Community Health Nursing
Lecture/First semester
Week 5
OUTLINE Brief History of PHC
I. Primary Health Care 1977
• Brief History of PHC - WHO members, International
• Philippine Setting Conference on Primary Health Care in
• Philippine Setting: Historical Alma Ata, Kazakhstan
Timeline - Resolution - 20th World Health Assembly
• Pillars in PHC - “the main social targets of governments
• Universal Targets and WHO in the coming decades should
• PHC Goals be the attainment by all citizens of the
• Essential Elements Services in world by year 2000 of a level of health
PHC that will permit them to lead a socially
• Guiding Principles and economically productive life”
II. Levels of Prevention
III. Universal Health Care 1978
• UHC’s Three Thrusts - Health, which is a state of complete
• RA 1123: Universal Health Act physical, mental, and social wellbeing,
• UHC: Objectives and not merely the absence of disease
• Population-based Health or infirmity, is a fundamental human right
Services and that the attainment of the highest
• Individual-Health Services possible level of health is a most
• Integration of Local Health important world-wide social goal whose
System realization requires the action of many
• Key Activities of the DOH for other social and economic sectors in
UHC Act addition to the health sector. — Alma-
Ata Declaration, 1978
Primary Health Care (PHC)
2018
- essential health care based on - Forty years later, global leaders ratified
practical, scientifically sound, and the Declaration of Astana at the Global
socially acceptable methods made Conference on Primary Health Care
universally accessible to individuals and which took place in Astana, Kazakhstan
families in the community through their in October 2018
full participation and at a cost that the Philippine Setting
community can afford to maintain at
every stage of their development in the
- The 1992 implementation of the
spirit of self-reliance and self
devolution of health care to the local
determination
governments and the 1999 health sector
- is care for all at all ages. All people,
reform have brought about changes in
everywhere, deserve the right care, right
the health care delivery system.
in their community.
L. S. S Page 1
, Community Health Nursing
Lecture/First semester
Week 5
- The revitalization of primary health care - The national government
is a policy issue to be addressed by ensured the training and
national government, local government, deployment of volunteer
civil society groups and even the private barangay health workers (BHW)
business sector, in the present set-up of a for community participation and
devolved health care system. inter-agency collaboration in
planning and implementation for
Philippine Setting: Historical Timeline
the PHC.
1978
1981
• First Stage- The Pilot Years
• Second Stage- Pre-Devolution:
- The 1978 Alma Ata Declaration
Institutionalization of PHC
definitely spurred changes in the
- The government moved the PHC
Philippine health sector through
from pilot stage to
primary health care approach.
institutionalization nationwide,
- The public health system
until the ouster of President
experienced innovative and
Ferdinand Marcos in 1986.
pioneering changes when the
- Initially under Pres. Marcos, the
Marcos administration adopted
Ministry of Health marshaled
the national plan and strategy
local government involvement
for PHC implementation.
and community participation.
- Pilot provinces in each of twelve
This stage was sustained by the
(12) regions in the country were
new government of President
selected according to certain
Corazon Aquino in 1986 as the
criteria, namely: health needs of
Department of Health pursued
the population, lack of people's
the policy of engaging non-
access to health services at the
government organizations and
regional center, poor peace and
volunteer community/barangay
order condition.
health workers in innovative
- The Ministry of Health pushed for
health programs.
the District Health System model
- Village drugstores (Botika ng
with the referral system for
Barangay) were set up to make
patients from the primary level of
medicines affordable and
health care at the rural health
accessible to the poor and low-
clinic (RHU) of the
income population.
municipality/city to the
- The provisions of the 1987
secondary and tertiary level of
Philippine Constitution rendered
health care in hospitals in the
legitimacy and significance to
area.
the participation of non-
- PHC committees were organized
organizations and people's
at national, regional, provincial,
organizations.
municipal/city & barangay
-
levels.
L. S. S Page 2
Lecture/First semester
Week 5
OUTLINE Brief History of PHC
I. Primary Health Care 1977
• Brief History of PHC - WHO members, International
• Philippine Setting Conference on Primary Health Care in
• Philippine Setting: Historical Alma Ata, Kazakhstan
Timeline - Resolution - 20th World Health Assembly
• Pillars in PHC - “the main social targets of governments
• Universal Targets and WHO in the coming decades should
• PHC Goals be the attainment by all citizens of the
• Essential Elements Services in world by year 2000 of a level of health
PHC that will permit them to lead a socially
• Guiding Principles and economically productive life”
II. Levels of Prevention
III. Universal Health Care 1978
• UHC’s Three Thrusts - Health, which is a state of complete
• RA 1123: Universal Health Act physical, mental, and social wellbeing,
• UHC: Objectives and not merely the absence of disease
• Population-based Health or infirmity, is a fundamental human right
Services and that the attainment of the highest
• Individual-Health Services possible level of health is a most
• Integration of Local Health important world-wide social goal whose
System realization requires the action of many
• Key Activities of the DOH for other social and economic sectors in
UHC Act addition to the health sector. — Alma-
Ata Declaration, 1978
Primary Health Care (PHC)
2018
- essential health care based on - Forty years later, global leaders ratified
practical, scientifically sound, and the Declaration of Astana at the Global
socially acceptable methods made Conference on Primary Health Care
universally accessible to individuals and which took place in Astana, Kazakhstan
families in the community through their in October 2018
full participation and at a cost that the Philippine Setting
community can afford to maintain at
every stage of their development in the
- The 1992 implementation of the
spirit of self-reliance and self
devolution of health care to the local
determination
governments and the 1999 health sector
- is care for all at all ages. All people,
reform have brought about changes in
everywhere, deserve the right care, right
the health care delivery system.
in their community.
L. S. S Page 1
, Community Health Nursing
Lecture/First semester
Week 5
- The revitalization of primary health care - The national government
is a policy issue to be addressed by ensured the training and
national government, local government, deployment of volunteer
civil society groups and even the private barangay health workers (BHW)
business sector, in the present set-up of a for community participation and
devolved health care system. inter-agency collaboration in
planning and implementation for
Philippine Setting: Historical Timeline
the PHC.
1978
1981
• First Stage- The Pilot Years
• Second Stage- Pre-Devolution:
- The 1978 Alma Ata Declaration
Institutionalization of PHC
definitely spurred changes in the
- The government moved the PHC
Philippine health sector through
from pilot stage to
primary health care approach.
institutionalization nationwide,
- The public health system
until the ouster of President
experienced innovative and
Ferdinand Marcos in 1986.
pioneering changes when the
- Initially under Pres. Marcos, the
Marcos administration adopted
Ministry of Health marshaled
the national plan and strategy
local government involvement
for PHC implementation.
and community participation.
- Pilot provinces in each of twelve
This stage was sustained by the
(12) regions in the country were
new government of President
selected according to certain
Corazon Aquino in 1986 as the
criteria, namely: health needs of
Department of Health pursued
the population, lack of people's
the policy of engaging non-
access to health services at the
government organizations and
regional center, poor peace and
volunteer community/barangay
order condition.
health workers in innovative
- The Ministry of Health pushed for
health programs.
the District Health System model
- Village drugstores (Botika ng
with the referral system for
Barangay) were set up to make
patients from the primary level of
medicines affordable and
health care at the rural health
accessible to the poor and low-
clinic (RHU) of the
income population.
municipality/city to the
- The provisions of the 1987
secondary and tertiary level of
Philippine Constitution rendered
health care in hospitals in the
legitimacy and significance to
area.
the participation of non-
- PHC committees were organized
organizations and people's
at national, regional, provincial,
organizations.
municipal/city & barangay
-
levels.
L. S. S Page 2
