PRIMARY HEALTH CARE.pptx

7/28/2019 PRIMARY HEALTH CARE.pptx

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PRIMARY HEALTH CARE

Perlie Cabatingan


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HEALTH

State of complete physical, mental, andsocial well-being and not merely theabsence of disease or infirmity (WHO,1995)Goal of Public Health

Modern concept: OLOF of individuals,families and communities


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Factors affecting health:

Political factors politics have power and authority to regulate theenvironment or social climateBehavioral factors lifestyle, healthcareand child-rearing practices determined

by culture and heritageHereditary factors understanding of genetically- influenced diseases and

genetic risks


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Health care delivery system PHC is apartnership approach to the efective

provision of essential health services thatare community-based, accessible,acceptable, sustainable, affordable

Environmental influences the menace of pollution, communicable diseases due topoor sanitation, poor garbage collection,smoking, utilization of pesticidesSocio-economic influences families inlower income group are the ones mostlyserved


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Primary healthcare

Essential health care based on practical,scientifically sound and socially acceptablemethods and technology made universallyaccessible to individuals and families in thecommunity through their full participationand at a cost that the community andcountry can afford to maintain at everystage of their development in the spirit of self-reliance and self-determination


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Alma Ata Declaration

September 6-12, 1978 = PHC wasdeclared during the First InternationalConference on PHC held in Alma Ata,

USSR sponsored by WHO and UNICEFOctober 19, 1979 = PHC was recognized inPhilippines through Letter of Instruction

949, signed by Pres. Ferdinand Marcoswith the GOAL HEALTH IN THE HANDSOF THE PEOPLE BY YEAR 2020


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LEGAL BASIS of PHC1.UNIVERSAL DECLARATION of Human

Rights, ART 25 = everyone has the right to astandard of living and well-being

2. PHILIPPINE CONSTITUTION OF 1987, ART XIII, SEC 11 = the State shall adopt anintegrated and comprehensive approach to

health development which shall endeavor tomake essential goods, health and other social services available to all the people at

affordable cost


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4 DIMENSIONS OF PHC

1. FOCUS from illness and cure tohealth, prevention and care2. CONTENT from treatment and

episode care of specific problems tohealth promotion and continuous andcomprehensive care

3. ORGANIZATION from specialists,physicians, and single-handed practiceto generalist practitioners, other healthcare professionals and teams


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4. RESPONSIBILITY from health sector

alone, professional- dominated withpassive reception to intersectoralcollaboration with active communityparticipation and self-responsibility


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FUNDAMENTAL SERVICES OFPHC

1. Adequate and safe supply of water andbasic sanitation

2. Control of communicable diseases3. Immunization4. Education and prevailing health

problems and prevention of illness5. Maternal and child health and family

planning care6. Adequate food and proper nutrition


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Contn .

7. Provision of medical care andemergency treatment

8. Treatment of locally endemic disease9. Provision of essential drugs and herbal

medicines


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3 MAJOR ASPECTS OF PHC

ELEMENTS1. PROMOTIVE ASPECT- Education- Promotion of food supply and proper

nutrition- Adequate supply of safe water and

basic sanitation


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2. PREVENTIVE ASPECT

- family planning- Immunization3. CURATIVE ASPECT

- Appropriate treatment of commondiseases and injuries

- Provision of essential drugs


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Four Cornerstones/ Pillars in PHC

1. Support Mechanism made available equity

2. Active Community Participation3. Intra- and Inter- sectoral Linkages4. Use of Appropriate Technology


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CHARACTERISTICS OF PHC

ESSENTIAL SERVICES1. Community- based2. Accessible3. Acceptable4. Sustainable5.

Affordable


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Philippine Healthcare Delivery

SystemPUBLIC HEALTH the science and artof preventing disease, prolonging life,

promoting health and efficiency throughthe following

1. Organized community effort for

environmental sanitation2. Control of communicable diseases3. The education of individuals in

personal hygiene


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Contn .

4. The organization of medical services5. Development of the social machinery to

ensure everyone a standard of livingadequate for the maintenance of healthfor everyone


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DOH ( DEPARTMENT OF

HEALTH)The leader of health for all in thePhilippines

VISION: Health for all FilipinosMISSION: guarantee equitable,sustainable and quality health for allFilipinos, especially the poor, and tolead the quest for excellence in health


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LEVELS OF HEALTHCARE

FACILITIES1. PRIMARY LEVEL - RHUs, sub-centers,

community hospitals, specialty clinics,

health centers2. SECONDARY LEVEL Provincial and

Regional hospitals3. TERTIARY LEVEL - highly technological

and sophisticated hospitals, specialtynational hospitals and medical centers


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HEALTHCARE WORKERS AT THEPRIMARY LEVEL

1. Village or grassroots healthcare workers BHWs, volunteers, or traditional birth attendantor hilots Simple curative and preventive healthcaremeasures

2. Intermediate-level health workers

- Doctors, nurses, midwivesFirst source of professional healthcare3. First-line hospital personnel

- Specialty doctors, nurses, dentists, pharmacists


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TWO-WAY REFERRAL SYSTEMPOPULATION

Documents

PRIMARY HEALTH CARE.pptx