Scenario Equity and access through Primary Health

Scenario Equity and access through Primary Health Care (PHC) have been the main agenda of many countries after the PHC Declaration made in Kazakhstan in 1978. Eachcountry including Malaysia used unique approaches to address this mission, based on its resources and presiding policies. Since independence in 1957, Malaysia has regarded health system development as an integral component of national development as evidenced in successive Malaysia Development Plans (Perdana Leadership Foundation, 2018). In earlier years, the focus was on reducing the urban-rural divide, while more recently the focus is on equity, quality, efficiency and universal health coverage. Development of physical infrastructure such as transport and communication, educational and health facilities have provided the platform to support the provision and use of health-care services that in turn have been influenced by theinterplay of resources including equipment, logistics, transport, supplies, manpower, management and information. Health care requires the establishment of a comprehensive variety of buildings, to cater for different functions that are needed during the life span of man ‘from womb to tomb'(Mohd Nawawi et al., 2012). It requires appropriate best match between requirements of space, patient and information flow and clinic services to function in harmony. Each facility would need to fit with the social development of the local area, and not be under- or over-utilised during a specified period Equity and access through Primary Health Care (PHC) have been the main agenda of many countries after the PHC Declaration made in Kazakhstan in 1978. Each country including Malaysia used unique approaches to address this mission, based on its resources and presiding policies. Since independence in 1957, Malaysia has regarded health system development as an integral component of national development as evidenced in successive Malaysia Development Plans (Perdana Leadership Foundation, 2018). In earlier years, the focus was on reducing the urban-rural divide, while more recently the focus is on equity, quality, efficiency and universal health coverage. Development of physical infrastructure such as transport and communication, educational and health facilities have provided the platform to support the provision and use of health-care services that in turn have been influenced by the interplay of resources including equipment, logistics, transport, supplies, manpower, management and information. Fariza Fadzil , Safurah Jaafar and Rohana Ismail. (2020) Question:- Discuss the knowledge, concepts and evolution of primary health care in Malaysia since first till present Malaysia Plans.

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