The strategy of primary health care (PHC) was found to be a turning point in the history of health policy. PHC has been defined as essential health? of? â based on practical, scientific and healthy acceptable from a social and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to perform in any stage of development in the spirit of? of? of self determination and confidence in himself. PHC was thought that form an integral part of both the health system? s? of the country, which is the core function that the main focus of social and economic development of the general community. It would be the first level of contact of individuals, families and communities with the national health system, health carrier near as possible to where people work and live is the first part of a continuing process of health.   PHC contains eight elements: ¼       à DI training about the prevailing health problems and methods to prevent and control ¼      à promotion of supply of food and adequate nutrition, ¼      à supply of adequate safe water and basic sanitation, ¼      à health of the mother and child, including family planning, ¼      à of immunization against infectious diseases important, ¼      à of prevention and control of locally endemic diseases, ¼      à of suitable treatment of common diseases and injuries, ¼      evolution of the supply of essential drugs.  ideology and principles behind PHC match very closely what was and has since been supported in human development as social justice, equity, human rights, universal access to services, giving priority to the most vulnerable and not privileged and community involvement. It is recognized that the promotion and protection of the health of people is essential to social and economic trends continue and contribute to better quality of life and peace of the world. These PHC priority as the main strategy to achieve health for all. Despite these efforts, and several years of work, not much has been achieved.  there is a need to examine the implementation of primary health care and to identify strategic interventions needed to deal with new challenges facing health systems, as a contribution to developing an agenda for the reinforcement of PHC in the twenty-first century . KEY POINTS of          that may need TO BE REVIEWED / addressed to the reinforcement of? s? of PHCâ are: ¼        à OF Formulation of policy PHC: As the PHC policy has been formulated? What was the process of policy formulation PHC, the content of policy etc PHC. ¼       à OF Performing policy PHC: What policies are realizzande PHC? The functions to be examined include advocacy and sales, actors and partners, structures and so proceed. ¼       à OF PHC Resources: What resources are available for the implementation of PHC, for example human and financial resources as well as the PHC and physical structures? ¼       à OF Monitoring and review of PHC: How the policy and strategies of PHC are controllande and esaminande? ¼       à OF Trends Health: What are the main health trends and challenges related to health? Data      process so that the review be obtained from the following sources: ¼       à OF unstructured interviews with respondents / informants who have intimate knowledge of the PHC, as policy makers, Implementers at all levels, other sectors involved, the WHO and other partners. ¼       à OF Discussions with a wider audience of people who have intimate knowledge of the PHC. This Implementers including policymakers, NGOs, private sector institutions associated with health, WHO and the other ¼      à An analysis of partners Desk of available documents and reports specific to the country and extensive analysis of documents All the materials available and published and unpublished.         an overview of the health system in rural India: The? Rural? â of the health system of    the structure and the scenario current health infrastructure in rural areas has been developed as a system of three rows (see Table 1) and is based on the following rules of the population:   1.                  CentrePopulation Norms2.                 AreaHilly Normal / Sub-Centers tribal / difficult health Centre1, 20,00080,000    health Centre30, 00020.000 community AreaSub-Centre50003000Primary (SCS) to the Sub-Center is the most peripheral contact and earlier between the primary healthcare system and the community.  Each Sub-Center is equipped to dell'infermiera auxiliary midwife (ANM) and a medical officer male MPW (m) (for details of recruitment of staff model, see box 1).  A the lady medical officer (LHV) has entrusted the operation of a control of six Sub-Centers. The Sub-Centers are assigned tasks regarding communication between people to determine the change of behavior and provide services in relation to maternal and children's greetings, family welfare, nutrition, immunization, control of diarrhea and control of infectious diseases programs .  The Sub-Centers are given the drugs for the disorder were secondary to taking care of health needs of men, women and children. The department of welfare of the family is providing the assistance of the central 100% at all Sub-Centers in the country since 2002 in the form of salary of ANMs and LHVs, rental rate of Rs. 3000 / – per year and contingency at the rate of Rs. 3200 / – per year, as well as drugs and associated equipment. The salary dell'operaio male is borne out Governments. Under the trading scheme, the Government of India has taken the direction dell'39554 secondary additional centers by state governments / union territories from April 2002 instead of the number 5434 of rural social welfare of the family moved to the state governments / union territories. There are 146,026 secondary centers operating in the country in September 2005 as compared to 142,655 in September 2004. The centers of primary health      (PHCs)  PHC is the first point of contact between the community of the village and the officer of health. The PHCs was foreseen to provide curative and preventive health to integrated rural population with the emphasis on preventive work and promorici Health Organization. The PHCs are established and managed by state governments under the minimum needs of the program (MNP) / program of basic minimum services (BMS). Currently, a PHC is fitted by a health official support of 14 paramedics and other staff. To act as a unit for 6 Referral Centres. secondary has 4-6 basis for patients.  PHC activities involving the welfare curative, preventive, primitive and the family Services. There are 23,236 PHCs that works as in September 2005 in the country compared to 23,109 in September 2004. The health centers of the Community of     (CHCs)      CHCs are established and effettuandi by the state government under the program of MNP / BMS. It is equipped with four medical specialists that is a surgeon, physician, gynecologist and pediatrician support by 21 paramedics and other staff.  He has 30 bases for the Interior with an OT, X-rays, the ease of Labor and the laboratory room. To serve as a referral center for 4 PHCs and also provides facilities for obstetric consultations and specialist care. As in September 2005, 3346 CHCs are running the country. ************************************************** ********************** OF    Â
Tafsirul Mazahir
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