Primary Health Care
Primary Health Care
Primary Health Care
Primary healthcare (PHC) refers to "essential health care" that is based on "scientifically
sound and socially acceptable methods and technology, which make universal health care
accessible to all individuals and families in a community. It is through their full participation and
at a cost that the community and the country can afford to maintain at every stage of their
development in the spirit of self-reliance and self-determination".
(WHO,1978)
In other words, PHC is an approach to health beyond the traditional health care system
that focuses on health equity-producing social policy.PHC includes all areas that play a role in
addressing the inter-related determinants of health such as income and social health status, Social
environment, Employment/working conditions, Culture, Physical factors, Social support
networks, Prenatal/ Early Childhood Experiences, Level of education. Thus, primary healthcare
and public health measures, taken together, may be considered as the cornerstones of universal
health systems.
This ideal model of primary healthcare was adopted in the declaration of the International
Conference on Primary Health Care held in Alma Ata, Kazakhstan in 1978 (known as the "Alma
Ata Declaration"), and became a core concept of the World Health Organization's goal of Health
for all. The Alma-Ata Conference mobilized a "Primary Health Care movement" of professionals
and institutions, governments and civil society organizations, researchers and grassroots
organizations that undertook to tackle the "politically, socially and economically unacceptable"
health inequalities in all countries.
Health education
Water and sanitation
Nutrition
Maternal and child health
Immunization
Prevention of endemic diseases
Treatment
Drug availability
Goal of Primary Health Care
The ultimate goal of primary healthcare is the attainment of better health services for all. It is
for this reason that World Health Organization (WHO), has identified five key elements to
achieving this goal: