Primary Health Care Strategies
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Primary Health Care Strategies

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Questions and Answers

What is meant by primary health care (PHC)?

A set of principles aimed at addressing health problems in the community and promoting self-reliance.

Which of the following is NOT one of the principles of primary health care according to the 1978 Declaration of Alma-Ata?

  • Promote community participation
  • Involve all related sectors
  • Ensure only hospital care is provided (correct)
  • Reflect community economic conditions
  • What are some core activities of primary health care proposed in the 1978 Declaration of Alma-Ata?

  • Education about health problems (correct)
  • Adequate supply of safe water (correct)
  • Promotion of personal health insurance
  • Providing luxury health care services
  • According to the WHO, primary health care is only concerned with health sector issues.

    <p>False</p> Signup and view all the answers

    Which of the following is a strategic imperative for primary health care?

    <p>Reducing excess mortality of poor marginalized populations</p> Signup and view all the answers

    What type of diseases are posing new challenges according to the updated health issues?

    <p>Both communicable and non-communicable diseases</p> Signup and view all the answers

    What are DALYs?

    <p>Disability-Adjusted Life Years, a measure of disease burden.</p> Signup and view all the answers

    Study Notes

    Overview of Primary Health Care (PHC)

    • PHC became a core policy for WHO in 1978, focusing on comprehensive health services.
    • Rapid changes have occurred since then, addressing new health issues, socio-economic transformations, and evolving demographic trends.

    Health Issues and Status

    • Emergence of new health problems like HIV/AIDS, alongside an epidemic of non-communicable diseases.
    • Chronic conditions present significant challenges for health systems globally.
    • Globalization, industrialization, and urbanization affect population lifestyles, community dynamics, and health determinants.
    • Changes in demographic structures influence government and WHO priorities.

    Principles of PHC (1978 Declaration of Alma-Ata)

    • Cultural and Economic Context: PHC must reflect the economic conditions and cultural nuances of communities.
    • Health Problem Focus: Address key health challenges through promotive, preventive, curative, and rehabilitative services.
    • Intersectoral Collaboration: Involves coordination across various sectors including agriculture, education, and public works for holistic health development.
    • Community Participation: Encourages self-reliance and active community involvement in health planning and control.
    • Referral Systems: Establishes an integrated referral system to improve overall healthcare access and quality.
    • Health Workforce: Utilizes trained professionals and traditional practitioners to meet community health needs.

    Core Activities of PHC

    • Health Education: Informing communities about health problems and preventive measures.
    • Nutrition Promotion: Ensuring food supply and nutritional standards.
    • Water and Sanitation: Providing safe drinking water and adequate sanitation facilities.
    • Maternal and Child Health: Including family planning services for mothers and children.
    • Immunization: Protecting against major infectious diseases through vaccination campaigns.
    • Disease Prevention: Controlling locally endemic diseases effectively.
    • Treatment of Illness: Providing appropriate care for common diseases and injuries.
    • Essential Drugs: Ensuring access to necessary medications.

    Strategic Imperatives for PHC

    • Mortality Reduction: Focus on decreasing excess mortality rates among marginalized populations.
    • Risk Factor Management: Addressing leading risk factors that compromise human health.
    • Sustainable Health Systems: Developing healthcare systems that can function effectively over the long term.
    • Policy Development: Creating enabling environments for effective health policy and institutional frameworks.

    Changing Health Landscape

    • Communicable Diseases: Ongoing battles against diseases like TB and malaria remain critical, worsening due to factors like tobacco and alcohol use.
    • Non-Communicable Diseases: Increasing incidence attributed to unhealthy diets, sedentary lifestyles, and substance abuse.
    • Chronic Health Issues: A major burden globally, affecting both physical and mental health.
    • Injury and Violence: Rising injuries and violence contribute significantly to global disease burden.

    Future Disease Projections

    • Significant declines in disease burdens are expected, including:
      • A projected 46% reduction in diarrheal diseases.
      • A projected 60% reduction in perinatal conditions over the next 20 years.

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    Description

    Explore the evolution and future directions of Primary Health Care since its establishment as a core policy by WHO in 1978. This quiz delves into the emerging health issues such as HIV/AIDS and the shifting landscape of health status and challenges faced by public health systems worldwide.

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