Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals?

Hone, Thomas; Macinko, James; Millett, Christopher

doi:10.1016/s0140-6736(18)31829-4

Cited by 225 publications

(194 citation statements)

References 112 publications

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“…Under the sustainable development goals (SDG) agenda, advancing universal health coverage (UHC) is the centrepiece of health policy in many countries . To achieve UHC, some developing countries have conducted a series of health system reforms in order to increase access to primary health care and to lower the financial burden of illness .…”

Section: Introductionmentioning

confidence: 99%

Trends and socio‐economic disparities in catastrophic health expenditure and health impoverishment in China: 2010 to 2016

Zhao

Oldenburg

Mahal

et al. 2019

Tropical Med Int Health

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objectives To investigate trends and socio-economic disparities in the catastrophic health expenditure (CHE) and health impoverishment in China after major reform of the health system and to examine the impacts of the chronic disease on CHE and impoverishment.methods We obtained data from four rounds of the China Family Panel Studies 2010-2016, with a sample size of 14 960 households. We defined CHE as the point at which annual household health payments exceeded 40% of annual capacity to pay. Impoverishment is measured by the $1.90 per day poverty line. Multivariate logistic regression models were performed to identify impacts of the family member with chronic disease on CHE and impoverishment.results Between 2010 and 2016, the incidence of CHE in China decreased from 19.37% to 15.11% and from 7.39% to 5.14% for health impoverishment; however, the decrease in level of impoverishment was less in rural areas (from 6.16% down to 3.03%) than in urban areas (from 8.46% down to 7.81%). The gap between impoverishment rates across the income quartiles is growing. Multivariable analysis showed that households with two or more members suffering chronic diseases were significantly more likely to incur CHE (aOR: 2.46, 95% CI: 1.93-3.13) and impoverishment (aOR: 2.66, 95% CI: 1.87-3.78) than households with no members suffering chronic diseases, after adjusting for sociodemographic covariates.conclusions Important advances have been made in achieving greater financial protection for Chinese citizens. Nevertheless, greater attention to the poor households with chronic disease members is needed. Policymakers in China should focus on optimising integrated rural-urban health insurance by expanding the current benefit packages and strengthening poverty alleviation efforts.keywords catastrophic health expenditure, health impoverishment, socio-economic disparity, China Sustainable Development Goals (SDGs): SDG 1 (no poverty), SDG 3 (good health and well-being), SDG 8 (decent work and economic growth), SDG 10 (reduced inequalities), SDG 11 (sustainable cities and communities), SDG 17 (partnerships for the goals)

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Section: Introductionmentioning

confidence: 99%

Trends and socio‐economic disparities in catastrophic health expenditure and health impoverishment in China: 2010 to 2016

Zhao

Oldenburg

Mahal

et al. 2019

Tropical Med Int Health

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“…This was a milestone where leaders from 134 countries committed to ‘Health for All’ from then known as the Declaration of Alma‐Ata . It expressed the need for urgent action by governments, health & development workers and the world community to protect and promote the health of all people, through PHC …”

Section: Primary Health Care: From Almaty To Astanamentioning

confidence: 99%

“…[1] It expressed the need for urgent action by governments, health & development workers and the world community to protect and promote the health of all people, through PHC. [2] Forty years later, in October 2018, more than 2000 delegates representing governments, policy-makers, the private sector, non-governmental organisations, civil society and other public health agencies met in Astana in Kazakhstan at the Global Conference on Primary Health Care. This was cohosted by the Government of Kazakhstan, WHO and UNI-CEF.…”

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confidence: 99%

Advancing the workforce to meet the Primary Health Care Agenda: pharmacy’s contribution to universal health coverage

Duggan

2020

International Journal of Pharmacy Practice

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“…Comprehensiveness may be compromised both in its promotion and prevention components and in the guarantee of needs-based access to specialized and hospital care 20 . A comprehensive approach in PHC, in the spirit of Alma-Ata, with its components of health promotion and equity in confronting social determinants, is crucial for guaranteeing the right to health and synergistically meeting the SDGs 21 .…”

Section: The Global Conference On Primary Health Care In Astana: the mentioning

confidence: 99%

De Alma-Ata a Astana. Atenção primária à saúde e sistemas universais de saúde: compromisso indissociável e direito humano fundamental

et al. 2019

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Revisiting Alma-Ata: what is the role of primary health care in achieving the Sustainable Development Goals?

Cited by 225 publications

References 112 publications

Trends and socio‐economic disparities in catastrophic health expenditure and health impoverishment in China: 2010 to 2016

Trends and socio‐economic disparities in catastrophic health expenditure and health impoverishment in China: 2010 to 2016

Advancing the workforce to meet the Primary Health Care Agenda: pharmacy’s contribution to universal health coverage

De Alma-Ata a Astana. Atenção primária à saúde e sistemas universais de saúde: compromisso indissociável e direito humano fundamental

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