2. Define primary health care .Mention its components/elements.
Ans: PHC: “Essential health care based on practical scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and the country can afford to maintain at every stage of their development in the spirit of self-determination”.  
Components/ Elements of PHC:
            (a) Education and information about prevailing health problems and methods of preventing and controlling them;
            (b) Promotion of food supply or nutrition;
            (c) An adequate supply of safe water and basic sanitation;
            (d) Maternal and child health care including family planning;
            (e) Immunization against infection diseases
            (f) Preventing and control of endemic diseases
            (g) Appropriate treatment of common diseases and injuries , and
            (h) Provision of essential drugs.

1. Define health According to who .Give a short description of dimension of health?
Ans: Health: According to WHO “Health is state of complete physical mantel and social wellbeing and not merely an absence of infirmity, so that each citizen can lead a social and economically productive life”

There are four major dimension of health included in the WHO definition of health- physical, mental social and spiritual.
(a)    Physical: It is concerned with physical health and biological as a state which every cell and every organ is functioning at optimum capacity and in perfect harmony with the rest of the body.
(b)   Mental: It conceptualizes that mental health is not mere absence of mental health as “A state of balance the individual and the surrounding world, state of harmony between oneself and others, a coexistence between the realities of the self and that other people, and that of the environment ”
(c)    Social: The social dimension of health includes the level of social skill of an individual social functioning and the ability to use oneself as a member of large society.
(d)   Spiritual: As spiritual dimension of human civilization has an important  role in fashioning and meaning human life both as an individual and as member of the society so it has an impact in health disease.  
                                                      3. Discus’ the determination’s of health? Discus 
Ans: Some of the major determination of health are as follows:
1.      Genetic: some follows:
                    (a) Physical and mental traits.
                     (b) immunity status.
                     (c) Genetic predisposition – A number of disease are known to be                    .                       geneticin origin e,g.,sickle cell disease hemophilia , mental retardation, some types of diabetes etc.
(d) racial traite- certain diseases are common in people of  specific racial origin, e,g. thalassemia.
2.      Environment:
(a)    Internal environment  It pertains to each and every component part ,every tissue organ and organ system and their harmonious functioning with in the human body system.
(b)   External environment are physical biological and psychosocial.
(c)    Microenvironment, Habits- eating habit personal habit e.g. smoking or drinking, Occupation, Culture.
3.      Lifestyle: It is composed of cultural and behavioral patterns and lifelong personal habits. Some of the lifestyle factors are harmful and some are healthful.
(a)    Care of the body regarding bathing and washing
(b)   Care of clothing
(c)    Care of teeth
(d)   Care of hair
(e)    Care of feet and nails
(f)    Care of posture
(g)   Cultivating good habit regarding eating diet, exercise, sleep, smoking, drinking and attitudes towards life.
4.      Socio-economic and political conditions:
(a)    pre capita
(b)   affluence/ poverty
(c)    especially female education
(d)   Occupation
(e)    Political system
5.      Health and family welfare service:
(a)    Immunization of children
(b)   Provision of  safe water supply
(c)    Maternal and child health care
(d)   Other essential health-related programmers.