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.