IPCHS. Integrated People-Centred Health Services

Contents

Contents tagged: alma-ata

June 1, 2015 Publication

Primary health care: making Alma-Ata a reality

The principles agreed at Alma-Ata 30 years ago apply just as much now as they did then. “Health for all” by the year 2000 was not achieved, and the Millennium Development Goals (MDGs) for 2015 will not be met in most low-income countries without substantial acceleration of primary health care. Factors have included insufficient political prioritisation of health, structural adjustment policies, poor governance, population growth, inadequate health systems, and scarce research and assessment on primary health care. We propose the following priorities for revitalising primary health care. Health-service infrastructure, including human resources and essential drugs, needs strengthening, and user fees should be removed for primary health-care services to improve use. A continuum of care for maternal, newborn, and child health services, including family planning, is needed. Evidence-based, integrated packages of community and primary curative and preventive care should be adapted to country contexts, assessed, and scaled up. Community participation and ...

Feb. 17, 2022 Europe, Global Publication

Introducing The Lancet Global Health Commission on financing primary health care: putting people at the centre

 
Primary health care (PHC) is an essential component of high-performing health systems, delivering effective, affordable, and inclusive care to people when they need it, and providing the foundation for both universal health coverage and the Sustainable Development Goals. As the platform for providing basic health services and essential public health functions, and for responding to the ongoing challenges of infectious disease and to the rapidly expanding burden of chronic conditions, PHC has a commitment to equity and social justice. Policymakers worldwide are seeking to strengthen their primary care systems to secure the health of their populations across the lifecourse.
 
 
Despite the calls to action in the Declarations of Alma Ata (1978) and Astana (2018), PHC is failing to meet the needs of the people—users, providers, and communities—who should be firmly at its centre. Resources that are destined for PHC often do not reach frontline providers. Services are often ...

April 5, 2022 Global Publication

The Lancet Global Health Commission on financing primary health care: putting people at the centre

Executive summary

The COVID-19 pandemic has brought the need for well-functioning primary health care (PHC) into sharp focus. PHC is the best platform for providing basic health interventions (including effective management of non-communicable diseases) and essential public health functions. PHC is widely recognised as a key component of all high-performing health systems and is an essential foundation of universal health coverage.
PHC was famously set as a global priority in the 1978 Alma-Ata Declaration. More recently, the 2018 Astana Declaration on PHC made a similar call for universal coverage of basic health care across the life cycle, as well as essential public health functions, community engagement, and a multisectoral approach to health. Yet in most low-income and middle-income countries (LMICs), PHC is not delivering on the promises of these declarations. In many places across the globe, PHC does not meet the needs of the people—including both users and providers ...