From Alma-Ata 1978 to Astana 2018

Forty years ago, the Region of the Americas played a critical role in the development and negotiation of the Alma-Ata Declaration, which identified primary health care as a central strategy to the goal of health for all and a comprehensive approach to the organization of health systems.

Since then, the values and principles of primary health care, which include the right to health, equity, solidarity, social justice and participation, and multisectoral action, among others, have formed the basis of many PAHO mandates and have guided health systems transformation in the Region.

To commemorate the 40th anniversary of the Declaration, PAHO has undertaken several initiatives to contribute to the regional and global movement for health for all.


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