Local Health Center, Primary Health Care

Question 1

is a community-based and patient-directed organization

Answer 1

Barangay Health Center

Question 2

Its goal is to provide first aid, maternal and child health care, diagnosis of social diseases, and other basic health services to all the members of the community it is serving

Answer 2

Barangay Health Center

Question 3

Some districts may share a Barangay Health Center due to:

Answer 3

(1) close proximity to one another

(2) lack of manpower.

Question 4

Fundamentals of Barangay Health Center

Answer 4

> There should be one Barangay Health Center per district.
It should cater to health center patients who represent the population served.
It should be able to provide primary health care services.
Most medicines are given for free. There is a drug subsidy for expensive medicines.
Services rendered should be free for the members of the community.

Question 5

Who Barangay Health Centers serve

Answer 5

Barangay residents of all ages.
Barangay residents of all races and ethnicities.
Barangay residents with or without health insurance.

Question 6

International conference on Primary Health Care

Alma-Ata, USSR, September 6-12, 1978

Answer 6

Alma-Ata Declaration

Question 7

is a state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity

Answer 7

Health

Question 8

 essential health care based on practical, scientifically
sound and socially acceptable methods and
technology made universally accessible
 through full participation of the community, and at a
cost that the community and country can afford to
maintain
 first level of contact of individuals, the family, and
community with the national health system
 brings healthcare as close as possible to where
people live and work

Answer 8

Primary Health Care

Question 9

Basic Principles of Primary Health Care

Answer 9

1. Community Participation
2. Inter sectoral Collaboration
3. Integration of Health Services
4. Equity
5. Self Reliance

Question 10

individuals and families assume responsibility for their own health and those of the community

Answer 10

Community Participation

Question 11

coordination of health activities with other sectors (education, finance, agriculture, information, etc.)

Answer 11

Inter-sectoral Collaboration

Question 12

coordination of primary health care components into a whole program and made available at all times including referrals

Answer 12

Integration of Health Services

Question 13

resources are accessible and affordable to all

Answer 13

Equity

Question 14

• use of technological and scientifically sound methods
• maintained by the community
• in terms of human resources, money, and materials

Answer 14

Self Reliance

Question 15

Components / Elements of Primary Health Care

Answer 15

1. immunization
2. maternal and child care
3. essential drugs
4. food and nutrition
5. Education
6. Illness and Injury
7. Water and Sanitation
8. Vectors abd Reservoirs

Question 16

Prevention of infectious diseases (measles, meningitis, pertusis, tuberculosis, yellow fever, etc.)

Answer 16

Immunization

Question 17

 pregnant women and women of child-bearing age (15-49 years) are targets for special care
 children under 5 years of age vulnerable to childhood killer diseases
 includes family planning

Answer 17

Maternal and Child Health Care

Question 18

vital drugs should be available and affordable at all levels

Answer 18

Provision of Essential Drugs

Question 19

food must be adequate, affordable and balanced in terms of nutrients

Answer 19

Food and Nutrition

Question 20

The community should be informed of health problem and methods of prevention and control

Answer 20

Education

Question 21

Adequate provision of curative services for common ailments and injuries

Answer 21

Illness and Injury

Question 22

 safe water supply

 clean disposal of wastes

Answer 22

Water and Sanitation

Question 23

endemic diseases regulated through control or eradication of vectors and animal reservoirs

Answer 23

Vector and reservoirs

Question 24

11 Basic Requirements for a sound PHC

8 A’s, 3 C’s

Answer 24

1. Appropriateness 7. Assessability
2. Adequacy 8. Accountability
3. Affordability 9. Completeness
4. Accessibility 10. Comprehensiveness
5. Acceptability 11. Continuity
6. Availability

Question 25

services has to be properly selected and carried out by | trained personnel in the proper way

Answer 25

Appropriateness

Question 26

‒ service proportionate to requirement | ‒ sufficient volume of care to meet demands and needs

Answer 26

Adequacy

Question 27

cost should be within the means and resources of the individual and the country

Answer 27

Affordability

Question 28

‒ reachable, convenient services | ‒ geographic, economic, cultural accessibility

Answer 28

Accessibility

Question 29

depends on  satisfactory communication between health care providers and patients  patient trust  patient’s belief in confidentiality and privacy of information shared with providers

Answer 29

Acceptability

Question 30

‒ care can be obtained whenever people need it

Answer 30

Availability

Question 31

‒ can be readily evaluated

Answer 31

Assessability

Question 32

feasibility of regular review of financial records by certified public accountants

Answer 32

Accountability

Question 33

requires adequate attention to all aspects of a medical problem (prevention, early detection, diagnosis, treatment, follow-up measures, rehabilitation)

Answer 33

Completeness

Question 34

care is provided for all types of health problems

Answer 34

Comprehensiveness

Question 35

management of patient care over time is coordinated among providers

Answer 35

Continuity

Question 36

GOBI – major program which means

Answer 36

Growth Monitoring Oral Rehydration Techniques Breastfeeding Immunization

Question 37

GOBI FFF means

Answer 37

``` Growth Monitoring Oral Rehydration Techniques Breastfeeding Immunization Food Supplementation Female literacy Family planning ```

Question 38

Addresses most important problems in the community by providing preventive, curative, and rehabilitative services

Answer 38

Primary Health Care

Question 39

 more complex problems are dealt with  comprises curative services  provided by the district hospitals

Answer 39

Secondary Health Care

Question 40

 offers super-specialist care  provided by regional/central level institution  provide training programs

Answer 40

Tertiary Health Care

Question 41

 “Health TO the people”  authoritarian  health is sole responsibility of the doctor (eg. medical missions)

Answer 41

Hospital- or Clinic-based

Question 42

 “Health FOR the people”  paternalistic  health is a joint responsibility of the doctor and other health professionals, with the community members are potential beneficiaries

Answer 42

Community-oriented

Question 43

 “Health WITH the people”  active discussion, planning, decision making processes are shared by health professionals and community members  “social change” – people find ways to gain control over their lives

Answer 43

Community-based

Question 44

 “Health BY the people”  highest form of participation  health is the responsibility of every individual  people as managers of health programs and activities

Answer 44

Community-managed