Primary Health Center (questions, strength and range)

Health Care (PHC) strategy has proven to be a milestone in the history of policy health care. Primary health care has been defined as "essential health care based on practical, scientifically sound and socially acceptable and technology made universally accessible to individuals and families in the community with their full participation and at a cost that the community and country can afford to keep all stages of development in the spirit of freedom and self-determination. "SSP was expected to form part of the health system in both countries, which is the axis and core, and overall social and economic development of the community. It is the first level of contact of individuals, families and the community, national system health, bringing health care as close as possible to where people live and work and is the first of continued health

care process.

SSP includes eight elements:

ü education health-related problems and prevention methods and control

ü Promotion of food supply and proper nutrition

ü adequate supply of drinking water and basic sanitation

ü maternal and child including family planning,

ü immunization against major infectious diseases,

ü prevention and control of local endemic diseases

ü appropriate treatment of common diseases and injuries and

ü provision of essential drugs.

The ideology and principles of primary health care are similar to what has been and has since been promoted in developing human and social justice, equity, rights human, universal access to services, giving priority to the most vulnerable and disadvantaged groups, and community participation. It is recognized that the promotion and protection health of the population is essential for economic and social sustainable development and contributes to a better quality of life and world peace. These primary priority health as the main strategy for achieving health for all. Despite this commitment and several years of work, not much has been achieved.

It necessary to examine the implementation of primary health care and to identify strategic interventions needed to address the new challenges of health systems as a contribution to the development of a program to strengthen primary health care in the 21st century.

Key issues that may need to be reviewed / addressed to strengthen primary health care are:

ü policy of Primary Health Care: How the politics of primary health care formulated? What was the process formulation of primary health care policy, the policy content of primary health care, etc.

ü application policy of primary health care: How the policies APS? Points to consider include the promotion and marketing, actors and partners, structures and processes and so on.

ü PHC resources: What resources are available for implementation of PHC, such as human resources and financial and material resources and structures of primary health care?

ü monitoring primary health care and review: How the policies and strategies of primary health care be monitored and reviewed?

ü health trends: What are the health trends and major challenges for health?

PROCESS

The data for the test is obtained from the following sources:

ü of unstructured interviews with respondents and informants who have an intimate knowledge of the implementation of PHC, as policy makers, implementers at all levels, other sectors, WHO and other partners.

ü discussions with a wide audience of people who have intimate knowledge of the implementation of PHC. These are the application of decision makers, NGOs, private sector, allied health institutions, WHO and other partners

ü Analysis preliminary documents and special reports available to the country and a thorough analysis all published and unpublished documents and materials.

A review of the health care system in rural India:

Health House – the structure and current scenario

Care infrastructure health in rural areas has been developed as a system of three levels (see Figure 1) and is based on the following population norms:

1. Center

Population norms

2. Llano Area

Wavy / tribal / difficult area

Sub-Center

5000

3000

Primary Health Center

30 000

20 000

Community Health Center

1,20,000

80 000

Sub-centers (SC)

The Sub-Centre is the focal point of most peripheral and first among the system care primary health and community. Each sub-center is occupied by an auxiliary nurse midwife (ANM) and health workers MPW (M) (For more details personnel structure, see Box 1). A health workers (PCI) is responsible for the observation mission six sub. Sub-centers are assigned to tasks related to interpersonal communication in order to change behavior and the protection of the family to provide nutrition maternal and child health, immunization, diarrhea control and disease control programs transferable. The Sub-centers have basic medicines for ailments Minor care for basic health needs of men, women and children. The Department of Family Services offers 100% support of the Center of all sub-centers in the country since April 2002 ANM in wages and health visitors, income at the rate of Rs 3000 / – per year and contingency at the rate of R 3200 / – per year addition to the drugs and equipment kits. The male employee's salary with the support of state governments. Under the trading scheme, the Government of India has acquired an additional 39 554 Sub Centres State Governments / Union Territories from April 2002 instead of 5434 the number of centers for rural family well-being transferred to governments States / UTs. There are 146 026 Sub Centres functioning in the country in September 2005 compared with 142,655 in September 2004.

Primary Health Centres (PHC)

SSP is the first point of contact between the community and the village doctor. HCP have been provided for the curative and preventive care integrated rural population, with emphasis on the preventive aspects of health promotion and care. The primary health centers have been established and maintained by state governments under the Minimum Needs Programme (MNP) / Basic Minimum Services Programme (BMS). Today Primary health care is served by a Medical Officer supported by 14 paramedical and other. Reference acts as a unit of 6 Sub Centres. With 4-6 beds for patients. The activities of PHC involve curative, preventive, primitive and family social services. There are 23 236 primary health centers that serve as in September 2005 the country compared to 23 109 in September 2004.

Centers Community Health (CHC)

CHC are created and maintained by the State Government under MNP / BMS program. It is manned by four medical specialists ie, surgeon, physician, obstetrician and pediatrician with the support of 21 staff members and other paramedics. It has 30 beds in the door with one OT, X-ray room And laboratory work. It serves as a reference for 4 PHCs and also provides equipment for obstetric care and specialist visits. Since September 2005, 3346 is operating in the country CSC.

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