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CHN-PRIMARY HEALTH CARE-SYNOPSIS-02-PHC

🌟 HEALTH FOR ALL 🌟

πŸ•ŠοΈ β€œA global dream where every person enjoys a level of health that permits them to live a socially and economically productive life.”


πŸ“˜ DEFINITION

πŸ—¨οΈ Health for All (HFA) is a global goal promoted by the World Health Organization (WHO) that aims to ensure that every person has access to basic health care services β€” anytime, anywhere, without financial hardship.

βœ… Introduced in 1977 by WHO and further reinforced by the Alma-Ata Declaration in 1978.


🌍 WHO GOAL: HEALTH FOR ALL BY 2000

πŸ“œ β€œThe attainment by all the people of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life.”

πŸ”Ή Though the 2000 target was not fully achieved, the vision continues through Universal Health Coverage (UHC) and Sustainable Development Goals (SDG 3).


🧠 CORE ELEMENTS OF β€œHEALTH FOR ALL”

🌟 ElementπŸ“– Description
βš•οΈ Equity in HealthEqual access to health services for all β€” rich or poor
πŸ‘¨β€βš•οΈ Primary Health Care (PHC)First point of contact, community-based approach
πŸ“š Community ParticipationInvolving people in planning & decision-making
πŸ›οΈ Intersectoral CoordinationJoint efforts from health, education, agriculture, sanitation sectors
πŸ’° Affordable & Appropriate TechnologyLow-cost, community-relevant tools

πŸ₯ PRIMARY HEALTH CARE: FOUNDATION OF HEALTH FOR ALL

πŸ“˜ Alma-Ata Declaration (1978)

βœ… Declared Primary Health Care (PHC) as the key strategy to achieve Health for All

βœ… PHC is:

  • Essential health care
  • Scientifically sound
  • Socially acceptable
  • Universally accessible
  • Affordable

πŸ”Ή 8 ELEMENTS OF PHC

  1. Health education
  2. Food supply & nutrition
  3. Safe water & sanitation
  4. Maternal and child health
  5. Immunization
  6. Disease control
  7. Essential drugs
  8. Treatment of common diseases/injuries

🎯 OBJECTIVES OF “HEALTH FOR ALL”

βœ”οΈ Reduce health disparities between and within countries
βœ”οΈ Achieve universal access to promotive, preventive, curative, and rehabilitative services
βœ”οΈ Strengthen primary health care infrastructure
βœ”οΈ Empower individuals and communities
βœ”οΈ Achieve health equity for vulnerable groups (women, children, poor)


πŸ“ˆ HEALTH FOR ALL β†’ TODAY’S CONTINUATION: Universal Health Coverage (UHC)

🌍 SDG Goal 3: β€œEnsure healthy lives and promote well-being for all at all ages”

πŸ”Ή Includes targets like:

  • Reducing maternal and child mortality
  • Ending epidemics of AIDS, TB, malaria
  • Achieving UHC including financial risk protection
  • Access to quality essential health-care services

πŸ“Œ MOST ASKED EXAM QUESTIONS (MCQ STYLE)

βœ… Q: Who launched the β€œHealth for All” strategy?
πŸ…°οΈ World Health Organization (WHO)

βœ… Q: In which year was β€œHealth for All by 2000” declared?
πŸ…°οΈ 1977

βœ… Q: Which declaration promoted Primary Health Care as key to Health for All?
πŸ…°οΈ Alma-Ata Declaration, 1978

βœ… Q: Health for All emphasizes…?
πŸ…°οΈ Equity, PHC, intersectoral coordination, community involvement

βœ… Q: Today, β€œHealth for All” continues as…?
πŸ…°οΈ Universal Health Coverage (UHC) under SDG 3*


πŸ‘©β€βš•οΈ NURSE’S ROLE IN β€œHEALTH FOR ALL”

πŸ‘©β€βš•οΈ
βœ”οΈ Provide comprehensive primary care
βœ”οΈ Involve communities in health decisions
βœ”οΈ Promote preventive and promotive health
βœ”οΈ Work on health education & sanitation
βœ”οΈ Collaborate with other sectors
βœ”οΈ Ensure equity and inclusiveness in care


πŸ”‘ SUMMARY POINTS

🌟 “Health for All” is a global health equity movement
🌟 Primary Health Care (PHC) is the pathway to achieve this goal
🌟 Nurses play a central role in delivering PHC and empowering communities
🌟 Today, HFA vision continues through UHC and SDG targets

🌟 MILLENNIUM DEVELOPMENT GOALS (MDGs) – 2000 to 2015 🌟

πŸ•ŠοΈ β€œA global pledge to reduce poverty and improve lives.”


πŸ“˜ INTRODUCTION

πŸ—¨οΈ The MDGs were 8 global goals adopted by 191 United Nations member states in the year 2000, with a target to achieve them by 2015.

βœ… Focused mainly on poverty, education, gender equality, child and maternal health, and diseases.


🎯 LIST OF 8 MDGs

πŸ”’ Goal🌍 Description
1️⃣Eradicate extreme poverty and hunger
2️⃣Achieve universal primary education
3️⃣Promote gender equality and empower women
4️⃣Reduce child mortality
5️⃣Improve maternal health
6️⃣Combat HIV/AIDS, malaria, and other diseases
7️⃣Ensure environmental sustainability
8️⃣Develop a global partnership for development

πŸ“ˆ HEALTH-RELATED MDG ACHIEVEMENTS

πŸ”Ή Child Mortality ↓ globally by >50%
πŸ”Ή Maternal Mortality ↓ by ~45%
πŸ”Ή Expanded HIV treatment access
πŸ”Ή But not all targets were fully achieved πŸŒβ—


🌟 SUSTAINABLE DEVELOPMENT GOALS (SDGs) – 2015 to 2030 🌟

🌱 β€œTransforming our world through inclusive, equitable, and sustainable development.”


πŸ“˜ INTRODUCTION

πŸ—¨οΈ The SDGs are a set of 17 goals and 169 targets adopted by the UN in 2015 under the agenda β€œTransforming our world: the 2030 Agenda for Sustainable Development.”

βœ… SDGs are broader and more inclusive than MDGs and aim to end poverty, protect the planet, and ensure peace and prosperity.


🌍 LIST OF 17 SDGs

πŸ”’ GoalπŸ“ Title
1️⃣No Poverty 🧺
2️⃣Zero Hunger 🌾
3️⃣Good Health and Well-being πŸ₯
4️⃣Quality Education πŸ“š
5️⃣Gender Equality 🚺
6️⃣Clean Water and Sanitation 🚰
7️⃣Affordable and Clean Energy ⚑
8️⃣Decent Work and Economic Growth πŸ’Ό
9️⃣Industry, Innovation and Infrastructure πŸ—οΈ
πŸ”ŸReduced Inequalities βš–οΈ
1️⃣1️⃣Sustainable Cities and Communities πŸ™οΈ
1️⃣2️⃣Responsible Consumption and Production ♻️
1️⃣3️⃣Climate Action 🌦️
1️⃣4️⃣Life Below Water 🐠
1️⃣5️⃣Life on Land 🌳
1️⃣6️⃣Peace, Justice, and Strong Institutions πŸ•ŠοΈ
1️⃣7️⃣Partnerships for the Goals 🀝

🎯 GOAL 3: GOOD HEALTH AND WELL-BEING – DETAILS

βœ… Reduce maternal mortality
βœ… End epidemics of AIDS, TB, malaria
βœ… Reduce NCDs (heart disease, cancer)
βœ… Ensure universal health coverage (UHC)
βœ… Provide access to essential medicines & vaccines
βœ… Improve health workforce & financing


πŸ”„ DIFFERENCE BETWEEN MDGs AND SDGs

🧾 Aspect🧠 MDGs🌐 SDGs
🎯 Number of Goals817
πŸ“… Time Period2000–20152015–2030
🌍 FocusDeveloping countriesUniversal (all countries)
πŸ”¬ ScopeNarrow (health, poverty)Broad (health, economy, environment)
πŸ‘₯ ParticipationTop-downParticipatory, inclusive

πŸ‘©β€βš•οΈ NURSE’S ROLE IN SDGs

πŸ‘©β€βš•οΈ
βœ”οΈ Promote health literacy & education
βœ”οΈ Participate in maternal & child health services
βœ”οΈ Support immunization, nutrition, sanitation
βœ”οΈ Advocate for gender equality & mental health
βœ”οΈ Work in primary health care & UHC delivery


πŸ“Œ MOST ASKED EXAM QUESTIONS (MCQ STYLE)

βœ… Q: How many MDGs were there?
πŸ…°οΈ 8

βœ… Q: When were the SDGs launched?
πŸ…°οΈ 2015

βœ… Q: What is the health goal in SDGs?
πŸ…°οΈ Goal 3: Good Health and Well-being

βœ… Q: Which SDG focuses on clean water and sanitation?
πŸ…°οΈ Goal 6

βœ… Q: MDGs were focused on…?
πŸ…°οΈ Developing countries and basic needs

🌟 PRIMARY HEALTH CARE (PHC) 🌟

🩺 β€œEssential health care made accessible, affordable, and acceptable to all.”


πŸ“˜ DEFINITION

πŸ—¨οΈ Primary Health Care (PHC) is essential health care based on scientifically sound, socially acceptable methods, made universally accessible to individuals and families in the community through full participation, at a cost the community and country can afford.

βœ… Introduced in the Alma-Ata Declaration, 1978 by WHO.


πŸ₯ AIM OF PRIMARY HEALTH CARE

🎯 “Health for All” by:

βœ”οΈ Promoting equity
βœ”οΈ Reducing health disparities
βœ”οΈ Delivering comprehensive, continuous, and coordinated care
βœ”οΈ Involving community participation


🌟 8 ESSENTIAL ELEMENTS OF PRIMARY HEALTH CARE

πŸ”’ No.πŸ“š ElementπŸ“ Description
1️⃣Health EducationEducation on prevailing health problems & prevention methods
2️⃣Food Supply & Proper NutritionPromotion of adequate food supply & balanced nutrition
3️⃣Safe Water & Basic SanitationAccess to clean water and hygienic sanitation
4️⃣Maternal & Child Health Care (MCH)Prenatal, postnatal care, family planning, child survival
5️⃣ImmunizationAgainst major infectious diseases (e.g., polio, measles)
6️⃣Prevention & Control of Endemic DiseasesTB, malaria, leprosy, dengue, etc.
7️⃣Appropriate Treatment for Common DiseasesTreatment of minor ailments and injuries
8️⃣Provision of Essential DrugsAvailability of basic, cost-effective medicines

πŸ”‘ PRINCIPLES OF PRIMARY HEALTH CARE

πŸ’  PrincipleπŸ“– Explanation
🌍 Equitable DistributionHealth services must reach all β€” especially rural & underserved areas
πŸ‘¨β€πŸ‘©β€πŸ‘§β€πŸ‘¦ Community ParticipationInvolve individuals and families in planning, implementing & evaluating care
πŸ₯ Intersectoral CoordinationInvolvement of sectors beyond health (e.g., agriculture, education, water supply)
πŸ’° Appropriate TechnologyLow-cost, practical, locally acceptable methods and equipment
πŸ”„ Integrated, Continuous CarePreventive, promotive, curative & rehabilitative services at all levels

🧱 LEVELS OF HEALTH CARE WITHIN PHC

πŸ₯ LevelπŸ“ FunctionπŸ§‘β€βš•οΈ Example
1️⃣ PrimaryFirst contact, basic careSub-centres, PHCs
2️⃣ SecondarySpecialized servicesCHCs, District Hospitals
3️⃣ TertiarySuper-specialty careMedical colleges, apex hospitals

πŸ“Œ MOST ASKED EXAM QUESTIONS (MCQ STYLE)

βœ… Q: Who introduced Primary Health Care globally?
πŸ…°οΈ WHO at the Alma-Ata Conference, 1978

βœ… Q: How many elements are there in PHC?
πŸ…°οΈ 8

βœ… Q: Which principle emphasizes care for underserved areas?
πŸ…°οΈ Equitable distribution

βœ… Q: Safe water and sanitation is an element of…?
πŸ…°οΈ Primary Health Care

βœ… Q: What does appropriate technology mean in PHC?
πŸ…°οΈ Simple, low-cost, locally usable tools


πŸ‘©β€βš•οΈ NURSE’S ROLE IN PRIMARY HEALTH CARE

πŸ‘©β€βš•οΈ
βœ”οΈ Deliver preventive & promotive care
βœ”οΈ Participate in immunization and MCH programs
βœ”οΈ Conduct home visits, screenings, and health education
βœ”οΈ Ensure community mobilization and participation
βœ”οΈ Liaise with multipurpose health workers and ASHAs
βœ”οΈ Record and report essential health data


πŸ”‘ SUMMARY POINTS

🌟 Primary Health Care is accessible, affordable, acceptable
🌟 Focuses on prevention, equity, and community participation
🌟 Supported by 8 essential elements and 5 core principles
🌟 Foundation for achieving Universal Health Coverage (UHC) and Health for All

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