Search

This article discusses the failure to implement the goals of the 1978 Alma-Ata, Kazakhstan Declaration on public health services accessibility and the 2000 United Nations Millennium Project goals. The role that primary health care services will play in the eventual achievement of these goals is addressed. The goals are described in terms of their larger ideals, such as health for all, and their quantifiable aims, such as measurable reductions in child mortality. Challenges related to the integration of primary health care within the public health infrastructures of developing countries are addressed. administration and the development of meaningful community participation in health care are described as two issues relating to the implementation of public health goals. INSETS: Panel 1: Research priorities for primary health care based on...;Panel 2: Actions to increase commitment and resources for....

This article discusses the role of community participation in medical care for mothers and their newborn children. The role of community participation in public health administration is framed as a goal established by the 1978 Alma-Ata, Kazakhstan Declaration on primary care in public health. Controversy regarding the relative importance of targeted interventions and community based health services in international aid to medical care is described. Community based efforts to develop public health interventions are framed in terms of their small scale compared to commodity based approaches that provide products such as mosquito netting and oral rehydration formula to treat diarrhoea. INSETS: Panel 1: Projects in rural India and Kenya which influenced...;Panel 2: Building community empowerment;Panel 3: Case study of how women's groups are addressing first....

This article assesses the implementation of health care reforms proposed by the Alma-Ata, Kazakhstan Declaration on health services accessibility in 1978. These principles included equal access to treatment, social justice, and health care for all. Changes in the provision of primary care are analysed in terms of the changing contexts in which public health services are administered. Issues arising from the development of integrated health systems and an increasing focus on evidence-based approaches to medicine are considered. The increasing importance of community participation in medical care is noted. The importance of increased access to medical technology in the developing world is encouraged. INSETS: Panel 1: Declaration of Alma-Ata International Conference on...;Panel 3: Summary of the main programmes and tasks within the....