tailieunhanh - báo cáo khoa học: " A renewed focus on primary health care: revitalize or reframe?"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: A renewed focus on primary health care: revitalize or reframe? | Bhatia and Rifkin Globalization and Health 2010 6 13 http content 6 1 13 H2 GLOBALIZATION . 7 AND HEALTH DEBATE Open Access A renewed focus on primary health care revitalize or reframe Mrigesh Bhatia1 Susan Rifkin2 Abstract The year 2008 celebrated 30 years of Primary Health Care PHC policy emerging from the Alma Ata Declaration with publication of two key reports the World Health Report 2008 and the Report of the Commission on the Social Determinants of Health. Both reports reaffirmed the relevance of PHC in terms of its vision and values in today s world. However important challenges in terms of defining PHC equity and empowerment need to be addressed. This article takes the form of a commentary reviewing developments in the last 30 years and discusses the future of this policy. Three challenges are put forward for discussion i the challenge of moving away from a narrow technical bio-medical paradigm of health to a broader social determinants approach and the need to differentiate primary care from primary health care ii The challenge of tackling the equity implications of the market oriented reforms and ensuring that the role of the State in the provision of welfare services is not further weakened and iii the challenge of finding ways to develop local community commitments especially in terms of empowerment. These challenges need to be addressed if PHC is to remain relevant in today s context. The paper concludes that it is not sufficient to revitalize PHC of the Alma Ata Declaration but it must be reframed in light of the above discussion. Introduction In 1978 member States of the World Health Organization WHO attending the meeting in Alma Ata supported the policy of Primary Health Care PHC 1 . This policy shifted the focus of health improvements from mere provision of health services to the larger context of the relationship between health and social and economic development. Thirty years later WHO and its regional affiliates .

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