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Primary Health Care: Dr. Kanupriya Chaturvedi
Primary Health Care: Dr. Kanupriya Chaturvedi
Primary Health Care: Dr. Kanupriya Chaturvedi
CARE
ATTAINMENT OF A LEVEL OF
HEALTH THAT WILL ENABLE
EVERY INDIVIDUAL LEAD A
SOCIALLY AND
ECONOMICALLY PRODUCTIVE
LIFE
Levels of Care
EQUITABLE DISTRIBUTION
COMMUNITY PARTICIPATION
INTERSECTORAL COORDINATION
APROPRIATE TECHNOLOGY
DECENTRALISATION
GOALS TO BE ACHIEVED BY
2000
REDUCTION OF IMR
RAISE THE EXPECTATION OF LIFE
REDUCE THE CDR
REDUCE THE CBR
ACHIEVE A NET REPRODUCTION RATE
OF ONE
TO PROVIDE POTABABLE WATER TO
ENTIRE RURAL POPULATION
The Basic Requirements for Sound
PHC (the 8 A’s and the 3 C’s)
Appropriateness Assessability
Availability Accountability
Adequacy Completeness
Accessibility Comprehensiveness
Acceptability Continuity
Affordability
Strategies of PHC
1.Reducing excess mortality of poor marginalized
populations:
PHC must ensure access to health services for the most
disadvantaged populations, and focus on interventions
which will directly impact on the major causes of
mortality, morbidity and disability for those populations.
INVERSE CARE
IMPOVERISHING CARE
FRAGMENTED AND FRAGMENTING CARE
UNSAFE CARE
MISDIRECTED CARE
HOW EXPERIENCE HAS SHIFTED
THE PHC MOVEMENT
Extended access to a Transformation and
basic package of health regulation of existing
interventions health systems aiming
for universal access
Concentration on MCH Dealing with the health
of everyone
Focus on small number A comprehensive
of selected diseases response to peoples’s
expectations
Contd.
Improvement of Promotion of health
hygiene, water and lifestyles and mitigation
sanitation of health effects of
Simple technology for social and
volunteer, community environmental hazards
health workers Teams of health
Participation as the workers facilitating
mobilization of local access to and
resources appropriate technology
Government funded Institutionalized
and delivered services, participation of society
with a centralized top in policy dialogue and
down management accountability
mechanisms
Contd.
UNIVERSAL COVERAGE
REFORMS
SERVICE DELIVERY REFORMS
PUBLIC POLICY REFORMS
LEADERSHIP REFORMS