A useful point to start a comparative analysis of the health for all and the universal health coverage agenda is to look at the documents that underpin the tenets of these two ambitious health policy initiatives. 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 and primary health care alma ata declaration primary health care was. The declaration made primary health care phc the official health policy of all members countries. 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. 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. Report of the international conference on primary health care. Primary health care is essential health care based on practical, scientifically. 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. Declaration of almaata wikisource, the free online library. 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. 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.
Alma ata declaration definition of alma ata 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. Launched in 1978 at the international conference on primary health care, the declaration called for. 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 century in.
Declaration of alma ata 1978 international conference on primary health care, almaata, ussr, 612 september 1978. The declaration of almaata was adopted at the international conference on primary health. The alma ata declaration promoted phc as its central. 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. The conference in almaata was a splendid event, well planned. Both the 1978 declaration and the 2008 report are underpinned by social justice, equity, and solidarity, although these values are. 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. On the other hand, those advances are unevenly spread, with growing numbers of people living precarious existences, many displaced from their homes. 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. The alma ata declaration on primary health care phc which was made in 1978 is. 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.
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. 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. It stated that primary health care is the key to attaining health for all by the year 2000. 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 need for urgent action by all governments, all health and. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978. The reasons behind the flop of almaata principles peah. Almaata declaration definition of almaata declaration by. Primary health care introduction, principles and elements. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978, 2004 your bibliography. Alma ata, ussr, 612 september 1978 jointlysponsordbytheworldhealthorganization.
Ppt alma ata declaration powerpoint presentation free to. Primary health care was ratified as the health policy of who member states in 1978. It emphasised social justice and equitable access to healthcare services, key elements of the modern universal health coverage uhc agenda, and advocated for. 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. Forty years ago, the 4 national government members of the who signed the alma ata declaration. On 16 december 1986, the jeltoqsan riot took place in response to general secretary mikhail gorbachevs dismissal of dinmukhamed kunayev. Declaration of almaata international conference on. 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 alma ata declaration was a product of its time.
In the 40 years since the alma ata declaration the world has changed enormously. 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. Is the declaration of alma ata still relevant to primary. Who who called to return to the declaration of almaata. 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. Organised by the world health organization and unicef, the conference took place at alma ata now almaty and considered the role of primary. Review led to 1978 who conference in alma ata, kazakhstan former ussr. 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. We envision governments and societies that prioritize, promote and protect peoples health and. The almaata declaration signed by eleven heads of state on december 21, 1991. 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. Common to both anniversaries will be recognition of universal health coverage uhc as a goal, and the. 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. Ebook or pdf edited book email encyclopedia article govt.
Definition of primary health care from the alma ata conference. The alma ata declaration in 1978 expanded the approach to improving health for all people from the focus on doctors, hospitals and biomedical advances to. It was sponsored by the world health organization and unicef philippines response to phc phc recognizes the interrelationship. 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. The reasons behind the flop of almaata principles universal health coverage.
The conference strongly reaffirms that health, which is a state of complete. Contrary to the claims of armenia, the states that signed the almaata 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. 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. 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. Global health other bibliographies cite this for me. Philippines response to phc phc recognizes the interrelationship. Almaata, ussr, 612 september 1978 jointlysponsordbytheworldhealthorganization. Capital of kazakhstan a declaration made in 1978 at the conference on primary health care in almaata, ussr. The alma ata declaration was adopted, marking a paradigm shift in global public health. Learn vocabulary, terms, and more with flashcards, games, and other study tools. 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.
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. The core values and principles of the 1978 alma ata declaration still stand, while the declaration 2. Almaata was the host city for a 1978 international conference on 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. 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. 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 was the outcome of the international conference on primary health care held in 1978 in alma ata, kazakhstan.
It was sponsored by the world health organization and unicef. Declaration of almaata, 1978 whoeurope publications. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. This year sees the 30th anniversary of the declaration of alma ata box 1. It came about from a recognition that, in an increasingly prosperous world, many people were being left behind. Past, present and future cynthia haq university of wisconsinmadison. Reviving the spirit of alma ata in the twentyfirst century.
The declaration of alma ata was a watershed moment in global health. International conference on primary health care, almaata, ussr, 612 september 1978. International conference on primary health care, alma ata, ussr, 612. Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. This declaration led to the adoption of the primary health care approach as the key public health strategy by all who member countries. Alma ata was the host city for a 1978 international conference on primary health care. The draft astana declaration almaata 20, released in june, 2018, restates the key principles of primary health care and renews these as driving forces for achieving the. Alma ata declaration definition of alma ata declaration by.
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 international conference on primary health care, almaata, ussr, 612 september 1978 development volume 47, pages 159 161 2004 cite this article 36 accesses. 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. In developing countries, antenatal, delivery, and postnatal experiences for women usually take place in communities rather than health facilities. Thirty years after who highlighted the importance of primary health carein tackling health inequality in every country, stephen gillam reflects on the reasons for slow progress and the implications for todays health systems after years of relative neglect, the world health organization has recently given strategic prominence to the development of primary health care.
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. 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. In september 1978, the international conference on primary health care was held in alma ata, ussr now almaty, kazakhstan. The international conference on primary health care, meeting in almaata this twelfth day. 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. Alma ata broadened the perception of health beyond doctors. The 1978 alma ata declaration focused on primary health care as a means to achieving health for all, with a focus on community participation. Access to basic health services was affirmed as a fundamental human right in the declaration of almaata in 1978. The almaata declaration world health organization 1978 defined phc as follows. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000. It is left to each country to innovate, according to its own. 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.
Soon after the alma ata declaration, arguments for selective rather than comprehensive primary health care dominated health system debates. Declaration of almaata international conference on primary. 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 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. 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. Although it had huge symbolic importance, its effect in practice was more limited. On the one hand, the world is much richer and healthier. Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Primary health care, as defined at the almaata conference, called for a revolutionary redefinition of health care. The declaration of alma ata defined primary health care 30 years ago. 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. Alma ata declaration definition of phc essential health care based on practical, scientifically.