The development of primary health care under the influence of the Alma-Ata and Astana declarations

Abstract


The article examines the implementation of the provisions and principles of the Alma-Ata Declaration of 1978 and the Astana Declaration of 2018 from the standpoint of a critical analysis of the success of the world community in implementing the concept of primary health care and achieving the Sustainable Development Goals. It is concluded that the Astana Declaration clarifies and concretizes certain provisions of the Alma-Ata Declaration on the political vision of primary health care (realization of the right to health to ensure health for all) and its applied essence. The political vision of primary health care is still relevant and even necessary to achieve the new principles of the World Health Organization and the Sustainable Development Goals.

About the authors

Olesya L. Nesterenko

Scientific Research Institute of Healthcare Organization and Medical Management, Moscow, Russia

Email: 001

References

  1. Evans T., Rasanathan K. Primary care and global health. In: Harrison’s principles of internal medicine. N.Y.; 2022:3718—3725.; 2. GBD 2015 Risk Factors Collaborators. Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990—2015: a systematic analysis for the Global Burden of Disease Study 2015. Lancet. 2016;388(10053):1659—1724.; 3. Aksenova E. I., Kamynina N. N., Korotkova E. O. Overview of the WHO primary health care concept. In: Proceedings of the Research Institute of Healthcare Organization and Medical Management. Moscow; 2021;(9):64—79. (In Russ.); 4. Kickbusch I. Health in all policies: the evolution of the concept of horizontal health governance. Adelaide; 2010:11—23.; 6 Декларация Астаны. Женева: Всемирная организация здравоохранения; 2018. URL: https://www.who.int/docs/default-source/primary-health/declaration/gcphc-declaration.pdf (дата обращения: 12.01.2023)

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