Box 1 characteristics of primary health care from alma ata declaration. The 1978 almaata declarations vision for societal health included reorienting health systems towards primary care and addressing the social and environmental determinants of health and inequality. The fortieth anniversary of the declaration of almaata comes at a time when primary health care is once again receiving some welldeserved attention. It arose from health system inadequacies present in the 1970s, many of which persist today. The declaration of almaata on primary health care public. Countries around the world today agreed to the declaration of astana, vowing to strengthen their primary health care systems as an essential step toward achieving universal health coverage. Alma ata the declaration of alma ata formally adopted primary health care phc as the means for providing a comprehensive, universal, equitable and affordable healthcare service health for all beyond 2000. The declaration of alma ata and why primary care still matters duration.
The astana declaration recognizes that remaining healthy is challenging. The declaration of almaata at 40 center for global development. Department of health the organisation of this report. Passmore department of physiology, university medical school, teviot place, edinburgh eh8 9ag, united kingdom in september, 1978, the world health organisation and the united nations childrens fund unicef held a conference on primary health care at alma ata, the capital of the soviet republic of kazakstan. The model formally adopted for providing healthcare services was primary health care phc, which involved universal, community.
Comprehensive versus selective primary health care. From alma ata towards universal health coverage and the sustainable development goals, meeting in astana on 25 and 26 october 2018, reaffirming the commitments expressed in the ambitious and visionary declaration of alma ata of 1978 and the 2030 agenda for sustainable development. The 2018 astana declaration on primary health care, is it useful. Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. Jun 08, 2018 newly independent countries were emerging in midtwentieth century and along with new governments also came the need for new infrastructure, including health care. Evolves from the economic conditions and sociocultural and political characteristics of a. Pdf forty years ago, the 4 national government members of the who signed the alma ata declaration.
The 2018 astana declaration on primary health care, is it. Declaration from the international conference on primary health care, almaata, september 1978, expressing the need for urgent national and international action to protect and promote the health of all, believing that it is a fundamental human right and that the attainment of the highest possible level of health is a most important worldwide social goal whose realization requires the action. The declaration of almaata, cosponsored by the world health organization who, is a brief document that expresses the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the. Who who called to return to the declaration of almaata. In september 1978, the international conference on primary health care was held in almaata, ussr now almaty, kazakhstan. An evolving storybuenosaires 3015international conference, august 2007 from almaata to the millennium declaration. Health and wellbeing is one of the sdgs and phc is one way to achieve that goal. Oct 22, 2018 after 40 years, global health is returning to the vision of the alma ata declaration in 1978, when the world looked different geopolitically, the soviet union hosted a landmark international conference on primary healthcare. The year 2018 marked the fortieth anniversary of the declaration of alma ata. The declaration made primary health care phc the official health policy of all members countries. Excerpts from the declaration of alma ata 1978 declaration i. It was adopted by who member states at the international conference on primary health care held at alma ata, kazakhstan in 1978. Access to basic health services was affirmed as a fundamental human right in the declaration of alma.
The primary health care approach has seen significant gains in health where applied even when adverse economic and political conditions prevail. Forty years ago, the world health organization member countries agreed on a set of principles at almaata to protect and promote health of all people by articulating primary health care as the guiding principle of a comprehensive health system. So unicef and who do not appear as authors, and takes the same documents as an article from the who chronicles rather than a conference paper. Is the declaration of alma ata still relevant to primary. The declaration identified primary care as the cornerstone of healthy, thriving communities. Passmore department of physiology, university medical school, teviot place, edinburgh eh8 9ag, united kingdom in september, 1978, the world health organisation and the united nations childrens fund unicef held a conference on primary health care at almaata, the capital of the soviet republic of. The declaration of astana reaffirms the historic 1978 declaration of alma ata, the first time world leaders committed to primary health care. More specifically, gillam stated that alma ata declaration is still relevant for effective health care systems. Sep 24, 2018 forty years ago, the world health organization member countries agreed on a set of principles at alma ata to protect and promote health of all people by articulating primary health care as the guiding principle of a comprehensive health system.
The conference strongly reaffirms that health, which is a state of complete. Is the declaration of alma ata still relevant to primary health care. Primary health care introduction, principles and elements. Primary health care phc strengthening in order to achieve the sustainable development goal has again, 40 years after the alma ata declaration, been declared a priority by the global health. Declaration of almaata international conference on. The declaration of astana comes amid a growing global movement for greater investment in primary health care to achieve universal health coverage. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. Reaffirms that health is a state of complete physical, mental, and social wellbeing, and not merely the absence of disease or infirmity, and is a fundamental human right. This work is a critical appraisal of the state of primary oral health care in nigeria, the largest black nation on earth, three decades after the almaata declaration of primary health care. The declaration of almaata was adopted at the international conference on primary health care phc, almaty formerly almaata, kazakhstan 612. The declaration of alma ata was a watershed moment in global health. In short, primary health care is now offering global health a lifeline.
Oct 22, 2018 the institute of health promotion and health education fully agrees with bhutta and colleagues that the principles set out in the alma ata declaration are as fresh and relevant today as they were 40 years ago. Almaata revisited 1970s to present, tejada, 2003 almaata 1978 primary health care. The declaration of alma ata defined primary health care 30 years ago. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000. Pdf is the declaration of alma ata still relevant to primary health. The conference strongly reaffirms that health, which is a state of complete physical, mental and social wellbeing, and not merely the absence of disease or infirmity, is a fundamental human right and that the attainment of the highest possible level of health is a most important. Alma ata declaration called on all governments to formulate national policies, strategies and plans of action to launch and sustain primary health care as part of a national health system.
Declaration of alma ata international conference on primary health care, alma ata, ussr, 612 september 1978 the international conference on primary health care, meeting in alma ata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the need. Primary health care, as outlined in the 1978 declaration of alma ata and again 40 years later in the 2018 whounicef document a vision for primary health care in the 21st century. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978 the international conference on primary health care, meeting in almaata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the need. May 24, 2018 past, present, and future primary health care. From almaata towards universal health coverage and the sustainable development goals comprising half of the healthcare workforce, nurses are at the core of ensuring the fundamental right to the highest attainable standard of health through universal health coverage uhc based on primary health care.
Since the declaration of almaata in 1978, countries of the americas have been witnessing tremendous progress, economic growth, and. Primary health care it forms an integral part of the countrys health system. Pdf editorial reflecting back on alma ata declaration. This work is a critical appraisal of the state of primary oral health care in nigeria, the largest black nation on earth, three decades after the alma ata declaration of primary health care. The alma ata declaration during the international conference on health for all and primary health care held between 6 th to 12 september, 1978 defined primary health care as an essential.
Newly independent countries were emerging in midtwentieth century and along with new governments also came the need for new infrastructure, including health care. The alma ata declaration of 1978 emerged as a major milestone of the twentieth century in the field of public health, and it identified primary health care as the key to the attainment of the goal of health for all. By the 1970s, the public health field recognized that primary health care phc was not being served or accessible to where many people live and work. This comprehensive model upheld strongly in australia by the aboriginal communitycontrolled health services has strong claims as an ideal or best practice model of primary health care. Margaret chan addendum to almaata and primary health care. Almaata the declaration of almaata formally adopted primary health care phc as the means for providing a comprehensive, universal, equitable and affordable healthcare service health for all beyond 2000. The institute of health promotion and health education fully agrees with bhutta and colleagues that the principles set out in the alma ata declaration are as fresh and relevant today as they were 40 years ago. The declaration of alma ata, cosponsored by the world health organization who, is a brief document that expresses the need for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the. The international conference on primary health care, meeting in alma ata this twelfth day. Since the declaration of alma ata in 1978, countries of the americas have been witnessing tremendous. Progress towards the millenium development goals mdgs has stalled.
The international conference on primary health care, meeting in ahnaata this twelfth day of september in the year nineteen hundred and. Events across the year, culminating in the global conference on primary health care, have shown that four decades on. The new primary health care declaration affirms the commitment to the fundamental right of every human being to the enjoyment of the highest attainable standard of health without distinction of any kind, and reaffirms the commitment to the alma ata core principles. The declaration also defined eight essential components of primary health care, which helped outline a means of providing health care globally 2 3. The commission on social determinants of health primary health care and the new director general of who, dr. Mar 30, 2019 the new primary health care declaration affirms the commitment to the fundamental right of every human being to the enjoyment of the highest attainable standard of health without distinction of any kind, and reaffirms the commitment to the almaata core principles.
The lancet primary care the declaration of alma ata and the future of primary care r. The declaration of astana reaffirms the historic 1978 declaration of almaata, the first time world leaders committed to primary health care. More specifically, gillam stated that almaata declaration is still relevant for effective health care systems. Demographic determinants of primary health care services.
Primary health care implementation models, impacts, challenges and lessons learned in ethiopia. Declaration from the international conference on primary health care, alma ata, september 1978, expressing the need for urgent national and international action to protect and promote the health of all, believing that it is a fundamental human right and that the attainment of the highest possible level of health is a most important worldwide. Ouagadougou declaration on primary health care and health system in africa. The alma ata declaration of 1978 describes a comprehensive model of primary health care that includes notions of participation and selfdetermination. At the global conference on primary health care phc in astana. World health organization who 1978 the declaration of alma ata. Universal health coverage primary health care towards universal health coverage report by the directorgeneral 1. Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Achieving better health for africa in the new millennium the international conference on primary health care and health systems in africa, meeting in ouagadougou, burkina faso, from 28 to 30 april 2008, reaffirms the principles of the declaration of almaata of september. The declaration of almaata was adopted at the international conference on primary health care phc, almaty formerly almaata, kazakhstan formerly kazakh soviet socialist republic, 612 september 1978. At the 1978 international conference on primary health care, world leaders and health experts convened by the world health organization who and unicef united nations childrens fund endorsed the almaata declaration to protect and promote the health of all the people of the world. Primary health care phc strengthening in order to achieve the sustainable development goal has again, 40 years after the almaata declaration, been declared a priority by the global health.
It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and. Indeed, in the four decades since its launch, there is a sense in which all declarations or communiques issued at global health conferences have been aiming for comparable historical impact. Progress in primary carefrom almaata to astana health. The international conference on primary health care, meeting in almaata this twelfth day. Astana declaration on primary health care 2018 public. Sep 10, 2018 the fortieth anniversary of the declaration of almaata comes at a time when primary health care is once again receiving some welldeserved attention.
Primary health care phc, as set out in the 1978 alma ata declaration, is a comprehensive approach to health system organisation and intersectoral action for health. It emphasised social justice and equitable access to healthcare services, key elements of the modern universal health coverage uhc agenda, and advocated for empowering communities to. The international conference on primary health care, meeting in almaata this twelfth day of september in the year nineteen hundred and. Primary health care, as outlined in the 1978 declaration of almaata and again 40 years later in the 2018 whounicef document a vision for primary health care in the 21st century. This document is one of a technical series that supports the global conference on primary health care, convened to renew commitment to primary health care in light of universal health coverage and the 2030 agenda on sustainable development. Organised by the world health organization and unicef, the conference took place at alma ata now almaty and considered the role of primary healthcare in. Declaration of almaata almaata, 1978 selective primary health care, 1979 1978 to present, cueto, 2004 the ottawa charter 1st international conference on health promotion whohprhep, 1986 from alma ata to the year 2000 reflections at the midpoint, riga, ussr, 1988 world health. Report of the international conference on primary health care. Declaration of almaata international conference on primary health.
Organised by the world health organization and unicef, the conference took place at alma ata now almaty and considered the role of primary healthcare in population. The fortieth anniversary of the declaration of alma ata comes at a time when primary health care is once again receiving some welldeserved attention. After 40 years, global health is returning to the vision of the alma ata declaration in 1978, when the world looked different geopolitically, the soviet union hosted a landmark international conference on primary healthcare. Four decades ago the declaration of alma ata identified. Alma ata broadened the perception of health beyond doctors and hospitals to social determinants and social. The new primary health care declaration affirms the commitment to the fundamental right of every human being to the enjoyment of the highest attainable standard of health without distinction of any kind, and reaffirms the commitment to the almaata core principles. In september 1978, the international conference on primary health care was held in alma ata, ussr now almaty, kazakhstan. Although it had huge symbolic importance, its effect in practice was more limited. Weak health systems have restricted the success of efforts to improve maternal, newborn, and child health, and to reduce the disease. Declaration of almaata international conference on primary. Principles of alma ata declaration must be translated to. It is the first level of contact of individuals, the family and the community with the national health system bringing health care as close as possible to where people live and work.
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