The European Journal of Public Health
Volume 28, Issue 4, 1 August 2018
Reflecting on Alma Ata 1978: forty years on
Kairat Davletov; Talgat Nurgozhin; Martin McKee
European Journal of Public Health, Volume 28, Issue 4, 1 August 2018, Pages 587, https://doi.org/10.1093/eurpub/cky094
The Alma Ata declaration was a product of its time. It came about from a recognition that, in an increasingly prosperous world, many people were being left behind. In the world’s poorest countries, tens of thousands of people were dying every year from entirely avoidable conditions, lacking access to even the most basic health services. At the same time, those in the richest countries were benefiting from pharmaceutical and technological advances that would have been undreamed of even a decade earlier.
Forty years on, much of what it said is now taken for granted, such as health being a human right, that inequality of health status between rich and…