The Need for New Models to Measure the Impact of Prevention

Abstract

Ever since the Declaration of Alma-Ata of 1978, and later reconfirmed in the Declaration of Astana in 2018, health promotion and disease prevention was recognized as central to the role of primary healthcare [1,2]. However, despite longstanding and widespread agreement on the centrality of prevention to the public health agenda [3], and except for immunization, the health sector remains challenged to meaningfully include prevention, focusing more on conspicuous health issues. This has meant preventive interventions were not translated into viable models for service delivery.