Comprehensive or Selective Primary Healthcare

Question 1

What are the types of primary healthcare

Answer 1

• Comprehensive primary healthcare

- Selective primary Healthcare

Question 2

What is selective primary healthcare

Answer 2

• emphasis the cost effectiveness of vertical problems with more measurable results
• proposed that the focus should be on the most severe public health problems and less broad

Question 3

What is comprehensive primary health care

Answer 3

• Complete physical, mental and social wellbeing. Addresses issues of equity and social justice.
• Considers the impact of education, housing, food and income.
• Acknowledges the value of community development.

Question 4

What interventions were important in selective primary health care

Answer 4

• growth monitoring,
• oral rehydration therpay
• breast feeding
• immunisations

later

• food suplementation
• female education
• family planning

Question 5

what are the negatives to having a selective primary health care

Answer 5

• narrow therapeutic approach
• diverts attention away from basic health and socioeconomic development
• does not address social casues of disease
• growth monitoring was hard in cases where it had to be done by iliterate mothers
• breast feeding artifical companies argued that infant formulas had to be used in developing countries because undernourished mothers could not provide proper nourishment - which was wrong
• band aid where social structure needed changing