The 'alma Ata Declaration' (1978) established 'Health for All by 2000' through primary health care. The CORE elements of primary health care as per Alma Ata include all of the following EXCEPT:
- A Education concerning prevailing health problems and methods of preventing and controlling them
- B Provision of essential drugs
- C Hospital-based specialist care as the first point of contact ✓
- D Promotion of food supply and proper nutrition
Correct answer: C. Hospital-based specialist care as the first point of contact
Explanation
Alma Ata defined primary health care (PHC) as the first level of contact between individuals and the health system, delivered at the community level, not hospital-based specialist care. The 8 elements of PHC are: education, nutrition, safe water, MCH/FP, immunization, endemic disease control, appropriate treatment of common diseases and injuries, and essential drugs. Hospital-specialist care represents secondary/tertiary levels.
Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.
High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP
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