Table 1

Spectrum of interventions for primary healthcare (PHC) in the 21st century

IssueTherapeutic and rehabilitativePreventive (including health education)Community mobilisationIntersectoral actionAdvocacy and policy
Adequate and health-promoting nutritionTreating malnourished children
Weight reduction groups
Education on healthy diet and health risks associated with poor nutritionCommunity-based growth monitoring to identify malnourished
Community exploration of underlying causes of food insecurity
Community monitoring of foods stocked by retailers and their prices
School provision of healthy food
Cultivating and using traditional foods
Community gardens
Farmers' markets
Advocating for sustainable agriculture
Government regulation of food industry
For: Adequate income support to buy food and/or subsidies on basic foods
Against: Advertising of high fat and sugar to children
Against: International agricultural policies that reduce control of local farmers and increase power of transnational corporations and trade in (especially processed) food
DiarrhoeaRehydration
Continued feeding
Breast feeding
Measles vaccination
Hand washing, food hygiene and awareness of infection cycle
Working with community to develop a demand for clean water and improved sanitationWorking with schools, local government to maximise supply of clean water and sanitation facilitiesAdvocating and legislating for affordable water—critical examination of plans for privatisation
Advocating and legislating for provision of sustainable sanitation