Essential, community-based health care that is universally accessible, scientifically sound, socially acceptable, and affordable. It involves full community participation and aims to achieve Health for All.
Primary Health Care
A global goal set by the Alma-Ata Declaration of 1978 that envisions all people attaining a level of health that allows them to lead socially and economically productive lives.
Health for All
The process of engaging individuals, families, and groups in identifying needs, planning, and implementing health programs to promote ownership and sustainability.
Community Participation
The collaboration between the health sector and other sectors (education, agriculture, social welfare, environment, etc.) to address the broader determinants of health.
Intersectoral Linkage
Health tools, methods, and techniques that are affordable, practical, scientifically valid, and acceptable to the community, such as oral rehydration therapy or safe birthing kits.
Appropriate Technology
Ensures all people have access to needed health services (prevention, promotion, treatment, and rehabilitation) without suffering financial hardship.
Universal Health Coverage
A landmark global agreement emphasizing PHC as the key to achieving “Health for All,” stressing community participation and intersectoral collaboration.
Alma- Ata Declaration (1978)
A reaffirmation of Alma-Ata, emphasizing modern PHC approaches, integration of technology, and sustainability within the framework of the Sustainable Development Goals (SDGs).
Astana Declaration (2018)
Conditions or factors influencing health, including biology, lifestyle, environment, and access to services.
Determinants of Health
The application of scientific knowledge (tools, procedures, systems) for disease prevention, diagnosis, treatment, and health promotion in the community.
Health Technology
Primary Health Care is a comprehensive approach that includes health promotion, disease prevention, treatment, and rehabilitation at the community level. It seeks to make essential health care universally accessible through active community participation and intersectoral collaboration.
Mary Nies 2019
PHC as “essential health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation, and at a cost that the community and country can afford.”
Agnes Maglaya 2009
Asta declaration of 2018 key highlights
Modern PHC
Community empowerment+
Technology integration+
Universal health access
Elements of PHC
Education
Locally endemic diseases
Essential Drugs
Maternal and Child Health Care
EPI (Immunization)
Nutrition
Treatments
Safe water and sanitation
Determinants of success in PHC
1.community participation and empowerment
2. political commitment and government support
3.intersectoral linkages
4. use of appropriate technology
5.equitable distribution of health resources
6.continuous education and capacity building
characteristics of A.H.Technology
Affordable and cost effective
culturally and socially acceptable
scientifically sound and evidence based
environmentally safe and sustainable
easy to use,repair and maintain
example of a.p technology
oral rehydration salts (ors) for diarrhea
water purification tablets
mosquito nets for malaria prevention
safe birthing kits for midwives
mobile health apps (mhealth) for health monitoring
A group of people who share a common geographic area, culture, values, and social system, and who interact with one another to fulfill common needs. In public health, a community is both the client and partner in health development.
community
field of public health that focuses on the protection and improvement of the health of population groups within a community through organized and sustained community effort.
Community Health
process of building collective power by mobilizing people to recognize common problems, prioritize needs, plan actions, and work together toward shared goals for improved health and well-being. It emphasizes community participation, ownership, and empowerment.
community organizing
social process of recognizing, promoting, and enhancing people’s abilities to meet their needs, solve problems, and mobilize resources to control their lives
empowerment
The active involvement of community members in identifying problems, setting priorities, planning, implementing, and evaluating health programs.
participation
role of the community health nurse (CHN) who guides and supports the community in organizing, analyzing data, and implementing activities without taking control of decision-making.
facilitator