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DTTB MPH Intro To PHC Aug 2019

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DTTB MPH Intro To PHC Aug 2019

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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
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PVNMedinaMD August 2019

THE PRIMARY
HEALTH CARE
APPROACH
In Managing Frontline Rural Health
Systems and Addressing and
Analyzing Health Inequities
PVMedinaMD August, 2019

Ano ang Kalusugan (Health) Para sa Inyo?


Health is the
Absence of Disease

Health is Multifactorial

http://garvsharma2050.blogspot.com/2016/01/polypharmacy-in-india.html
PVMedinaMD August, 2019

Health and Health Care for


SOME Filipinos

Photo credits: inquirerbusiness.net;


PVMedinaMD August, 2019

Health and Health Care


for MOST Filipinos

Photo credits: Rappler, Inquire, Philippine Star


PVMedinaMD August, 2019

INEQUITY Characterizes Health and


Health Care in the Philippines
PVMedinaMD August, 2019

Ang MASALIMUOT
na Usapin ng
Kalusugan
PVNMedinaMD August 2019

From Alma Ata to Astana


(5 decades of (mis)understanding PHC)
PVNMedinaMD August 2019

Alma Ata PHC - Health


• Health (WHO):
– State of physical, mental
and social well-being
– Not merely the absence of
disease or infirmity
– Not just the availability of
health services
• “Healthy”
– State of well-being that
enables a person to lead a
socially and economically
productive life
• WEALTH is HEALTH!!!
NisperosMD August 2019 GANisperosMD August 2019

1978 Alma Ata Conference on


Primary Health Care
GANisperosMD August 2019

Health is a fundamental
HUMAN RIGHT.
(KRGuda, Pinoy Weekly 2013)
GANisperosMD August 2019

The HIGHEST POSSIBLE LEVEL of health


is an important worldwide social goal.
GANisperosMD August 2019

The government has the DUTY.


The people have the RIGHT.
GANisperosMD August 2019

The existing GROSS INEQUALITY is politically,


socially, and economically UNACCEPTABLE.
GANisperosMD August 2019

Economic and social development are ESSENTIAL


REQUISITES to the attainment of health for all.
GANisperosMD August 2019

Primary Health Care is BOTH a philosophy


and an approach to health.
PVNMedinaMD August 2019

The PHC
Approach
• A health philosophical framework anchored
on PHC.
• WHO Definition of Health is
paramount
• PHC Principles
• Health is a RIGHT
• Government’s duty
• People’s Participation
• Seeks to address Inequities in
Health
• Intersectoral Collaboration
• Health is the endpoint of social and
economic development
• Manifestation of PHC:
• Appropriate, accessible, adequate,
affordable, excellent Health Care
PVNMedinaMD August 2019

PHC; An Approach Towards What?


ADDRESSING SOCIAL
DETERMINANTS OF HEALTH
PVNMedinaMD August 2019

“It is not possible to


provide health and
knowledge to a
malnourished people,
dressed in rags and
working under
merciless
exploitation.” –
Salvador Allende
PVNMedinaMD August 2019

What good is it to treat a person’s


illness if the person goes back to
the conditions that brought about
the illness in the first place?

- F. Baum for the WHO CSDH -


PVNMedinaMD August 2019
PVNMedinaMD August 2019
GANisperosMD August 2019
PVNMedinaMD August 2019

https://qz.com/quartzy/1615436/the-solution-to-make-america-physically-active/?fbclid=IwAR0mC-cgBuz_t0eP9kUSoZ4ZzVFZRVXXOrJ6q3a8b8mRZ_iQ8SqTkfa1W9I
GANisperosMD August 2019

The 2018 Astana Conference:


Attaining UHC thru PHC
PVNMedinaMD August 2019

Paraphrasing GK Chesterton…

Primary Health Care has not been tried and found


wanting. It has been found difficult; and left untried.
PVNMedinaMD August 2019

Maraming Salamat po!

Is there anything you wish to clarify?

Twitter: @lopaoMD
FB: Lopao Medina

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