Primary Health Care

07/11/2021
WHOdefines PHC as 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 the country can afford
at every stage of development.
1 2
a. Health is a fundamental human right artnership with the community
b. Health is both an individual and collective responsibility quitable distribution of health resources
c. Health should be an equal opportunity to all rganized and appropriate health system infrastructure
d. Health is an essential element of socio-economic development revention of disease and promotion of health as focus
inked multisectorally
mphasis on appropriate technology
3 4
07/11/2021
signed by President Ferdinand Marcos on October 19, 1979

and has an underlying theme of “Health in the Hands of the People by 2020.”
Health for all by the year 2000
 PHC was declared in Alma Ata (USSR) during the
first International Conference on PHC held on 1. Available
September 6-12, 1978 through the sponsorship of 2. Accessible
WHOand UNICEF
3. Affordable
4. Acceptable
5. Attainable
5 6
– the 30 t h World Health Assembly

adopted resolution WHA30:43. this resolution
decided t h a t the main social target of governments
and of WHOshould be the attainment of all the
people of the world by the year 2000 a level of
health t h at will permit them to lead a socially and
economically productive life.
7 8
07/11/2021
– International Conference on – The World Health Assembly launched the

Primary Health Care was held in this year at Alma Global Strategy for Health for All.
Ata, USSR. The conference came up with what is – The President of the Philippines
known popularly as the Alma Ata Declaration, which issued a Letter of Instruction 949 which mandated
represents a global ideal, a new vision about how to the then Ministry of Health to adopt Primary Health
achieve world health. The declaration stated t h a t Care as an approach towards design, development,
primary health card is the key to attaining the and implementation of programs, which focus health
health-for-all goal. development at the community level.
9 10
ontrol of Communicable Disease 1. Reorientation and reorganization of national health care system
in support of the mandate of devolution under the Local
ealth Education Government Code of 1991.
xpanded Program of Immunization 2. Effective preparation and enabling process for health actions a t
all levels.
ocally Endemic disease treatment 3. Mobilization of the people.
nvironmental Sanitation 4. Development and utilization of appropriate technology
aternal and child health and family planning 5. Organization of communities from expressed needs
6. Increase opportunities for community participation
ssential drug provision
7. Development of intrasectoral linkages.
utrition and adequate food and provision 8. Emphasize partnership between health workers and community
reatment of emergency cases and provision of medical care leaders/members.
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07/11/2021
1. Active Community Participation

2. I n t r a and Inter-sectoral linkages
1. Village or Barangay Health Workers
3. Use of appropriate technologies
2. Intermediate Level Health Workers
4. Support mechanism made available
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– is devoted to the cities

and municipalities (town or poblacion).
 Health care provided by center physicians, public
health nurses, rural health midwives, barangay
health workers, traditional healers and others
at the barangay health units.
 The primary health facility is usually the first
contact between the community members and
the other levels of health care facility.
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07/11/2021
– is given by physician with – is rendered by

basic health training. specialist in health facilities including medical
 This is usually given in health facilities either centers as well as regional and provincial
privately owned or government operated such as the hospitals, and specialized hospitals such as
infirmaries, municipal and district hospitals and out the Philippine Heart Center.
patient departments of provincial hospitals.
 The tertiary health facility is the referral
 This serves as a referral center for the primary center for the secondary health facilities.
health facilities.
 Complicated cases and intensive care requires
 They are capable of performing minor surgeries and
tertiary care and all these can be provided by
perform some simple laboratory examinations.
the tertiary care facility.
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07/11/2021
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Examples:
 Public education to promote Breast Self-
Examination, use of home kits for detection of
occult blood in the stool specimens and
familiarity with the nine (9) Cancer Signs.
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07/11/2021
– change in bowel or bladder habits

– a sore th at does not heal
– unusual bleeding or discharge Examples:
– thickening or lump in breast or elsewhere
 Screening programs for hypertension, diabetes,
– indigestion or difficulty swallowing uterine cancer (Pap Smear), Breast Cancer,
– Obvious change in wart or mole Glaucoma, andSTD
– Nagging cough or hoarseness
– unexplained anemia
– sudden unexplained weight loss
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 Intensive and periodic follow up and treatment

 Begins early in the period of recovery from illness
 Thisis done to prevent relapses in certain
Goal: minimized residual disability; help client to be diseases; to have an effective and complete
productive even with given limitations
cure in disease which have relapse tendency
 Appropriate administration of medication to
optimize therapeutic effects
 Moving and positioning to prevent complications of
immobility
 Active and passive range of motion (ROM) exercises
to prevent disability
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Primary Health Care

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07/11/2021

WHOdefines PHC as essential health care

families in the community by means

acceptable to them through their full

at every stage of development.

a. Health is a fundamental human right artnership with the community

mphasis on appropriate technology

signed by President Ferdinand Marcos on October 19, 1979

– the 30 t h World Health Assembly

– International Conference on – The World Health Assembly launched the

1. Active Community Participation

– is devoted to the cities

– is given by physician with – is rendered by

– change in bowel or bladder habits

 Intensive and periodic follow up and treatment

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