Mar 27, 2017 as suggested by the groundbreaking 1978 almaata declaration, integrating maternal, newborn and child health services into primary health care can be an effective strategy for reducing health ineq. Pdf forty years ago, the 4 national government members of the who signed the alma ata declaration. 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. The 2018 astana declaration on primary health care, is it useful. The declaration thus became crucial to reaffirming the right to health in the who constitution, reengaging human rights in global health governance, and. Article 19 of the universal declaration of human rights, which. Strategies to improve maternal and child health should therefore involve the community as a complement to any facilitybased component. In his article the origins of primary health care and selective primary health care, marcos cueto claims that the declaration was condemned. 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 alma ata declaration at a conference on oct 2526 in almaty, kazakhstan. Although it had huge symbolic importance, its effect in practice was more limited. It stated that primary health care is the key to attaining health for all by the year 2000.
The world health report 2008 primary health care now more than ever 6 there is today a recognition that populations are left behind and a sense of lost opportunities that are reminiscent of what gave rise, thirty years ago, to almaatas paradigm shift in thinking about health. Almaata declaration the international conference on primary health care was convened in almaata, kazakhstan, in 1978, and was attended by virtually all the member nations of the world health organization who and unicef. The importance of primary care was stated in the classical declaration of alma ata in 1978, which is still an important document for politicians and stakeholders 3 4 5. Pdf the importance of the alma ata principles of equity. Governments have a responsibility for the health of their people.
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. Primary health care was ratified as the health policy of who member states in 1978. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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.
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. Agreement on councils of heads of state and government. The declaration of alma ata was a watershed moment in global health. 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 universal health coverage. The event and the related communication were expeted to. Ppt alma ata declaration powerpoint presentation free. Thus the alma ata declaration is a quite remarkable document and has made an impact that few other before or since have had. Almaata declaration definition of almaata declaration by. This article describes the international context that enabled the drafting and adoption of the alma ata declaration. 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. We envision governments and societies that prioritize, promote and protect peoples health and. Amongst various aspects, the declaration stated that it.
Alma ata was the host city for a 1978 international conference on primary health care. 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. Primary health care became a core concept for who as a result of the declaration of alma ata. Definition of primary health care from the alma ata conference. Within the declaration, paragraph vi outlined the attributes of what would later become known as appropriate health technology. Capital of kazakhstan a declaration made in 1978 at the conference on primary health care in almaata, ussr. The original alma ata declaration provided a rigorous and inspiring agenda for achieving health for all. Alma ata alma ata declaration of 1978 is a landmark in the history of public health and for who universal values and principles of comprehensive comprehensive phc health equity, social justice, universal access community participation, health a human right regardless of residence, gender, social status and cultural identity. The alma ata declaration generated numerous criticisms and reactions worldwide.
Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. International conference on primary health care, alma ata, ussr, 612 september 1978. The declaration of alma ata strongly affirms that health is a fundamental human right and that governments have a responsibility for the health of their people. Health care at alma ata, kazakhstan, ussr from 6 th to 12 sep 1978 and this culminated in the declaration of alma ata.
Under this declaration, total health includes not only physical aspects of health, but also economic, political, and social aspects 7. Of almaata tection of the health of the people is essentiaf to sustained economic and sociaf development and contributes to a better quality of life and to world peace. 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. International conference on primary health care, almaata, ussr, 612. Really a long way off the main goal of universal health coverage is to ensure that all people obtain the health services they need without suffering financial hardship when paying for them in order to avoid any poverty trap. The international conference on primary health care, meeting in alma ata this twelfth day. The declaration of alma ata defined primary health care 30 years ago. Using the declaration of alma atas definition of total. 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.
This commemoration provides an ideal opportunity to share experiences and evidence on primary health care as a strategy to reach the declared goal. Signed by eleven heads of state on december 21, 1991. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. Almaata declaration was approved, with the ambitious goal of achieving.
Towards equitybased comprehensive health care building from common foundations. The alma ata declaration was adopted, marking a paradigm shift in global public health. The almaata declaration signed by eleven heads of state on december 21, 1991. 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. Contrary to the claims of armenia, the states that signed the alma ata declaration of december 21, 1991, on the goals and principles of the commonwealth of independent states, including armenia, accepted the obligation to recognize and respect the territorial integrity of each other and the inviolability of existing borders, reads the appeal. Iv the people have the right and duty to participate individually and collectively in the planning and implementation of their health care. 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. It was unanimously adopted by all who member countries at alma ata in the former soviet republic in september 1978.
Declaration of alma ata 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. A poster for the 1978 international conference on primary health care and the resulting declaration of alma ata. A provisional agreement on the membership and conduct of councils of heads of state and government was concluded between the members of the commonwealth of independent states on december 30, 1991. 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. International conference on primary health care, alma ata, ussr, 612. On 16 december 1986, the jeltoqsan riot took place in response to general secretary mikhail gorbachevs dismissal of dinmukhamed kunayev. The fact that we have made such poor progress towards that goal is not a reason for.
Primary health care and the sustainable development goals phcpi. Progress in primary carefrom almaata to astana health. 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. In developing countries, antenatal, delivery, and postnatal experiences for women usually take place in communities rather than health facilities. 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.
Declaration from the international conference on primary health care, almaata, september 1978, expressing the need for urgent. Reflections on its 40th anniversary almost to the day, 40 years ago, in an international conference held in alma ata, from 6 th to 12 september of 1978, 1 countries of the world adopted what is called the declaration of alma ata. Almaatas target of health for all was based on the world health organizations con. It then describes the document and assesses the reasons for its importance. Report of the international conference on primary health care. Alma ata is one of the most beautiful cities of the ussr. Alma ata declaration the promotion and protection of the health of the people is essential to sustained economic and social development and contributes to a better quality of life and to world peace.
Pdf is the declaration of alma ata still relevant to primary health. Pdf thirty years after who highlighted the importance of primary health carein tackling health inequality in every country, stephen gillam reflects on. Primary health care, as defined at the alma ata conference, called for a revolutionary redefinition of health care. October 2018, reaffirming the commitments expressed in the ambitious and visionary declaration of alma ata of 1978 and the 2030 agenda for sustainable development, in pursuit of health for all, hereby make the following declaration. 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. The declaration of almaata was adopted at the international conference on primary health care phc, almaty formerly almaata, kazakhstan 612. Declaration of almaata, 1978 whoeurope publications. 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. Alma ata declaration definition of alma ata declaration by. The rectilinear planning has been retained, but with enlarged blocks and treelined streets and avenues. Alma ata extends over more than 20 km from north to south and as much from east to west.
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 affordable cost. Dec 01, 2015 we opt for the second conclusion, yet do so with apprehension, because one of the contributing factors to the documented failure of primary health care in many settings since the almaata declaration was the scarcity of a proposed strategy for implementation and its monitoring for accountability and scaleup purposes 9. The primary health care approach has since then been accepted by member countries of the world. The world health organization and faithbased organizations in primary. An evolving storybuenosaires 3015international conference, august 2007 from alma ata to the millennium declaration.
Common to both anniversaries will be recognition of universal health coverage uhc as a goal, and the place of primary. 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. Is the declaration of alma ata still relevant to primary. The declaration made primary health care phc the official health policy of all members countries. 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. From alma ata 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. It was based on the principles of equity and community participation in health planning and. The alma ata declaration reaffirmed health as a fundamental human right, and set a target of bringing health for all by the year 2000. Forty years on since alma atanursing and social justice. The reasons behind the flop of almaata principles peah. 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 signed by eleven heads of state on december 21, 1991. The declaration of almaata was adopted at the international conference on primary health care, almaty, kazakhstan, 612 september 1978.
Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. The republic of armenia, the republic of azerbaijan, the republic of belarus, the. Dec 23, 1991 proceeding from the provision, sealed in the agreement on the establishment of a commonwealth of independent states and in the alma ata declaration, for keeping the common militarystrategic space. The declaration of alma ata was adopted at the international conference on primary health care phc, almaty formerly alma ata, kazakhstan formerly kazakh soviet socialist republic, 612 september 1978. Many argued that the slogan health for all by 2000 was not possible and that the declaration did not have clear targets. The declaration thus became crucial to reaffirming the right to health in the who constitution, reengaging human rights in global health governance, and redefining healthrelated human rights.
The international conference on primary health care, meeting in almaata this. The alma ata declaration called for global commitments to achieving health for all by the year 2000. Primary health care is the key to attaining this target as. 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. The 2018 astana declaration on primary health care, is it. Forty years ago, the 4 national government members of the who signed the alma ata declaration. It set a goal of the attainment by all peoples of the world of a level of health that would permit them to lead socially and economically productive lives by the year 2000 and. 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 astana declaration recognizes that remaining healthy is challenging.
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