Levels of Health Care Primary, Secondary & Tertiary Health Care - Simplified.

I.Introduction
• Health care is a multitude of services rendered to individual, families or communities by the agent of health services or professions (Health personnel) for the purposes of promoting, maintaining, monitoring or restoring health.
• The goal of health care is health development / Health Promotion i.e. a process of continuous and progressive improvement of health status of a population.
II. Levels of Health Care
A. Primary Care
B. Secondary Care and
C. Tertiary Care.
A. PRIMARY Level Health Care
 It is the first level of contact of individual, the family and community with national health care delivery system (HCDS), where primary health care is provided.
 It is also called as an essential health care or health care at door step.
 It provided at village level and through Primary Health Centers and their Sub-Centers through the agency of Health professionals.
 At village level by:
- the Village health guide (VHG),
- Anganwadi worker (AWW),
- Trained Dias (TBA),
- ASHA workers and
- othercommunity leaders
 At PHC level by:
- Medical Officer,
- Community Health Nurses (CHN)
- Health supervisors / Health Inspectors),
- Junior Public health Nurses (JPHN / Health workers) and
- others.
 At Sub-centre level by:
- Multi-purpose Health Worker (MPHW - male and female) /
Junior Public health Nurses (JPHN)
B. Secondary level of Health Care
• The primary levels of health care settings or health agencies are not equipped with all the facilities and manpower to deal with more complex health problems.
• Hence, which require secondary level of preventive services, i.e. diagnostic, curative services and specialists consultations.
• These services are referred as secondary level care.
The Curative services are provided mostly at this level.
• The secondary level services are provided at
- Community Health Centers (CHCs),
- Taluka Head Quarters Hospitals and
- Sub-divisional Hospitals.
• CHC is a 30 bedded Rural hospital.
• In addition to that, CHC serves as the first referral Unit / level of health care from Sub- Centres and PHCs.
C. Tertiary level of Health Care
• The health problems which cannot be treated at secondary level care setting are dealt at tertiary level care setting.
• These institution serve as referral units for both primary and secondary level of care.
• In these institutions, the latest technology, facilities and super specialists, are made available.
• The tertiary level care is provided at
- District level,
- Regional level (State level) or
- Central level / National institution
It includes specialty hospitals, Medical College
Hospital and Super specialty hospitals.
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