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Section 1 – Underlying Factors in Tropical Medicine

Chapter 2 – Primary Care and Disease Prevention and Control

Nandini P. Shetty,
Prakash S. Shetty


In 1978, the International Conference on Primary Health Care was held in Alma-Ata, USSR, and endorsed by the World Health Organization (WHO). This conference called for urgent and effective national and international action to develop and implement primary healthcare throughout the world, particularly in developing countries, in a spirit of technical cooperation and in keeping with a new international economic order. The Alma-Ata Declaration of 1978 states that the main social target should be the attainment by all peoples of the world, by the year 2000, of a level of health that will permit them to lead a socially and economically productive life.[1]However, the world almost 30 years on from the Alma-Ata Declaration is vastly different from that which saw the signing of the Declaration. Significant global changes – new epidemics, economic …