Primary Health Care

• Primary Health Care

  Declared during the First International Conference on PHC held in Alma Ata, USSR on 1978 by WHO.
• Primary Health Care

  Accepted in the PH through LOI 949 legal basis of PHC in the country signed by Pres. Marcos on 1979 - integrated in DOH
• Primary Health Care

  Goal: "Health for All by the year 2000"
• Primary Health Care

  Vision: Health in the Hands of the People by 2020 (Self-Reliance)
• Primary Health Care

  Mission: Increased opportunities that people will manage their OWN health care
• 2 Core Principles of PHC:

  • P - Partnership (should be Active)
  • E - Empowerment (Transfer of Knowledge, Skills and Attitude)
• Primary Health Care

  Man-power - most important resource in healthcare delivery
• 4 Pillars of Primary Health Care

  • A - Active Community Participation - (most important pillar)
  • M - Multi-sectoral (intra & intersectoral linkages)
  • U - Use of Appropriate Technology (use of local indigenous resources)
  • S - Support mechanism Made Available (LGU conducts livelihood projects)
• 4 Pillars of Primary Health Care

  Active Community Participation

  • MOST important pillar
• 4 Pillars of Primary Health Care

  Multi-sectoral

  • Networking and Referral
• 4 Pillars of Primary Health Care

  Multi-sectoral

  • Intra - within the healthcare delivery system (Primary, Secondary, Tertiary)
• 4 Pillars of Primary Health Care

  Multi-sectoral

  • Intra - Two way referral system
• 4 Pillars of Primary Health Care


  Multi-sectoral

  • Inter - Outside the healthcare delivery system
• 4 Pillars of Primary Health Care

  Multi-sectoral

  • Inter - GO (Government Organization), NGO (Non-Government Organization)
• 4 Pillars of Primary Health Care


  Use of appropriate technology

  • Use of local indigenous resources
• 4 Pillars of Primary Health Care


  Support mechanism made available

  • LGU conducts livelihood projects
• 4 Pillars of Primary Health Care


  Pillars of PHC Mnemonic: AIUS or AMUS
• Characteristics of Primary Health Care:

  • C - Community-Based
  • A - Accessible 
  • S - Sustainable
  • A - Affordable
  • S - Self-Reliance
  • A - Available
• Characteristics of Primary Health Care:

  Community-Based

  • “immersion & integration”
• Characteristics of Primary Health Care:

  Accessible

  • Within 3-5 kms or within 30 minutes
• Characteristics of Primary Health Care:

  Self-Reliance

  • should NOT be FREE - community will be dependent
• Characteristics of Primary Health Care:

  Affordable

  • Low-cost approach
• Characteristics of Primary Health Care:

  Characteristics of PHC Mnemonics: CASASA
• Sentrong Sigla Program


  quality assurance program of health center and public hospitals
• Levels of Sentrong Sigla Certification

  Level 1 - Basic Sentrong Sigla Certification
• Levels of Sentrong Sigla Certification

  Level 2 - Specialty Awards on DOH programs
• Levels of Sentrong Sigla Certification

  Level 3 - Award for Excellence
• Levels of Primary Health Care Workers

  1. Village or BHWs
  2. Intermediate Level Health Workers
• Levels of Primary Health Care Workers

  Village of BHW - trained community health workers or health auxiliary volunteer or a traditional birth attendant or healer
• Levels of Primary Health Care Workers

  Intermediate level health workers - general medical practitioner or the assistants
• Levels of Primary Health Care Workers

  Intermediate level health workers:

  • PHN
  • Rural Sanitary Inspector
  • Midwives
• Levels of Health Care and Referral System

  Primary - cities and municipalities, rhu

  Secondary - Provincial OPD or district hospitals

  Tertiary - national or regional or training hospitals
• Elements of Primary Health Care

  "Elements Dam"

  • Education for Health
  • Locally Endemic and Communicable Disease Control
  • Expanded Program on Immunization
  • Maternal and Child Health and Family Planning
  • Essential Drugs
  • Nutrition
  • Treatment
  • Safe Water and Sanitation
  • Dental Health
  • Access to Sentrong Sigla
  • Mental Health