Between Alma-Ata and the Brazilian sanitary reform: the National Basic Health Services Program (Prev-saúde), 1979-1983

Carlos Henrique Paiva,Gabriele Carvalho Freitas

doi:10.1590/s0104-59702021000200011

Carlos Henrique Paiva, Gabriele Carvalho Freitas

Open Access

https://doi.org/10.1590/s0104-59702021000200011

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Abstract

The history of the National Basic Health Services Program (Prev-saúde) begins in 1979 with a joint effort involving the Ministries of Health, Social Security and Assistance, Interior, and Economy, as well as the Pan-American Health Organization. The objective was to reorganize basic health services in their connections with other levels of care. Internationally, it was part of the movement sparked by the International Conference on Primary Health Care in Alma-Ata in September 1978. Domestically, the program represented an accumulation of knowledge about the organization of services as well as a movement that was partially adapted to Brazilian health reform agenda. Prev-saúde was a set of health proposals that represented a technical consensus between bureaucracies and leaders of health reform.

Highlights

Na década de 1970, notadamente na virada para a década seguinte, abre-se um contexto dos mais explorados pelos estudiosos da história brasileira
The objective was to reorganize basic health services in their connections with other levels of care. It was part of the movement sparked by the International Conference on Primary Health Care in Alma-Ata in September 1978
The program represented an accumulation of knowledge about the organization of services as well as a movement that was partially adapted to Brazilian health reform agenda

Summary

Introduction

Na década de 1970, notadamente na virada para a década seguinte, abre-se um contexto dos mais explorados pelos estudiosos da história brasileira. Já em abordagem histórica mais ampla, Fausto e Matta (2007) consideraram as experiências do Serviço Especial de Saúde Pública, a partir dos anos 1940; o contexto da reforma sanitária e da conferência de Alma-Ata, no final da década de 1970; e, por fim, a experiência de modelagem do Programa Nacional de Serviços Básicos de Saúde (Prev-saúde) como capítulos da construção de uma APS nacional.

Results

Conclusion