The document discusses the World Health Organization's development of primary health care (PHC) in response to health challenges in developing countries, established during the Alma Ata conference in 1978. PHC aims to provide universally accessible and acceptable health care with a focus on prevention and community participation, emphasizing the reduction of preventable diseases and the provision of comprehensive health services. Key elements include health education, disease control, maternal and child health, and a multi-sectoral approach to service delivery.

1. BY;
ANUSHRI SRIVASTAVA

2. INTRODUCTION
World Health Organization developed the policy of health
as a response to the problems of health in the developing
countries, and established the primary health care
concept. The strategy was introduced in 1978 in the first
conference of WHO for health in the Alma Ata /
Kazakhstan resulting 5 principles and 8 elements of
PHC.

3. DEFINITIONS
 According to Alma Ata Conference,
Primary Health Care is an essential health care made universally
accessible to individuals and acceptable to them, through their full
participation and at the cost the community and country can afford.
 According to World Health Organization,
Primary health care is a whole of society approach to health that
aims at ensuring the highest possible level of health and wellbeing
and their equitable distribution by focusing on peoples need and as
early as possible along the continum from health promotion,
rehabilitation and palliative care, and as close as feasible to peoples
everyday environment.

4. CONCEPT/ PRINCIPLES
Concept/
Principles
Equitable
distribution
Community
Participation
Focus on
prevention
Use of
appropriate
technologies
Multi-sectoral
approach

5. OBJECTIVES
 To reduce in the prevalence of preventable,
communicable and other disease
 To provide comprehensive primary health care to the
community through the Primary Health Centers.
 To achieve and maintain an acceptable standard of
quality of care.
 To make the services more responsive and sensitive to
the needs of the community

6. CHARACTERISTICS
 Accessibility
 Acceptability
 Adaptability
 Availability
 Closeness
 Comprehensible
 Appropriateness
 Continuity
 Coordination

7. ELEMENTS
 Education for health
 Locally endemic disease control
 Expanded programs on immunization
 Maternal and child health and family planning
 Environment Sanitation and promotion of safe water
Supply
 Nutrition and promotion of adequate food supply
 Treatment of communicable diseases and common
illness
 Supply of essential drugs

8. SERVICE DELIVERY
•
•
From Service delivery angle, PHCs may be of two
types, depending upon the delivery case load –
 Type A PHC: PHC with delivery load of less than 20
deliveries in a month,
 Type B PHC: PHC with delivery load of 20 or more
deliveries in a month

9. POINTS TO REMEMBER
 PHC control by State Government
 Current number of PHCs in India- 10,453
 Recommended bed capacity for PHC – 4-6 beds
 Each PHC acts as a referral center of- 6 Sub centers
 OPD service- 6 hours

10. ROLE OF COMMUNITY HEALTH NURSE
 Planner/ Programmer
 Care provider
 Community Organizer
 Service Coordinator
 Trainer / Health Educator
 Health Monitor
 Change Agent
 Recorder/ Reporter/ Statistician
 Reseacher

11. BIBLIOGRAPHY
 https://www.who.int/news-room/fact-
sheets/detail/primary-health-care
 https://nhm.gov.in/images/pdf/guidelines/iphs/iph
s-revised-guidlines-2012/primay-health-
centres.pdf

12. THANK YOU!