Primary health care akshzbzbzvdkqizj😃😍

HEALTH CARE
PRIMARY
GROUP 3 - BSN 2-E

CONTENT
01
02
03
04
05
06
BRIEF HISTORY
LEGAL BASIS
DEFINITION
GOALS
ELEMENTS
PRINCIPLES
07 STRATEGIES

PRIMARY HEALTH CARE
Primary Health Care is essential health care made universally
accessible to individuals and families in the community by
means acceptable to them through their full participation and
at a cost that the community and country can afford.
It is the first level of contact of individuals and the family with
the national health system bringing health care as close as
possible to where people live and work and establishes the
first element of a continuing care process.

BRIEF HISTORY
Emergence of Public health movements w/
emphasis on sanitation and hygiene.
And advocates of health reforms
Nations reevaluate Healthcare
systems
some began establishing Universal
healthcare models.
1920 1945-1950
1960
increased interest in
community health &
preventive medicine
implementation of ccmmunity
health programs.

BRIEF HISTORY
30th World Health Assembly decided that the
main health target of the government and WHO
is the attainment of a level of health that would
permit them to lead a socially and economically
productive life by the year 2000.
First International Conference on PHC in
Alma Ata, Russia (USSR) The Alma Ata
Declaration stated that PHC was the key to
attain the “health for all” goal. It also
solidified primary health care’s importance
1975
1978
1979
Letter of Instruction (LOI) 949,
the legal basis of PHC was signed
by Pres. Ferdinand E. Marcos

LEGAL BASIS
The legal basis of Primary Health Care (PHC) refers to the laws,
regulations, policies, and frameworks that define the
responsibilities, rights, and obligations of governments, healthcare
providers, and citizens concerning the delivery of primary
healthcare services. These legal foundations ensure that PHC is
accessible, equitable, affordable, and of high quality, forming the
backbone of national health systems.

THE ALMA-ATA
DECLARATION (1978)
The Alma-Ata Declaration (1978): This declaration, adopted by
the World Health Organization (WHO) and the United Nations, is
the cornerstone of the modern concept of PHC. It recognizes
health as a fundamental human right and advocates for universal
access to primary care, community participation, and health
equity. It stresses the need for governments to develop policies
that provide accessible, acceptable, affordable, and culturally
appropriate health care.

THE SUSTAINABLE
DEVELOPMENT GOALS
The Sustainable Development Goals (SDGs): Goal 3 of the
SDGs emphasizes the need for universal health coverage
(UHC), including financial risk protection, access to
essential health services, and access to safe, effective,
and affordable medicines and vaccines for all. PHC is seen
as the key approach to achieving UHC.

THE DECLARATION OF
ASTANA (2018)
The Declaration of Astana (2018): This document reaffirms global commitments to PHC made in
the Alma-Ata Declaration. It aims to strengthen health systems to ensure universal access,
address social determinants of health, and promote people-centered care.

THE DECLARATION OF
ASTANA (2018)
The following are the key points of the Astana Declaration:
• Health is a key element to achieving global peace, security, and development;
• All people should enjoy the highest level of wellness without any distinction and access to promotive, preventive, curative,
rehabilitative, and palliative healthcare should be provided to all;
• Persistent inequalities in health among all countries especially among the poor is socially, politically, and ethically
unacceptable;
• The fight against the relentless increase in the number of people dying from non communicable diseases should be
continued and intensified by expanding tobacco control and promotion of healthy lifestyle (Box 9.4 includes a list of priority
areas for health program development);
• Multisectoral action and engagement of all stakeholders in health will be pursued to make significant strides in achieving
health reforms across all nations and mainstreaming health in all government policies;
• Strengthen implementation of PHC 10 arid fragmentation and to ensure a resilient,gender sensitive, people centered health
care delivery system in all countries;
• Rally all governments of the world and other organizations to work together for full implementation of universal health
coverage;
and
• Empower communities through capacity building activities and promote health literacy among all population groups beyond
borders.

10 ESSENTIAL PUBLIC
HEALTH SERVICES
1. Monitor health status to identify and solve community health problems
2. Diagnose and investigate health problems and health hazards in the community
3. Inform, educate, and empower people about health issues
4. Mobilize community partnerships and action to identify and solve health problems
5. Develop policies and plans that support individual and community health efforts
6. Enforce laws and regulations that protect health and ensure safety
7. Link people to needed personal health services and assure the provision of health care when otherwise unavailable
8. Assure competent public and personal health care workforce
9. Evaluate effectiveness, accessibility, and quality of personal and population-based health services
10. Research for new insights and innovative solutions to health problems

GOALS OF PRIMARY
HEALTH CARE
Ensuring universal access to essential healthcare services.
Addressing health disparities and promoting health equity.
Focusing on preventive measures and health education.
Offering comprehensive and integrated healthcare services .
Reducing morbidity and mortality from prevalent diseases.
Promoting maternal and child health, including prenatal care.
Managing non-communicable diseases like diabetes and
hypertension.
Ensuring access to essential medications.

GOALS OF PRIMARY
HEALTH CARE
Providing care that is community-oriented and culturally sensitive
Supporting family planning and reproductive health services
Providing immunizations and vaccinations.
Providing care for common infections and illnesses.
Ensuring access to reproductive health services.
Offering services for refugees and displaced populations.
Addressing environmental health issues.
Supporting health education in schools.
Promoting healthy aging and geriatric care.

ELEMENTS
of
PRIMARY
HEALTHCARE
PRIMARY
HEALTHCARE

EDUCATION FOR
EDUCATION FOR
HEALTH
HEALTH
1
1Is one of the potent methodologies for information
dissemination. It promotes the partnership of both the
family members and health workers in the promotion of
health as well as prevention of illness.

LOCALLY ENDEMIC
LOCALLY ENDEMIC
DISEASE CONTROL
DISEASE CONTROL
2
2The control of endemic disease focuses on the
prevention of its occurrence to reduce morbidity rate.
Example Malaria Control and Schistosomiasis Control

EXPANDED PROGRAM
EXPANDED PROGRAM
ON IMMUNIZATION
ON IMMUNIZATION
3
3This program exists to control the occurrence of
preventable illnesses especially of children below 6 years
old. Immunizations on poliomyelitis, measles, tetanus,
diphtheria and other preventable disease are given for
free by the government and ongoing program of the DOH.

MATERNAL AND CHILD HEALTH
MATERNAL AND CHILD HEALTH
AND FAMILY PLANNING
AND FAMILY PLANNING
4
4
The mother and child are the most delicate members of
the community. So the protection of the mother and child
to illness and other risks would ensure good health for the
community. The goal of Family Planning includes spacing
of children and responsible parenthood.

5
5ENVIRONMENTAL SANITATION
ENVIRONMENTAL SANITATION
AND PROMOTION OF SAFE
AND PROMOTION OF SAFE
WATER SUPPLY
WATER SUPPLY
Environmental Sanitation is defined as the study of all
factors in the man’s environment, which exercise or may
exercise deleterious effect on his well-being and survival.
Water is a basic need for life and one factor in man’s
environment. Water is necessary for the maintenance of
healthy lifestyle. Safe Water and Sanitation is necessary
for basic promotion of health.

6
6 NUTRITION AND PROMOTION
NUTRITION AND PROMOTION
OF ADEQUATE FOOD SUPPLY
OF ADEQUATE FOOD SUPPLY
One basic need of the family is food. And if food is
properly prepared then one may be assured healthy
family. There are many food resources found in the
communities but because of faulty preparation and lack of
knowledge regarding proper food planning, Malnutrition is
one of the problems that we have in the country.

7
7 TREATMENT OF COMMUNICABLE
TREATMENT OF COMMUNICABLE
DISEASES AND COMMON ILLNESS
DISEASES AND COMMON ILLNESS
The diseases spread through direct contact pose a great
risk to those who can be infected. Tuberculosis is one of
the communicable diseases continuously occupies the top
ten causes of death. Most communicable diseases are also
preventable. The Government focuses on the prevention,
control and treatment of these illnesses.

This focuses on the information campaign on the utilization and
acquisition of drugs.
In response to this campaign, the GENERIC ACT of the
Philippines is enacted. It includes the following drugs:
Cotrimoxazole, Paracetamol, Amoxycillin, Oresol, Nifedipine,
Rifampicin, INH (isoniazid) and Pyrazinamide,Ethambutol,
Streptomycin,Albendazole,Quinine
8
8 SUPPLY OF ESSENTIAL
SUPPLY OF ESSENTIAL
DRUGS
DRUGS

PRINCIPLES OF PRIMARY
HEALTH CARE
4 A’S = ACCESSIBILITY, AVAILABILITY,
AFFORDABILITY AND ACCEPTABILITY,
APPROPRIATENESS OF HEALTH SERVICES.
1.
2. COMMUNITY PARTICIPATION
is the heart and soul of PHC
3. PEOPLE ARE THE CENTER,
OBJECT AND SUBJECT OF
DEVELOPMENT.
Thus, the success of any
undertaking that aims at serving
the people is dependent on
people’s participation at all levels
of decision-making; planning,
implementing, monitoring and
evaluating. Any undertaking must
also be based on the people’s
needs and problems (PCF, 1990)

HEALTH CARE
Through community participation
and cohesiveness of people’s
organization they can generate
support for health care through
social mobilization, networking and
mobilization of local resources.
5. PARTNERSHIP BETWEEN THE
COMMUNITY AND THE HEALTH AGENCIES
IN THE PROVISION OF QUALITY OF LIFE.
Providing linkages between the
government and the
nongovernment organization
and people’s organization.
6. RECOGNITION OF INTERRELATIONSHIP
BETWEEN THE HEALTH AND DEVELOPMENT
Health- Is not merely the absence of
disease. Neither is it only a state of
physical and mental well-being.
Development- is the quest for an improved
quality of life for all. Development is
multidimensional
4. SELF-RELIANCE

HEALTH CARE
It enhances people
participation or governance,
support system provided by
the Government, networking
and developing secondary
leaders.
8. DECENTRALIZATION
This ensures empowerment and
that empowerment can only be
facilitated if the administrative
structure provides local level
political structures with more
substantive responsibilities for
development initiators. This also
facilities proper allocation of
budgetary resources.
7. SOCIAL MOBILIZATION

MAJOR STRATEGIES OF
PRIMARY HEALTH CARE
1. Elevating Health to a Comprehensive and Sustained National Effort.
2. Promoting and Supporting Community Managed Health Care
3. Increasing Efficiencies in the Health Sector
4. Advancing Essential National Health Research

MEMBERS:
JEPH CALEB OUANO
JEZY MAGDADARO
KAYE AVILES
VANESS VIVIENNE DE DIOS
ASHLEY MARIE DE LA CRUZ
HANNA FITSEY F. BURASCA
MARIA ALEXANDRA LIM
DOODS MAQUILANG
RICA FAUSTINA JAMIL
JASSEN BULLO
THANK YOU!

Primary health care akshzbzbzvdkqizj😃😍

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