Primary Health Care - Notes

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The key takeaways are that primary health care aims to provide universal health coverage and is closely related to community-based rehabilitation. Both were established by the Alma Ata declaration and aim for 'Health for All'.

The main principles of primary health care according to Alma Ata are that it is the key to attaining health for all and promotes health and socio-economic development.

The three phases of primary health care implementation in the Philippines are: 1) Pilot testing, 2) Institutionalization including the establishment of Barangay Health Workers, and 3) Devolution to ensure advocacy of primary health care.

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CBR
• Also seen part of primary health care
CBR and Primary Health
• ALMA ATA (1978)
in the Context of the
National Health Situation

(Source : Italian Association Amici di Raoul Follereau (AIFO). ACTIVITIES OF AIFO: COMMUNITY
BASED REHABILITATION (CBR) PROJECTS)

Primary Health Care PHC in the PI


• ALMA ATA (1978) • 1980
• PHC as key in attaining health for all • 1985
• Health and socio-economic • Dr. Jesus Azurin
development

(Source: Bautista, Victoria. Challenges to sustain primary health care in the Philippines. National (Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci
College of Public Administration and Governance, University of the Philippines (Prepared for the Med. 1986;23(10): 1105-17.)
World Health Organization). 2001.)

PHC in the PI- Phase 1 PHC in the PI- Phase 2


• Pilot Testing • Institutionalization
• Barangay Health Workers

(Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci (Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci
Med. 1986;23(10): 1105-17.) Med. 1986;23(10): 1105-17.)

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PHC in the PI- Phase 3 Banking on the Barangays


• Devolution • PHC as a practical means in
• Ensuring the advocacy of PHC providing health care for the poor
• Philippines
• 1981

(Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci
Med. 1986;23(10): 1105-17.) (Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci Med.
1986;23(10): 1105-17.)

PHC and CBR PHC and CBR


• WHO  CBR  “Health for All” • Co-existence
• Relationship between the two? • Community Participation and
• CBR Empowerment
– Is it really like that?

(Source: Mohale, Mamonye and Miles, Susie. Community Based Rehabilitation and Its Emergence
Through Primary Health Care- a Policy in the Making.) (Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci Med.
1986;23(10): 1105-17.)

PHC and CBR PHC and CBR in the PI


• It should be easy to integrate the two • ALMA ATA  WHO  Health for All
• CBR as a part of PHC and not a • PHC is the KEY
separate program • Self-Reliant People

(Source: Phillips DR. Primary health care in the Philippines: banking on the barangays? Soc Sci Med. (Source: Gonzalez III, Joaquin L. Evolution of the Philippine Health Care System During the Last Forty
1986;23(10): 1105-17.) Years of Development Administration. Asian Journal of Public Administration. Vol 18, No 2; 168-200.)

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PHC and CBR in the PI PHC and CBR in the PI


• Promotive • Full community participation in the
• Preventive planning, organization, and
• Curative management of PHC
• Rehabilitative

(Source: Gonzalez III, Joaquin L. Evolution of the Philippine Health Care System During the Last Forty (Source: Gonzalez III, Joaquin L. Evolution of the Philippine Health Care System During the Last Forty
Years of Development Administration. Asian Journal of Public Administration. Vol 18, No 2; 168-200.) Years of Development Administration. Asian Journal of Public Administration. Vol 18, No 2; 168-200.)

PHC and CBR in the PI


• Resources for health care delivery
• A large number of barangays are still
yet to feel the benefits of PHC

(Source: Gonzalez III, Joaquin L. Evolution of the Philippine Health Care System During the Last Forty
Years of Development Administration. Asian Journal of Public Administration. Vol 18, No 2; 168-200.)

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