ABSTRACT
RESUMEN Al conmemorarse 40 años de la Conferencia Internacional de Atención Primaria de Salud de 1978 en Alma Ata (Kazajistán, ex URSS), la vigencia de sus principios fundamentales se mantiene, siendo importante recordarlos como un referente para el futuro mediato, y proyectarlos a la salud para todos, pendiente de construir con todos.
ABSTRACT As we commemorate 40 years of the International Conference of Primary Health Care celebrated in Alma-Ata (Kazakhstan, ex-USSR) in 1978, the currency of its fundamental principles holds strong, and it is important to remember them as a referent for the near future, and to project them to every individual's health, to be built by all.
Subject(s)
History, 20th Century , Primary Health Care , Global Health , Comprehensive Health Care , Congresses as Topic , Alma Ata Declaration , International Cooperation , Time Factors , Kazakhstan , Congresses as Topic/history , GoalsABSTRACT
Alma Ata is still in force in those experiences of comprehensive health care from all and for all that some countries have managed to implement, especially in the rural areas with populations affected by exclusion and poverty. Peru has several of them that find their roots in experiences previous to the 1978 Conference. It is interesting to confirm that many of these were initially dedicated to the care of pregnant women and newborns, and then they have translated their lessons learned to the care of the whole population.
Alma Ata sigue vigente en aquellas experiencias de Cuidado Integral de la Salud por todos y para todos que algunos países han logrado implementar, sobre todo en zonas rurales con poblaciones afectadas por la exclusión y la pobreza. El Perú detenta varias de ellas, que incluso encuentran sus raíces en experiencias previas a la Conferencia de 1978. Es interesante confirmar que muchas de estas se abocaron primero a la atención de las gestantes y recién nacidos, y luego han trasladado sus lecciones aprendidas al cuidado de toda la población.
ABSTRACT
In recent years,great effort has been made in the promotion of health for all in China.Articles on column on chronic and non-communicable disease risk factors in Uighur population,analysis based on the investigation results of Uygur population health status in the Kashi area of Xinjiang of China and similar domestic and foreign studies showed that the health data in different countries are different.The differences in health related data exist in different ethnic groups even in same country or same ethnic group in different areas.Only by fully understanding the differences in disease and related factors among different ethnic groups,developing individualized health indicators and conducting targeted intervention,the goal of health for all can be achieved.
ABSTRACT
In recent years,great effort has been made in the promotion of health for all in China.Articles on column on chronic and non-communicable disease risk factors in Uighur population,analysis based on the investigation results of Uygur population health status in the Kashi area of Xinjiang of China and similar domestic and foreign studies showed that the health data in different countries are different.The differences in health related data exist in different ethnic groups even in same country or same ethnic group in different areas.Only by fully understanding the differences in disease and related factors among different ethnic groups,developing individualized health indicators and conducting targeted intervention,the goal of health for all can be achieved.
ABSTRACT
Background: Indoor client satisfaction is a landmark parameter to assess the functioning of the First Referral Unit, being established by the Govt. of India, under Child Survival and Safe Motherhood (CSSM) programme in year 1992. At present, under the flagship of National health mission (NHM), CSSM is expected to reduce the burden of high maternal mortality in India and scope of further reduction from current levels to ensure a safe motherhood and subsequently childhood to achieve the goal of “Health for All”. Regarding this context, some of the Primary and majority of Community Health Centers were upgraded to First Referral Units (FRUs) which were specifically equipped to handle emergency obstetric cases. Intensified efforts are being continued to strengthen these FRUs under national health mission program extensively by addressing the needs of the patient’s especially indoor patients attending FRUs. Methods: Patients/clients availing indoor services; sample of 60 clients was chosen for questionnaire. Questions were asked to them to assess level of satisfaction regarding availing various indoor services and their responses were graded as poor-1, fair-2 and good-3. Results: Assessment of the functioning of the FRUs have indicated that overall satisfaction level among indoor clients is approximately 50%, which can be improved further by improving delivery of services. Conclusions: We conclude that in order to run FRU smoothly, priority should be given to health care needs of the clients.
ABSTRACT
Nearly 34 years ago, in 1978 in the face of a looming crisis in the health of the world’s populations and rising health inequality, 134 countries came together to sign the historic Alma Ata Declaration where the idea of primary health care as the chosen path to “Health for All” was formulated. However even before the declaration and more so since, countries have diverse interpretations of Universalism, each setting it in the context of its own health care model. These have ranged from the minimalist to the more comprehensive welfare state. Today, as health statistics reveal, the crisis has deepened, not only in the developing world but also in the developed world. It is important to debate the nature of the crisis and understand current policy initiatives and their ideological legitimations. The paper attempts to trace, clarify and account for the shifts in international discourse on universal health care (UHC). It argues that the idea of UHC is still with us, but there have occurred substantial shifts in discourse and meaning, shaped by changing international and national contexts and social forces impinging on health systems. The current concept of universal health coverage has only a notional allusion to universality of Alma Ata and disregards its fundamental principles. It concludes that the shifts are detrimental and its value in promoting health for all is likely to be severely limited.