HEALTH FOR ALL DR SARA J. OMMEN POST GRADUATE STUDENT
WORLD HEALTH DAY C elebrated annually and each year draws attention to a specific health topic of concern to people all over the world. The date of 7 April marks the anniversary of the founding of WHO in 1948 This year the World Health Organization will observe its 75 th anniversary. Theme is “ Health for all”
HISTORY OF WORLD HEALTH DAY
1945 – United Nations
IMPORTANCE OF WORLD HEALTH DAY World Health Day is one of the 11 official global health campaigns marked by WHO To raise global awareness of a specific health theme to highlight a priority area of concern for the World Health Organization (WHO). S erves as an opportunity to focus worldwide attention on the important aspects of global health.
WORLD HEALTH DAY- THROUGH THE YEARS
THEMES: 2010-2022
HEALTH FOR ALL In 1977 - 30th World Health Assembly resolved that the main social target in coming decades for Governments, as for the WHO, should be ‘the attainment by all citizens of the world by the year 2000 A.D. of a level of health that will permit them to lead a socially and economically productive life’ This goal got coined into a slogan Health for All by the Year 2000 A.D.
In 1978 - Alma Ata World Conference identified Primary Health Care as the key to the achievement of Health for all by 2000 A.D. In May 1979 , the World Health Assembly endorsed the Declaration of Alma Ata and invited Member States to formulate national policies, strategies and plans to attain this target. One of its important guidelines - each Member State should have a National Health Policy (NHP)
FROM MDGs to SDGs
DECLARATION OF ASTANA In October 2018 , the Global Conference on Primary Health Care, which took place in Astana, Kazakhstan, endorsed a new declaration emphasizing the critical role of primary health care around the world – ‘ Declaration of Astana ’
The Global Strategy for Health for All by the Year 2000 (HFA2000) set the following guiding targets to be achieved by year 2000: Life expectancy at birth above 60 years Infant mortality rate below 50 per 1000 live births Under-5 mortality rate below 70 per 1000 live births.
PRIMARY HEALTH CARE Primary health care - foundation of a strong health system. D efined as “ essential health care based on practical, scientifically sound and socially acceptable methods and technology, made universally accessible to individuals and families in the community through their full participation and at a cost that the community and country can afford to maintain at every stage of their development in the spirit of self-reliance and self-determination”.
Primary health care - health care made universally accessible to individuals and families in the community by means acceptable to them, through their full participation and at a cost the community and country can afford. Integral part of the country’s health system Primary Health Care - a health conscious people’s movement
UNIVERSAL HEALTH COVERAGE Universal health coverage (UHC)- all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. It covers the full continuum – essential health services from health promotion to prevention treatment, rehabilitation palliative care across the life course.
What is Universal health coverage? All people have access to the quality health services they need, including: Well trained health workers Safe treatment Access to medicines and vaccines, when and where they need them, without facing financial hardship
The delivery of these services- requires health care workers ,who are equitably distributed, adequately supported with access to quality assured products, and enjoying decent work.
To make Universal Health Coverage a reality, we need: Individuals and communities who are empowered to take care of their health and the health of their families Skilled health workers providing quality ,people- centred care Policy makers committed to investing in primary health care
Health for All in the 21st Century In May 1998, the WHO adopted a resolution in support of the new global Health for All policy. The new policy, Health for All in the 21st Century , succeeds the Health for All by the Year 2000 strategy launched in 1977. 10 global health targets were putforth - They can be divided into three subgroups: Health outcome targets (four targets), targets on determinants of health(2 targets) targets on health policies and sustainable health systems (four targets).
Health Outcome targets include : Health equity Survival Reverse global trends of five major pandemics Eradicate and eliminate certain diseases
Targets on determinants of health : Improve access to water, sanitation, food and shelter Measures to promote help
Health Policies and Sustainable Health Systems: Develop, implement and monitor national Health for All policies Improve access to comprehensive essential health care Implement global and national health information and surveillance systems: Support research for health
WHAT COVID-19 TAUGHT US?? Primary health care - substantial role in prevention, preparedness, response and recovery – and in ensuring the continued access of the population to essential health services during a pandemic PHC has a significant role in improving the equity of efforts to manage health emergencies and maintain health service access , with effective involvement of communities as partners
REACHING THE UNREACHED Disadvantage and marginalization - exclude certain populations in societies from enjoying good health. I nequalities and inequities on the basis of gender, age, sexual orientation or gender identity, socio - economic status and migration status G reater rates of ill-health and significant obstacles to accessing quality and affordable healthcare among these people including indigenous populations.
REALITY VS. THE GOAL NEWS HEADLINE (12/12/2022) PALAKKAD,KERALA: A pregnant tribal woman in Kerala was carried by her relatives on a makeshift stretcher/ doli for three-and-a-half kilometres since the road to her village was damaged and the ambulance could not reach her . After reaching the main road, the ambulance took her to the hospital. The incident took place at Attapadi Taluk in Kerala’s Palakkad district .
STRATEGIES & ACTION Work hand in hand with affected communities and individuals to address the root causes of inequities T o implement solutions – within and beyond the health sector. Adopt a whole-of-government approach to tackling the root causes of inequities I ncrease investment in primary health care . This is key to meeting today’s challenges of ensuring Health for All and to building the resilience of tomorrow
We know # Healthforall is possible , lets make it happen