Primary Health Care is a community based approach that addresses the needs of the people.

It believes on the capability of the community people to identify their own problem and provide solution. PHC includes capacity building like training of volunteers that will be mobilized to improve the health status of the community. Resources may be scarce especially in the far flung area but being resourceful for what is locally available is important so that health care is universally available to the community. Discussion over the past few days focus on the important concepts from the conceptualization to the beginning in China, of Primary Health Care. From the lectures and stories, there are 3 points to which have impact me, these are 1. Somebody is needed to facilitate the community; 2. Scientific research and documentation is important; and 3. PHC is simple but a complex concept. In PHC, there must be somebody that will collectively gather and synthesize the needs of the community. Prominent personal from the previous lecture includes such as John B. Grant, Ding Xian, John Gordon, Carl Taylor and Dr. Bang has travel to far flung areas in order to live with the community. In addition, Dr Bang and the other physician from Liberia have to leave their home country, and return back to help. The Grant Family has to return to China then in India because they find the work fruitful. To add Carl Taylor has his own share of journey to the far areas before teaching in John Hopkins University. This individual has dedicated their lives for the poor organizing and mobilizing what resources that be found in the area. Also, fundamental principle of PHC includes equity, community participation and link to horizontal and vertical level of the community. Alma Ata, Community Based Primary Health Care (CBPHC), Community Bases, Impact oriented (CBIO) and Care group have been very consistent citing on participation of the community for problem identification and finding solution. Also PHC involves activities that cater on promotive, preventive, curative and rehabilitative interventions of the health care system. To add, partnership, linkage and intersectoral approach are important for successful implementation. These three are chain, integrated to work together to provide a good result. In addition the story on Jamkhed Comprehensive Rural Health Project in India has enabled to work and apply a very progressive activity of PHC. Similar to the framework mentioned above, this project has involved the community to identify their problem which at that time is about maternal and neonatal death and finding solutions to these problems. Part of the project is to conduct a comprehensive training for non-healthcare individuals living in the community to do health session, campaigns and home/clinic visit. In addition help for mobile health care workers were also provided, this is similar to the concept of horizontal partnership which brings about technical guidance to the community volunteers. All activities and stories has been publicised which has led the way to expand and gather more funding for the project. It was very noteworthy is that expenses on training is higher that of the expenses in the hospital. Lastly, Primary Health Care approaches progress to identification of problem and then finding solution with the community. PHC also involve scientific research to document the effectiveness of the activities. Similarities noted from the abovementioned personalities is the conduct of survey ( John B. Grant believes that health system development is more than training but also research, Ding Xian also did survey prior to training non-healthcare people, Dr. Abhay Bang has written down and publish a book of their approach in India to which was approved by the World health Organization. To add certain published work such as Book Narangawal Experiment (Child and Maternal Health Services in Rural India has prelude to the 1978 Alma Ata Conference.

Primary Health Care is a simple but complex concept. It involves a high level participation between the organizer and the community people. PHC involves developing capabilities of group of people to conduct health information session, home visits and campaigns within the community. Also, survey and documentation are important activities to conduct in order to evaluate activities. This measures up if identified solution is appropriate or if the activity has really created an impact to the community. Patience and dedication is required to implement PHC, not to become similar with Carl Taylor but to see the development of a community.