1. Primary Health Care (PHC)

2. THE ALMA-ATA Conference 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 2 At Alma-Ata (Kazakhstan) in 1978. Government ministers from 134 countries met with global health organizations and agencies to discuss the relationship between inequality and illness.

3. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 3

4. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 4

5. THE ALMA-ATA Aims and Objectives: 1.To promote the concept of PHC in all countries. 2.To exchange experience and information on the development of PHC within the framework of comprehensive national health systems. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 5

6. 3.To evaluate the present health situation throughout the world as it relates to, and can be improved by, PHC. 4.To define the principles of PHC as well as the operational means of overcoming practical problems in the development of PHC. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 6 THE ALMA-ATA Aims and Objectives:

7. 5.To define rules of governments, national & international organization in technical cooperation and support for development of PHC. 6.To formulate recommendations for development of PHC. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 7 THE ALMA-ATA Aims and Objectives:

8. What is Primary Health Care? PHC is essential healthcare 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. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 8

9. What is Primary Health Care? PHC is essential healthcare 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. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 9

10. What is Primary Health Care? PHC is essential healthcare 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. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 10

11. What is Primary Health Care? PHC is essential healthcare 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. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 11

12. What is Primary Health Care? PHC is essential healthcare 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. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 12

13. What is Primary Health Care? PHC is essential healthcare 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. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 13

14. It forms an integral part both of  The country’s health system of which it is the nucleus  The overall social and economic development of the community. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 14 What is Primary Health Care?

15. PHC addresses the main health problems in the community, providing Promotive, Preventive, Curative and Rehabilitative services accordingly. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 15 What is Primary Health Care?

16. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 16 The Primary Health Care Unit (Al-Wehdah Al-Sehia) This is the health care institution where the PHC activities and services are provided

17. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 17

18. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 18

19. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 19

20. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 20

21. The care givers (providers) are members of the PHC team. The care takers or (Consumers, or customers, or clients, or users) 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 21 The Primary Health Care Unit (Al-Wehdah Al-Sehia)

22. Physician (s) Dentist Pharmacist and/or assistant pharmacist Nurse(s) and midwife Health inspector Laboratory technician X-ray technician Social worker File keeping specialist or Trained one Clerks and manual workers Manager 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 22 The PHC Team : is composed of (in a typical model):

23. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 23

24. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 24

25. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 25

26. The care takers are the community members at large, patients and healthy, males and females, infants, children, adolescence, adults and geriatric age group individuals. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 26

27. PHC Unit Location The PHC unit can be instituted in both urban and rural areas The PHC unit can be found in remote scarce – population areas and in central high density population slum areas The PHC unit can be fixed or mobile (outreach health services) 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 27

28. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 28

29. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 29

30. Catchment Area of PHC unit The PHC unit provides PHC services to community members of a well defined surrounding geographical area called (Catchment area of PHC unit ) 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 30

31. PHC Services 1.Preventive Services 2.Curative Services 3.Health Promotive Services 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 31

32. 1.Preventive Services 1.Vaccination 2.Safe Water Sources control and sanitation 3.Endemic diseases prevention and control 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 32

33. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 33 1.Vaccination

34. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 34 2.Safe Water Sources Control and Sanitation

35. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 35 3.Endemic Diseases Prevention and Control

36. 2.Curative Services 1.Treatment of locally common diseases and injuries 2.Provision of essential drugs 3.Referral of appropriate cases 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 36

37. 1.Treatment of Locally Common Diseases and Injuries 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 37

38. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 38

39. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 39 2.Provision of Essential Drugs

40. 3.Referral of Appropriate Cases 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 40

41. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 41

42. 3.Health Promotive Services: 1.Food Sanitation and sound nutrition 2.Environmental sanitation 3.Maternal and child health 4.School health 5.Geriatric health 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 42

43. 1.Food Sanitation and Sound Nutrition 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 43

44. 2.Environmental Sanitation 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 44

45. 3.Maternal and Child Health 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 45

46. 4.School Health 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 46

47. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 47

48. 5.Geriatric Health 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 48

49. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 49 Checklist for Primary Health Care Unit

50. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 50 Training Exercises

51. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 51 1-Define primary health care?

52. PHC is essential healthcare 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 16 March 2016Public Health and Community Medicine Department 52

53. 2-List 2 of preventive, curative and health promotive services of primary health care? 16 March 2016Public Health and Community Medicine Department 53

54. PHC services: Preventive: Vaccination Safe water supply(water sanitation) Endemic diseases prevention and control Curative Treatment of locally common diseases and injuries Provision of essential drugs Referral of appropriate cases Health promotive services Food sanitation Environmental sanitation Maternal and child health School health Geriatric health 16 March 2016Public Health and Community Medicine Department 54

55. 16 March 2016Public Health and Community Medicine Department 55

56. 3-Evaluate the following standard: (All health care team workers in the primary health care unit are aware of immunization program activities) clear (no) Relevant (yes) Realistic (no) Applicable (no) 16 March 2016Public Health and Community Medicine Department 56

57.  What are component of primary health care team? 16 March 2016Public Health and Community Medicine Department 57

58. PHC team: Physician Dentist Pharmacist or assistant pharmacist Nurse and midwife Health inspector Laboratory technician X ray technician Social worker File keeping specialist Clerks and manual worker Manager 16 March 2016Public Health and Community Medicine Department 58

59. Enlist 2 objectives of Alma Ata declaration? 16 March 2016Public Health and Community Medicine Department 59

60. 1. To promote the concept of PHC in all countries. –To exchange experience and information on the development of PHC within the framework of comprehensive national health systems. 2. To evaluate the present health situation throughout the world as it relates to, and can be improved by, PHC. 3. To define the principles of PHC as well as the operational means of overcoming practical problems in the development of PHC. 4. To define rules of governments, national & international organization in technical cooperation and support for development of PHC. 5. To formulate recommendations for development of PHC. 60

61. 16 March 2016 Public Health and Community Medicine Department Mansoura Faculty of Medicine 61 Assessment Models

62. 3/16/201662Ahmed A.Albadry GREAT THANKS Best Wishes