How did seven low- and middle-income countries, inspired by the
landmark Alma-Ata Declaration, dramatically improve citizen health
by focusing on primary health care? The Alma-Ata Declaration of
1978 marked a potential turning point in global health, signaling a
commitment to primary health care that could have improved the
safety of air, food, water, roads, homes, and workplaces in all 180
countries that signed it. Unfortunately, progress in many countries
stalled in the 1980s. The declaration was, however, embraced by a
number of countries, where its implementation led to substantial
improvement in citizen health. Achieving Health for All reveals
how, inspired by Alma-Ata, the governments of seven countries
executed comprehensive primary health care systems, deploying new
cadres of community-based health workers to bring relevant services
to ordinary households. Drawing on a set of narrative case studies
from Bangladesh, Indonesia, Ethiopia, Nepal, Ghana, Sri Lanka, and
Vietnam,the book explains how a primary health care focus succeeded
in improving population health. The book also conclusively
demonstrates that comprehensive, multisector, community-controlled,
and population-level primary health care is a viable strategy that,
against the odds, has led to sustainable, scalable good health at
lower cost. Bringing together a group of experts to analyze the
forty-year legacy of the Alma-Ata Declaration, Achieving Health for
All is a fascinating look at the work needed to transform nations
from places that make people sick to places where they stay
healthy. An inspiring array of lessons learned along the way shows
how readers can make policies that support the health of all
people. Contributors: Onaopemipo Abiodun, Vinya Ariyaratne, John
Koku Awoonor-Williams, Kedar Prasad Baral, Ayaga A. Bawah, Pedro
Mas Bermejo, Fred N. Binka, David Bishai, Carolina Cardona, Dennis
Carlson, Chala Tesfaye Chekagn, Hoang Khanh Chi, Svea Closser, Luc
Barriere Constantin, Zufan Abera Damtew, Marlou de Rouw, Nadia
Diamond-Smith, Philip Forth, Mignote Solomon Haile, Nguyen Thanh
Huong, Taufique Joarder, Alice Kuan, Seblewengel Lemma, Sasmira
Matta, Ahmed Moen, Rituu B. Nanda, Frank K. Nyonator, Ferdous
Arfina Osman, Claudia Pereira, Henry B. Perry, James F. Phillips,
Meike Schleiff, Melissa Sherry, Rita Thapa, Kebede Worku
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