Ikpotokin Samuel Osahon*
Department of Physiology, College of Medicine, Ambrose Alli University, Ekpoma, Nigeria
Received Date: April 22, 2017; Accepted Date: May 10, 2017; Published Date: May 19, 2017
Citation: Ikpotokin S.O. Commentary: Primary Health Care Delivery Services in the World. J Healthc Commun. 2017, 2:3. doi: 10.4172/2472-1654.100071
This extract examines the primary health care delivery services in countries of the world as well as sustainable methods to curbing the alienating factors which limits the substantial health care delivery services provided around the world. While some countries have had their health care systems run smoothly, other countries still dwell in the hermit’s shell waiting for possible solutions to be offered on a plate of clay. This extracts also examines some studies carried out on this particular area of concentration to further buttress the need for role players in the development and growth of the health care delivery systems in the world.
Primary health care; Service delivery; Global public; Unmet needs; Health care delivery
Primary healthcare (PHC) refers to "essential health care", which creates smooth and readily available ways for the easy accessibility of the general public to health care anywhere around the world. This can only be fully utilized through the active but not exclusive participation of the general public to quickly put together while intensively maintaining the development and growth as well as independence of the community health care services . In other words, according to Barbra  and the Public Health Agency of Canada , PHC is an advance towards sustainable health care delivery services beyond the traditional and conventional health care system which most of the times focuses on producing and implementing prolonged health care delivery policies.
Cueto’s study , noted that PHCs included all areas consciously or otherwise plays a functionary role in health as well as providing access to other health services which could include; the health environment as a statute of health propagandas, healthy lifestyle attitudes portrayed by these exceptional health care providers. Consequently, joining White , I believe that the PHCs and public health measures, when they both flock together in raven pairs (collaborate), may be considered as the underpinning forte (solid foundation) for universal health systems. Andersen pointed out , that equity in access to health care is best considered in the context of whether people in need of medical care receive it or not. In other words, access to health care is thoroughly and methodically examined and evaluated based on the tethering teeth that ground the cola (affected personalities), or the one who wears the coat actually remembers where it had itch at some point in time (victims of health care accessibilities); meaning only those who ideally feel the brunt of the services would be in the best position to dispense the essential information to better uplift the services to be proffered. Some of the limitations that have been expressed regarding this model whereas as indicated in Sibley’s and Glazier’s  study as well as Allin’s et al. later study  related the lack of information supplied as well as those on the snail road of processing for the non-users to the fact that this entire scope like adequacy, quality and appropriateness of the received care were not included. In the European literature, by Pappa et al. , demonstrated that unmet needs as a determinant of access to healthcare is limited, while previous studies have shown that unmet needs may worsen health status and quality of life  increase the risk of mortality, or be related to symptoms of mental and psychosomatic nature according to Westin et al. . Furthermore, it was found that the factors that put people at risk of having unmet needs were youth (stubborn and mostly ignorant) and old age (weary, stubborn and hard to deal with as well), female gender (insecurity issues in some cases), lack of insurance coverage, high educational level (the know-itall attitudes exhibited by individuals with ample knowledge of the PHC services; rather than presenting a diplomatic case they roll into unhealthy debates with health care delivery staffs), low income or unemployment, and poor health care standing/facilities [7,12,13], implying an inequitable access to health care based on the prevalent poor socio-economic status, as well as inequalities in health care delivery services . These stated factors are also common in the African continent [15-18]. The successes as well as the consistent failures of the UK policies when trying to reduce health inequalities were critically examined [19,20] as well as in Scotland  citing wider milieu of the socio-economic class as a major factor of health care challenges in these countries of the world.
In Greece, access to health services has been investigated based on the conventional need-adjusted utilization model [22,23] and the use of unmet health care needs, as an indicator of equitable access to health services, has been studied in the context of two European surveys [24,25].
In the Asian continent, the PHCs are faced with a lot of challenges which may include low financial input, poor or inadequate infrastructural facilities as well as widened socio-economical gap in the continent’s health centres [26,27].
This ideal model of healthcare was adopted in the declaration of the International Conference on Primary Health Care held in Alma Ata, Kazakhstan in 1978 (known as the "Alma Ata Declaration"), and became a core concept of the World Health Organization's goal of Health for all while currently setting up an officially inaugurated centre for excellence in primary health care in Almaty, Kazakhstan, on 11 February 2015 . The Alma- Ata Conference mobilized a "Primary Health Care movement" of professionals and institutions, governments and civil society organizations, researchers and grassroots organizations that undertook to tackle the "politically, socially and economically unacceptable" health inequalities in all countries. There were many factors that inspired PHC; a prominent example is the Barefoot doctors of China [4,29,30].
The PHC has a long way to go from where it is currently bench warming. Though there have been policies put in place to relieve the stress and problems faced in the health care centres in the different countries of the world, they appear to be snailishly implemented or sluggishly observable. Judging from public opinion and complains, the primary health care trainings had not been really felt in the community as initiations of these health care programs will bring about an improvement in the health care delivery services as well as improve the rate of tackling diseases conditions in the community.
The Health Policies in the past, delegated PHC to the governments at the local levels of the world and these governments are undeniably short on follow up resources. The PHCs under a single roof policy (culmination/amalgamation of all the health care delivery centres under on single body per country) should be considered, adopted and implemented in countries of the world that have not started doing so, because this rechargeable policy provides the maximum opportunities for individual countries of the world, thus curbing the decrease of human resources, as well as bringing about candid and beneficial investments to better improve the quality of the delivery services of the PHCs. I believe that if the PHCs under this single roof policy were to be uniformly applied by all world heads of government and the fiscal legroom for health is improved at the continental and sub continental levels, then, the delivery of PHCs on the supply side will certainly improve. However, all the efforts that been invested in the PHCs over the last several years have to be sustained to further improve the existing developments of PHCs around the world.
At the moment, there are substantial private investments in healthcare in all over the world by health organizations, targeting the sea-shore grains of billions of dollars into improving PHC delivery services.
Conclusively, I believe in the Universal spirit of indigenous nations of the world to attain the best of everything especially in the health care systems. Today, there are lots of world players contributing their quota to the growth and development of health care delivery services in the world, judging by these unanimous contributions by the calibres of individuals of this generation, problems as well as challenges of PHC delivery services would be a thing of the past. Much needs to be done and much can be done surely. Man may be limited by growth stages, but man’s economy never seizes to grow, hence the need for more improvements and more studies in the providing sustainable means to providing health care delivery services for the global public.
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