**Question:** All are principles of primary health care EXCEPT

A. Accessibility
B. Continuity of care
C. Coordination of care
D. Community involvement

**Core Concept:** Principles of primary health care encompass essential concepts that guide healthcare providers in delivering accessible, integrated, and community-oriented care. These principles ensure a comprehensive approach to health promotion, disease prevention, and treatment.

**Why the Correct Answer is Right:** Option D, "Community involvement," is not a principle of primary health care. While community involvement is essential in promoting health and addressing health needs, it is not a fundamental principle that defines the core concepts of primary health care. Primary health care emphasizes the direct care provided by healthcare providers to individuals and families within communities.

**Why Each Wrong Option is Incorrect:**

A. **Accessibility:** This principle ensures that healthcare services are easily accessible to individuals and communities, promoting equitable health outcomes.
B. **Continuity of care:** Continuity of care involves maintaining a comprehensive and coordinated healthcare experience for patients over time, ensuring a holistic approach to their health needs.
C. **Coordination of care:** Coordination of care focuses on ensuring that different healthcare providers and systems work together to ensure seamless patient care, reducing duplication and gaps in treatment.

**Clinical Pearl:** Primary health care principles are essential for healthcare providers to deliver effective, community-based, and patient-centered care. By understanding these principles, healthcare professionals can improve health outcomes, increase efficiency, and address the diverse health needs of patients and communities.