approach to health and health care, to close
the gap between the “haves” and “have-nots”, achieve more equitable
distribution of health resources, and attain a level of health for all the
citizens of the world that will permit them to lead a socially and
economically productive life.
11. • The Conference reaffirmed that governments have a responsibility for
the health of their people which can be fulfilled only by adequate and
equitably distributed health and social measures.
• Each country must interpret and adapt particular, detailed aspects of
primary health care within the country’s own social, political, and
developmental context.
• All persons have the right and duty to participate individually and
collectively in the planning and implementation of their health care.
12. Summary of the challenges identified were:
• High cost of establishing health institutions
• Curative health services predominated other health services
• Inadequate health budget
• Prevailing of attitude was for hospitals
• Unclear health policy
• No community participation and intersectoral collaboration
13. Declaration of the Conference
1. The Conference strongly reaffirms that health, which is a state of
complete physical, mental and social wellbeing, and not merely the
absence of disease or infirmity, is a fundamental human right and
that the attainment of the highest possible level of health is a most
important world-wide social goal whose realization requires the
action of many other social and economic sectors in addition to the
health sector
14. Declarations of the conference
2. The existing gross inequality in the health status of the people
particularly between developed and developing countries as well as
within countries is politically, socially and economically unacceptable
and is, therefore, of common concern to all countries.
15. 3. Economic and social development, based on a New International
Economic Order, is of basic importance to the fullest attainment of
health for all and to the reduction of the gap between the health status of
the developing and developed countries.
The promotion and protection of the health of the people is essential to
sustained economic and social development and contributes to a better
quality of life and to world peace.
4.The people have the right and duty to participate individually and
collectively in the planning and implementation of their health care.
16. 5. Governments have a responsibility for the health of their people which can be
fulfilled only by the provision of adequate health and social measures.
• A main social target of governments, international organizations and the whole
world community in the coming decades should be the attainment by all
peoples of the world by the year 2000 of a level of health that will permit them
to lead a socially and economically productive life.
• Primary health care is the key to attaining this target as part of development in
the spirit of social justice.
17. 6. Primary health care is essential health care based on practical, scientifically sound
and socially acceptable methods and technology made universally accessible to
individual and families in the community 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-reliance and self-determination.
It forms an integral part both of the country’s health system, of which it is the central
function and main focus, and of the overall social and economic developments of the
community.
It is the first level of contact of individuals, family and community with the national
health system bringing health care as close as possible to where people live and work,
and constitutes the first element of a continuing health care process.
18. 7. Primary health care:
• Reflects and evolves from the economic conditions and sociocultural and political
characteristics of the country and its communities and is based on the application
of the relevant results of social, biomedical and health services research and public
health experience;
• Addresses the main health problems in the community, providing promotive,
preventive, curative and rehabilitative services accordingly.
19. • 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.
Immunization against the major infectious diseases
Prevention and control of locally endemic diseases
Appropriate treatment of common diseases and injuries
Provision of essential drugs.
20. • Involves, in addition to the health sector, all related sectors and aspects of
national and community development, in particular agriculture, animal
husbandry, food, industry, education, housing, public works,
communications and other sectors; and demands the coordinated efforts
of all those sectors.
• Requires and promotes maximum community and individual self-reliance
and participation in the planning, organization, operation and control of
primary health care, making fullest use of local, national and other
available resources; and to this end develops through appropriate
education the ability of communities to participate.
21. • 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.
• 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
22. Contd.
8. All governments should formulate national policies, strategies and plans
of action to launch and sustain primary health care as part of a
comprehensive national health system and in coordination with other
sectors. To this end, it will be necessary to exercise political will, to mobilize
the country’s resources and to use available external resources rationally.
9. All countries should cooperate in a spirit of partnership and service to
ensure primary health care for all people since the attainment of health by
people in any one country directly concerns and benefits every other
country. In this context the joint WHO/UNICEF report on primary health
care constitutes a solid basis for the further development and operation of
primary health care throughout the world.
23. Contd.
10. An acceptable level of health for all the people of the world by the
year 2000 can be attained through a fuller and better use of the world’s
resources, a considerable part of which is now spent on armaments and
military conflicts. A genuine policy of independence, peace, detente
and disarmament could and should release additional resources that
could well be devoted to peaceful aims and in particular to the
acceleration of social and economic development of which primary
health care, as an essential part, should be allotted its proper share.
24. ELEMENTS OF PRIMRY HEALTH
CARE
1. Immunization
• An increasing number of infectious diseases can be prevented by
vaccinations example-measles, Meningitis, Pertussis, tuberculosis,
yellow fever etc.
• By administering global immunizations, WHO works to wipe out
major infectious diseases, greatly improving overall health globally.
25. 2. Maternal and child care
• Pregnant women and women of child bearing age (15-49 years) are the
target group for special care and children under 5yrs of age are also
vulnerable to childhood killer disease.
• Ensuring comprehensive and adequate health care to children and to
mothers, both expecting and otherwise, is another essential element of
primary health care.
• By caring for those who are at the greatest risk of health problems,
WHO helps future generations have a chance to thrive and contribute
globally
26. 3. Essential drugs
• The most vital drugs should be available and affordable at all levels.
• By providing essential drugs to those who need them, such as
antibiotics to those with infections, caregivers can help prevent disease
from escalating.
• This makes the community safer, as there is less chance for diseases to
be passed along.
27. 4. Food and Nutrition
• The family’s food should be adequate, affordable and balanced in
nutrients.
• Nutrition is another essential component of health care.
• WHO works to prevent malnutrition and starvation and to prevent
many diseases and afflictions
28. 5. Health Education
• The community should be informed of health problem and methods of
prevention and control.
• Public education is the first, and one of the most essential, component of
primary health care.
• By educating the public on the prevention and control of health problems,
and encouraging participation, the World Health Organization works to stop
disease from spreading on at a personal level
29. 6. Appropriate treatment of common
diseases and injuries
• Adequate provision of curative services for common ailments and
injuries should be made by the community.
• Another important component of primary health care is access to
appropriate medical care for the treatment of diseases and injuries.
• By treating disease and injury right away, caregivers can help avoid
complications and the expense of later, more extensive, medical
treatment.
30. 7. Water and sanitation
• A safe water supply and the clean disposal of wastes are vital for
health.
• A supply of clean, safe drinking water, and basic sanitation measures
regarding trash, sewage and water cleanliness can significantly
improve the health of a population, reducing and even eliminating
many preventable diseases.
31. 8. Prevention and control of locally endemic
diseases
• Endemic infection diseases can be regulated through the control or
eradication of vectors and animal reservoir.
• Prevention and control of local diseases is critical to promoting
primary health care in a population.
• Taking these diseases into account and initiating measures to prevent
them are key factors in efforts to reduce infection rates.
32. Extended Elements in the 21st Century
• Expanded options of immunizations.
• Reproductive health needs.
• Provision of essential technologies for health.
• Health promotion.
• Prevention and control of non-communicable diseases.
• Food safety and the provision of selected food supplements