PHC PT1
PHC PT1
PHC PT1
DETERMINANTS OF HEALTH
4. ENVIRONMENT
➢ This refers to the sum total of all the
conditions and elements that make up the
surroundings and influence the health and
health practices of clients.
➢ The environment with which the client lives PRIMARY HEALTH CARE AS AN APPROACH
and works either promote and maintain TO DELIVERY OF HEALTTHCARE SERVICES
health or increase the like hood of illness or
even death. ➢ WHO defines PHC as essential health care
➢ The menace of pollution has been growing made universal accessible to individuals and
over the years and has greatly affected the families in the community by means
health of the people. acceptable to the through their full
participation and at a cost that the community
EXAMPLE OF THESE ARE: and the country can afford at every stage of
development
A. Communicable diseases due to poor
sanitation, poor garbage collection, smoking, CONCEPTUAL FRAMEWORK
air pollution and utilization of chemicals such
as pesticides. A. Health is a fundamental human right
B. Cutting of trees has brought about floods and B. Health is both an individual and collective
drought. responsibility
C. Helath should be an equal oppurtunity to all
If the quality of air that we breathe continues to D. Health is an essential element of socio-
deteriorate, life cannot be sustain. economic development
1. Available
2. Accessible STRATEGIES OF PHC
3. Affordable 1. Reorientation and reorganization of the
4. Acceptable national health care system in support of the
5. Attainable mandate of devolution under the local
government code of 1991
2. Effective preparation and enabling process
HISTORY OF PRIMARY HEALTH CARE for health actions ata ll levels.
3. Mobilization of the people
➢ MAY 1997 - the 30th world health assembly 4. Development and utilization of appropriate
adopted resolution decided that the main technology
social target of governments and of WHO 5. Organization of communities from expressed
shoul be the attainmet of all the people of the needs
world by the year 2000 a level of health that 6. Increase oppurtunities for community
will permit them to lead a socially and participation
economically productive life. 7. Development of intra-sectoral linkages
➢ SEPTEMBER 12, 1978 - International 8. Emphasize partnership between health
conference of primary health care was held workers and community leaders/members
in this year at alma ata. USSR. The
econference came up with what is known
popularly as the alam ata declaration, which
represents a global ideal, a new vision about FOUR CORNERSTONES/ PILLARS IN PHC
how to achieve world health. The declaration 1. Active community participation
stated the primary health card is the key to 2. Intra and inter- sectoral linkages
attaining the health for all goal. 3. Use of apropriate technologies
➢ 1979 - The world health assembly launched 4. Support mechanism made available
the global strategy for health for all
➢ OCTOBER 19, 1979 - the president of the
philippines issued a letter of instruction 949
which mandated the then ministry of health 2 LEVELS OF PRIMARY HEALTH CARE
to adoptprmary health care as an appoach WORKERS
towards design, development, and 1. Village or barangay health workers
omplementation of programs, which focus 2. Intermediate level health workers
health development at the community level
disinfections of soiled articles or clothing, ➢ Begins early in the period of recovery from
eradication of animal resevoir. illness
2. SECONDARY PREVENTION
EXAMPLES:
U - unexplaned anemia
3. TERTIARY PREVENTION