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CONCEPTS OF PRIMARY HEALTH CARE

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In the world health organization (who) quest for health for all by the year 2000 and beyond, it was conceptualized in 1978 one of the meeting in Alma-Ata, USSR and agreed upon in the meeting that primary health care shall be means by which individual, families and community can enjoy maximum level of health which will permit and then function at optimum level.
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The Alma-Ata declaration defined “primary health care is an essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost a community and a country can afford to maintain at every stage of their development in the spirit of self-reliance and self- determination.”

  • a) Health is fundamentally related to availability and distribution of resources.
    Health could remain no sickness and if there are resources available and are equitably distributed, these
    will be no sickness not just health resources like doctors, nurses and clinics but also other social
    economic resources like water, electricity, food, housing, etc.
  • b) Primary health care is therefore concerned in ensuring that what is available to health and social
    resources is available with due consideration for the who needed it.
  • c) Health is an integrals part of overall development. It is a part and parcel of other development because of
    the health road, pipeline, water, and electricity can be given.
  • d) The achievement of better health requires much more involvement by the people, individual, families and
    community. In taking citation of the own behavior may be lecturing them can be in need of hygiene.

READ ALSOSUMMARY OF EXPANDED JOHESU NEC MEETING WHICH WAS PHYSICAL AND VIRTUAL
Alma-Ata declaration of 1978 in Russia by W.H.O identified PHC as a strictest or by for attaining the taste of health for all by the year 2000 and it viewed as part of development in social Justice

PRINCIPLES OF PHC

  •  Equitable distribution
  •  Community participation
  •  Focus on prevention
  •  Appropriate technology
  •  Multi section approach

COMPONENTS OF PHC

  • I. Education concerning prevailing health problems and methods of preventing and controlling them.
  • II. Promotion of food supply and proper nutrition
  • III. The provision of safe water and basic sanitation
  • IV. Maternal and child health care including family planning
  • V. Immunization against the Major infectious disease
  • VI. Prevention and control of locally endemic diseases
  • VII. Appropriate treatment of common disease and injuries
  • VIII. Provision of essential drugs
  • IX. Promotion of mental health
  • X. Promotion of dental health
  • XI. Laboratories services
  • XII. Geriatric nursing
  • XIII. Growth motoring
  • XIV. Involvement of the TBAS

5A”S FOR PRINCIPLES OF PHC

  • a. Availability
  • b. Affordability
  • c. Acceptability
  • d. Accessible
  • e. Appropriate Technology

TRADITIONAL BIRTH ATTENDANTS (TBAS)

  •  The TBAS assist mothers during pregnancies, Labour, deliveries and post natal period.
  • They acquired minimal skills to do their work through experience or apprentiship through other, traditional birth
    attendants.

ROLLS OF TBAS

  •  They do risk assessment, render antenatal services and refer case to health center whenever the anticipate
    complication and during emergency problem. They are only available in developing countries.
  •  They training are upgraded so that they can acquire minimal skill to carry out deliveries hygienically and to
    prevent post natal hemorrhage using appropriate technique
  •  Some train ones take primary health care functions e.g. family planning like condoms distributions and giving
    out oral pills. First aid education, personal hygiene and breast feeding.

RESPONSIBILITY OF NURSE IN PHC

  • a. Prevention and control of infection disease
  • b. Nutrition education
  • c. Referee services
  • d. Data collection
  • e. Record keeping
  • f. Immunization against the six (6) killer disease e.g. tuberculosis, diphtheria, pertussis, tetanus, polio and
    measles.
  • g. Home visiting
  • h. Multi-disciplinary/internal sectional

FUNCTION OF GRADUATE NURSES TRAINED FOR PHC ACCORDING TO W.H.O

  • 1. To provide preventive, curative and rehabilitation care to individuals, families and group within the community’
  • 2. To extend primary health care to all section of community
  • 3. To train and supervises health workers in primary health care and community level.
  • 4. To work effectively with other health worker
  • 5. To collaborate with other section concern with social economic development.
  • 6. To mobilize the community for primary health programming’s.
  • 7. To communicate with the medical representatives to promotes health.
  • 8. To evaluate the progress of primary health care programme in the community

UMARU ISAH, 300 LEVEL, 08093043193
DEPARTMENT OF NUSRING SCIENCE,
AMBROSE ALLI UNIVERSITY,
EKPOMA, EDO STATE.

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