| “an 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 to
maintain at every stage of their development in the spirit
of self-determination.”- WHO | Primary Health Care |
| CONCEPTUAL FRAMEWORK | 1 Health is a fundamental human right
2 Health is both an individual and collective
responsibility
3 Health should be an equal opportunity to all
4 Health is an essential element of socio-economic
development |
| FOCUS OF THE PHC APPROACH | 1 Partnership with the community
2 Equitable distribution of health resources
3 Organized and appropriate health system infrastructure
4 Prevention of disease and promotion of health
5 Linked multisectorally
6 Emphasis on appropriate technology |
| Legal Basis of Primary Health Care | Instruction (LOI) 949 signed on October 19, 1979 by President
Ferdinand E. Marcos – One year after the First International
Conference on Primary Health Care which was held in Alma Ata,
USSR on September 6-12 1978, sponsored by the WHO and
UNICEF |
| The 30th World Health Assembly adopted Resolution WHO
30:43
This resolution decided that the main social targets of
governments and the WHO should be the attainment by all the
people of the world by the Year 2000 a level of health that will
permit them to lead a socially and economically productive life. | May 1977 |
| International Conference in Primary Health Care was held at
Alma Ata, Kazakhstan, USSR.
This conference came up with ALMA ATA DECLARATION
which represents a global idea about how to achieve world
health. | September 12, 1978 |
| The World Health Organization (WHO) launched
the Global Strategy for Health for All. | 1979 |
| “Partnership with and Empowerment of the people”: A strategy to
community health development
It is a strategy aimed to provide essential health care that is:
C- ommunity based
A- ccesible
P- art and parcel of the total socio-economic development effort of the nation
A- cceptable
S- ustainable at affordable cost | PHC: ALMA-ATA Conference in 1978 |
| “Health for all Filipinos by the year __ and Health in
the Hands of the People by the year __” | 2000, 2020 |
| aims to strengthen the health care system by
increasing opportunities and supporting conditions
wherein people will manage their own health care. | Mission of PHC |
| The ultimate goal of primary health care is better health for all.
WHO has identified five key elements to achieving that goal: | 1 Reducing exclusion and social disparities in health (universal
coverage reforms);
2 Organizing health services around people’s needs and
expectations (service delivery reforms);
3 Integrating health into all sectors (public policy reforms);
4 Pursuing collaborative models of policy dialogue (leadership
reforms); and
5 Increasing stakeholder participation. |
| Objectives of PHC | 1 Improvement in the level of health care of the
community
2 Favorable population growth structure
3 Reduction in the prevalence of preventable,
communicable and other disease.
4 Reduction in morbidity and mortality rates especially
among infants and children
5 Extension of essential health services with priority given to the underserved sectors.
6 Improvement in basic sanitation
7 Development of the capability of the community aimed at self-reliance.
8 Maximizing the contributions of other sectors for the social and economic development of the community. |
| 4 A’s of Primary Health Care | A-ccessibility
A-vailability
A-cceptability
A-ffordability |
| Principles of PHC | 1 Partnership and empowerment as the core strategy
2 Focuses responsibility for health on the individual, his
family and the community
3 Full participation and active involvement of the
community towards the development of self-reliant
people
4 Interrelationship between health and the overall political,
socio-cultural and economic development of society. |
| FOUR CORNERSTONES OR
PILLARS OF PHC | 1 Active Community Participation
2 Intra and Inter-sectoral linkages
3 Use of appropriate technology
4 Support mechanism made available |
