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- W70606925 abstract "Comprehensive health care includes the activities of health promotion, disease prevention, curative measures at the time of illness, and rehabilitation if the damage caused by the disease is disabling. This type of health care may be made available, accessible, affordable to the poorest rural population and should be sustainable.The concept of primary health care (PHC) was introduced in 1978 in Alma-Ata. It was envisaged as a solution to reach the unreached in poor rural populations of many developing countries. It was said that it would be made universally accessible to individuals and families in the community through their full participation.Primary eye care (PEC) is the most basic eye care available to individuals and families wherever they live and whatever their socio-economic condition. The PEC worker will be able to manage some cases, diagnose other conditions, explain the possible interventions, with advantages and disadvantages, help the patient in decision making, encouraging active involvement of the individual and the family.Primary eye care is a vital component of primary health care and includes the promotion of eye health and the prevention and treatment of conditions that may lead to visual loss.1The essential components of primary eye care are:PromotivePreventiveCurativeRehabilitativeSuch care can be provided by:GP'sGeneral duty doctors at basic health units and rural health centresParamedicsCommunity based rehabilitation workersOther interested personnelIn developing a primary eye care programme emphasis should be placed on training of the above groups of workers in providing basic eye care to individuals or communities.2The job description of these health care workers will be different according to the medical practices of that country. Written teaching material and methods of teaching will differ accordingly. The trainer in primary eye care has to keep in mind the educational background and experience of the trainees. The rationale desired for the training is not to make it too basic for doctors with MD/MBBS so that it becomes boring for them. At the same time it should not be too technical and sophisticated so that paramedics, particularly the community health worker, lose interest and the training course is considered very difficult and, therefore, less attractive for future potential candidates.Most of the major causes of blindness in developing countries are either preventable, e.g., trachoma, vitamin A deficiency, etc., or curable, such as cataract.Primary eye care activities can be integrated into primary health care as shown in Table Table11.Table 1Primary Eye Care is Related to the Elements of Primary Health CareDevelopment of primary eye care in a region/country will mainly depend upon the existing health care services and the different categories of available health care workers. The success of primary eye care programmes will first address the following questions:How good is the training of the primary health care worker?Refugee children collecting milk in the North West Frontier Province, Pakistan. The milk was made from powdered milk which contained vitamin APhoto: Murray McGavin" @default.
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- W70606925 title "Development of Primary Eye Care as an Integrated Part of Comprehensive Health Care" @default.
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