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Primary Health Care

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Components and Principles

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United States

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Primary Health Care
 

Primary Health CareOnline version

Components and Principles

by SIVA P M
1

How does the text distinguish 'medical care' from the broader concept of 'health care'?

2

According to the description of health care levels, which level is considered the ‘first referral level’ in the Indian context?

3

The Bhore Committee in 1946 introduced which concept that aimed to provide services from ‘womb to tomb’?

4

In the context of the principles of primary health care, what is the primary cause of ‘social injustice’ regarding health service distribution?

5

Which of the following is NOT listed as one of the eight essential elements of primary health care as outlined by the Alma-Ata Declaration?

6

The principle of 'appropriate technology' in health care emphasizes that the technology used should be:

7

Why is 'intersectoral coordination' considered vital for the success of primary health care?

8

What is the fundamental goal of the 'Health for All' (HFA) strategy as defined by the World Health Assembly?

9

Which of the following is a characteristic of 'basic health services' as defined in 1965?

10

In the Indian health care system, 'health teams' consisting of ANMs and ASHAs are primarily designed to bridge what specific gap?

Feedback

Medical care includes personal services provided directly by physicians or under their supervision, while health care is broader and includes preventive, promotive, curative, and rehabilitative services.

In India, district hospitals and community health centres provide secondary care and act as the first referral level for cases that cannot be managed at the primary health care level.

The Bhore Committee (1946) introduced the concept of comprehensive health care, which included integrated preventive, promotive, and curative services for all individuals throughout life — “from womb to tomb.”

Social injustice in health care occurs when health services are concentrated in urban areas while rural populations have limited access to care, leading to inequality in health service distribution.

The Alma-Ata Declaration focuses on essential community-based primary health care services such as nutrition, immunization, sanitation, and essential drugs. Specialized neurosurgical centers belong to tertiary health care, not primary health care.

Appropriate technology in primary health care refers to technology that is scientifically valid, affordable, culturally acceptable, adaptable to local needs, and maintainable using local resources.

Intersectoral coordination is important because health depends on multiple sectors such as education, nutrition, housing, sanitation, and agriculture. Cooperation among these sectors helps improve overall community health and development.

The “Health for All” strategy aims to ensure that all people attain a level of health that allows them to live socially and economically productive lives through accessible and equitable primary health care services.

In 1965, UNICEF and WHO defined basic health services as a coordinated network of peripheral and intermediate health units designed to perform essential health functions for a specific population area.

Health teams such as ANMs and ASHAs help connect rural communities with the formal health system by improving communication, cultural understanding, awareness, and accessibility of health services.

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