Tuesday, April 10, 2007

Renewing Primary Health Care in the Americas

De: Equity, Health & Human Development [mailto:EQUIDAD@LISTSERV.PAHO.ORG]
Em nome de Ruggiero, Mrs. Ana Lucia (WDC)
Enviada em: terça-feira, 10 de abril de 2007 10:19
Para: EQUIDAD@LISTSERV.PAHO.ORGAssunto: ]
[EQ] Renewing Primary Health Care in the Americas
Renewing Primary Health Care in the Americas

A Position Paper of the Pan American Health Organization/World Health Organization (PAHO/WHO)
Washington, D.C: PAHO, 2007.ISBN 92 75 12698 4

Available online as PDF file [48p.] at: http://www.paho.org/English/AD/THS/primaryHealthCare.pdf

“………For more than a quarter of a century Primary Health Care (PHC) has been recognized as one of the key components of an effective health system. Experiences in more–developed and less–developed countries alike have demonstrated that PHC can be adapted and interpreted to suit a wide variety of political, social, and cultural contexts. A comprehensive review of PHC –both in theory and practice–and a critical look at how this concept can be “renewed” to better reflect
the current health and development needs of people around the world, is now in order.

The goal of this paper is to generate ideas and recommendations to enable such a renewal, and to help strengthen and reinvigorate PHC into a concept that can lead the development of health systems for the coming quarter century and beyond.

There are several reasons for adopting a renewed approach to PHC, including: the rise of new epidemiologic challenges that PHC must evolve to address; the need to correct weaknesses and inconsistencies present in some of the widely divergent approaches to PHC; the development of new tools and knowledge of best practices that PHC can capitalize on to be more effective; and a growing recognition that PHC is an approach to strengthen society’s ability to reduce inequities in
health.

In addition, a renewed approach to PHC is viewed as an essential condition for meeting the commitments of internationally agreed–upon development goals, including those contained in the United Nations Millennium Declaration addressing the social determinants of health and achieving the highest attainable level of health by everyone………”

Content:
Executive Summary
I. Why Renew Primary Health Care? . Table 1: Approaches to Primary Health Care
II. Building Primary Health Care–Based Health Systems
A. Values Figure 1: Core Values, Principles and Elements in a PHC–Based Health System
B. Principles .
C. Elements Box 1: Renewing PHC: Implications for Health Services Box 2: PHC–Based Health Systems and Human Development
D. What are the Benefits of a PHC–Based Health System?
III. The Way Forward .
A. Learning from Experience . Box 3: Human Resource Challenges in the Americas
B. Building Coalitions for Change
C. Strategic Lines of Action
Appendix A: Methods
Appendix B: Regional Declaration on the New Orientations for Primary Health Care (Declaration of Montevideo)
Appendix C: Some PHC Milestones in the Americas, 1900–2005
Appendix D: Facilitators and Barriers to Effective PHC Implementation in the Americas
References

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