Principles of Primary Health Care – Simple Exam Notes
Primary Health Care (PHC) is based on 5 basic principles.
1. Equitable Distribution
• Health services available to everyone
• No difference between rich/poor and urban/rural
• Services concentrated in cities → social injustice
• Aim: Shift services to villages and near homes
2. Community Participation
• Community involved in planning, implementation, maintenance
• Use of local manpower, money, materials
• India: Village health guides, trained dais
• China: Barefoot doctors
• Overcomes cultural barriers
3. Intersectoral Coordination
• Health is responsibility of many sectors
• Agriculture, education, food, housing, industry, communication
• Alma-Ata: PHC includes all development sectors
• Oral health must integrate with general health
• Examples: Fluoride availability, reduced sugar exposure
4. Appropriate Technology
• Scientifically sound and affordable
• Acceptable and culturally suitable
• Easy to use and maintain
• Avoid costly methods when cheaper ones work
• Examples: Neem stick, mango leaf
5. Focus on Prevention
• Includes treatment, promotion, prevention
• Emphasis on healthy lifestyle
• Reduces disease burden and cost
Mnemonic: ECIAP
E – Equitable distribution
C – Community participation
I – Intersectoral coordination
A – Appropriate technology
P – Prevention focus