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Primary Health Care

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Comprehensive

Primary Health Care


PaRROT

Learning objectives
 Understand the development of
comprehensive primary health care
 Be aware of the components of
comprehensive primary health care
 Understand the determinants of health
and how they apply to practice
PaRROT

WHO definition of health


Health is….

“a state of complete physical, mental


and social wellbeing and not merely
the absence of disease or infirmity”
PaRROT

Defining primary health care

 Primary Health Care is not Primary


care alone.

 Primary, secondary and tertiary are


levels of care
Declaration of the
PaRROT

Alma Ata
 Released in 1978 and consisted of ten
fundamental principles for effective
comprehensive primary health care service
delivery
 Principles were in response to the broader
community and social issues leading to
poor population health
PaRROT

The Ottawa Charter


 Building healthy public policy
 Creating environments which support
healthy living
 Strengthening community action
 Developing personal skills
 Reorientating health care
Comprehensive primary
PaRROT

health care
 Complete physical, mental and social
wellbeing
 Addresses issues of equity and social justice
 Considers the impact of education, housing,
food and income
 Acknowledges the value of community
development
 Recognises the expertise of individuals over
their own health

Talbot and Verinder 2005


PaRROT
Comprehensive Primary
Health Care
Acknowledges other factors that contribute to
poor health including:
 social influences which look at the

 impacts of the key determinants of health


which leads to the social determinants of
health
PaRROT

Social view of health


 Identifies aspects other than physical
which can impact on health
 Includes social factors ranging from
diet and activity to mental and social
well being and from education to
employment and living conditions

Primary Health Care Resource Package, an Initiative of the South Australian Country Health Care Forum
PaRROT

Social determinants of health


 Income and social status
 Stress – control over our life
 Early childhood development and education
 Employment and work conditions
 Social support
 Addiction
 Physical environment
 Exercise and transport
 Diet and lifestyle choices
Smith, JD (2007)
PaRROT

Factors affecting health


parenting
gender
styles
family
age
dynamics

geographical
employability HEALTH mobility

culture social resources

family biological
finances factors
McMurray, A. (2003) pg.12
Slide 8
Comprehensive primary
PaRROT

health care
 Social justice and equity
 Community control
 Social change
 Manages factors that generate ill
health
 Involves an approach to health care
over a continuum from health
promotion to illness treatment
PaRROT

Models of primary health care


Comprehensive Selective Medical model
View of health Positive wellbeing Absence of disease Absence of Disease

Locus of control over Communities and Health professionals Medical practitioners


health individuals
Major focus Health through equity Health through Disease eradication
and community medical interventions through medical
development interventions
Health care providers Multidisciplinary Doctors plus other Doctors
teams health professionals
Strategies for health Multi-sectoral Medical interventions Medical interventions
collaboration

Rogers W. & Veale, B. (2000).


PaRROT

The River Story


 Read the story in the presenter notes
 Demonstrates clearly what we must do
 Instead of responding to problems we
need to identify and respond to the causes
instead
 If we are to slow the growth of chronic
disease, comprehensive primary health
care is the most effective and efficient way
Slide 14

to respond
PaRROT

Learning Activity

Please complete the


learning activity

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