Presentation On –

Alma-Ata and Ottawa Charter

Presented To: Course name:

Rebeca Sultana International Health
Professor PBH 609
Dept. of Public Health Section : 01
North South University

Presented By:
Group- 1
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 OUR TEAM

Tanbin Marufa Dr Taslima Rafique

ID: 2135475681 ID: 2115274080

Dr. Md. Shamim

Dr. Rashedul Islam Ahammed
ID: 2125262680 ID: 2125124680

S M Mahir Faisal Dr Mahboob Al

ID: 2115564680 Shahed
ID: 2125226680
International Conference
on Primary Health Care,
Alma-Ata, USSR, 6-12
September 1978

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International Conference on Primary Health
Care, Alma-Ata, USSR, 6-12 September 1978

The International Conference on Primary

Health Care, expressing the need 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
 Attendance

The intergovernmental conference

was attended by delegations from 134
governments and by representatives
of 67 United Nations organizations,
specialized agencies and
nongovernmental organizations in
official relations with WHO and
UNICEF

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Primary Health Care
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 the country can afford

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 Primary Health Care
It forms an integral part of the
country's health system, of which it
is the central function and the
main focus, and of the overall
social and economic development
of the community
Principles of Primary Health
Care

 Health Prevention & Promotion

 Equity
 Appropriate Technology
 Community Participation
 Intersectoral Coordination
 Decentralization

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 Objectives

 To promote the concept of primary health care in all countries

 To exchange experience and information on the development of

primary health care within the framework of comprehensive national
health systems and services

 To evaluate the present health and health care situation throughout

the world as it relates to, and can be improved by primary health care
 Objectives
 To define the principles of primary health care as well as the
operational means of overcoming practical problems in the
development of primary health care

 To define the role of governments, national, and international

organizations in technical cooperation and support for the
development of primary health care;

 To formulate recommendations for the development of primary

health care.
 Organization of work

The Conference adopted an agenda and method of work, and

agreed to divide major issues among three main committees:

(i) Committee A to deal primarily with primary health care and

development

(ii) Committee B to deal primarily with the technical and

operational aspects of primary health care

(iii) Committee C to deal primarily with national strategies for

primary health care and international support
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 Declaration of Alma-Ata

 Essential health care, based on:

 Evidence-based approach
 Social acceptability
 Accessibility of technology
 Participatory approach involving communities
 Affordability of services

 Integration in the national health system

 Integration in the social and economic development of the community
 Bringing services as close as possible to the people
 First contact with the health care system as the main point of entry
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Ottawa Charter
for Health
Promotion
  The Ottawa Charter for Health
Promotion is the name of an
What is international agreement signed at
Ottawa the First International Conference
on Health Promotion
Charter ?
 organized by the  World Health
Organization (WHO)

 held in Ottawa, Canada, in
November 1986
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 It launched a series of actions among
Purpose international organizations, national
governments and local communities to
achieve the goal of “Health for All” by
the year 2000 and beyond through
better health promotion.

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Action areas of the Ottawa Charter
 Building healthy public policy
 Creating supportive environments
 Strengthening community action
 Developing personal skills
 Re-orienting health care services toward
prevention of illness and promotion of health

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 The basic strategies for health
promotion 

Advocate Enable Mediation

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 The basic strategies for health promotion 
Advocate:
Political, economic, social, cultural, environmental, behavioral and biological
factors can all favor health or be harmful to it. Health promotion action aims at
making these conditions favorable through advocacy for health

Enable:
Health equity must be reached where individuals must become empowered to
control the determinants that affect their health, such that they are able to reach
the highest attainable quality of life

Mediation:
Health promotion cannot be achieved by the health sector alone; rather its
success will depend on the collaboration of all sectors of government as well as
independent organizations
 Commitment to health promotion
The participants in this Conference pledge:

 to move into the arena of healthy public policy, and to advocate a clear
political commitment to health and equity in all sectors

 to counteract the pressures towards harmful products, resource

depletion, unhealthy living conditions and environments, and bad
nutrition; and to focus attention on public health issues such as pollution,
occupational hazards, housing and settlements

 to respond to the health gap within and between societies, and to tackle
the inequities in health produced by the rules and practices of these
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societies;
 Commitment to health promotion

 to acknowledge people as the main health resource, to support and

enable them to keep themselves, their families and friends healthy
through financial and other means, and to accept the community as the
essential voice in matters of its health, living conditions and wellbeing

 to reorient health services and their resources towards the promotion of

health; and to share power with other sectors, other disciplines and most
importantly with people themselves

 to recognize health and its maintenance as a major social investment

and challenge; and to address the overall ecological issue of our ways of
living 20
 Call for international action

 The Conference calls on the World Health Organization and other

international organizations to advocate the promotion of health in all
appropriate forums and to support countries in setting up strategies and
programs for health promotion.

 The Conference is firmly convinced that if people in all walks of life,

nongovernmental and voluntary organizations, governments, the World
Health Organization and all other bodies concerned join forces in
introducing strategies for health promotion, in line with the moral and social
values that form the basis of this CHARTER, health for all by the year
2000 will become a reality 21
References
 Wikimedia Foundation. (2021, December 13). Ottawa
Charter for Health Promotion. Wikipedia.

 Ottawa Charter for Health Promotion - who/Europe

Intranet. (n.d.).

 Alma Ata Primary Healthcare Conference. UNICEF.

(n.d.).

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Thanks!

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