The almaata conference identified a minimum list of activities to be included in phc. Declaration of alma ata was supported by a conference report and a joint report by who and unicef on how phc could be operationalised through national strategies. The declaration of alma ata was a watershed moment in global health. On the occasion of the 30th anniversary of the alma ata declaration in 2008, the who regional office for southeast asia whosearo had organized a regional conference on revitalizing primary health care. This commemoration provides an ideal opportunity to share experiences and evidence on primary health care as a strategy to reach the declared goal. Pdf is the declaration of alma ata still relevant to primary health. The reasons behind the flop of almaata principles the alma ata declaration was endorsed by the 32 nd world health assembly held in geneva in 1979, which approved a resolution acknowledging the key role of primary health care phc for the attainment of acceptable health levels for all. Rapidly, however, a scaledback version of primary health care, selective primary health care, gained influence.
Progress in the uptake of phc across the world has contributed to raising global standards of health care and improving health, including a revolution in child survival and dramatic improvements in life expectancy. How primary health care can make universal health coverage. The fortieth anniversary of the declaration of alma ata comes at a time when primary health care is once again receiving some welldeserved attention. The reasons behind the flop of almaata principles peah. Almaata declaration was approved, with the ambitious goal of achieving health. The conference in almaata was a splendid event, well planned, widely attended, and focused on problems of major importance, with the policyrelated product of primary health care. Pdf thirty years after who highlighted the importance of primary health carein tackling health inequality in every country, stephen gillam reflects on. The declaration of almaata, adopted by the conference, reaffirmed the right to. From alma ata towards universal health coverage and the sustainable development goals astana, kazakhstan, 25 and 26 october 2018 we, heads of state and government, ministers and representatives of states and governments1, participating in the global conference on primary health care. Past, present and future cynthia haq university of wisconsinmadison.
What links here related changes upload file special pages permanent link page. What is the definition of health according to alma ata conference 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 right for. The 2018 astana declaration on primary health care, is it useful. Alma ata declaration definition of 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. The declaration of almaata was adopted at the international conference on primary health. The 1978 alma ata conference and its accompanying declaration was the first international statement on the importance of primary health care phc for all. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. The 2018 astana declaration on primary health care, is it. Retreat from alma ata the whos report on task shifting. The recommendations of the commission on macroeconomics and health emphasize the importance. Pdf abstract in 1978 two united nations organizations, the world health organization and unicef. Review led to 1978 who conference in alma ata, kazakhstan former ussr.
The idea of universal healthcare had its origins at the alma ata conference in 1978, where health for all was agreed upon by all the 4 11 participant countries. Article 19 of the universal declaration of human rights, which. Convened by who and unicef, the inter national conference on primary health care was held in alma ata presently called almaty, in kazakhstan, in the union of soviet socialist republics, during the cold war. The conference in almaata was a splendid event, well planned. United nations conference on trade and development to stimulate economic growth and development in developing countries. Alma ata declaration definition of phc essential health care based on practical, scientifically. The conference broadly defined health with a strong focus on universal primary healthcare phc and equity. Ultimately, the conference resulted in the declaration of alma ata, which called for the achievement of health for all by the year 2000 through phc. Declaration of almaata 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 for urgent action by all governments, all health and development workers. On the occasion of the 40th anniversary of the declaration of almaata, the government of kazakhstan, the united nations childrens fund and who coorganized the global conference on primary health care on 2526 october 2018 in astana, kazakhstan. 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 whos 1978 al ma ata conference solidified primary healthcare as the central focus of health related projects in the developing world, rejecting medical elitism, emphasizing appropriate technology, the utilization of lay health workers, and community participation cueto 2004.
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. Bibliography for pubh1102 st lucia university of queensland. A poster for the 1978 international conference on primary health care and the resulting declaration of alma ata. In september, 1978 an international conference on primary medical care was held in alma ata in what was then the soviet socialist republic of kazakhstan. The alma ata conference 1978 pittwater online news. Political settlements and pathways to universal health. The declaration thus became crucial to reaffirming the right to health in the who constitution, reengaging human rights in global health governance, and. The spirit of alma ata francesco carelli wonca europe. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000.
Declaration of almaata, 1978 whoeurope publications. Concepts developed at the international conference on primary health care almaata, 1978 continue to influence key aspects of international health policy, shaped in recent years by fresh ideas. The international conference on primary health care, meeting in alma ata this twelfth day of september in the year nineteen hundred and seventyeight. International conference on primary health care, almaata. The declaration of almaata at 40 center for global development. There was reappraisal of national health policy respecting the alma ata principles of community. 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 alma ata of september 1978, particularly in regard to health as a fundamental human right and the responsibility that governments. Alma ata conference health for all by the year 2000 photo. The 30th world health assembly in 1977 agreed on the vision of health for all by the year 2000 as a major social target of governments, international organizations and communities. Health society and the undersigned, meeting at the european public health conference in marseille in november 2019, urge all governments to honour the commitments undertaken in pursuit of the sustainable development goals, and specifically the pledge of ensuring healthy lives and promoting. The pan american sanitary conference approves a set of resolutions for the achievement of universal coverage and the incorporation of primary care in general health services. 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 for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the people of the world, hereby makes the. Cpost alma ata period in 1978 alma ata conference was held and the primary health care declaration made which.
Gues ditorial guest editorial looking back to look forward. A booklet entitled 30 frequently asked questions on primary health care was produced to mark the occasion, which was well received. A key milestone in the emergence of the ideal of uhc, the conference proceedings underscored the importance of public health as a. Report of the international conference on primary health care. Iv the people have the right and duty to participate individually and collectively in the planning and implementation of. However, we are still far from addressing the determinants of health. In september 1978, the international conference on primary health care was held in alma ata, ussr now almaty, kazakhstan. Declaration from the international conference on primary health care, almaata, september 1978, expressing the need for urgent. 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. This month marks the 40th anniversary of the international conference on primary health care phc, cosponsored by the world health organization who and the united nations childrens fund unicef, and held in alma ata, kazakhstan, ussr. Bandung conference gathering of independent african and asian states. Thirty years ago, the declaration of alma ata defined health as a complete physical, mental and social wellbeing and not merely the absence.
During this period, some lowincome countries made important strides in improving population health statistics through approaches involving action on key social determinants. The international conference on primary health care, meeting in almaata this twelfth day of september in the year nineteen hundred and. The alma ata conference in 1978 endorsed primary health care phc as the key strategy for implementation by all countries of the world in order to improve the health status of the people. The international conference on primary health care, held in alma ata, then ussr, draws representatives from 4 countries and 67 international. It forms an integral part of the countrys health systemand of. It expressed the need for urgent action by all governments, all health and development workers. The international conference on primary health care, meeting in ahna ata this twelfth day of september in the year nineteen hundred and seventyeight, expressing 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 people of the world, hereby.
Alma ata revisited world organization of family doctors world rural health conference, april 2018 we, the delegates at the 15th wonca world rural health conference call on the international community to reaffirm the principles of the declaration of alma ata. The alma ata declaration on primary health care emerged from this conference. 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. World health organization fiftysixth world health assembly a5627 provisional agenda item 14. We recognize that of the utmost importance is the role of cities, urban places, and local governments in achieving them. It was organised jointly by the world health organisation who and the united nations childrens fund unicef.
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