In this modern day and age, the declaration of Alma Ata, 1978 is considered a cornerstone for health sector as it aimed at ‘Health for all’ by putting primary health care as the most important determinant (WHO, 2012). The declaration has been able to provide framework to formulate health policies that are relevant for current health need. This essay will discuss about the impact that the declaration still has on public health with relation to its principles as well as the drawbacks it faced while failing to attain Health for all by 2000. Specifically, it will describe how the declaration has been able to stay relevant and has simplified approaches to health as it still influences modern health policy at national and international level …show more content…
The declaration was considered to be very broad range and the time allocated was insufficient to achieve the goal of ‘Health for all’ (Dioniso, 2016). Alma Ata declaration concluded that primary health care did not cover all aspect of community health needs and it stated that all available assets should be used to enhance the social and financial aspects of primary health care to be equally distributed, yet this notion was not effectively implemented. (Marmot, 2013).The fact that many countries have unsystematic way of payments in health care such as out of pocket payments, indirect fees, co- payments, informal charges was unfair to people with low- socioeconomic status and led to failure of the 1978 declaration (Puras, 2016). Tejada de Rivero (2013) observed that the inability to clarify primary health care, as it is frequently mistaken for basic level of healthcare or the health service to the poorest has become considered one of the main barriers for the model to be unable to attain its goal. The reason behind inability to implement quality health care and intervention in countries with low socio- economic status along with concern to affordability and social justice, after the Alma Ata declaration was mainly due to improper political as well as technical authority that led to instability and diversion of funds ( Roberti di Sarsina &, Tassinari, 2015).
Nonetheless, the model has been able to influence today’s
Health has been influenced by many factors such as poor health status, disease risk factors, and limited access to healthcare. All these factors are due to social, economic and environmental disadvantages. According to the World Organization (WHO) (2015), “the social determinants of health are mostly responsible for health inequities, which is the unfair and avoidable differences in health status seen within and between countries”
A Health care system of any country is an important consideration for the purposes of the overall development. One of the most important and essential feature of the human body is the health and the systems. In the same manner, proper management is also necessary. Furthermore, all the countries of the world have few targets and achievements to be made. On the other hand, it should also be noted down that, economic development and social welfare the two most are the two important factors. Economic welfare is connected with the increase in the wealth of the people at large (Niles, 2011).
Providing healthcare coverage to all citizens can be challenging to many countries and only the most developed countries have adequate resources to truly provide universal coverage to their citizens. Still, when coverage and resources are not sufficient, care is rationed through limited supply or limited access. Most countries have mechanisms in place, however, to insure that affordability does not limit access to necessary services.
In Sridhar Venkatapuram’s (2010) article Global Justice and the Social Determinants of Health, the main argument presented is of the Commission on the Social Determinants of Health (CSDH) 2008 final report and examines the lack of general support the findings have received. The main concept of this analysis appears to mirror that of the CSDH’s report on “whether science, linked with ethics, can motivate global action, and whether the public scrutiny and deliberation…can meaningfully be brought together in global health policy” (Venkatapuram, 2010, p. 120). The premise behind this concept is that by bringing professionals together to address the strengths and weakness of the model, the theory behind social determinants of health will gain momentum.
“The science and art of preventing disease, prolonging life and promoting health through the organised effort of society” (Acheson 1988).
Health is dynamic and determined by the determinants of health that have factors that can both benefit and hinder our overall health (Liamputtong, Fanany, & Verrinder, 2012, p. 9). The primary health care (PHC) principles accessibility, inter-sectorial collaboration, appropriate technology, emphasis on health promotion and public participation helps all individuals at different social standings based on income levels and geographical location determined by the social determinants of health to access PHC and make an equitable health care system (McMurray & Clendon, 2011, pp. 36-44; Liamputtong, Fanany, & Verrinder, 2012, pp. 13-14).
The healthcare system has come under heavy criticism from experts from all over the world. According to Schroder, 44% of the population has no access to the healthcare system. (Schroder, 2003) There are many clinics which charge are free of cost or are charging lesser fees, but all of these are burdened and do not have the capability to meet the requirements. There are certain ethnic communities that are by enlarge poor who are of the opinion that they have been deliberately been left out of the healthcare system. These have led to the
One of the major problems facing our country today is the healthcare crisis. The inequality in our current healthcare system has created a huge gap in the difference between the level and the quality of healthcare that different people receive. Having an improved and reliable health care system available for everyone should be a priority that the government must make available. There are countries whose health care system meets the needs of the patients while there are countries whose health care systems need a great amount of overhaul for them to be able to attend to their patients. In this essay I will discuss the healthcare crisis and the differences in many countries
With the focus on these five areas, Governments in each country are creating health systems that aim to provide services that are affordable, equitable and accessible. To achieve a sustainable health system, cooperation and participation of all health care providers is vital. This will work towards WHO’s goal of achieving “better health for all”
In light of these new traits of the society, the health care sector must develop itself and address the new needs of the society. Furthermore, these new needs are not only shaped by the changes in the life style of the population, but other traits as well. For instance, at a demographic level, it is noted that the population ages at a rapid rate and requires more health care. Then, at an economic level, it is noted how the internationalized economic crisis poses new threats and limits the population's access to health care.
The aim of this essay is to evaluate the implications of the recent government health initiative ‘Be Clear on Cancer’. Here, a brief history of why the initiative was introduced in relation to public health and the political agenda will be discussed. However, it is first essential to understand how the modern healthcare has been shaped by historic and recent developments. Furthermore, understanding the influence on healthcare practice of healthcare theories and various models will be investigated in this essay. Again, it is vital to critically relate the healthcare practice to the healthcare theories in accordance with the literature review.
Absolutely, the issues relating healthcare affordability and access remains the most pressing concerns. Nonetheless, this has been the case for the most part of 20th century. Perhaps a fresh look at the system to which emphasizes on the special needs of a complex society can bring the most positive change. In systematic terms, the problem with the current structure is that prevention takes time, whereas, political progressions are short-range (McLaughlin & McLaughlin, 2008). Therefore, incentivizing prevention under the current system is almost impossible for the reason that when individuals engage in preventive programs, the continuation of accrued benefits will most likely be compromised or written out in its entirety. Such dilemma is the main concern; hence, cultivating a more consistent preventive care system is the most pressing need (Wyrwich et al., 2012).
How Does This HP2020 Objective Relate to Alma Ata’s Health for All Global Initiatives (See page 116 in the textbook)? Declaration of Alma-Ata
The Ottawa Charter first came into existence at the First International Health Promotion Conference in Ottawa, Canada 21 November 1986. Here, a never before charter of such reputed importance was forged that not only promoted health, but also implemented various strategies that an individual, group or community could adhere to in order to achieve a healthy overall well-being by the year 2000. The context in which the Ottawa Charter was created is of great significance. Essentially, the Charter was forged during the age of technology i.e. televisions/telephones etc. This enabled the Charter to broadcast Health Promotion on an international scale and thus
Primary health care evolves from the economic, cultural, social, and political conditions of a country, and it is described as an essential part of health care that is universally provided to individuals in a community at the country's and community's expense (World Health Organisation [WHO], 1978). The goal of primary health care is to address the main local health problems, but it involves community education about these problems in addition to providing disease treatments (WHO, 1978). Furthermore, primary health care is concerned with nutrition promotion, sanitation standards, family planning, immunisation, disease control and prevention, and it promotes and relies on community and individual participation in primary health