Primary Health Care
Prof Shibani
Datta
Dept of
PHA
Health Care Services
These are the services rendered
to individuals, family and
community by the health care
professionals for promoting,
maintaining, monitoring or
restoring health .
The Characteristics Of The Current
Health Care System
Predominantly Urban Oriented
Mostly Curative In Nature
Not Accessible to all
Imbalance In Health Care And Its Causes
o Lack Of Multidimensional Approach
Of Health.
o Social Injustice
o Socioeconomic , Cultural, Religious,
And Political Factors
Comprehensive Health Care
It should provide adequate
promotive, preventive, curative and
rehabilitative services.
Be as close to the beneficiaries as
possible.
Has the widest co operations
between the beneficiaries and
Comprehensive Health Care
It is available to all irrespective of
their ability to pay.
Look after the vulnerable and the
weaker section of the community.
Create and maintain a healthy
environment both at home as well as
in the working places.
Levels Of Health Care
Primary Care Level
Secondary care level
Tertiary Care Level
Primary Care Level
It Is The First Level Of Contact Of
Individuals , The Family And Community
With The National Health System Where
Primary Health Care Is Provided.
It Is Provided By PHC, BPHC ,SC .
MHW, VHG, ASHA , AWW etc.
Secondary Care Level
At This Level More Complex
Problems Are Dealt With.
This Kind Of Care Is Provided By
District Hospital ,Rural Hospital ,Sub
divisional Hospital, Community
Health Centers etc.
Tertiary Care Level
It Is a More Specialized Level Which
Requires Specific Facilities And Highly
Specialized Health Workers.
This Care Is Provided by Medical College
Hospitals, All India Institutes, Regional
Hospitals And Other Apex Institutes.
The ALMA ATA declaration
Health is a fundamental right of an
individual.
The existing inequality of health status
between developing and developed
countries should be abandoned.
Economic and social development is
needed to reduce the gap.
People have the right and duty to
participate in planning and
implementation of health care delivery
system.
ALMA ATA CONFERENCE
Govt has a responsibility
respons to maintain the
health of the people of the country.
Each Govt should formulate their own
national policy,plan and strategy to deliver
primary health care.
Each and every country should co operate
with each other for delivering primary
health care.
Alma Ata Declaration
By the year 2000 AD each and
every people should
Achieve an acceptable level of
health . This concept is known as
Health For All By 2000 AD.
This can only be achieved by
Primary Health care approach.
Definition Of Primary Health Care
Primary Health Care Is Essential
Health Care Made Universally
Accessible To Individuals And
Acceptable To Them Through Their
Full Participation And At A Cost The
Community And Country Can Afford.
Five Fingers Of Pr Health Care
Effective
Accessible
Comprehensive
Acceptable
Low cost
Principles Of Primary Health Care
Equitable Distribution
Community Participation
Intersectoral Coordination
Appropriate Technology
Elements Of Primary Health Care
Education Concerning Prevailing Health
Problems And The Methods Of Preventing
And Controlling Them.
Promotion of food supply and proper
nutrition.
Safe drinking water and basic sanitation
MCH and FP
Elements Of Pr Health Care
Immunization Against Major Infectious
Diseases.
Prevention And Control Of Locally Endemic
Diseases.
Appropriate Treatment Of Common Diseases
and injuries.
Provision Of Essential Drugs.
Health For All ByTargets
Parameters 2000ForAD
2000
Crude Birth Rate 21
Crude Death 9.0
Rate
Infant Mortality Below 60
Rate
MMR Below 2
Life Expectancy 64
Health For ALL BYTarget
Parameters 2000AD
Average family 2.3
size
TFR 2.1
NRR 1
CPR 60%
LBW Below 30%
