Selective primary health care: the counter revolution

Diseases of Poverty: The Science of the Neglected

“…The basic concern here is not new and to a significant degree, revisits the major, largely unresolved debates that raged almost 40 years ago between proponents and opponents of Primary Health Care (PHC) (38)(39)(40). The critical question is this: does one partition out individual, proximal, biological causes (i.e., the disease) and address them as independent context free problems, or is there a need for a different approach which attempts to address the multiple distal and proximal causes within the context in which they occur?…”

A transição de saúde pública 'internacional' para 'global' e a Organização Mundial da Saúde

“…Esses eventos ocorreram em meio a crescentes tensões entre a OMS, a Unicef e outras agências, e à controvérsia sobre 'atenção primária à saúde' -'seletiva' versus 'integral'. Como parte de um rancoroso debate público conduzido nas páginas de Social science and medicine, em 1988, Kenneth Newell, alto funcionário da OMS e arquiteto do Comprehensive Primary Health Care (Atenção primária integral à saúde), chamou o Selective Primary Health Care (Atenção primária seletiva à saúde) de "ameaça ... [que] pode ser entendida como uma contra-revolução" (Newell, 1988). Em 1988, o mandato de quinze anos de Mahler como diretor geral da OMS terminou.…”

A década de Alma-Ata: a crise do desenvolvimento e a saúde internacional

“…The preparation of the conference and the reception of the Alma-Ata Declaration was far from being harmonious 2,3,5 . In a few years, for example, criticism would take UNICEF to take on the proposal of Selective Primary Care after the appointment of James P. Grant as the founding Executive Director in 1980 3 .…”

“…It seeks to shed new light on the process that, in the ambit of international health, culminated in the officialization in 1978 in Alma-Ata, the then Soviet Union, Primary Health Care (PHC) as a strategy aimed at providing Health for All in the Year 2000 HFA2000 1 . The commencement of PHC and the Alma-Ata conference have been examined by participants in the events and by historians [2][3][4][5] . Our focus, however, is concentrated in a journey of the ideas around development, international cooperation and their relationship with the collection of PHC ideas.…”