Haikko Declaration on actions for primary health care
Bibliographic Data
| ID | 11490366 |
|---|---|
| Authors | RAPPORTEURS: MALCOLM SEGALL, RAPPORTEURS MALCOLM SEGALL (Institute of Development Studies, corresponding author), MIKKO VIENONEN |
| Year | 1987 |
| Volume | 2 |
| Issue | 3 |
| Pages | 258-265 |
| Publication date | 1987-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health Policy and Planning (JOURNAL) |
| Journal identifiers | ISSN: 0268-1080 • E-ISSN: 1460-2237 |
| Publisher | Oxford University Press (PUBLISHER • GB) |
| DOI | 10.1093/heapol/2.3.258 |
| OpenAlex | W1993784713 |
| Language | EN |
| Citations received | 2 |
An International Symposium on Health and Environment in Developing Countries was held in Haikko, Finland, in August 1986. It was organized by Finnish non-governmental organizations and supported by international agencies and the Finnish government. Some 200 health-related professionals from over 40 developing and developed countries attended. One section was devoted to primary health care, and the discussions resulted in a five-point action programme to accelerate progress towards Health for All by the year 2000. This programme was designated the Haikko Declaration. Noting that the Health for All movement is encountering difficulties in many countries, the Declaration addresses the need for continuing political support for the primary health care approach. This should be backed up by a clearer identification of social inequalities in health and health care. In the face of a resurgence of ‘vertical’ approaches in the international health arena, the Declaration reasserts the need for a broad social and intersectoral approach to health involving local decision-making; it calls on multilateral agencies and bilateral donors to support countries to develop national health systems based on primary health care, It also emphasizes the need for reforms in the world economy, which is presently detrimental to Health for All. Internationally imposed adjustment measures to repay foreign debts should not be allowed to reverse a strategic social policy like primary health care; rather actions should be taken to reverse deleterious international economic policies. More funds need to be mobilized for health care, but the present fashion for user charges-which tend to undermine Health for All-should be replaced by a greater emphasis on collective financing mechanisms. On the other hand wastage of health resources is common, especially in hospitals, and the health system should pay for some of its primary health care developments out of efficiency savings. The views expressed represent the consensus reached in an international meeting and are published in Declaration form to promote discussion and action.
Declaration · Developing country · Economic growth · Economics · Global health · Government (linguistics) · Health care · Health promotion · HRHIS · International health · Political science · Public relations · Social determinants of health · Global Health Care Issues · Global Public Health Policies and Epidemiology · Health Systems, Economic Evaluations, Quality of Life · Law · Medicine · Public Administration · Health Policy
| Citations per year | 0.15 |
|---|---|
| Citation span | 2013 - 2017 (5) |
| Highly cited | No |