Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America
The year 2018 is an opportune time to explore health system reforms and primary health care (PHC) in Brazil, given the anniversaries of the Alma-Ata Declaration (40 years) and of the Constitution of Brazil (30 years), the basis of the Unified Health System (SUS). In this context, health system analy...
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ftdoajarticles:oai:doaj.org/article:29e8ec0ab18c495ba9cbd371c151f0eb 2023-05-15T15:12:11+02:00 Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America Adriano Massuda César M. S. Titton Paulo Poli 2018-10-01T00:00:00Z https://doi.org/10.26633/RPSP.2018.157 https://doaj.org/article/29e8ec0ab18c495ba9cbd371c151f0eb EN ES PT eng spa por Pan American Health Organization http://iris.paho.org/xmlui/handle/123456789/49527 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.157 https://doaj.org/article/29e8ec0ab18c495ba9cbd371c151f0eb Revista Panamericana de Salud Pública, Vol 42, Pp 1-9 (2018) Primary health care health care reform international acts universal health coverage Brazil Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 article 2018 ftdoajarticles https://doi.org/10.26633/RPSP.2018.157 2022-12-31T14:02:41Z The year 2018 is an opportune time to explore health system reforms and primary health care (PHC) in Brazil, given the anniversaries of the Alma-Ata Declaration (40 years) and of the Constitution of Brazil (30 years), the basis of the Unified Health System (SUS). In this context, health system analysis in the municipal setting is an important instrument for acknowledging achievements and innovations, as well as weaknesses and threats. Due to the principle of decentralization of SUS, municipalities have assumed a leadership role in health policy development and implementation. The cities also come first in expressing the failures of the health system and the consequences of austerity measures. Thus, analysis of health system transformations at the municipal level are fundamental to studying PHC achievements and gaps. This report identifies the challenges and innovations of PHC implementation in Curitiba, beginning with a brief history of the city's health system development. The city was a pioneer in linking urban planning with health system design, improving access to health care, and obtaining better health outcomes over the past 30 years. This report covers those years, as well as the challenges and strategies implemented during the most recent political cycle (2013 – 2016). There are substantial lessons that can be garnered from the experience of this middle-income city in Latin America, lessons that may be useful as the region moves toward the Sustainable Development Goal of Universal Health Coverage by 2030. Article in Journal/Newspaper Arctic Directory of Open Access Journals: DOAJ Articles Arctic Revista Panamericana de Salud Pública 42 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
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English Spanish Portuguese |
topic |
Primary health care health care reform international acts universal health coverage Brazil Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
spellingShingle |
Primary health care health care reform international acts universal health coverage Brazil Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 Adriano Massuda César M. S. Titton Paulo Poli Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America |
topic_facet |
Primary health care health care reform international acts universal health coverage Brazil Latin America Medicine R Arctic medicine. Tropical medicine RC955-962 Public aspects of medicine RA1-1270 |
description |
The year 2018 is an opportune time to explore health system reforms and primary health care (PHC) in Brazil, given the anniversaries of the Alma-Ata Declaration (40 years) and of the Constitution of Brazil (30 years), the basis of the Unified Health System (SUS). In this context, health system analysis in the municipal setting is an important instrument for acknowledging achievements and innovations, as well as weaknesses and threats. Due to the principle of decentralization of SUS, municipalities have assumed a leadership role in health policy development and implementation. The cities also come first in expressing the failures of the health system and the consequences of austerity measures. Thus, analysis of health system transformations at the municipal level are fundamental to studying PHC achievements and gaps. This report identifies the challenges and innovations of PHC implementation in Curitiba, beginning with a brief history of the city's health system development. The city was a pioneer in linking urban planning with health system design, improving access to health care, and obtaining better health outcomes over the past 30 years. This report covers those years, as well as the challenges and strategies implemented during the most recent political cycle (2013 – 2016). There are substantial lessons that can be garnered from the experience of this middle-income city in Latin America, lessons that may be useful as the region moves toward the Sustainable Development Goal of Universal Health Coverage by 2030. |
format |
Article in Journal/Newspaper |
author |
Adriano Massuda César M. S. Titton Paulo Poli |
author_facet |
Adriano Massuda César M. S. Titton Paulo Poli |
author_sort |
Adriano Massuda |
title |
Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America |
title_short |
Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America |
title_full |
Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America |
title_fullStr |
Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America |
title_full_unstemmed |
Remembering Alma-Ata: challenges and innovations in primary health care in a middle-income city in Latin America |
title_sort |
remembering alma-ata: challenges and innovations in primary health care in a middle-income city in latin america |
publisher |
Pan American Health Organization |
publishDate |
2018 |
url |
https://doi.org/10.26633/RPSP.2018.157 https://doaj.org/article/29e8ec0ab18c495ba9cbd371c151f0eb |
geographic |
Arctic |
geographic_facet |
Arctic |
genre |
Arctic |
genre_facet |
Arctic |
op_source |
Revista Panamericana de Salud Pública, Vol 42, Pp 1-9 (2018) |
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http://iris.paho.org/xmlui/handle/123456789/49527 https://doaj.org/toc/1020-4989 https://doaj.org/toc/1680-5348 1020-4989 1680-5348 doi:10.26633/RPSP.2018.157 https://doaj.org/article/29e8ec0ab18c495ba9cbd371c151f0eb |
op_doi |
https://doi.org/10.26633/RPSP.2018.157 |
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Revista Panamericana de Salud Pública |
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42 |
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