scholarly journals The Human Right to Health and Primary Health Care (PHC) Policies

2017 ◽  
pp. 145-166
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Right To Health ◽  
Human Right ◽  
Primary Health

scholarly journals SUS-30 years: right and access in a day in the life of Primary Health Care

2021 ◽  
Vol 74 (2) ◽  
Author(s):  
Selma Maria da Fonseca Viegas ◽  
Leila Cristine do Nascimento ◽  
Cássia Menezes ◽  
Thiago Rocha Santos ◽  
Gabriel Rios Roquini ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Right To Health ◽  
Human Right ◽  
Social Actors ◽  
Unified Health System ◽  
Primary Health ◽  
Study Results ◽  
Multiple Case ◽  
The Right

ABSTRACT Objectives: to understand access in a day in the life Primary Health Care as a fundamental right to health, from users’ perspective. Methods: a holistic-qualitative multiple case study based on Comprehensive Sociology of Everyday Life. 77 Unified Health System (SUS) users participated in the study. Results: according to users’ voice, the right to health is still a matter of struggle, in more than 30 years of SUS. SUS is considered as the place where they have to appeal. The experiences are diverse, from the ease to the difficulty of access, neglecting users’ needs, but despite the inequality in relation to the offer of services, the solution always arrives. Final Considerations: to overcome this historical obstacle of comprehensive access to health, as a fundamental human right, it is necessary to overcome political and administrative decisions that hinder the construction of legitimate SUS, in a truly democratic participation of all social actors.

Bases and Horizons of Person-Centered Women’s Health 40 Years after Alma Ata

2019 ◽  
Author(s):  
C Ruth Wilson ◽  
Petra ten Hoope-Bender ◽  
Juan E. Mezzich ◽  
James Appleyard ◽  
Ann Karin Helgesen ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Human Right ◽  
Primary Health ◽  
Health Strategy ◽  
Centered Care ◽  
International College ◽  
The Life Course

Forty years after the Alma Ata Declaration, opportunities and challenges in achieving person-centered care for all people remain, particularly for women. This review describes the foundations and horizons of the Geneva Declaration Person-Centered Women’s Health 40 Years after Alma Ata, issued as a consensus statement of the International College of Person Centered Medicine (ICPCM) meeting in April 2018. Person-centered medicine has as its central precept the relationship between a health professional and a person seeking care. This principle is the link to primary health care, which is built on a lasting relationship with individuals and populations. Women have particular health needs, partly based on reproductive health, influenced by the social context of their lives. There is a need for recommitment to the principles of Alma Ata if health for all is to be achieved. Equitable access to person-centered integrated care for women and men throughout the life course is a human right. Universal health care, based on primary health care as a general health strategy, is the precursor for achieving this aim.

Health Care Ten years after Alma Ata

1988 ◽  
Vol 28 (267) ◽  
pp. 519-530
Author(s):  
Andrei K. Kisselev ◽  
Yuri E. Korneyev
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
World Health ◽  
Social Goal ◽  
Human Right ◽  
World Health Assembly ◽  
Primary Health ◽  
The World ◽  
Socially Relevant ◽  
Year 2000

In 1977 the Thirtieth World Health Assembly decided that the main social goal of governments and WHO should be “the attainment by all citizens of the world by the year 2000 of a level of health that will permit them to lead a socially and economically productive life”.The International Conference on Primary Health Care (PHC), meeting in Alma Ata, USSR, in 1978, asserted that health is a human right and that health care should be accessible, affordable and socially relevant.

The challenges of providing primary health care to Afghan immigrants in Tehran: a key global human right issue

2020 ◽  
Vol 13 (3) ◽  
pp. 259-273 ◽  
Author(s):  
Afsaneh Takbiri ◽  
AmirHossein Takian ◽  
Abbas Rahimi Foroushani ◽  
Ebrahim Jaafaripooyan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Insurance Coverage ◽  
Structured Interviews ◽  
Human Right ◽  
Content Type ◽  
Primary Health ◽  
Afghan Immigrants

Purpose This study aims to explore the challenges of providing primary health care (PHC) to Afghan immigrants in Tehran as an important global human right issue. Design/methodology/approach In this exploratory study, a total of 25 purposively selected PHC providers, including physicians, psychologists and midwives, were approached for face-to-face, semi-structured interviews, lasting 30 min on average. Thematic analysis was used to analyze the data. Findings The most common challenges of providing PHC to Afghan immigrants were categorized at individual, organizational and societal levels. Communication barriers and socioeconomic features emerged at the individual level. The organizational challenges included mainly the lack of insurance coverage for all immigrants and the lack of a screening system upon the immigrants’ arrival from the borders. At the societal level, the negative attitudes toward Afghan immigrants were causing a problematic challenge. Research limitations/implications The main limitation was the possibility that only health-care professionals with particular positive or negative perspectives about immigrants enter into the study, because of the voluntary nature of participation. Practical implications Findings can help policymakers adopt evidence-informed strategies for facilitating PHC provision and improving the access to health care in immigrants as a global human right concern. Social implications This study alerts about undesirable consequences of certain attitudes and behaviors of the society toward immigrant health. Originality/value To the best of the authors’ knowledge, this is one of the first studies conducted in PHC centers in Tehran Province that explores the challenges of providing PHC to Afghan immigrants.

scholarly journals Health of the LGBTI+ Population in Primary Health Care and the Insertion of Nursing

2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Juliana Spinula dos Santos ◽  
Rodrigo Nogueira da Silva ◽  
Márcia de Assunção Ferreira
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Right To Health ◽  
Lgbt Health ◽  
Biological Sex ◽  
Primary Health ◽  
Professional Category ◽  
The Right

Abstract Objective: To reflect on the approaches to the health of the LGBTI+ population, Primary Health Care and Nursing in the care of this population. Method: The reflection is based on a brief characterization of the LGBTI+ population and their health, an analysis of the nurses' work in Primary Health Care (PHC), and a debate about particularities of the nursing care for the LGBTI+ population in the PHC. Results: The LGBTI+ population is composed of many populations defined by the diversity of gender identity and expression, sexual orientation, and biological sex. In Family Health teams, nurses must know the main demands of this population. The institutional reorientation of PHC imposes new challenges to the enjoyment of the right to health of the LGBTI+ population. Conclusion and implications for practice: Although the National LGBT Health Policy is seven years old, studies are still scarce, foremost in Nursing. Considering that the LGBTI+ population is also under the Nursing responsibility in the PHC, it is up to this professional category to provide integral assistance with a view to minimizing the inequalities suffered by this population.

scholarly journals Health advocacy and primary health care: evidence for nursing

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Carla Aparecida Arena Ventura ◽  
Laís Fumincelli ◽  
Marcela Jussara Miwa ◽  
Mirella Castelhano Souza ◽  
Maria da Glória Miotto Wright ◽  
...  
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Primary Health Care ◽  
Literature Review ◽  
Right To Health ◽  
Health Advocacy ◽  
Team Members ◽  
Health Team ◽  
Primary Health ◽  
Concept Of Health

ABSTRACT Objectives: to analyze nursing actions involving health advocacy in the context of primary health care and the consolidation of this right to health. Methods: this is an integrative literature review with content analysis of the results on health advocacy and its relationship with nursing in the context of primary health care. Results: the content analysis of the seven selected studies resulted in two thematic categories: “Right to health - a complex and progressive consolidation movement in Brazil” and “Advocacy in health and nursing”. Conclusions: despite the difficulties in defining the concept of health advocacy, nurses, in their practice, act with innovative alternatives to daily conflicts, exercising the users’ right to health in their relationships with health team members and the community.

scholarly journals Alma Ata after 40 years: Primary Health Care and Health for All—from consensus to complexity

2018 ◽  
Vol 3 (Suppl 3) ◽  
pp. e001188 ◽  
Author(s):  
Susan B Rifkin
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Community Participation ◽  
Monitoring And Evaluation ◽  
Realist Evaluation ◽  
Human Right ◽  
Political Factors ◽  
Primary Health ◽  
Recent Developments ◽  
Perception Of Health

Forty years ago, the 134 national government members of the WHO signed the Alma Ata Declaration. The Declaration made Primary Health Care (PHC) the official health policy of all members countries. Emerging from the conference was the consensus that health was a human right based on the principles of equity and community participation. Alma Ata broadened the perception of health beyond doctors and hospitals to social determinants and social justice. In the following years implementing this policy confronted many challenges. These included: (1) whether PHC should focus on vertical disease programmes where interventions had the most possibility of success or on comprehensive programmes that addressed social, economic and political factors that influenced health improvements; (2) whether primary care and PHC are interchangeable approaches to health improvements; (3) how equity and community participation for health improvements would be institutionalised; and (4) how financing for PHC would be possible. Experiences in implementation over the last 40 years provide evidence of how these challenges have been met and what succeeded and what had failed. Lessons from these experiences include the need to understand PHC as a process rather than a blueprint, to understand the process must consider context, culture, politics, economics and social concerns, and therefore, to recognise the process is complex. PHC needs to be examined within evaluation frameworks that address complexity. Recent developments in monitoring and evaluation have begun to respond to this need. They include realist evaluation and implementation research.

scholarly journals A public health Italian ethical movement to sustain the beveridge model: health promotion and equity

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Sessa ◽  
G Occhini ◽  
C Milani ◽  
G Marini ◽  
A Sarro
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Promotion ◽  
Health Policy ◽  
Primary Health Care ◽  
Best Practices ◽  
Health Professionals ◽  
Right To Health ◽  
Primary Health ◽  
The Right

Abstract Worldwide sustainability of the National Health Systems (NHS) has been facing different challenges, such as population ageing, epidemiologic transition and deep social transformations. All these changes are struggling Italian welfare state and its public NHS. Following the principle of the Right to Health of the Declaration of Human Right and the Italian Constitution, a group of young health professionals from all over Italy founded a campaign called “2018 Primary Health care: Now or Never”(PHC Campaign) reminding WHO report of 2008 “primary Health Care: Now more than never”. This movement promotes a reform of the NHS focusing on comprehensive-PHC (C-PHC) and health promotion to guarantee sustainability of the Beveridge model italian system, fight health inequalities and answer the complexity of population needs in a period of spending cuts. Since the beginning, the movement started an educational program through the study of the literature and the research of the Italian and international best practices of C-PHC and community health promotion. As a result, to achieve the goal of this project, PHC campaign organized peer education training sessions, educational site-visit of some Italian best practices, lectures and workshops with Italian and foreigner health professionals experts on the field. Several national and regional events had been organized all over Italy. Members of “PHC” Campaign have been invited to write books, news on web-based newspapers on this topic and participate in congresses. To date, PHC campaign might be considered one of the strongest not-institutional voices in Italy in supporting the public beveridge-model NHS Moved from a strong ethical health policy view underlined the importance of the Right-to-Health and of a C-PHC based NHS, since the beginning, “2018 Primary Health care: Now or Never” Movement identified three asset of action: advocacy, education/knowledge and diffusion. Key messages The experience showed the importance of health professionals engagement in public health topics such as sustainability of public NHS in order to promote a reform towards health promotion and equity. PHC Campaign is an example of how a bottom-up ethical movement on public health from different Health professionals could actively contribute to promoting cultural and health policy change.

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