Healing Asia Through Alma Ata


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  • Greet… Introduce oneself…
  • Healing Asia Through Alma Ata

    1. 1. Ramon Lorenzo Luis Rosa Guinto President, Asian Medical Students’ Association-Philippines Asia-Pacific Youth Representative to the 30 th Conference of the Alma Ata Declaration Healing Asia through Alma Ata Perspectives and Experiences from Asian Youth
    2. 2. Ailing Asia The continent’s health at a glimpse
    3. 5. The Paradoxes of Asia <ul><li>Site of the world’s fastest growing economies… </li></ul>but also home to some of the world’s poorest people
    4. 6. The Paradoxes of Asia <ul><li>Birthplace of world’s greatest religions… </li></ul>but also breeding ground of violence, political instability, and gross inequality
    5. 7. The Paradoxes of Asia <ul><li>Center of cutting-edge medical technology… </li></ul>but also the location of inefficient and inequitable health systems and practices
    6. 8. with most of the health professionals migrating to developed countries to work there The Paradoxes of Asia <ul><li>Home to a huge equipped and talented workforce… </li></ul>
    7. 9. The Paradoxes of Asia <ul><li>Richest in biodiversity and biological resources… </li></ul>but owned and even patented by exploiters and colonizers
    8. 10. The Paradoxes of Asia <ul><li>Largest continent in the world, being able to produce immense amount of food… </li></ul>but two-thirds of hungry people live here too
    9. 11. The Paradoxes of Asia <ul><li>Teeming with water resources – surrounded by oceans and visited by rain – </li></ul>but still many Asians and Pacific Islanders do not have access to clean and potable water
    10. 12. The Paradoxes of Asia <ul><li>Majority of Asia are non-industrialized countries… </li></ul> which are vulnerable to health hazards brought about by global climate change resulting from CO 2 emissions
    11. 13. The Paradoxes of Asia <ul><li>Origin of various community-based health programs that inspired Alma Ata… </li></ul>but wasn’t able to implement the commitments of the Declaration fully and properly
    12. 14. Ailing Asia: Indicators <ul><li>Between 1990 and 2001, the proportion of people living on less than $1 per day fell from 31 to 20 per cent. </li></ul><ul><li>Five out of ten Filipinos die without seeing a physician or any other health care provider. </li></ul>
    13. 15. Ailing Asia: Indicators <ul><li>In Afghanistan, one child in four dies before reaching the age of 5. </li></ul><ul><li>Each year, across the region around one quarter of a million women die as a result of a normal life cycle event: pregnancy and childbirth. </li></ul>
    14. 16. Ailing Asia: Indicators <ul><li>As of 2004, the Asia-Pacific region has over 9 million people living with HIV/AIDS and each year half a million people die. </li></ul><ul><li>The highest prevalence of malaria can be found in the Pacific, notably Solomon Islands, where the disease affects 15 per cent of the population. </li></ul>
    15. 17. Ailing Asia: Indicators <ul><li>Changing health landscape – double burden of disease: infectious, noncommunicable, and emerging diseases </li></ul>
    16. 18. The Primacy of Primary Health Care Why Alma Ata Remains Relevant for Asia Today
    17. 19. Asian Origins of PHC <ul><li>1950s – Barefoot Doctors in China </li></ul><ul><li>1960s – Rural Missionaries in the Philippines </li></ul><ul><li>Kerala, India </li></ul>
    18. 20. 1978: Alma Ata Declaration
    19. 21. Alma Ata, 1978 The International Conference on Primary Health Care calls for urgent action by all governments, all health and development workers, and the world community to protect and promote the health of all the people of the world by the year 2000.
    20. 22. Primary Health Care <ul><li>Primary health care is 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. </li></ul>
    21. 23. Primary Health Care <ul><li>It forms an integral part both of the country's health system, of which it is the central function and main focus, and of the overall social and economic development of the community. It is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work, and constitutes the first element of a continuing health care process. </li></ul>
    22. 24. Primary Health Care Principles Community participation Multidisciplinary Health promotion and disease prevention Appropriate technology Equity Social understanding of health Global cooperation and peace Call for a New International Economic Order
    23. 25. ELEMENTS of PHC <ul><li>E ducation about health problems & solutions </li></ul><ul><li>Prevention & control of L ocally endemic diseases </li></ul><ul><li>Provision of E ssential drugs </li></ul><ul><li>M aternal & child care; reproductive health </li></ul><ul><li>E xpanded Immunization against major diseases </li></ul><ul><li>Adequate food supply & N utrition </li></ul><ul><li>T reatment of common diseases & injuries </li></ul><ul><li>Safe water & basic S anitation </li></ul>
    24. 26. 2008 Renewing our commitment to primary health care as enshrined in the 1978 Alma Ata Declaration
    25. 27. PHC in Asia-Pacific (WHO WPRO, 2002) <ul><li>Large political/economic change affected PHC (Mongolia and China) </li></ul><ul><li>Post-war countries rebuild on PHC principles (Lao PDR, Cambodia, Vietnam) </li></ul><ul><li>Embraced PHC but struggling to maintain (Kiribati, Micronesia, Marshall’s, Philippines, Samoa, Solomon Islands) </li></ul>
    26. 28. PHC in Asia-Pacific (WHO WPRO, 2002) <ul><li>Systematic PHC as core of health system (Malaysia and Fiji) </li></ul><ul><li>Hospital based-care with less PHC influence (American Samoa, Cook Islands, Japan, Palau, South Korea) </li></ul><ul><li>Market economies but policy influenced by PHC principles (Australia, New Zealand) </li></ul>
    27. 29. PHC Issues in Asia-Pacific (Nyunt-u, 2008) <ul><li>PHC paradigm still valid </li></ul><ul><li>Advocacy, rights, information </li></ul><ul><li>Quality of services </li></ul><ul><li>Coordination of sector – stewardship </li></ul><ul><li>Integrated approaches when added value </li></ul><ul><li>Avoid vertical vs horizontal argument </li></ul><ul><li>Universal access a key issue (HFA) </li></ul>
    28. 30. PHC Issues in Asia-Pacific (Nyunt-u, 2008) <ul><li>PHC – level of care or a philosophy/value system? </li></ul><ul><li>A few: cheap, low tech, rural </li></ul><ul><li>National PHC policy – minority </li></ul><ul><li>Many sub-policies </li></ul><ul><li>No specific legislation on PHC </li></ul><ul><li>New policies even in late 90’s </li></ul><ul><li>Links with decentralization </li></ul><ul><li>Holistic approaches to health system lacking? </li></ul>
    29. 31. Young People: Partners for Health Young People’s Recommendations for PHC
    30. 32. Return to Alma Ata “ Primary health care increasingly looks like a smart way to get health development back on track.” -Dr. Margaret Chan WHO Director-General
    31. 38. The Power of Young People “ The youth are the hope of the Fatherland.” Dr. Jose Rizal National Hero of the Philippines
    32. 39. Young People: Partners for Health <ul><li>We strongly reaffirm the definition of health as a “complete state of physical, mental, and social wellbeing and not merely the absence of disease and infirmity.” </li></ul><ul><li>For us, health equates to a complete state of wellbeing through the achievement of human rights. </li></ul><ul><li>We believe that the Alma Ata Declaration is still relevant today and that Primary Health Care (PHC) is the key towards achieving “health for all” , especially for children and young people. </li></ul>
    33. 40. PHC can be succesfully achieved with <ul><li>Health care delivery systems that are friendly and sensitive to young people’s needs </li></ul>
    34. 41. PHC can be succesfully achieved with <ul><li>Meaningful participation of young people in health policies and primary health care </li></ul>
    35. 42. PHC can be succesfully achieved with <ul><li>Educational systems, including primary healthcare education, that cultivate life skills and foster analytical thinking to encourage social responsibility among young people </li></ul>
    36. 43. PHC can be succesfully achieved with <ul><li>Integration of all health issues that affect young people </li></ul>
    37. 44. PHC can be succesfully achieved with <ul><li>Integrated approaches to young people’s health </li></ul>
    38. 45. PHC can be succesfully achieved with <ul><li>Accountability at all levels – local, national, and global </li></ul>
    39. 46. PHC can be succesfully achieved with <ul><li>Inclusion of marginalized groups - ethnic minorities, people with disabilities, sexually and economically exploited young people, etc. </li></ul>
    40. 47. PHC can be succesfully achieved with <ul><li>Eradication of harmful cultural practices and social violence </li></ul>
    41. 48. PHC can be succesfully achieved with <ul><li>Corporate responsibility to promote PHC and young peoples’ health </li></ul>
    42. 49. PHC can be succesfully achieved with <ul><li>Equitable Intell ectual Property Rights Policies and Patents </li></ul>
    43. 50. <ul><li>Peace, harmony, and understanding within and among nations </li></ul>PHC can be succesfully achieved with
    44. 51. Health for Asia, Health for All Challenges and opportunities from Alma Ata and beyond
    45. 52. For Asia <ul><li>Primary health care remains a valid framework for achieving health for the peoples of Asia and of the world at large. </li></ul>
    46. 53. For IFMSA Asia-Pacific <ul><li>The principles of Alma Ata should be the soul of our work as doctors, healers, changemakers. Let us LIVE the Alma Ata. </li></ul>
    47. 54. Young People and PHC “ It is now time to pass the flag of primary health care to young people.” - Dr. Margaret Chan WHO Director-General
    48. 55. Young People and PHC “ Today, we humbly accept the flag of primary health care and commit to pass this to our children and our children’s children.” - Renzo Guinto Medical Student
    49. 56. Thank You Very Much!