CHAPTER 3: PRIMARY HEALTH CARE

• First International Conference for PHC at Alma Ata, USSR, Russia


  SEPTEMBER 6-12, 1978
• signed by Pres. Ferdinand Marcos.legal basis for PHC in the Philippines.Health in the Hands of the People by 2020

  Letter of Instruction (LOI) 949
• the essential care made universally accessible to individuals and families in the community through their full preparation.

  Primary Health Care (Definition)
• Health For All by the Year 2000 - this is achieved through community and individual self-reliance


  Universal Goal
• 8 Essential Health Services (ELEMENT)


  → E - Education for health → L - Locally endemic disease control → E - Expanded program for immunization → M - Maternal and child health including responsible parenthood → E - Essential drugs → N - Nutrition → T - Treatment of communicable and noncommunicable diseases → S - Safe water and sanitation
• 4 A's

  Accessibility, Affordability, Acceptability, Availability
• - distance/travel time required to get to a health care facility/service.- the home must be w/in 30 min. from the Brgy. health stations

  Accessibility
• o Consideration of the individual, family, community, and government can afford the services o The out-of-pocket expense determines the affordability of health care. o In the Philippines, government insurance is covered through philhealth

  Affordability
• o Health care services are compatible with the culture and traditions of the population.

  Acceptability
• o A question whether the health service is offered in health care facilities or is provided on a regular and organized manner.

  Availability
• R.A. 8423

  Traditional and Alternative Medicine Act of 1997 (Juan Flavier)
• MEDICINAL PLANTS(LABS NI BAYUT)


  1. Lagundi2. Yerba buena3. Sambong4. Tsaang gubat 5. Niyog-niyogan6. Bayabas7. Akapulko8. Ulsimang Bato/pansit-pansitan9. Bawang 10. Ampalaya
• MEDICINAL PLANT PREPARATION

  1. DECOCTION2.INFUSION3.POULTRICE4.TINCTURE
• ALTERNATIVE HEALTH CARE MODALITIES

  1. Acupressure2. Acupuncture3. Aromatherapy4. Nutritional Therapy5. Pranic Healing6. Reflexology
• Application of pressure on the body's reflex joints to enhance body's natural healing

  Reflexology
• "Nutritional healing", this improves health by enhancing the nutritional value to reduce the risk of the disease


  Nutritional Therapy
• Follows the principle of balancing energy

  Pranic Healing
• Combines essential aromatic oils to then applied to the body

  Aromatherapy
• Uses special needles to puncture and stimulate specific part of the body

  Acupuncture
• Application of pressure on acupuncture pts. W/o puncturing the skin

  Acupressure
• mix the plant material in alcohol.


  TINCTURE
• directly apply plant material on the affected part, usually in bruises, wounds, and rashes

  POULTRICE
• plant material is soaked in hot water for 10 - 15 minutes.

  INFUSION
• boiling the plant material in water for 20 min.


  DECOCTION
• Use for diabetes mellitus (mild non insulin-dependent)

  Ampalaya
• Use for HTN, Lower Blood Cholesterol, and Toothache

  Bawang
• Use to lower blood uric acid (Rheumatism and gout)

  Ulasimang bato / Pansit-pansitan
• Use for Antifungal

  Akapulko
• Use for washing wounds and Diarrhea ,gargle , and toothache

  Bayabas
• Use for Antielminthic

  Niyog-niyogan
• Use for Diarrhea and Stomachache

  Tsaang Gubat
• Use for Antiedema / Antiurolithiasis

  Sambong
• Use for:HeadacheStomachache Cough and coldRheumatism, Asthritis

  Yerba Buena
• Use for:Asthma, Cough and Colds, fever, Dysentry, Pain.Skin disease (Scabies, Ulcer, Eczema.) wounds

  Lagundi
• PHC (Primary Health Care) is the essential care made universally accessible to individuals and families in the community through their full preparation.
• The first International Conference for PHC was held in Alma Ata, USSR, Russia on September 6 - 12, 1978 and was signed by President Ferdinand Marcos.
• The universal goal of PHC is Health For All by the Year 2000, which is achieved through community and individual self-reliance.
• PHC focuses on Family and Community while Primary care focuses on the individual.
• PHC decision-making process is Community-centered while Primary care is Health worker driven.
• PHC Outcome is Self-reliance while Primary care is Reliance on health workers.