There are some specific items in the Alma-Ata
Declaration of 1978 of primary health care, which are:
Declaration of 1978 of primary health care, which are:
1. Use of appropriate
technology: The Alma-Ata Declaration encouraged the provision of
accessible, affordable, feasible and culturally acceptable medical technology
acceptable to the community and desists from paying too much attention to
equipment and facilities that care only affordable by only a selected few in
the community.
technology: The Alma-Ata Declaration encouraged the provision of
accessible, affordable, feasible and culturally acceptable medical technology
acceptable to the community and desists from paying too much attention to
equipment and facilities that care only affordable by only a selected few in
the community.
2. Multi-approach to health care: Health care should be
carried out through different approaches rather than focusing only on the
formal health sector. Health care should include health education on how to
prevent diseases, environmental sanitation and self-reliance of people in the
community.
carried out through different approaches rather than focusing only on the
formal health sector. Health care should include health education on how to
prevent diseases, environmental sanitation and self-reliance of people in the
community.
3. Inclusiveness: Inclusiveness should be
encouraged in health care by deliberate effort to reduce exclusiveness
resulting from social and class disparities.
encouraged in health care by deliberate effort to reduce exclusiveness
resulting from social and class disparities.
4. Objectivity: Health care delivery
should be organised in a way to meet up with the people’s health needs and
expectations. This involved a detailed understanding of the health need of the
people in the community and tailoring health care towards their needs.
should be organised in a way to meet up with the people’s health needs and
expectations. This involved a detailed understanding of the health need of the
people in the community and tailoring health care towards their needs.
5. Holistic health care planning: Health care planning
should be integrated into all the sectors of the economy of the nation. Health
care impact must be felt by all sectors.
should be integrated into all the sectors of the economy of the nation. Health
care impact must be felt by all sectors.
6. Reforms: Government should
collaborate with different stakeholders in implementing health care policies
and encourage increase participation of all stakeholders.
collaborate with different stakeholders in implementing health care policies
and encourage increase participation of all stakeholders.
7. Equitable health care distribution: Distribution of health
care should be carried out to meet the primary care need of the people in the
community to meet the health challenges of the people in the community
irrespective of their social class, location, colour, age and gender.
care should be carried out to meet the primary care need of the people in the
community to meet the health challenges of the people in the community
irrespective of their social class, location, colour, age and gender.
8. Adequate community participation: Community members should be
encouraged to adequately participate in health care by the use of available
resources in their communities.
encouraged to adequately participate in health care by the use of available
resources in their communities.
9. Health workers development: Training and retraining of
health care professionals should be carried out regularly. There should also be
an adequate distribution of trained health personnel and also encourage the
support of local community members at the primary health care and referral
levels.
health care professionals should be carried out regularly. There should also be
an adequate distribution of trained health personnel and also encourage the
support of local community members at the primary health care and referral
levels.
