The Declaration of Alma Ata happened on (Date) September 6-12 of 1978 at the (Event) International Conference of Primary Health Care
The Declaration of Astana happened on (Date) October 25 & 26 of 2018 which is 40 years later than Alma Ata; and it happened at (Place) Astana, Kazakhstan
Health is a state of complete physical, mental and social wellbeing and not merely the absence of disease.
Primary Health Care is the most inclusive, equitable, and costeffective way to achieve universal health coverage.
Primary Health Care is the first contact a person has with the health system when they have a health problem.
Primary Care Facility is the institution that delivers primary care services which are usually the first point of contact with a health professional.
Health Care Providers:
▶ Physicians
▶ Nurses
▶ Midwives
▶ Pharmacists
▶ Dentists
▶ Community Health Workers
Barangay Nutrition Scholars
Barangay Health Workers
According to World Health Organization (WHO), about 930 million people worldwide are at risk of falling into poverty due to out-of-pocket health spending of 10% or more of their household budget.
Health System consists of all organization, people and actions whose primary interest is to promote, restore, or maintain health.
4 Pillars of PHC
▶ Community Participation
▶ Intersectoral Collaboration
▶ Appropriate Technology
▶ Support Mechanism
Challenges of PHC
▶ shortage of workers
▶ poor quality health-care services
▶ inadequate finances
▶ lack of intersectoral collaboration
▶poor condition of infrastructures, especially in rural areas
▶ concentrative on curative health services than preventive and promotive health care services
▶challenging geographic distribution
Health is a complete
(1) physical
(2) mental, and
(3) social well-being
and not just merely an absence of disease
Health System consists of organization, people and actions whose primary interest is to:
(1) restore
(2) maintain
(3) promote health
Primary Health Care is the first contact a person has with the health system when they have a health problem
Primary Health Care is the most inclusive, equitable, and cost effective way to achieve Universal Health Coverage
Primary Health Care is the provision of services including:
(1) diagnosis
(2) treatment of a health condition
(3) support in managing long term health care, including chronic conditions
Health Care Providers:
▶ Physicians
▶ Nurses
▶ Midwives
▶ Pharmacists
▶ Dentists
▶ Community Health Workers
Barangay Nutrition Scholars
Barangay Health Workers
According to World Health Organization (WHO), about 930 million people worldwide are at risk of falling into poverty due to out-of-pocket health spending of 10% or more of their household budget.
Universal Health Coverage is based on 1948WHO constitution
Primary Health Care is the foundation of UHC
UHC covers the full continuum of key services from healthpromotion to prevention, protection, treatment, rehabilitation and palliative care.
RA 11223 or the Universal Health Care Act was signed on February 20, 2019 by Former President Rodrigo Duterte
UHC means all Filipinos are guaranteed equitable access to quality and affordable health care goods and services,and are protected against financial risk.
Elements of PHC:
▶Health Education
▶ Promotion of food supply and proper nutrition.
▶ Access to safe water and sanitation
▶ Maternal and Child Health and Family Planning (FP)
▶ Immunization against major infectious diseases
▶ Prevention and control of locally endemic diseases
▶ Appropriate treatment
▶ Provision of essential drugs
According to United Nations International Children’s Emergency Fund (UNICEF) Philippines, 95 Filipino children die daily from malnutrition with 27 every 1,000 children not getting past their fifth birthday.
Health is the fundamental human right
Clean / safe water is the basic human need for survival and essential health
Maternal health refers to the health of women during pregnancy, childbirth and the postnatal period
In the Philippines, over 60,000 children die annually before their fifth birthday because of complications of premature birth, intra-partum complications, and infectious disease (UNICEF, 2023)
RA 10152 is Mandatory Infants and Children Health Immunization Act of 2011
Law which requires that all children under five years old be given basic immunization against vaccine-preventable diseases.
Examples of DOH programs on prevention and control against locally endemic diseases
▶ Malaria Control and Elimination Program
▶ Dengue Prevention and Control Program
▶ Schistosomiasis Control and Elimination Program
Endemic - Disease is constantly present in a population with relatively low spread
Epidemic - A sudden increase in cases spreading through a large population
Pandemic - Epidemic that has spread over several countries or continents, usually affecting a large number of people
Outbreak - the occurrence of disease cases in excess of normal expectancy i.e., a sudden spike of disease.
Top 3 causes of mortality in the Philippines
▶ Ischaemic Heart Disease
▶ Cerebrovascular Diseases
▶ Neoplasms
Philippine National Formulary contains the list of essential medicines that can be procured by the government.
Abbreviation - PNF
UP-PGH Formulary
▶ Executive Order No. 49
▶ Directing the Mandatory Use of the Philippine National Drug Formulary (PNDF) Volume I as the Basis for Procurement of Drug Products by the Government
UP - PGH
▶ Volume 1: Essential Medicines List - listing of the essential drugs by international nonproprietary names
▶ Volume 2: Essential Medicines Monograph - monographs on the drugs
▶ Volume 3: Cross-referenceindex - index of generic and trade
Essential Medicines are drugs considered optimal treatment choices to satisfy the health care needs of a given population