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3.5:

Primary Healthcare Services

JoVE Core
Nursing
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JoVE Core Nursing
Primary Healthcare Services

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Primary healthcare, or PHC, aims to increase community and individual access to healthcare by locating facilities close to workplaces and residences. It uses methods and technologies that are scientifically sound and socially acceptable. The fundamental principle of PHC is that every individual worldwide has a right to have the best possible health level. PHC includes services that closely monitor risk factors, perform tests, and confirm many diagnoses right in the community. The primary healthcare approach has three components: Firstly, PHC settings provide comprehensive, accessible, and community-based care that meets people's health needs throughout their lifetime by offering primary care, maternal and child healthcare, family planning, mental health services, and immunization programs. Secondly, PHC uses multi-sectoral policies and actions to address social, economic, environmental, and commercial determinants of health by providing education on maintaining health and safety in public spaces, workplaces, and public transportation. Lastly, PHCs empower the community, families, and individuals to take responsibility for their health by encouraging them to increase social participation and improve self-care by guiding them on physical activities and nutrition.

3.5:

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.

In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call for immediate and effective national and international action to both create and implement primary healthcare worldwide. Forty years later, leaders and stakeholders from the government, commercial sectors, and civil society have returned to Kazakhstan. The Global Conference on Primary Health Care was held in Astana, Kazakhstan in October 2018 and endorsed primary healthcare as the most effective and efficient strategy for achieving universal health coverage and sustainable development goals.

A primary healthcare system includes three components: fulfilling people's health needs throughout their lifetime, addressing the larger determinants of health via multi-sectoral policy and action, and enabling individuals, families, and communities to take ownership of their own health.

Primary healthcare (PHC) is founded on social justice, equity, solidarity, and participation. Furthermore, PHC centers on the idea that the enjoyment of the best achievable level of health is a fundamental right of all human beings without exception. PHC is critical in making health systems more robust to crisis circumstances, more proactive in detecting early indicators of epidemics, and better prepared to act quickly in response to surges in demand for services. Although the data is still emerging, there is universal agreement that PHC serves as the health system's "front door" and as the foundation for enhancing important public health activities in the face of public health emergencies.