Universal Health in the 21st Century: 40 Years of Alma-Ata”. Report of the High-Level Commission = Salud Universal en el Siglo XXI: 40 años de Alma-Ata”. Informe de la Comisión de Alto Nivel

13 April, 2019

Universal Health in the 21st Century: 40 Years of Alma-Ata. Report of the High-Level Commission

PAHO/WHO Equity, Health and Human Development – Lista Equidad

Universal Health in the 21st Century: 40 Years of Alma-Ata”. Report of the High-Level Commission =

Salud Universal en el Siglo XXI: 40 años de Alma-Ata”. Informe de la Comisión de Alto Nivel

Author: Pan American Health Organization

ISBN: 978-92-75-12068-2 (English) | 978-92-75-32068-6 (Español)

Published online: 9 April 2019

Access, download & share: http://iris.paho.org/xmlui/handle/123456789/50742 (Eglish & Español)

ENGLISH

To mark the 40th anniversary of Alma-Ata, PAHO convened the Regional Forum “Universal Health in the 21st Century: 40 years of Alma-Ata” on December 11-12, 2017, in Quito, Ecuador.

As part of this regional movement, the PAHO Director Dr. Carissa F. Etienne convened a High-level Commission: Universal Health in the 21st Century: 40 Years of Alma-Ata, chaired by Dr. Michelle Bachelet and Ambassador Nestor Mendez, and made up of an interdisciplinary group of regional experts, with representatives from communities and academia, as well as political actors, including former health ministers, trade union leaders, and different social movements. The objective of the Commission was to develop recommen­dations for the PAHO Director on how to give effect to the right to health as a fundamental human right, based on an analysis of the progress and challenges faced by health systems in the Region of the Americas. This document reflects the Commission’s position regarding primary health care (PHC), the search for solutions to ensure the right to health, and the approach taken in discussions, analysis, and recommendations on how to guarantee this right.

It is based on reports prepared by the five thematic groups addressing:

a) health care model, b) institutional model, c) financing model, d) health and social protection, and e) human resources for health.

The thematic groups were led by members of the Commission, bringing together a great number of academic experts and social movements from different coun­tries in the Region. In this report, the Commission presents ten recommendations for achieving health for all in the Region of the Americas in the 21st century. The Commission also participated actively in the processes that produced the new declaration on primary health care (Declaration of Astana), adopted by the Global Conference on Primary Health Care held in Astana (Kazakhstan) in October 2018. This global and regional discussion forum was very timely, not only enabling the Commission to advocate for the values and principles of Alma-Ata, which remain valid to­day, but also enriching this report by emphasizing key aspects that the Commission believes cannot be overlooked in order to achieve universal health.

[...]