INTL 340 Lecture 2: INTL 340 Week 1 Class 2
2 Jul 2018
School
Department
Course
Professor
Week 1 Class 2
Why we being with Alma-Ata?
- these principles remain relevant and very prominent today in modern health care
- inequalities in healthcare are grossly unacceptable
Community Health Workers model
- CHWs
- US is a latecomer to this model
Alma-Ata Principles
- Primary Health Care
- broader than “primary care"
- holistic view of health
- health care “as close as possible” to people
- decentralization of services (“horizontal”)
- driven by community needs (“bottom up”)
- popular participation is fundamental
- prioritizes health promotion and prevention
- comprehensive (rather than categorical)
- not “magic bullet”—>Comprehensive approach to achieving health for all
- Good example: in Cuba the doctors have to do house visits to all the people in their area
once a month
- most socialist countries are good examples
- An influence was the model of Chinese cooperative medical system: doctors provisioned
nutrition, sanitation, etc, which improved health status of people, particularly those living in rural
areas
- Inequalities in health are “grossly unacceptable"
- Community Participation in Health
- Health as a Human Right
- Health for All (HFA 2000)
- Intersectional Action for Health
- Health tied to Social/Economic Development
- an Alma-Ata principle: health and socio-economic development interlinked
- health is a social good, a product of social and political decisions
- an alternative hypothesis: healthy populations create development
- more plausible hypothesis: development creates the social conditions that offset disease
and enable health and wellbeing
- Disarmament/Peace & Health
- The global community’s responsibility for health
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
These principles remain relevant and very prominent today in modern health care. Us is a latecomer to this model. Health care as close as possible to people. Not magic bullet >comprehensive approach to achieving health for all. Good example: in cuba the doctors have to do house visits to all the people in their area once a month. An influence was the model of chinese cooperative medical system: doctors provisioned nutrition, sanitation, etc, which improved health status of people, particularly those living in rural areas. An alma-ata principle: health and socio-economic development interlinked. Health is a social good, a product of social and political decisions. An alternative hypothesis: healthy populations create development. More plausible hypothesis: development creates the social conditions that offset disease and enable health and wellbeing. Mobilized from gov, multilateral, and private organizations. Establishes goals, priorities, frameworks for health programs and action. Funds research, disease omitting and surveillance, response. Makes epidemiological data available to researchers and practitioners.
