Class 3 Flashcards
Lalonde report 1974
-Propose a new perspective on the health of Canadians (shifted the focus on HEALTH PROMOTION)
Lalonde Framework
Human biology
Environment
Lifestyle
Healthcare organization
Alma-Ata conference 1978 (WHO)
Highlight Primary Health Care as a strategy to achieve ‘‘Health for All’’ (Country, organization and non-profit organization get together–> Intersectorial and community driven)
Event globally happen that lead to Alma-Ata
- After WWII country process to reforming healthcare.
- National program (ex. barefoot doctors)
- Non-governmental organization involved in community activity.
- THinkers, research, philosophy
PRIMARY HEALTH CARE
A philosophy/worldview for health care (essential health care, universally accessible, with their full participation)
What is a model/ framework for health care services.
(Philosophy, highlights values and final goal)
GOAL of PHC
Prevent illness, promote health to the pt, family, community and whole population
8 elements from Alma-Ata
- Education on health problems, methods of prevention and control
- Promoting adequate food supply & nutrition
- Promoting supply of safer water and sanitation
- Promoting maternal and child health including family planning
- Immunization against infectious diseases
- Prevention and control of local pandemic diseases
- Promoting tx of common diseases & injuries
- Providing essential drugs
5 Principles of Primary Health Care
- Accessibility
- Public participation
- Health promotion
- Intersectoral cooperation
- Appropriate skills & technology
Underlying values of PHC
Health for All, Social Justice and Equity
Health Equity
Fair distribution of resources for health and absence of systematic disparities in health (power, prestige..)
–> ethical principle and human rights principles.
Social Justice:
(foundation of nursing) Fair distribution of society’s benefits and responsibilities, and focus on eliminating the root causes of inequalities.
Health for All:
eliminate structure that encourages inequality
Bangkok Charter
affirmed that policies and partnerships to
empower communities and improve health and equity should be at the center of global and national development
Health disparities
Different in health, among group of person
Equity vs Equality?
Equity: Give everyone what they need to success
Equality: Treating everyone the same