The international conference on primary health care, meeting in alma ata this twelfth day. Pdf thirty years after who highlighted the importance of primary health carein tackling health inequality in every country, stephen gillam reflects on. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. 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 2018 astana declaration on primary health care, is it. Almaata declaration definition of almaata declaration by. It was the first international declaration underlining the importance of 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. Declaration from the international conference on primary health care, almaata, september 1978, expressing the need for urgent. 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 2018 astana declaration on primary health care, is it useful. Towards equitybased comprehensive health care building from common foundations. 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. The alma ata declaration signed by eleven heads of state on december 21, 1991.
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. 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. Under this declaration, total health includes not only physical aspects of health, but also economic, political, and social aspects 7. The alma ata declaration called for global commitments to achieving health for all by the year 2000.
Pdf the importance of the alma ata principles of equity. 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. Progress in primary carefrom almaata to astana health. 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. The declaration of almaata at 40 center for global development. Capital of kazakhstan a declaration made in 1978 at the conference on primary health care in almaata, ussr. An evolving storybuenosaires 3015international conference, august 2007 from alma ata to the millennium declaration. International conference on primary health care, alma ata, ussr, 612 september 1978.
The fortieth anniversary of the declaration of alma ata comes at a time when primary health care is once again receiving some welldeserved attention. In his article the origins of primary health care and selective primary health care, marcos cueto claims that the declaration was condemned. This commemoration provides an ideal opportunity to share experiences and evidence on primary health care as a strategy to reach the declared goal. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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.
Ppt alma ata declaration powerpoint presentation free. Primary health care and the sustainable development goals phcpi. Alma ata was the host city for a 1978 international conference on primary health care. 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 reasons behind the flop of almaata principles peah. Amongst various aspects, the declaration stated that it. Report of the international conference on primary health care. Agreement on councils of heads of state and government.
Definition of primary health care from the alma ata conference. The event and the related communication were expeted to. 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. The declaration of alma ata was a watershed moment in global health. Many argued that the slogan health for all by 2000 was not possible and that the declaration did not have clear targets.
The astana declaration recognizes that remaining healthy is challenging. Thus the alma ata declaration is a quite remarkable document and has made an impact that few other before or since have had. Article 19 of the universal declaration of human rights, which. Gues ditorial guest editorial looking back to look forward. Although it had huge symbolic importance, its effect in practice was more limited. 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. International conference on primary health care, alma ata, ussr, 612.
Alma ata is one of the most beautiful cities of the ussr. 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. 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. The republic of armenia, the republic of azerbaijan, the republic of belarus, the. World health organization fiftysixth world health assembly a5627 provisional agenda item 14. Strategies to improve maternal and child health should therefore involve the community as a complement to any facilitybased component.
International conference on primary health care, almaata, ussr, 612. 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. 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 became a core concept for who as a result of the declaration of alma ata. This article describes the international context that enabled the drafting and adoption of the alma ata declaration. 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. 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. Primary health care was ratified as the health policy of who member states in 1978. On 16 december 1986, the jeltoqsan riot took place in response to general secretary mikhail gorbachevs dismissal of dinmukhamed kunayev. 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 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. We envision governments and societies that prioritize, promote and protect peoples health and.
It stated that primary health care is the key to attaining health for all by the year 2000. 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. The alma ata declaration generated numerous criticisms and reactions worldwide. 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.
The declaration of almaata was adopted at the international conference on primary health care phc, almaty formerly almaata, kazakhstan 612. Using the declaration of alma atas definition of total. A poster for the 1978 international conference on primary health care and the resulting declaration of 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 for all countries. The rectilinear planning has been retained, but with enlarged blocks and treelined streets and avenues. The original alma ata declaration provided a rigorous and inspiring agenda for achieving health for all. Within the declaration, paragraph vi outlined the attributes of what would later become known as appropriate health technology. 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. Health care at alma ata, kazakhstan, ussr from 6 th to 12 sep 1978 and this culminated in the declaration of alma ata. The declaration of almaata was adopted at the international conference on primary health care, almaty, kazakhstan, 612 september 1978. 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 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. 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.
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. Is the declaration of alma ata still relevant to primary. Almaata declaration was approved, with the ambitious goal of achieving. The alma ata declaration was adopted, marking a paradigm shift in global public health. Signed by eleven heads of state on december 21, 1991. Primary health care is the key to attaining this target as. It was unanimously adopted by all who member countries at alma ata in the former soviet republic in september 1978. 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. 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 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. 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. In developing countries, antenatal, delivery, and postnatal experiences for women usually take place in communities rather than health facilities. It then describes the document and assesses the reasons for its importance. 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.
The almaata declaration signed by eleven heads of state on december 21, 1991. 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. 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. 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. Pdf is the declaration of alma ata still relevant to primary health. Alma ata declaration definition of alma ata declaration by. The declaration of alma ata defined primary health care 30 years ago. 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. Forty years on since alma atanursing and social justice. The declaration made primary health care phc the official health policy of all members countries.
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. 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. Declaration of almaata, 1978 whoeurope publications. Iv the people have the right and duty to participate individually and collectively in the planning and implementation of their health care. Common to both anniversaries will be recognition of universal health coverage uhc as a goal, and the place of primary. The fact that we have made such poor progress towards that goal is not a reason for. 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. 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. The world health organization and faithbased organizations in primary. 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. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. Alma ata extends over more than 20 km from north to south and as much from east to west.
Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. The reasons behind the flop of almaata principles universal health coverage. It was based on the principles of equity and community participation in health planning and. Pdf 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. 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.
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