Principles and Components of Primary Health Care Flashcards

(46 cards)

1
Q

Health is a state of ______________________________________
and ______________________________________ (WHO Definition of Health 1948).

A

complete physical, mental and social well being

not merely absence of disease or infirmity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Health is a fundamental human right.

T/F

A

T

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

___________________________________ is the fundamental premise of primary health care.

A

All people, everywhere, deserve the right care, right in their
community.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

➢Primary health care (PHC) addresses the _______________________________ throughout their lifetime.
➢This includes physical, mental and social well-being and it is _______-
centred rather than ___________-centred.

A

majority of a person’s
health needs

people ; disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Primary Health Care (PHC)?
➢Primary health care (PHC) is __________ health care made universally
__________ to individuals and __________ to them, through full __________
and at a cost the community and country can __________ in the spirit of __________ and __________.

A

essential ; accessible

acceptable ; participation

afford ; self reliance

self determination.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

PHC is an approach to health beyond the traditional health care system that
focuses on health _______-producing social policy.

A

equity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The Universal Declaration of Human Rights established a breakthrough in
_________, by stating in Article 25: “ _________________________________”

A

1948

Everyone has the right to a standard of living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The main social target of governments and WHO was the attainment by
all citizens of the world by the year _______ of a level of health that will permit them to lead a ________________________________________ life”

A

2000

socially and economically productive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

➢In the joint WHO– UNICEF international conference in ________ at __________ (USSR), the governments of __________ countries and many voluntary agencies called for a revolutionary approach to health care.

A

1978

Alma– Ata

134

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Health for all means that health is to be ?????.

A

brought within the reach of every one in a given community

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

History of Primary Health Care
➢Before 1978, globally, existing health services were failing to
provide quality health care to the people.
➢Different alternatives and ideas failed to establish a well-functioning health care system.
➢Considering these issues, a joint WHO-UNICEF international
conference was held in _______ in _________ (USSR), commonly
known as ________________.

A

1978

Alma Ata

Alma-Ata conference.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Thus, the Alma-Ata conference called for acceptance of WHO goal of ‘Health for All’ by 2000 AD.
➢Furthermore, it proclaimed _______________________ as a
way to achieve ‘Health for All’.

A

Primary Health Care (PHC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Objectives of Primary Health Care
➢To increase the __________ and __________ that affect the healthy growth and development of children and youth.
➢To boost __________ of the community with government and community sectors to improve the health of their community.
➢To develop community __________ with the primary health care system.
➢To support and advocate for healthy __________ within all sectors and levels of government.

A

programs ; services

participation

satisfaction

public policy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Objectives of Primary Health Care

➢ To support and encourage the ____________ of provincial
public health policies and direction.
➢To provide reasonable and timely ____________ to primary health care
services.
➢To apply the standards of ____________ in professional practice.
➢To establish, within available resources, primary health care
____________ and ____________.
➢To support the provision of comprehensive, integrated, and
_________-based primary health care services

A

implementation

access ; accountability

teams ; networks.

evidence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why is Primary Health Care (PHC) Important?
➢Primary Health Care focuses more on __________ health service and __________.
➢Primary Health Care focuses on “_______________”

A

quality ; cost-effectiveness.

“Health for all”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Why is Primary Health Care (PHC) Important?

➢Primary Health Care encourages new __________ and __________ __________.
➢It includes services that are readily __________ and __________ to the community.

A

connection

community ; participation.

accessible ; available

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

➢Primary Health Care promotes (equity or equality?).

A

equity AND equality.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

➢Primary Health Care advocates on health ____________ and
focuses on ____________, ____________ and ____________ of health disparities.

A

promotion ; prevention

screening ; early intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Primary Health Care is also perceived as an integral part of country’s socio-economic development.

T/F

20
Q

Principles of Primary Health Care

Primary health care consists of an integrative group of ________________ coordinating to provide _______________________ to a
particular group of people or population.

A

health care professionals

basic health care services

21
Q

The Primary Health care outline is built on four key pillars.
➢These pillars are reinforcement for the delivery of safe health care.
❖The four major pillars of primary health care are as follows:
1.
2.
3.
4.

A

1.Community Participation
2.Inter-sectoral Coordination/collaboration
3.Appropriate Technology
4.Support Mechanism Made Available

22
Q

Community Participation
➢Community participation is a process in which community people are
_________ and participate in ___________________________.

A

engaged

making decisions about their own
health.

23
Q

Community participation

It is a social approach to point out the _______________ of the community people.

A

health care needs

24
Q

Inter-sectoral Coordination
➢ Inter-sectoral coordination plays a vital role in performing different functions in attaining health services.
➢The involvement of ________ agency, ________ sectors, and ________ sectors is important to achieve improved health facilities.

A

specialized agency

private sectors

public sectors

25
Intersectoral coordination ➢It also refers to delivering health care services in _____________ way. ➢Therefore, the departments like agriculture, animal husbandry, food, industry, education, housing, public works, communication, and other sectors need to be involved in achieving health for all.
integrated
26
Appropriate Technology ➢Appropriate healthcare technologies are an important strategy for improving the availability and accessibility of healthcare services. ➢It has been defined as ‘’technology that is scientifically _________ , _________ to local needs and _________ to those who apply it and to whom it is applied and that can be maintained by ______________ in keeping with the principle of _________ with the resources the community and country can afford.’’
sound ; adaptable acceptable ; people themselves self-reliance
27
Appropriate technology refers to using (cheaper or more expensive ?) , scientifically ________ and acceptable equipment and techniques.
cheaper valid
28
Acceptable technology It is also necessary to ensure that the technology is: ✓Scientifically _________ and _________ ✓ _________ to local needs ✓ _________ to the community people ✓ _________ and _________ by the local resources
reliable ; valid Adapted Acceptable Accessible ; affordable
29
Support Mechanism Made Available Support mechanism in primary health care is a well-known process focused to develop the ____________. ➢Support mechanism includes that the people are getting personal, physical, mental, spiritual and instrumental support to meet goals of primary health care.
quality of life
30
Primary health care depends on adequate number and distribution of trained __________ , __________, community __________, __________ professions and others working as a health team and supported at the local and referral levels.
physicians ; nurses health workers ; allied health
31
Support Mechanism is vital to health and quality of life. T/F
T
32
Essential Components/Elements of Primary Health Care ❑There are 8 elements of primary health care. 1. Education concerning prevailing health problems and the methods of identifying, preventing and controlling them 2. Promotion of food supply and proper nutrition, an adequate supply of safe water and basic sanitation 3. Maternal and child health care including family planning 4. Immunization against major infectious diseases 5. Prevention and control of locally endemic diseases 6. Treatment of common diseases and injuries 7. Promotion of mental health 8. Provision of essential drugs
33
Challenges for Implementation of PHC ➢Poor __________ and shortage of __________ ➢Inadequate __________ and __________ ➢Poor condition of __________/infrastructure gap, especially in the rural areas ➢Concentrated focus on __________ health services rather than __________ and __________ health care services.
staffing ; shortage technology ; equipment infrastructure curative ; preventive promotive
34
Challenges for Implementation of PHC ➢Challenging __________ distribution ➢Poor __________ of health care services ➢Lack of __________ support in health care programs ➢Lack of __________ __________ ➢Poor distribution of health workers/health workers concentrated on the urban areas. ➢Lack of __________ __________
geographic ; quality financial community participation intersectoral collaboration
35
Measures for Ensuring Effective PHC ➢Encouraging community participation through rapport building, effective communication and sharing objectives and benefits of PHC. ➢Developing _______________ mechanisms through the development of various indicators and standards. ➢Development of clinical guidelines including the implementation of _________________ ➢Allocating resources as per the need of the central, provincial/state and local level.
quality assurance Essential drugs list
36
Measures for Ensuring Effective PHC ➢Develop a planning process to define objectives and set targets by giving priority on those families and communities most at risk. ➢Promoting ________-orientated research in health management system. ➢Creating pathways to give health higher priority on the agenda of district development and collaboration of health departments to perform its role in health activities. ➢Develop guidelines and framework that specify the roles and responsibilities of the provincial states
problem
37
Primary Health Care In Nigeria: Years After Alma Ata Declaration ➢In Nigeria, PHC services are delivered by ___________ , ___________ and ___________, with over _______ of these facilities spread across ________ Wards in ______ Local Government Areas. ➢With oversight by the Local Government Authorities (LGAs), majority of these facilities are in the rural, underserved and hard-to-reach areas to ensure improved equity and access to health services.
PHC Centers Basic Health Clinics (BHC) Comprehensive Health Centers (CHC) 30,000 9565 774
38
The ______________________ (NPHCDA), is responsible for PHC development and implementation in Nigeria.
National Primary Health Care Development Agency
39
Declaration of Alma-Ata was adopted at the International Conference on Primary Health Care (PHC), _______ (formerly Alma-Ata), ______________\\\ (present day _______ ), Soviet Union 6–12 __________ _____.
Almaty Kazakh Soviet Socialist Republic Kazakhstan; September 1978
40
Alma-Ata conference expressed the need for urgent action by all governments, all health and development workers, and the world community to ????? .
protect and promote the health of all people
41
The primary health care approach has since then been accepted by member countries of the World Health Organization (WHO) as the key to achieving the goal of "_________________", but only in ___________ countries at first. This applied to all other countries _____ years later.
Health For All developing Five
42
The Alma-Ata Declaration of 1978 emerged as a major milestone of the _____________ century in the field of public health, and it identified primary health care as the key to the attainment of the goal of "Health For All" around the globe.
twentieth
43
Declaration of Alma Ata The sentiment of the declaration was partly inspired by the ___________ system in ———- , which revolutionized the state of primary care in China's rural areas.
barefoot doctor China
44
"Health For All" is defined as the attainment by all peoples of the world by the year __________ of a level of health that will permit them to lead a socially and economically productive life.
2000
45
GOBI (________ monitoring, _________________ treatment, _________________, and _________________), GOBI-FFF (adding ______supplementation, _________________, and _________________).
growth monitoring oral rehydration breastfeeding immunization; food female literacy ; family planning
46
A year after the Alma ata conference , _______________ was introduced and it presented as the idea of obtaining _____-cost solutions to very _______ and ___________ causes of death.
Selective Primary Health Care (PHC) low; specific; common