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- Primary health care is a whole-of-society approach to effectively organize and strengthen national health systems to bring services for health and wellbeing closer to communities.
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The vast care gap for common mental health conditions such as depression and anxiety means countries must also explore innovative approaches to expand and diversify care. This is best achieved through community-based mental health care, which is more accessible and acceptable than institutional care, helps prevent human rights violations, and delivers better recovery outcomes. Effective approaches include policies and laws that protect mental health, support for caregivers, school-based programmes and improvements to community and online environments.
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WHO is helping countries to reorient their health systems towards PHC as a key means towards achieving UHC, SDG3 and health security. Although the evidence is still evolving there is widespread recognition that PHC is the so-called front door of the health system and provides the foundation for the strengthening of the essential public health functions to confront public health crises such as COVID-19. PHC is also critical to make health systems more resilient to situations of crisis, more proactive in detecting early signs of epidemics and more prepared to act early in response to surges in demand for services. UHC, the health-related SDGs and health security goals are ambitious but achievable. PHC provides the programmatic engine for UHC, the health-related SDGs and health security.
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That’s why WHO promotes the idea of people-centred care; it is the embodiment of human rights in the practice of care. The right to health also means that everyone should be entitled to control their own health and body, including having access to sexual and reproductive information and services, free from violence and discrimination. Good health is also clearly determined by other basic human rights including access to safe drinking water and sanitation, nutritious foods, adequate housing, education and safe working conditions. No one should get sick and die just because they are poor, or because they cannot access the health services they need. The right to health for all people means that everyone should have access to the health services they need, when and where they need them, without suffering financial hardship. Since day one, the right to health has been central to WHO’s identity and mandate.
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And having a mental health condition increases the risk of suicide and experiencing human rights violations. People with severe spinmaya casino bonus mental health conditions die 10 to 20 years earlier than the general population. Although most people are resilient, people who are exposed to adverse circumstances – including poverty, violence, disability and inequality – are at higher risk of developing a mental health condition. At any one time, a diverse set of individual, family, community and structural factors may combine to protect or undermine mental health.
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