Mar 08, 2008 the declaration of alma ata defined primary health care 30 years ago. This disambiguation page lists articles associated with the title almaata declaration. The alma ata declaration also recognizes that the issue of accessibility to health services and resources has historically been a barrier to effective care and that placing emphasis on curative. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year 2000. Community participation and intersectoral action remain challenges for those working to reduce health inequalities. Almaata declaration almaata, 21 december 1991 cvce. Declaration of almaata international conference on.
A central tenet of the almaata declaration is that progress in health depends on many factorsie, economics, education, nutrition, health system, and cultureand is closely linked to governance, social justice, and changes in other sectors. Libreville declaration on health and environment in africa. The key document of the summit was undoubtedly the almaata declaration. 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. Comprehensive versus selective primary health care. In 1986, the ottawa charter was adopted by a group of researchers, policymakers and public health practitioners assembled in ottawa, canada, as a road map for the countries involved in the who euro region for pursuing the declaration of alma ata s vision of health for all by the year 2000. The declaration of alma ata defined primary health care 30 years ago.
However, the reduction has been less in the least developed countries 42% than in the richest countries 77%. 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. Signed by eleven heads of state on december 21, 1991. Adopted at minsk on 22 jan uary 1993 authentic text. 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 almaata international conference on primary. The international conference on primary health care, meeting in alma ata this twelfth day. 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. If an internal link led you here, you may wish to change the link to point directly to the intended article. Russia takes over the soviet unions seat at the united nations.
Both reports reaffirmed the relevance of phc in terms of its vision and values in todays world. 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. 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 reasons behind the flop of almaata principles peah. The key document of the summit was undoubtedly the almaata declaration which stated this time more appropriately that wim the establishment of the commonwealth of independent states, the union of soviet socialist republics ceases to exist. 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 almaata protocols were the founding declarations and principles of the commonwealth of independent states cis. On 21 december 1991, in almaata, kazakhstan, the establishment of the commonwealth of independent states cis, a consultation body in the. 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.
Almaata declaration almaata, 21 december 1991 text on 21 december 1991, in almaata, 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. 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. The alma ata protocols were the founding declarations and principles of the commonwealth of independent states cis. Declaration of almaata international conference on primary health care, almaata, ussr, september, 1978 i the conference strongly rea. Over thirty years have passed since the almaata declaration on primary health care in 1978. Declaration dalmaata almaata, 21 decembre 1991 cvce.
Report of the international conference on 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. Care and the almaata declaration, which emphasized the role of sectors other than health in the creation of the health of the people. 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. 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. Almaata declaration almaata, 21 december 1991 cvce website. Is the declaration of alma ata still relevant to primary. Following are the texts of declarations signed saturday in almaata, kazakhstan, at the. It expressed the need for urgent action by all governments, all health and development workers, and the world community to protect and. Alma ata article about alma ata by the free dictionary. However, important challenges in terms of defining. Launched in 1978 at the international conference on primary health care, the declaration called for health for all by the year. Almaata declaration definition of almaata declaration by.
A terminus of the turkistansiberia rr, almaty is the industrial, financial, and cultural center of kazakhstan and was for many years its capital. 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. International conference on primary health care, alma ata, ussr, 612. Its statement reiterated many of the principles of the declaration of alma ata and the ottawa charter as they applied to the supportive environment component of the charter. 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. 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. Pdf declarations, charters and statements their role in. The leaders of russia, ukraine, and belarus had agreed to the belovezha accords on 8 december 1991, dissolving the soviet.
The year 2008 celebrated 30 years of primary health care phc policy emerging from the alma ata declaration with publication of two key reports, the world health report 2008 and the report of the commission on the social determinants of health. Declarations, charters and statements their role in. Formerly almaata a city of kazakhstan in the southeast part. The leaders of russia, ukraine, and belarus had agreed to the belovezha accords on 8 december 1991, dissolving the soviet union and forming the cis. Declarations, charters and statements their role in health. Alma ata declaration definition of alma ata declaration. It stated that primary health care is the key to attaining health for all by the year 2000. However, despite the initial enthusiasm, it was difficult to implement healthcare in accordance with almaata principles. The international conference on primary health care, meeting in almaata this twelfth day.
The declaration of alma ata was a watershed moment in global health. 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. Alma ata definition of alma ata by the free dictionary. The declaration of almaata set out a challenge to who, the member states and the. 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. Alma ata declaration, 1978 document this disambiguation page lists articles associated with the title alma ata declaration. The international conference on primary health care, held in almaata. I was also present at the third international conference on health promotion in sundsvall, sweden in 1991 which focussed on supportive environments for health. Problems of regulating relations among the postsoviet states were almost entirely ignored in the agreement.
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. Declaration of almaata international conference on primary health care, almaata, ussr, 612. The alma ata declaration of 1978 has been instrumental in primary care development worldwide. Although it had huge symbolic importance, its effect in practice was more limited. The almaata declaration of 1978 has been instrumental in primary care development worldwide. 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. The commonwealth of independent states european journal of. The republic of armenia, the republic of azerbaijan, the republic of belarus, the. As many chw programmes have responded to the hivaids pandemic, international.
The almaata declaration signed by eleven heads of state on december 21, 1991. Civil society and community involvement in public health policymaking. The alma ata declaration signed by eleven heads of state on december 21, 1991. Almaatas 30th anniversary this special issue of the lancet marks the 30th anni versary of the almaata declaration panel 1. 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, and. 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. However, despite the initial enthusiasm, it was difficult to implement healthcare in accordance with alma ata. Alma ata synonyms, alma ata pronunciation, alma ata translation, english dictionary definition of alma ata. 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. Similar patterns exist for maternal mortality and life expectancy.
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