World Health Organization : Year 1997 ; World Health Organization, Analysis, Research, And Assessment, Current Concerns, No. 97.1: Current Concerns Ara Paper Number 7 Primary Health Care Concepts and Challenges in a Changing World Alma-Ata Revisited

By E. G. Webster

Book Id: WPLBN0000142542
Format Type: PDF eBook
File Size: 7.6 MB
Reproduction Date: 2005

Title:	World Health Organization : Year 1997 ; World Health Organization, Analysis, Research, And Assessment, Current Concerns, No. 97.1: Current Concerns Ara Paper Number 7 Primary Health Care Concepts and Challenges in a Changing World Alma-Ata Revisited
Author:	E. G. Webster
Volume:
Language:	English
Subject:	Health., Public health, Wellness programs
Collections:	Medical Library Collection, World Health Collection
Historic Publication Date:
Publisher:	World Health Organization


Citation APA MLA Chicago Webster, E. G. (n.d.). World Health Organization : Year 1997 ; World Health Organization, Analysis, Research, And Assessment, Current Concerns, No. 97.1. Retrieved from http://gutenberg.cc/

Description
Medical Reference Publication

Excerpt
Acknowledgements In addition to staff members of the Division of Strengthening of Health Services, the authors are particularly grateful to the following persons in WHO programmes in Headquarters and Regional Offices for reviewing draft material in detail and suggesting revisions.

Table of Contents
Contents Acknowledgements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi.i . Preface . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Chapter 1. The primary health care approach . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Misinterpretations of the meaning of PHC . . . . . . . . . . . . . . . . . . . . 6 Implications of the PHC approach for health system development . . 8 Chapter 2 . Alma-Ata recommendations: a critical review . I Strategic approaches . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Health and development (Recommendation 1) and Coordination of health and health-related sectors (Recommendation 4) . . . . . . . . . . 10 Incorporation of PHC into development programmes . . . . . . . . . . 12 The environment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Occupational health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Food and nutrition . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 Urban growth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Rapid population growth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Education and literacy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Gender issues . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Theelderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Community participation in primary health care (Recommendation 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Vulnerable and high-risk groups (Recommendation 8) . . . . . . . . . . . 22 Appropriate technology (Recommendation 12) . . . . . . . . . . . . . . . . . 23 Laboratory services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Radiology services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Conclusions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Chapter 3 . Alma-Ata recommendations: a critical review . I1 Health systems based on primary health care . . . . . . . . . . . . . . . . . 27 National commitment (Recommendation 18) . . . . . . . . . . . . . . . . . . 27 National strategies (Recommendation 19) . . . . . . . . . . . . . . . . . . . . 27 Resources for PHC (Recommendation 17) . . . . . . . . . . . . . . . . . . . . 28 The role of national administrations (Recommendation 3) . . . . . . . . 31 Support of PHC within the national health system (Recommendation 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Comprehensive PHC at the local level (Recommendation 6) . . . . . . 32 Administration and management for PHC (Recommendation 15) . . . 33 Logistic support and facilities (Recommendation 13) . . . . . . . . . . . . 33 Health services research and operational studies (Recommendation 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35