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. 2018 Jul 3;14(1):62.
doi: 10.1186/s12992-018-0381-6.

From health for all to universal health coverage: Alma Ata is still relevant

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From health for all to universal health coverage: Alma Ata is still relevant

Kiran Raj Pandey. Global Health. .

Abstract

With increasing adoption of universal health coverage (UHC), the health for all agenda is resurgent around the world. However, after a promising start the first time in 1978, the health for all agenda fizzled over the next decade. This commentary discusses the origin of the health for all agenda in the 1970s and the influence of global politico-economic forces in shaping that agenda, its demise and the resurgence in the form of UHC in the twenty-first century. We discuss UHC's focus on finances and the increasing role of market economy in health care, and the opportunities and risks UHC poses. We conclude by saying that UHC's greater focus on finances is prudent, but in order to achieve its promise, UHC needs to regulate the market based provision of healthcare, and incorporate more of the people and community centered ethos of its earlier iteration from 40 years ago.

Keywords: Health for all; Health services; Health systems; Universal health coverage.

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Conflict of interest statement

Ethics approval and consent to participate

No ethics approval or consent to participate was obtained for this commentary.

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Not applicable.

Competing interests

The author declares that there are no competing interests.

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References

    1. Tokyo Declaration on Universal Health Coverage - UHC2030. 2017. https://www.uhc2030.org/news-events/uhc2030-news/article/tokyo-declarati.... Accessed 19 Dec 2017.
    1. World Health Organization . Declaration of Alma Ata. 1978.
    1. Cueto M. The origins of primary health care and selective primary health care. Am J Public Health. 2004;94:1864–1874. doi: 10.2105/AJPH.94.11.1864. - DOI - PMC - PubMed
    1. World Health Organization. Sustainable health financing, universal coverage and social health insurance. http://www.who.int/health_financing/documents/cov-wharesolution5833/en/. Accessed 19 Dec 2017.
    1. United Nations . United Nations general assembly resolution 67/81. 2013.

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