The local roots of 'health for all
Primary health care in practices, 1950s-2000s
Bibliographic Data
| ID | 5148504 |
|---|---|
| Authors | C Beaudevin (0000-0002-4382-9260, Centre National de la Recherche Scientifique, corresponding author), Jean-Paul Gaudillière (0009-0008-6984-2667, Centre de Recherche Médecine, Sciences, Santé, Santé Mentale, Société), Christoph Gradmann (0000-0003-4835-7394, University of Oslo) |
| Year | 2023 |
| Volume | 319 |
| Pages | 115321 |
| Publication date | 2023-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2022.115321 |
| PMID | 36202678 |
| OpenAlex | W4293571896 |
| Language | EN |
| Citations received | 8 |
| References cited | 12 |
We look at Universal Health Coverage (UHC) through a historical investigation of the "health for all by 2000" policy adopted by the WHO in 1978. Within contemporary debates on access to care, Alma Ata is usually considered as a brief moment of well-intentioned utopia, which buckled to global health's agenda of performance metrics and targeted diseases. Such visions of primary health care (PHC) are shared references in the debates about UHC. Aiming at a less geopolitical and more local approach of the strategy's roots than the existing historiography, the paper draws from historical and ethnographic work on health policies and practices in Tanzania, Oman and Kerala (India), in which PHC was not only envisioned, but constructed as the backbone of local health systems, often prior to Alma Ata. All three states were praised for their PHC achievements. Studying them allows for emphasizing the importance of national trajectories in PHC, as well as revealing shared core issues such as the importance of access and affordability, of the focus on rural centers and the mass training of non-medical personnel, and of the articulation of vertical programs and horizontal system building. It also reveals very different trajectories in terms of duration, priorities, outcomes and international visibility
Economic growth · Economics · Geopolitics · Health care · Historiography · International health · Political science · Politics · Primary health care · Public health · Public relations · Sociology · Vision · Healthcare Policy and Management · Healthcare Systems and Reforms · Law · Medicine · Nursing · Primary Care and Health Outcomes · Public Administration · Health Policy
Effective coverage for reproductive, maternal, neonatal and newborn health
Kerala’s progress towards universal health coverage
Examining the major barriers to women’s participation and employment in coastal activities of India’s blue economy
Redefining Wellness
Patronage, partnership, voluntarism
Health for all? Pasts, presents and futures of aspirations for universal healthcare
The political economy of 'strengthening health services
Health by the people, again? The lost lessons of Alma-Ata in a community health worker programme in Zambia
The World Health Organization between North and South
India Economic Development and Social Opportunity
Episodic Fieldwork, Updating, and Sociability
Africa and the Second World War
Developing Africa
Surrogates of the State
Treatment on Trial
Medi-Caring on the Colonial Margins
Health by the people, again? The lost lessons of Alma-Ata in a community health worker programme in Zambia
| Unique citing works | 8 |
|---|---|
| Citations per year | 2 |
| Citation span | 2022 - 2025 (4) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 8 |