重振初级卫生保健以实现全民健康覆盖和可持续发展目标——从《阿拉木图宣言》到《阿斯塔纳宣言》看初级卫生保健理念的进步

Revival of primary health care to realize universal health coverage and sustainable development goals: viewing the progress of primary health care from Declaration of Alma-Ata and Declaration of Astana

在《阿拉木图宣言》发表40周年之际,全球初级卫生保健大会在阿斯塔纳召开,会议发表了《阿斯塔纳宣言》,与会的各国政府在四个关键领域作出了承诺:(1)在所有部门为增进健康做出大胆的政治选择;(2)建立可持续的初级卫生保健服务;(3)增强个人和社区权能;(4)使利益攸关方的支持与国家政策、战略和计划保持一致。这个宣言是对《阿拉木图宣言》的继承和发展。它继承了《阿拉木图宣言》的价值理念,包括公平、正义、政府承担责任和社区参与,在将健康融入所有政策、强调提供连续的、整合的初级卫生保健服务并提高初级卫生保健的质量等方面,都是对《阿拉木图宣言》的发展。

Forty years after the release of Declaration of Alma-Ata,the Global Conference on Primary Health Care was held in Astana,where Declaration of Astana was issued. WHO and all member states made commitments in four key areas:( 1) making political choices for health promotion in all sectors;( 2) establishing sustainable primary health care services;( 3) empowerment of individuals and communities;( 4) to align stakeholder support with national policies,strategies and plans. This declaration is the inheritance and development of Declaration of Alma-Ata. It inherits the values advocated by Declaration of Alma-Ata,including equity,justice,government responsibility and community participation. It is the evolution of Declaration of Alma-Ata in the aspects of health in all policies,provision of sustainable integrated primary health care services and improvement in the quality of primary health care.