DISCUSS THE PRIMARY HEALTH CARE IN
KENYA; QUESTION WITH ELABORATE ANSWERS
INTRODUCTION
Efforts to develop a comprehensive Primary Health Care (PHC) policy started in the 1970s, it
was not until the late 1980s that actionable strategies emerged, emphasizing decentralization,
intersectoral collaboration and community participation in health.
Based on the Alma Ata declaration of 1978, Primary health care (PHC) is defined as essential
heath care based on practical, scientifically sound and socially acceptable methods and technology,
made universally accessible to individuals and families in the community through their full
participation and at cost that the community and country can afford to maintain at every stage of
their development in the spirit of self-reliance and self-determination.
DEVELOPMENT OF THE PRIMARY HEALTH CARE
In 1965there was centralization of health system. By 1979 complete creation of greater than 250
rural health units took place.1983,decentralization of decisions i.e. district focus for rural
development.1988-guidline for primary health care implementation through user fees to raise
funds and increase community participation in the primary health care.1989-national
development plan .1994-kenya health policy framework which is first policy document for
health.1999-first national health sector strategic plan .by 2004 the user fee was reduced for
primary health care facilities.2005-second national health sector strategic plan(.KEPH )and
community introduced as service delivery level.2006 the first community health strategy
developed.2010.2012the devolution of health to counties.2012-public finance management act
was enacted.2013-free maternity services policy and removal of all user fees for primary health
care and in 2018-universal health care was introduced.
OBJECTIVES OF THE PRIMARY HEALTH CARE
a) Improving maternal, neonatal, child and adolescent health as well as ensuring
appropriate care for the elderly.
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KENYA; QUESTION WITH ELABORATE ANSWERS
INTRODUCTION
Efforts to develop a comprehensive Primary Health Care (PHC) policy started in the 1970s, it
was not until the late 1980s that actionable strategies emerged, emphasizing decentralization,
intersectoral collaboration and community participation in health.
Based on the Alma Ata declaration of 1978, Primary health care (PHC) is defined as essential
heath care based on practical, scientifically sound and socially acceptable methods and technology,
made universally accessible to individuals and families in the community through their full
participation and at cost that the community and country can afford to maintain at every stage of
their development in the spirit of self-reliance and self-determination.
DEVELOPMENT OF THE PRIMARY HEALTH CARE
In 1965there was centralization of health system. By 1979 complete creation of greater than 250
rural health units took place.1983,decentralization of decisions i.e. district focus for rural
development.1988-guidline for primary health care implementation through user fees to raise
funds and increase community participation in the primary health care.1989-national
development plan .1994-kenya health policy framework which is first policy document for
health.1999-first national health sector strategic plan .by 2004 the user fee was reduced for
primary health care facilities.2005-second national health sector strategic plan(.KEPH )and
community introduced as service delivery level.2006 the first community health strategy
developed.2010.2012the devolution of health to counties.2012-public finance management act
was enacted.2013-free maternity services policy and removal of all user fees for primary health
care and in 2018-universal health care was introduced.
OBJECTIVES OF THE PRIMARY HEALTH CARE
a) Improving maternal, neonatal, child and adolescent health as well as ensuring
appropriate care for the elderly.
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