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Year : 2018  |  Volume : 8  |  Issue : 1  |  Page : 1-2

Primary Health Care to Conserve the Access to Health Care for the Marginalized Communities of the Developing World

Faculty of Medicine and Defence Health, National Defence University of , Kem Sungai Besi, Kuala Lumpur, Malaysia

Date of Web Publication15-Jan-2018

Correspondence Address:
Mainul Haque
Unit of Pharmacology, Faculty of Medicine and Defence Health, Universiti Pertahanan Nasional Malaysia (National Defence University of Malaysia), Kem Sungai Besi, 57000-Kuala Lumpur
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijnpnd.ijnpnd_80_17

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How to cite this article:
Haque M. Primary Health Care to Conserve the Access to Health Care for the Marginalized Communities of the Developing World. Int J Nutr Pharmacol Neurol Dis 2018;8:1-2

How to cite this URL:
Haque M. Primary Health Care to Conserve the Access to Health Care for the Marginalized Communities of the Developing World. Int J Nutr Pharmacol Neurol Dis [serial online] 2018 [cited 2022 May 16];8:1-2. Available from:

In many countries, globalization is increasingly causing stress regarding the social bondage, and health systems, as the key constituents of the architecture of contemporary societies, are clearly not performing as well as they could and as they should.[1] People are more and more intolerant with the incapability of health services.[1] Furthermore, health is considered as an indispensable state for their accomplishment, and the highest possible attainment of health is a fundamental right of every human being without distinction of any kind and is defined as complete physical, mental, and social well-being, not merely negatively as the absence of disease or infirmity.[2] It is well known that primary health care (PHC) persuades toward more appropriate and useful health upshot, lower expenses, and greater egalitarianism in health,[3],[4] and an imperative part of a nation’s development should be the strengthening of primary healthcare services.[5],[6] PHC is typically the first place where any individual goes, often to a general or family physician, when she/he has any health issues. PHC classically comprises routine care, care for urgent but minor or common health problems, mental health care, maternity and child care, psychosocial services, liaison with home care, health promotion and disease prevention, nutrition counseling, and end of life care.[7] PHC is also imperative for chronic disease prevention and management and may include other health professionals such as nurses, nurse practitioners, dietitians, physiotherapists, and social workers.[8] Marginalized people of developing countries are likely to have less right to use the health services than those of developed nations, and within countries, the poor have reduced access to the health services.[9] Even operational healthcare programs of developing countries were often poorly utilized,[10] and income, race, and ethnicity-related inequalities were active issues at large.[11],[12],[13],[14] PHC has been documented as a central element of active and operational health systems since the early part of the 20th century.[4],[15],[16] As PHC ensures individual and population health, thereafter, transmutes and renovates healthcare system as the heart of an integrated, people-centered health care system.[4],[17] However, regardless of the outstanding progress, especially in Estonia, Latvia, Lithuania, and Cuba, there remains a large gap between what individuals and communities need and the quality and effectiveness of care delivered.[3],[18],[19],[20],[21] Although some people of the advance world enjoys purposeful health status and the highest life expectancy in the world such as Australia, nonetheless, rural and remote peoples experience poorer health aftermaths as paralleled with many of economically deprived large city dwellers.[22] It has been observed that far-away and countryside communities had the highest rate of potentially preventable diseases and avoidable hospitalizations.[22] It was also reported that mortality rate was statistically significantly higher in those very inaccessible parts of Australia equated with most important metropolises.[23],[24] Yet again, mortality rates are conceivably the best possible marker for denoting the health status of any population.[25] World Health Organization has identified five key elements to achieving that goal of PHC: reducing exclusion and social disparities in health; organizing health services around people’s needs and expectations; integrating health into all sectors; pursuing collaborative models of policy dialogue; and increasing stakeholder participation.[26] PHC founded based on the theoretical and practical issues of health care, thereafter, are able to address the uncountable issues.[27] Moreover, PHC has been established on sound scientific demand of public health. It is equipped in such a way that it not only resolves all national public health issues but also the basic health services.[24] PHC is highly reinforced with ultimate human rights by reducing segregation and social inequalities in health.[26],[28] Awareness about health care is the primary objective of improving and strengthening PHC.[29] Furthermore, it has been suggested that the ongoing educational and motivational intervention program for all levels of health workforces are important to maximize PHC.[30] It was also suggested that improvement of structural facility and environment alongside effective systematic monitoring and evaluation exercises will promote PHC.[30],[31] Last but not the least, the trade-related intellectual property rights (TRIPS) may frequently endanger access to health services.[32] However, the viewpoints of PHC and its policy of the right to achieve the highest standard of health care for an individual or communities offer an outline through which access to fundamental human needs can be petitioned and necessary outcome be achieved.[33] The Universal Declaration of Human Rights of 1948 is clearly implanted in the archetypal PHC and, if utilized befittingly, can come across inequities affecting access to health care and medicine.[34]

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   References Top

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Põlluste K, Kasiulevičius V, Veide S, Kringos DS, Boerma W, Lember M. Primary care in Baltic countries: A comparison of progress and present systems. Health Policy 2013;109:122-30.  Back to cited text no. 19
Keck CW, Reed GA. The curious case of Cuba. Am J Public Health 2012;102:e13-22.  Back to cited text no. 20
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Australian Institute of Health and Welfare (AIHW). Rural, Regional and Remote Health: Indicators of Health Status and Determinants of Health, Rural Health Series Number 9, Contract No. 9. Cat. No. PHE 97. Canberra: AIHW; 2008. Available from: [Last accessed on 2017 Oct 20].  Back to cited text no. 22
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