The Astana Declaration and future African primary health care

Mash, Robert (2018-11)

CITATION: Mash, R. 2018. The Astana Declaration and future African primary health care. African Journal of Primary Health Care & Family Medicine, 10(1):a1983, doi:10.4102/phcfm.v10i1.1983.

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At the recent Global Symposium on Health Systems, one of the participants commented that there are three trains currently running the global health agenda – the sustainable development goals, universal health coverage and primary health care. As I write this editorial, the intergovernmental meeting in Astana will be meeting to re-commit the world to primary health care as the essential and fundamental basis of cost-effective and equitable health systems. This meeting comes 40 years after the landmark Declaration of Alma Ata which rallied the world around the call of ‘health for all’ and primary health care. However, 40 years on and despite the 2008 World Health Report also declaring primary health care is needed ‘now more than ever’, the world has yet to fully realise the vision and potential of primary health care.

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