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

Pires-Alves, Fernando Antônio; Cueto, Marcos

doi:10.1590/1413-81232017227.02032017

Cited by 12 publications

(7 citation statements)

References 9 publications

(15 reference statements)

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“…The current context of SDGs and UHC contrasts with the Cold War division of worldviews at the time of Alma-Ata, 32 even as new divisions threaten to escalate. Rather than just affirming primary health care as essential to the SDG and UHC targets, it is useful to discriminate between these two policy vehicles in terms of what each can best guide and achieve.…”

Section: Priorities For Support To Countriesmentioning

confidence: 95%

Primary health care, the Declaration of Astana and COVID-19

Rasanathan¹

2020

Bull. World Health Organ.

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Four decades after the Declaration of Alma-Ata, its vision of health for all and strategy of primary health care are still an inspiration to many people. In this article we evaluate the current status of primary health care in the era of the Declaration of Astana, the sustainable development goals, universal health coverage and the coronavirus disease 2019 pandemic. We consider how best to guide greater application of the primary health care strategy, reflecting on tensions that remain between the political vision of primary health care and its implementation in countries. We also consider what is required to support countries to realize the aspirations of primary health care, arguing that national needs and action must dominate over global preoccupations. Changing contexts and realities need to be accommodated. A clear distinction is needed between primary health care as an inspirational vision and set of values for health development, and primary health care as policy and implementation space. To achieve this vision, political action is required. Stakeholders beyond the health sector will often need to lead, which is challenging because the concept of primary health care is poorly understood by other sectors. Efforts on primary health care as policy and implementation space might focus explicitly on primary care and the frontline of service delivery with clear links and support to complementary work on social determinants and building healthy societies. Such efforts can be partial but important implementation solutions to contribute to the much bigger political vision of primary health care.

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Section: Priorities For Support To Countriesmentioning

confidence: 95%

Primary health care, the Declaration of Astana and COVID-19

Rasanathan¹

2020

Bull. World Health Organ.

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“…In this perspective, strategies for developing health anchored in the structures of the social formations, supported by health professionals, were elaborated in local health units, responsible for the greater part of care. [1][2][3] This represented an attempt to overcome the predominant health care model, marked by the paradigm of disease and fragmentation, to the detriment of integrality.…”

Section: Introductionmentioning

confidence: 99%

Teamwork in the Family Health Strategy: professionals’ perceptions

et al. 2019

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Objective: to identify the perceptions of health professionals about teamwork in the Family Health Strategy. Methods: descriptive study / qualitative approach, carried out with a Family Health Strategy team. Semi-structured interviews were conducted with eight professionals. Data collection took place in 2017. Thematic modality/ content analysis was used for data treatment. Results: in the analysis of the data emerged three thematic categories: Constituent elements of the teamwork: contemplates important attributes for construction of teamwork, such as dialogue / collaboration / help / consensus and union; Professional specificity: it shows the accomplishment of the work based on the specificity of each profession; Teamwork at specific times: it reveals that, for the interviewees, teamwork occurs in defined moments, as in the circumstances of group attendance, in lectures and in continuing education. Conclusion and Implications for practice: Professionals perceive teamwork as one that is anchored in mutual aid, collaboration and common goals. However, in practice, the work follows the trend more individualized. Evidence of possible changes to be implemented in daily life, in order to promote the modality of teamwork, with a view to integral assistance.

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“…Access to healthcare is a basic requirement of any community. [1][2][3] Their availability and optimum utilisation is ensured by the administration by ensuring quality standards acceptable to the local populace. 3 The health services thus provided should be independent of the economic and social background of the care seeker.…”

Section: Introductionmentioning

confidence: 99%