Primary Health Care
Multi-sectoral policies
Integrated Health Services
Determinants of health (physical, mental and social health and
wellbeing)
Whole-of Government Approach (PHC Aim)
Interventions that encompass the entire life-course
Focusing on Equity
Empowering individuals, communities for increased participation in
health.
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HISTORY PRIMARY HEALTH CARE
P H C
UN thru WHO Alma Ata, USSR October 2018
Health in the Hands Sept. 6 – 12 1978
of the people by
Astana,
year 2000 Kazakhstan
Oct. 19, 1979
PHC Movement - LOI 949
1977 Pres. F. Marcos, Sr
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PHC Traditional Cornerstones / Pillars
INTER – INTRA SECTORAL LINKAGES
(OUTSIDE) (INSIDE)
USE OF APPROPRIATE TECHNOLOGY
HERBAL MEDICINE/ COMPLIMENTARY MEDICINE
SUPPORT MECHANISM MADE AVAILABLE
SUPPORT COMING FROM BOTH PUBLIC SECTOR AND PRIVATE
(TAXES) (DONATIONS)
ACTIVE COMMUNITY PARTICIPATION
PROGRAMS ARE CREATED FOR THE PEOPLE FROM THE PEOPLE
“BAYANIHAN”
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Primary Health Care
CORE VALUES OF PHC
• SOCIAL JUSTICE
• SOLIDARITY
• SELF RELIANCE
• EQUITY
• RESPECT TO HUMAN DIGNITY
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Primary Health Care
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Primary Health Care
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Primary Health Care
G P S
GOAL PHILOSOPY
STRATEGY
Health Care Workers to
Ensure all people rally behind the Collaborations of
provided access communities to assume Private and
to Health responsibility for their
Public
health
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Primary Health Care
Elements of PHC or Essential Services in PHC
ESSENTIAL MEDICINES / DRUGS
SANITATION
SAFE WATER SUPPLY
ENDEMIC DISEASE CONTROL AND MNGT
NUTRITION
TREATMENT TO SIMPLE CONDITIONS
IMMUNIZATION
ACCESS FOR MOTHER & CHILD HEALTH SVCS
LEARNING THRU HEALTH EDUCATION
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PHC ADVOCATES THE 5 A’s
A A A A A
ACCESSIBLE AVAILABLE AFFORDABLE ACCEPTABLE APPROPRIATE
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Determinants of Success of PHC
1. Knowledge and Capacity Building
▪ Community must actively participate
▪ Shared Leadership and Participatory Governance\
▪ Community Organizing is also done to identify Potential Leader
2. Human Resources for Health
▪ Multidisciplinary Approach hence the need for skill mix to address
health needs of the people is crucial to the efficient
implementation of PHC
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Determinants of Success of PHC
3. Financing
▪ Access of people to essential health services
▪ Philhealth -> No Balance Billing Policy
▪ RA 10351 -> Sin Tax Law
▪ RA 10963 -> TRAIN Law
4. Technology
▪ In the context of PHC it must be viewed as a means to help the
public maintain, restore and promote their Optimum Level of
Functioning
▪ Ensure that the people from all walks of life enjoy the highest
possible level of wellness, access to available services and
technology provided
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ASTANA DECLARATION
“Strengthening Primary Health Care is the most inclusive, effective and
efficient approach to enhance people’s physical and mental health, as well
as social well-being and that the PHC is a cornerstone of a sustainable
health system for universal health coverage (UHC) and health related
Sustainable Development Goals.” WHO, 2018
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