Community Medicine (PSM) · Health Planning, Management and International Health

The Alma Ata Declaration (1978) defined Primary Health Care (PHC). Which of the following is NOT one of the eight essential components listed in the Declaration?

  • A Education concerning prevailing health problems and methods for prevention and control
  • B Promotion of food supply and proper nutrition
  • C Prevention and control of locally endemic diseases
  • D Provision of specialist surgical services at first-contact care level
Correct answer: D. Provision of specialist surgical services at first-contact care level

Explanation

The eight components of PHC as per Alma Ata 1978 are: (1) Education on health problems and prevention; (2) Promotion of food supply and proper nutrition; (3) Adequate supply of safe water and basic sanitation; (4) Maternal and child health care including family planning; (5) Immunization against major infectious diseases; (6) Prevention and control of locally endemic diseases; (7) Appropriate treatment of common diseases and injuries; (8) Provision of essential drugs. Specialist surgical services are NOT one of the original eight components — PHC is defined at the first-contact level with referral mechanisms to higher care. This reflects PHC's emphasis on accessible, affordable, community-based care.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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