Mahler, directorgeneral of who, to the international conference on primary health care, alma ata, 6 september 1978 4 declaration of alma ata 7 riga. Social determinants and inequalities build sustainable primary health care. Almaata declaration almaata, 21 december 1991 cvce website. The alma ata declaration of 1978 advocated for equity as the core value for health for all, and many states signed to undertake policies that would ensure equity in health and health care. Under this declaration, total health includes not only physical aspects of health, but also economic, political, and social aspects 7. Alma ata s 30th anniversary this special issue of the lancet marks the 30th anni versary of the alma ata declaration panel 1. Within the declaration, paragraph vi outlined the attributes of what would later become known as appropriate health technology. 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. It is established that the successful implementation of phc in any country requires adequate financial resources 14. The people have the right and duty to participate individually and collectively in the planning and implementation of their health care. 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. Although it had huge symbolic importance, its effect in practice was more limited. Gavi was created in 2000 as a successor to the childrens vaccine initiative, which had been launched in 1990.
Community participation and intersectoral action remain challenges for those working to reduce health inequalities. The alma ata declaration signed by eleven heads of state on december 21, 1991. Declaration of alma ata the declaration table 1 defines health as a state of complete physical, mental, and social wellbeing and not merely the absence of disease and declares health to be a fundamental human right. Definition of primary health care from the alma ata conference. 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. 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. 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.
Translating health for all into the present and future. They exchanged the lessons and experiences of the past 30 years and discussed their relevance and application to the health challenges of todays world. The spirit of alma ata was also evident in the millennium declaration in 2000. Common to both anniversaries will be recognition of universal health coverage uhc as a goal, and the place of primary. 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. 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. The declaration of alma ata was created to protect and. Here are some general points of the declaration that you will want to introduce to students or make sure they highlight when discussing the articles of the declaration.
Declaration of almaata communities are at the heart of phc and must be the owners and partners in making health for all a reality. 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. Forty years ago, the 4 national government members of the who signed the alma ata declaration. To what extent has this promise been fulfilled, 25 years down the road. The alma ata declaration was a visionary step as it.
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. Governments have a responsibility for the health of their people. The world health organization is a specialized agency of. The reasons behind the flop of almaata principles peah. 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. Translating health for all into the present and future, geneva, ecumenical centre, 18 may 2018 summary translating health for all into the present and future health is a fundamental human right enshrined in the who constitution and the declaration of alma ata. Is the declaration of alma ata still relevant to primary. An introduction to the alma ata declaration article pdf available in social medicine 21 january 2007 with 959 reads. 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. Declaration of alma ata international conference on primary health care, alma ata, ussr, 612. Having analysed the experience of primary health care implementation in the countries of africa in the last 30 years, the. 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.
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. Article 19 of the universal declaration of human rights, which. In recognition of the astana conference, we reaffirm the underlying analysis, principles and agenda presented in the alma ata declaration and update it. Oct 24, 2011 over thirty years have passed since the alma ata declaration on primary health care in 1978. Declaration of alma ata international conference on primary health care, alma ata, ussr, 612 september 1978. The almaata declaration signed by eleven heads of state on december 21, 1991. The 1978 almaata international conference on primary care and the resulting almaata declaration promoted the principle that people should play a role in developing policies and programs that affect their health a clear call for participation. The declaration of alma ata was a watershed moment in global health. The draft astana declaration alma ata 20, released in june, 2018, restates the key principles of primary health care and renews these as driving forces for achieving the sdgs. 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 context of the almaata declaration was remarkable. 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.
Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978. The declaration of alma ata defined primary health care 30 years ago. 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. Alma ata revisited the background to riga from alma ata to the year 2000. An evolving story j h bryant, johns hopkins school of public health, baltimore, md, usa. The almaata conference on primary health care was attended by delega. Declaration of alma ata international conference on primary health care, alma ata, ussr, 612 september 1978, 2004 your bibliography. This statement that health care is a human right set the stage for an entire movement in public health. Global health other bibliographies cite this for me. Revitalisng alma ata and learning from three decades of experience is crucial to reach the ambitious goal of health for all in all countries, both rich and poor.
Jan 22, 2018 my lords, achieving universal health coverage, including access to primary healthcare, is a priority for the government. Alma ata broadened the perception of health beyond. Declaration of almaata international conference on. 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. This means that countries need to track progress in providing access not just across the national population but within different groups e. Pdf in this paper, we revisit the revolutionary principlesequity, social. The declaration of alma ata on its 30th anniversary.
Strategies to improve maternal and child health should therefore involve the community as a complement to any facilitybased component. Pdf the principles agreed at almaata 30 years ago apply just as much now as. Primary health care is the key to attaining this target as. Our work to deliver the global goal of universal health coverage continues and we welcome the increased international attention on primary healthcare that the almaata declarations 40th anniversary will bring.
The international conference on primary health care, meeting in alma ata this twelfth day. The conference in almaata was a splendid event, well planned. In august 2014, gavi changed its name from gavi alliance. Almaatas 30th anniversary this special issue of the lancet marks the 30th anni versary of the almaata declaration panel 1. So unicef and who do not appear as authors, and takes the same documents as an article from the who chronicles rather than a. Nigeria, fall short of the abuja declaration of 2001 in spite of the pledge by heads of state of african union countries.
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. Revitalisng almaata and learning from three decades of experience is crucial to reach the ambitious goal of health for all in all countries, both rich and poor. The alma ata declaration law that health is not merely the absence of disease renewed the meaning of the concept of care, transcending a restrictive view. People and communities own their health and therefore health planning. From alma ata to the mdgs to what extent has equity been a. Almaata definition of almaata by the free dictionary. Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago.
Forty years on since alma atanursing and social justice. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and. 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 declaration made primary health care phc the official health policy of all members countries. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. Learn vocabulary, terms, and more with flashcards, games, and other study tools. But it is interesting to note that prior to the 1978 alma ata declaration, the country had set the ball rolling with the implementation of the basic health services scheme 19751980, which was nigerias first serious attempt at the implementation of phc. 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. Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Declaration of almaata wikisource, the free online library. Alma ata declaration on primary health care almaty 16th and 17th october 2008 over 500 participants from 65 countries came together to celebrate the 30th anniversary of the declaration of alma ata. Alma ata synonyms, alma ata pronunciation, alma ata translation, english dictionary definition of alma ata.
Declarations, charters and statements their role in health promotion article pdf available in health promotion international 223. Alma ata health for all 1978 renewed declaration for primary health care astana oct 2018 commit to make bold political choices for health across all health sectors. Understandably, sharmanov and the kazakhstan government have promoted the conference as a way of placing the republic on the global health map. Almaata declaration definition of almaata declaration by. However, despite the initial enthusiasm, it was difficult to implement healthcare in accordance with alma ata principles. Declaration of almaata, international conference on. International conference dedicated to the 30th anniversary. Declaration of alma ata alma ata, 1978 selective primary health care, 1979 1978 to present. In september 2000 189 heads of state gathered to set yet another set of eight goals, most of which had their origins in various united nations conferences that followed the alma ata declaration. Declaration of almaata international conference on primary health care, almaata, ussr, september, 1978 i the conference strongly rea. Four decades ago the declaration of alma ata identified. Alma ata declaration, developing cooperation among their countries to ensure world peace and security, as well as with the aim to maintain civil peace and national accord, 1 translation provided by the executive secretariat of the commonwealth of independent states traduction. 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. Report of the international conference on primary health care.
Renewed declaration for primary health care astana oct 2018. Pdf declarations, charters and statements their role in. Reviving the spirit of alma ata in the twentyfirst century. Many governments in the first decade following the declaration responded by developing national programmes of community health workers chws, but evaluations of these often demonstrated poor outcomes. Alma ata declaration alma ata, 21 december 1991 text on 21 december 1991, in alma ata, kazakhstan, the establishment of the commonwealth of independent states cis, a consultation body in the area of trade, clearly marks the fragmentation of the soviet empire. In developing countries, antenatal, delivery, and postnatal experiences for women usually take place in communities rather than health facilities. The alma ata declaration also encourages partnership and.
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. 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. Recognize the fundamental importance of equity, social justice and social protection mechanisms. Declaration of almaata international conference on primary health care, almaata, ussr, 612 september 1978, 2004 your bibliography. Using the declaration of alma atas definition of total. 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. Excerpts from the declaration of alma ata 1978 declaration i. This year sees the 30th anniversary of the declaration of alma ata box 1. The declaration of almaata at 40 center for global development.
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