Community participation and intersectoral action remain challenges for those working to reduce health inequalities. Convened by who and the united nations childrens fund unicef, the alma ata conference drew representatives from 4 countries, 67 international organisations, and. The reasons behind the flop of almaata principles peah. This year sees the 30th anniversary of the declaration of alma ata box 1. 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. 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 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. Although it had huge symbolic importance, its effect in practice was more limited. This declaration however failed to reach its goal of health for all by the year 2000. The declaration of alma ata and why primary care still matters.
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. Declaration of almaata international conference on. 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. Since the 1978 declaration, the world has made important strides in. The declaration of alma ata, issued on september 12, 1978, provides a moral vision for primary care. The declaration of alma ata in 1978 was a landmark in the history of global health. The 1978 declaration of almaata was the first international declaration to advocate for primary health care as the main strategy to achieve whos stated goal of health for all.
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. 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. In the end, the revitalization of a truly socially just version of peoples primary health care requires reinvigorated social justicebased political. 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 republic of armenia, the republic of azerbaijan, the republic of belarus, the republic of kazakhstan, the republic of. The declaration contains important sociopolitical implications that address not only treating disease, but also ensuring fair access to a positive state of wellbeing for all citizens. 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 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. 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. Declaration of alma ata 1978 international conference on primary health care, almaata, ussr, 612 september 1978. Feb 09, 2014 this video explains declaration of alma ata for mbbs students. Pdf thirty years after who highlighted the importance of primary health carein. Convened by who and the united nations childrens fund unicef, the alma ata conference drew representatives from 4 countries, 67 international organisations, and many nongovernmental organisations.
Organised by the world health organization and unicef, the conference took place at alma ata now almaty and considered the role of primary. This video explains declaration of almaata for mbbs students. 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. Between 1978 and the year 2000 over forty million females would have experienced fgm, had the governments of africa who were signatories to alma ata declaration provided adequate phc through funding and educational programs that educated about the dangers of fgm to women and female children should lead to the religious, economic, cultural. This declaration led to the adoption of the primary health care approach as the key public health strategy by all who member countries. The world health organization is a specialized agency of. 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 of many other social and economic sectors in addition to the health sector. The alma ata declaration was a product of its time. In september 1978, the international conference on primary health care was held in almaata, ussr now almaty, kazakhstan.
Alma ata, ussr, 612 september 1978 jointlysponsordbytheworldhealthorganization. Almaata declaration 1978 free download as pdf file. Almaata and after 1978 present, venediktov, 1998 primary health care 21 almaty. The declaration of almaata on primary health care public. The 1978 declaration of alma ata was the first international declaration to advocate for primary health care as the main strategy to achieve whos stated goal of health for all. Almaata was the host city for a 1978 international conference on primary health care. 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. International conference on primary health care, alma ata, ussr, 612. Motoyuki yuasa primary health care and health promotion. Alma ata declaration definition of alma ata declaration. Forty years later, the global conference on primary health care and its associated declaration renew a commitment to primary health care phc in pursuit of health and wellbeing for all, leaving no one behind. Alma ata declaration the international conference on primary health care was convened in alma ata, kazakhstan, in 1978, and was attended by virtually all the member nations of the world health organization who and unicef. 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. It emphasised social justice and equitable access to healthcare services, key elements of the modern universal health coverage uhc agenda, and advocated for.
The primary health care approach has since then been accepted by member countries of the world. The international conference on primary health care, meeting in almaata this twelfth day. The almaata declaration of 1978 emerged as a major milestone of the twentieth century in. Pdf is the declaration of alma ata still relevant to. Almaata revisited 1970s to present, tejada, 2003 almaata 1978 primary health care. Europe has paid closest heed, with the united states diluting phc to coordinated medical care, certainly important, but hardly the political call for action invoked in the almaata declaration. Understandably, sharmanov and the kazakhstan government have promoted the conference as a way of placing the republic on the global health map. Declaration of almaata international conference on primary health care, almaata, ussr, september, 1978 i the conference strongly rea. Feb 22, 2010 definition declaration of alma ata sept. Declaration of almaata abstract a report on the historic almaata conference, jointly convened by who and unicef, that focused world attention on primary health care as the key to achieving an acceptable level of health throughout the world. 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.
The declaration of almaata was adopted at the international conference on primary health. Pdf is the declaration of alma ata still relevant to primary health. The alma ata declaration signed by eleven heads of state on december 21, 1991. The conference believed that, in adopting the declaration of national. The almaata declaration identified 10 activities as the basic elements of phc table 1. Notably, the sdgs contain no mention of primary health care, reflecting the disappointing implementation of the almaata declaration of 1978 over the past four decades. It was the first international declaration underlining the importance of primary health care. The declaration of alma ata was a watershed moment in global health. The almaata declaration signed by eleven heads of state on december 21, 1991.
The international conference on primary health care in almaata 1978 this twelfth day of september in the year nineteen hundred and seventyeight, expressing the need for urgent. Alma ata broadened the perception of health beyond doctors. Maskarinec, phd from the department of family medicine and community health, university of hawaii. Alrnaata, governments have made a historic collective expression of strategies and. 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. The need for effective primary care interventions was stated in the alma ata declaration in 1978, which emphasized effective healthcare systems. Mahler, directorgeneral of who, to the international conference on primary health care, almaata, 6 september 1978 4 declaration of almaata 7 riga. Capital of kazakhstan a declaration made in 1978 at the conference on primary health care in almaata, ussr. The declaration made primary health care phc the official health policy of all members countries. In 1978 the alma ata declaration conceptualised the social model of health. May 24, 2018 past, present, and future primary health care.
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. It stated that primary health care is the key to attaining health for all by the year 2000. 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. Forty years ago, the 4 national government members of the who signed the alma ata declaration. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and. 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.
The declaration of almaata at 40 center for global development. Almaata revisited the background to riga from almaata to the year 2000. Almaata declaration 1978 health care public health. On 16 december 1986, the jeltoqsan riot took place in response to general secretary mikhail gorbachevs dismissal of dinmukhamed kunayev. 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.
The alma ata declaration was adopted, marking a paradigm shift in global public health. The declaration of alma ata on its 30th anniversary. It came about from a recognition that, in an increasingly prosperous world, many people were being left behind. It was unanimously adopted by all who member countries at almaata in the former soviet republic in september 1978.
Launched in 1978 at the international conference on primary health care, the declaration called for. Scribd is the worlds largest social reading and publishing site. 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. Declaration of almaata international conference on primary. Declaration of almaata, 1978 whoeurope publications. Since then, strong primary care systems, based in local communities, are. 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. Is the declaration of alma ata still relevant to primary. It was unanimously adopted by all who member countries at alma ata in the former soviet republic in september 1978. Box 1 characteristics of primary health care from alma ata declaration. The sustainable development goals sdgs are now steering the global health and development agendas.
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. Since then, strong primary care systems, based in local communities, are recognised to be essential to achieving uhc. The declaration of almaata was adopted at the international conference on primary health care, almaty, kazakhstan, 612 september 1978. Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Declaration from the international conference on primary health care, almaata, september 1978, expressing the need for urgent. Report of the international conference on primary health care. Is the declaration of alma ata still relevant to primary health care. It has especially failed the women of subsaharan africa. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000. The alma ata declaration was the outcome of the international conference on primary health care held in 1978 in alma ata, kazakhstan. 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 world health organization is a specialized agency of the.
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. Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. Declaration of alma ata abstract a report on the historic alma ata conference, jointly convened by who and unicef, that focused world attention on primary health care as the key to achieving an acceptable level of health throughout the world. The declaration of alma ata and why primary care still matters duration. Excerpts from the declaration of alma ata 1978 declaration i. Alma ata revisited the background to riga from alma ata to the year 2000. Mahler, directorgeneral of who, to the international conference on primary health care, alma ata, 6 september 1978 4 declaration of alma ata 7 riga. Apr 20, 2006 between 1978 and the year 2000 over forty million females would have experienced fgm, had the governments of africa who were signatories to alma ata declaration provided adequate phc through funding and educational programs that educated about the dangers of fgm to women and female children should lead to the religious, economic, cultural. The draft astana declaration almaata 20, released in june, 2018, restates the key principles of primary health care and. In september 1978, the international conference on primary health care was held in alma ata, ussr now almaty, kazakhstan. Almaata, ussr, 612 september 1978 jointlysponsordbytheworldhealthorganization.
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