Abstract
Enjoyment of the highest attainable standard of health is a fundamental human right of all people 2 . This is seen as an important outcome as well as a goal of sustainable human development. Yet at the dawn of the 21st century massive worldwide disparities in the provision of health care continue to exist; 800 million people still lack access to health services 3. The rate of development of the first world has been greater than that of the third world so the gap between “haves” and “have nots” is greater than ever; the richest 1.2 billion people in the world account for 82.7% of the total global wealth 4 .
Highlights
Enjoyment of the highest attainable standard of health is a fundamental human right of all people 2
The Declaration of Alma-Ata The conference found that the key to obtaining Health for All by 2000 (HFA2000) was by the worldwide implementation of primary health care (PHC)
To establish HFA2000 was h ug e ly a m b itio u s and a lth oug h it w as not o b tained it does not m ean it is not possible given tim e and en th u siasm ; d ev elo p m en t occurs in small steps rather than great leaps[17]
Summary
The Road to Alma-Ata It was the aforementioned communists, in China, who first realised that the route to. Dr Mahler (the Director-General at that time) perceived the outcome of HFA “people will use much better approaches than they do for preventing disease and alleviat ing unavoidable illness and disability and that there will be better ways of growing up, grow ing old and dying gracefully” 6 This was an extension of WHO’s traditional role from setting normative standards and providing technical advice and assistance on medical mat ters to include advocacy of health through HFA2000 7. The Declaration of Alma-Ata The conference found that the key to obtaining HFA2000 was by the worldwide implementation of primary health care (PHC) This would not be yet another externally led “add-on” pro gramme, it would form an integral and perma nent part of the health care systems from the ground up of both developed and developing countries. 5) Integration - Health, as a sector can not de velop in isolation; it both contributes to and is affected by other sectors such as sanitation, hous ing and education
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