In the 40 years since the alma ata declaration the world has changed enormously. Almaata declaration was approved, with the ambitious goal of achieving. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. Declaration of almaata 1978 global strategy for the prevention and control of aids 1987 preamble health is a state of complete physical, mental and social. The declaration adopted, with its rallying cry of health for all by 2000 ad, cap.
The who world health report 2008 whr08 was devoted to phc who 2008. Recalling the declaration of almaata 1978, and resolutions wha30. The declaration of almaata was adopted at the international conference on primary health. The 1978 alma ata conference and declaration was a landmark in defining and. Almaata 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. Quality of primary care by advanced practice nurses. The alma ata declaration on primary health care phc which was made in 1978 is meant to address the main health problems in communities by providing promotive, preventive, curative and. Instead, almaata emphasised a communitybased, social justiceoriented approach to health.
Janssens, campus rochus, sint rochusstraat, 2000 antwerp, belgium institute of tropical medicine 50th annual colloquium in 2008, the world celebrates the 30th anniversary of the declaration of alma ata. Forty years ago, the world health organization member countries agreed on a set of principles at alma ata to protect and promote health of all people by articulating primary health care as the guiding principle of a comprehensive health system. The republic of armenia, the republic of azerbaijan, the republic of belarus, the. The importance of civil society and community involvement in the definition and design of health policies has been recognized in many international documents, some of which were issued more than three decades agofor example, the declaration of almaata on primary health care in 1978 8 and the ottawa charter in 1986 9. Characteristics of primary health care from alma ata declaration. International conference on primary health care, almaata, ussr, 612. Since the 1978 declaration, the world has made important strides in. 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 signed by eleven heads of state on december 21, 1991. The almaata declaration of 1978 emerged as a major milestone of the twentieth. Since the declaration of alma ata in 1978, countries of the americas have been. Forty years on since alma atanursing and social justice. It refers to the comprehensive process of local community involvement, and improving health and the social environment through effective. Having analysed the experience of primary health care implementation in the countries of africa in the last 30 years, the. The alma ata declaration of 1978 emerged as a major milestone of the twentieth century in the field of public health, and it identified primary health care as the key to the attainment of the goal of health for all around the globe. Three decades after the adoption of the almaata declaration in 1978, the world health organization, regional office for africa organized from 28 to 30 april, 2008 in ouagadougou, burkina faso the international conference on primary health care and health systems in africa in. Declaration of almaata 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.
This applied to all other countries five years later. Recalling the declaration of alma ata 1978, and resolutions wha30. Unfortunately, since 1978, in many countries the balance has tilted towards personal. Declaration from the international conference on primary health care, almaata, september 1978, expressing the need for urgent. It seeks to shed new light on the process that, in the ambit of international health, culminated in the officialization in 1978 in alma ata, the then soviet union, primary health care phc as a strategy aimed at providing health for all in the year 2000 hfa20001. How primary health care can make universal health coverage a. To illustrate the first of these, peckham and exworthy argue that documents. Pdf is the declaration of alma ata still relevant to primary health.
How primary health care can make universal health coverage. P romosi kesehatan dalam deklarasi alma ata deklarasi alma ata 1978 merupakan bentuk kesepakatan bersama antara 140 negara termasuk indonesia, adalah merupakan hasil konferensi internasional pelayanan kesehatan primer primary health care di kota alma ata, kazakhstan. Cpostalmaata period in 1978 alma ata conference was held and the primary health care declaration made which. Konferensi internasional pelayanan kesehatan primer.
Afrrc5811 adoption of the ougadougou declaration with. Extending social protection through community based health organizations. Delegation from 4 countries, 67 international organisations, and many nongovernmental organisations joined the world health organisation and unicef at the international conference on primary health care at almaata, kazakhstan, ussr from 6 th to 12 sep 1978 and this culminated in the declaration of alma ata. The international conference on primary health care, meeting in alma ata this twelfth day. Alma ata, back to the future 26th and 27th of november 2008 aula p. International conference on primary health care, alma ata, ussr, 612. Celebratory meetings were held under the auspices of the world health organisation who in all its regions.
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. The almaata declaration of 1978 has been instrumental in primary care development worldwide. In 1978, during the international conference on primary health care in almaty formerly almaata, kazakhstan, world leaders made the historic commitment to achieve health or all, by signing the declaration of almaata and formally affirming the core values of the right to health, equity, and solidarity. The reasons behind the flop of almaata principles universal health coverage. The declaration of almaata at 40 center for global development. In september 1978, the who convened a momentous international conference on primary health care in almaata, capital of the soviet republic of kazakhstan. Cameroon adopted this goal in 1982 and created health posts with village health workers.
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. What links here related changes upload file special pages permanent link page. 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. Konferensi internasional primary health care ini disponsori oleh organisasi. Ek is director of whos department of service delivery and safety and cochair of the almaata 40th anniversary technical coordination team.
Report of the international conference on primary health care. This unprecedented gathering signalled a break with whos longstanding technically oriented disease eradication campaigns. This commemoration provides an ideal opportunity to share experiences and evidence on primary health care as a strategy to reach the declared goal. Integrated program guide 3 coordination between ecd and other sectors. Konferensi internasional pelayanan kesehatan primer primary. 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 declaration of alma ata was signed in 1978 following the international conference on primary health care phc. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000. Delegation from 4 countries, 67 international organisations, and many nongovernmental organisations joined the world health organisation and unicef at the international conference on primary health care at alma ata, kazakhstan, ussr from 6 th to 12 sep 1978 and this culminated in the declaration of alma ata. Forty years ago, the world health organization member countries agreed on a set of principles at almaata to protect and promote health of all people by articulating primary health care as the guiding principle of a comprehensive health system.
Alma ata declaration 1978 primary health care is essential health care based on practical, scientifically sound and socially acceptable methods and technology made universally accessible to individuals and families in the community through their full participation and at a cost that the community and. However, we are still far from addressing the determinants of health and. On the other hand, those advances are unevenly spread, with growing numbers of people living precarious existences, many displaced from their homes. The declaration of alma ata was a watershed moment in global health. Pdf thirty years after who highlighted the importance of primary health carein tackling. The 2018 astana declaration on primary health care, is it useful. Theobjectives of the conference werti i ii iii iv v vi to promote the concept of primary health care conntries. Pdf abstract in 1978 two united nations organizations, the world health organization and unicef. Motoyuki yuasa primary health care and health promotion. The almaata declaration signed by eleven heads of state on december 21, 1991.
The 1978 declaration of almaata described chws as a major vehicle for the advancement of primary health care in areas with limited resources, stating, the people have the right and duty to participate individually and collectively in the planning and. 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. A wellcoordinated integrated programming ap proach relies on buyin from senior management, a ded. The almaata declaration was one of the last expressions of the develop. It identifies and stresses the need for an immediate action by all governments, all health and development workers and the world community to promote and protect world health. Primary health care became a core concept for who as a result of the declaration of almaata 1978, giving rise to whos goal of health for all. From 612 september 1978, the who, together with the united nations childrens fund unicef, convened the momentous international conference on primary health care in almaata, capital of the thensoviet republic of kazakhstan. The alma ata declaration of 1978 has been instrumental in primary care development worldwide. Past, present and future cynthia haq university of wisconsinmadison thomas hall university of californiasan francisco david thompson university of minnesotaminneapolis john bryant aga khan university and the tropical institute of community health february 2009 prepared as part of an education project of the. It seeks to shed new light on the process that, in the ambit of international health, culminated in the officialization in 1978 in almaata, the then soviet union, primary health care phc as a strategy aimed at providing health for all in the year 2000 hfa20001.
There was reappraisal of national health policy respecting the alma ata principles of community. 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. Declaration of almaata, 1978 whoeurope publications. Alma ata declaration, 1978 ottawa charter for health promotion, 1986 rio political declaration on sdoh, 2011 rudolph 9. 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 importance of civil society and community involvement in the definition and design of health policies has been recognized in many international documents, some of which were issued more than three decades agofor example, the declaration of alma ata on primary health care in 1978 8 and the ottawa charter in 1986 9. The commemoration provides an ideal opportunity to share. Improving outcomes with unit 7 community health workers. Gues ditorial guest editorial looking back to look forward. Pdf forty years ago, the 4 national government members of the who signed the alma ata declaration. However, we are still far from addressing the determinants of health. Cpostalmaata period in 1978 alma ata conference was held and the primary health care declaration made which included community participation for socioeconomic development. 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. On the one hand, the world is much richer and healthier. The alma ata declaration was formally adopted at the international conference on primary health care in alma ata in present kazakhstan in september 1978 who, 1978. The international conference on primary health care, meeting in almaata this twelfth day. Oct 20, 2018 40 years on from the declaration of almaata in 1978,1 primary health care phc is at a defining moment. The alma ata declaration on primary health care emerged from this conference. In emergency contexts, it is particularly challenging to ensure the needs of the youngest children are met in a holistic manner.
Health in all policies american public health association. Declaration of almaata 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. In 2008, the 30th anniversary of alma ata, primary health care phc was reaffirmed as the key global strategy for attaining optimal health. The almaata declaration defined primary health care as essential health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation and at a cost that the community and country can afford.
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