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8/14/2019 04 Primary Health Care - Dr. Elizabeth R. Paterno
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PRIMARY HEALTH CARE
Health for AllHealth in the Hands of the People
ELIZABETH PATERNO, MD, MPH
DIRECTOR
COMMUNITY HEALTH AND DEVELOPMENT PROGRAM
UP MANILA
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Primary Health Care is notequal to the delivery of theprimary level of healthservices
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Levels of Health Care
PrimarySecondaryTertiary
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Levels of Health Care
Primary level of Careprovision of the most basic healthservices at the community levelfirst contact of individuals to the healthcare system
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Levels of Health Care
Secondary level of CareExemplified by the level of health carethat a District Hospital should be able todeliverShould have diagnostic equipment likeX-ray and a laboratory
Includes simple surgery likeappendectomy and caesarian sections
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Levels of Health Care
Tertiary level of CareDelivery of highly specialized care
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The Alma Ata Declaration
WHO-UNICEF meeting of worldhealth leaders
Alma Ata (nowAlmaty), Kazhakstan (then part of the USSR)1978
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Primary Health Care Principles
Health is a state of completephysical, mental and social wellbeing, and not merely the absence of disease
Health is a basic human right
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Primary Health Care Principles
The existing disparity in the healthstatus of peoples in differentcountries and even within a countryis therefore not acceptable andshould be a concern of everyone.
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Primary Health Care Principles
Socio Economic development is
ESSENTIAL to the attainment of HEALTH FOR ALL
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Primary Health Care Principles
People have the right and
duty to participate in theirown health care
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Primary Health Care Principles
Governments bear the primary
obligation to take care of thehealth of its people
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Primary Health Care
is ESSENTIAL HEALTH CARE that is
Scientifically soundSocially acceptable
Universally accessible
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Primary Health Care
is ESSENTIAL HEALTH CARE that is
Affordable by the country and thecommunity at every stage of itsdevelopment
Implemented with thecommunitys full participation
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Primary Health Care
forms an integral part of the
country's health system, of which it is the centralfunction and main focus
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Basic Primary Care servicepackage
health education to the populationtreatment of locally endemic aswell as common illnesses
immunization of children againstthe most important preventablediseases in the localitysanitation and safe water
provision of essentially medicinesmaternal and child carenutrition
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Primary Health Care
forms an integral part of the
overall social and economicdevelopment of thecommunity
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Features of a municipalityimplementing Primary Health Care
1. Presence of a functionalcomprehensive municipal developmentplan
addresses determinants of healthProvides livelihood for the majority especiallythe poorEnsures food security and safe waterProtects and sustains the environment
Provides for a functional healthsystem
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Features of a municipalityimplementing Primary Health Care
2. Peoples participationinstitutionalized at every level of governance
Functional Local Health BoardBarangay Health CommitteesOrganized Communities
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Features of a municipalityimplementing Primary Health Care
3. Organized Health SystemClear municipal health plan that isimplemented and regularly monitoredand evaluatedA well funded municipal/city healthcenter
Adequately equipped Health Stationin every Barangay with appropriatehealth human resource
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Features of a municipalityimplementing Primary Health Care
3. Organized Health System
Barangay Health Workers (with a BHW to
family ratio of 1:20) well trained inCommunity OrganizingPublic Health EducationProvision of basic health care
Clear two-way referral system from thebarangay to the municipal / city healthcenter to a secondary or tertiary center
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Everyone of us has a rolein ensuring that HEALTHFOR ALL becomes areality.