According to Alma Ata's declaration, all of the following are the elements of primary health care, EXCEPT:

DSSSB 6 September 2024

Community Health Nursing

Easy

Appeared in: DSSSB 6 September 2024

Explanation

The Alma-Ata Declaration of 1978 outlined eight essential components of Primary Health Care (PHC).
Prevention of zoonotic infections is not explicitly listed as one of these eight core components.
While important for public health, the prevention of diseases transmitted from animals to humans is considered part of broader elements like controlling endemic diseases and health education, not a separate, fundamental element itself.

Option A: This is incorrect because the 'Provision of essential drugs' is explicitly listed as one of the eight core elements of Primary Health Care in the Alma-Ata Declaration.
Option C: This is incorrect because the 'Prevention and control of locally endemic diseases' is a key component of the PHC framework established by the declaration.
Option D: This is incorrect because the 'Promotion of food supply and proper nutrition' is a fundamental element of PHC according to the Alma-Ata Declaration.

Clinical Relevance

Nursing practice connection: Knowing Elements of Primary Health Care (Alma Ata Declaration) helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Understanding the core elements of the Alma-Ata Declaration is fundamental for community health nurses, as it provides the foundational framework for planning and implementing public health programs in India.
These principles guide the services provided at Primary Health Centres (PHCs) and Sub-centres, focusing on accessibility, equity, and community participation.
What if the question was about the principles of PHC instead of the elements? The answer would then involve concepts like equitable distribution, community participation, intersectoral coordination, and appropriate technology.

How to Approach the Question

First, identify the negative keyword 'EXCEPT' in the question stem. This means you are looking for the option that does NOT fit the criteria.
The question asks about the elements of Primary Health Care according to the Alma-Ata Declaration.
Recall or look for the eight essential components defined in the declaration.
Systematically check each option against the list of eight components.
The options 'Provision of essential drugs', 'Prevention and control of endemic disease', and 'Promotion of food supply and proper nutrition' are all listed components.
The option 'Prevention of zoonotic infections' is not explicitly listed as a separate, core component. Therefore, it is the correct answer.

Concept Tested & Keywords

Concept Tested: Elements of Primary Health Care (Alma Ata Declaration)
Stem keywords: Alma Ata's declaration, primary health care, elements
Lead-in keywords: EXCEPT
Negative lead-in flag: The question asks to identify the option that is NOT an element of primary health care.

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