The groundbreaking 1978 alma ata declaration emphasized the central role of primary health care in ensuring equitable access to high quality services, declaring that. Declarations, charters and statements their role in. In september 1978, the international conference on primary health care was held in almaata, ussr 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. It was unanimously adopted by all who member countries at almaata in the former kazakh soviet republic in september 1978.
The reasons behind the flop of alma ata 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. Declaration of almaata wikisource, the free online library. Organised by the world health organization and unicef, the conference took place at alma ata now almaty and considered the role of primary. 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. However, important challenges in terms of defining. The declaration, named for the host city, almaty, kazakhstan formerly known as alma ata, outlined the organizations stance towards health care made available for all people in the world 1 2. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000. The document was clear and concise in its wording, and is still relevant 16 years laterindeed it could have been written in 2007. This is the fifth in a series of eight papers about almaata. The declaration of alma ata was a watershed moment in global health. Primary health care, as defined at the almaata conference, called for a revolutionary redefinition of health care. It was sponsored by the world health organization and unicef philippines response to phc phc recognizes the interrelationship.
The declaration also defined eight essential components of primary health care, which helped outline a means of providing health care globally 2 3. They include realist evaluation and implementation research. Libreville declaration on health and environment in africa. The declaration made primary health care phc the official health policy of all members countries. Its statement reiterated many of the principles of the declaration of alma ata and the ottawa charter as they applied to the supportive environment component of the charter.
Is the declaration of alma ata still relevant to primary. Alma ata declaration definition of alma ata declaration. The almaata declaration of 1978 has been instrumental in primary care development worldwide. The republic of armenia, the republic of azerbaijan, the republic of belarus, the republic of kazakhstan, the republic of kyrgyzstan, the republic of moldova, the. The republic of armenia, the republic of azerbaijan, the republic of belarus, the republic of kazakhstan, the republic of. Jun 01, 2015 declaration of almaata, an article from american journal of public health, vol 105 issue 6. It is left to each country to innovate, according to its own circumstances to provide primary health care. October 2018, reaffirming the commitments expressed in the ambitious and visionary declaration of almaata of 1978 and the 2030 agenda for sustainable development, in pursuit of health for all, hereby make the following declaration. In the worlds poorest countries, tens of thousands of people were dying every year from entirely avoidable conditions, lacking access to even the most basic health services.
Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. The international conference on primary health care, meeting in alma ata this twelfth day. Mar 27, 2017 the alma ata declaration and primary health care. 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. Instead of the traditional fromthetopdown approach to medical service, it embraced the principles of social justice, equity, selfreliance, appropriate technology, decentralization, community involvement, intersectoral collaboration, and.
Declaration of almaata, american journal of public health 105, no. 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 formally adopted primary health care phc as the means for providing a comprehensive, universal, equitable and affordable healthcare service for all countries. International conference on primary health care, alma ata, ussr, 612. 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. Declaration of almaata international conference on primary health care, almaata, ussr, 612. 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. 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 world. 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. 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. It is left to each country to innovate, according to its own circumstances to.
The alma ata declaration signed by eleven heads of state on december 21, 1991. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. In this paper, we revisit the revolutionary principlesequity, social justice, and health for all. We envision governments and societies that prioritize, promote and protect peoples health and. Soon after the alma ata declaration, arguments for selective rather than comprehensive primary health care dominated health system debates. The following are excerpts from the almaata declaration. Primary health care introduction, principles and elements. The declaration of alma ata formally adopted primary health care phc as the means for providing a comprehensive, universal, equitable and affordable healthcare service for all countries. The alma ata declaration of health for all by 2000 was signed with overwhelming support of governments from around the world. Both reports reaffirmed the relevance of phc in terms of its vision and values in todays world. Pdf is the declaration of alma ata still relevant to. Declaration of almaata international conference on. 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 declaration of almaata begins by stating 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 worldwide social goal.
The reasons behind the flop of almaata principles peah. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978, 2004 your bibliography. Declaration of almaata international conference on primary. Definition of primary health care from the alma ata conference. Although it had huge symbolic importance, its effect in practice was more limited. Within a decade or so however, the momentum had largely fizzled 3. Declarations, charters and statements their role in health. Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. More specifically, gillam stated that almaata declaration is still relevant for effective health care systems, since the core principles of phc are keys to moving towards health equity or. Ppt alma ata declaration powerpoint presentation free to. Dec 07, 2014 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 for urgent action by all governments, all health and development workers, and the world community to protect and. The international conference on primary health care, meeting in almaata this twelfth day. More specifically, gillam stated that alma ata declaration is still relevant for effective health care systems, since the core principles of phc are keys to moving towards health equity or.
The declaration of alma ata defined primary health care 30 years ago. Alma ata declaration free download as powerpoint presentation. Phc has again been in the spotlight with the 40year anniversary of the almaata declaration and the global community reasserting its principles in the astana. In september 1978, the international conference on primary health care was held in almaata, ussr 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. Pdf is the declaration of alma ata still relevant to primary health. It expressed 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 people. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978.
The declaration of alma ata begins by stating 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 worldwide social goal. Almaata extends over more than 20 km from north to. Capital of kazakhstan a declaration made in 1978 at the conference on primary health care in almaata, ussr. Ppt alma ata declaration powerpoint presentation free. Almaata article about almaata by the free dictionary. Customers have 24 hours to view and download the content. Progress in primary carefrom almaata to astana health. This declaration led to the adoption of the primary health care approach as the key public health strategy by all who member countries. Common to both anniversaries will be recognition of universal health coverage uhc as a goal, and the place of primary. 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 for urgent action by all governments, all health and development workers. The alma ata declaration promoted phc as its central.
Scribd is the worlds largest social reading and publishing site. Alma ata broadened the perception of health beyond doctors. The main goal of governments and world health organization in the coming decades should be the attainment by all people of the world by the year 2000, a level of health that would permit them to lead a socially and economically productive life. Sep, 2008 declaration of alma ata international conference on primary health care, alma ata, ussr, september, 1978 i the conference strongly reaffirms that health is a fundamental human right and that the attainment of the highest possible level of health requires the action of many other social and economic sectors in addition to the health sector. It came about from a recognition that, in an increasingly prosperous world, many people were being left behind. Declaration the international conference on primary health care, meeting in ahnaata this twelfth day of september in the year nineteen hundred and seventyeight, expressing the. Soon after the almaata declaration, arguments for selective rather than comprehensive primary health care dominated health system debates. Global health other bibliographies cite this for me. 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 rectilinear planning has been retained, but with enlarged blocks and treelined streets and avenues. Declaration 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.
Almaata is one of the most beautiful cities of the ussr. A critique of the ideological and political positions of the willy brandt. The year 2008 celebrated 30 years of primary health care phc policy emerging from the alma ata declaration with publication of two key reports, the world health report 2008 and the report of the commission on the social determinants of health. 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 article 1 analyzes the willy brandt commission report and the who alma ata declaration within the socioeconomic and political context that determined. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and. This is the fifth in a series of eight papers about alma ata.
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. 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. The declaration identified primary care as the cornerstone of healthy. Declaration of alma ata task the aa40 task group hosted by g2h2 planned and implemented a civil society workshop in geneva in 2018 to commemorate the 40 year jubilee of the alma ata declaration. Common to both anniversaries will be recognition of universal health coverage uhc as a goal, and the.
It was unanimously adopted by all who member countries at alma ata in the former kazakh soviet republic in september 1978. The 24 hours period starts after the purchase is made. The almaata declaration signed by eleven heads of state on december 21, 1991. Old health challenges remain and new priorities have emerged eg.
It stated that primary health care is the key to attaining health for all by the year 2000. Launched in 1978 at the international conference on primary health care, the declaration called for. The alma ata declaration was the outcome of the international conference on primary health care held in 1978 in alma ata, kazakhstan. However, despite the initial enthusiasm, it was difficult to implement healthcare in accordance with almaata principles. Report of the international conference on primary health care.
Primary health care reflecting on the past, transforming for the future 2018 download. The almaata 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. The alma ata declaration was a product of its time. Alma ata declaration definition of alma ata declaration by. Forty years ago, the 4 national government members of the who signed the alma ata declaration. In the uk, the national health service nhs will be 70 years old in july, and the global health community will mark the 40th anniversary of the almaata declaration at a conference on oct 2526 in almaty, kazakhstan.
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