PCAREP2

• PHC History:

  • May 1997 - 20th World Health Assembly
  • September 06-12 1978 - International Conference on PHC
  • October 19, 1979 - President Ferdinand Marcos LOI 1949
• PRINCIPLES OF PHE

  • improvement in the level of health care of the community
  • favorable population growth structure
  • reduction in the prevalence of preventable, communicable, and other disease
  • reduction in morbidity and mortality rates
  • extension of essential health services w/ priority given to the underserved sectors.
  • improve in basic sanitation
• RATIONALE

  • Magnitude of Realth Problem
  • Inadequate and Unequal distribution of Health services
  • Increasing Cost of Medical care
  • Isolation of Health Care Activities from other Development Activities
• PRINCIPLE OF PHC

  • Community participation
  • Multi-sectoral Approach
  • use of Appropriate Technology
• IMPORTANCE + BENEFITS OF PHC

  Main Role:

  1. provide continuous and comprehensive care to the patients
  2. help in making the patient available with the social services welfare (public health service)
  3. Offer quality health and social
• Types of PHC Worker

  1. Brangay Healthcare Worker
  2. Intermediate Level primary Health Worker
• 4 Pillars

  1. Active Community Participation
  2. Intrasectoral and Intersectoral Linkages
  3. Use of appropriate Technology
  4. Support Mechanism made Available
• MAJOR STRATEGIES

  • Elevating health to a comprehensive and sustained national effort
  • Promoting and supporting community merged healthcare
  • Increasing efficiency in health sector

  1. using appropriate technology
  2. Development of Human Resource
  3. DOH continue support and assist private + public institutions
• MAJOR STRATEGIES

  • Advancing evential national health research

  ENHR - integrated strategy for organizing and managing research using inter-sectral, muli-disciplinary, and scientific approach to health programing and delivery

  BARRIERS

  • lack of motivation
  • attitude
  • resistance to change
  • lack of managerial skills
  • dependence on the part of community people
• MAJOR STRATEGIES

  • Self -reliance
  • Partnership between community and health agencies
  • Recognition of interrelation between health and development

  Development — quest for an impaired quality of life to all
• MAJOR STRATEGIES

  • social Mobilization - enhances participation
  • Decentralization - proper allocation of budgetary resources
• PHC should bern wI following propertities:

  1. 4A = accessibility, availability, affordability and acceptability (appropriateness of health services)
  2. Community participation ( heart + soul of PHC)
  3. people are the center, object, and subject of development
• 3 Level of PREVENTION Primary → Immunization Secondary → screening Tertiary → Treatment and rehabilitation