Comparison of the insights into Primary health care provided by Dr. Carl Taylor’s lecture with the insights provided from the other assigned lectures.
In the lectures, it is clear to me that even though there has been differing philosophies between several prominent public health practitioners, their belief in the key Alma Ata pillars of Primary health care (Equity, Community participation and Intersectoral development) is definite. The WHO (1978) definition of Primary health still suffices and is still a reference even after decades of experimenting with different approaches in different settings. Carl Taylor, demonstrates this belief in his quote, “There is no universal solution, but there is a universal process to find appropriate local solutions.”
Going through the videos and lectures, it is very inspiring that there have been wide innovative approaches to bringing health care closer to the people. The Comprehensive Rural Health Project – Jamkhed clearly demonstrates this. It has made tremendous efforts to bringing health closer to the people. The project has truly combined both horizontal methods of community participation and vertical approaches of pre-natal and post natal care, immunization, and prevention and treatment of some very common ailments. I was specifically intrigued by additional effort of this project in considering the eradication of other social problems like poverty and gender inequalities through agriculture, embracing the role of appropriate technology and public empowerment activities as part of health interventions. This was truly Taylor’s vision of Health care and falls in the SEED – SCALE paradigm which was based on the notion of achieving health outcomes by considering not only health but social development in general.
However, most of the interventions in developing countries have become more focused on curative practices than...