Language: English
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In the 1978 Alma-Ata Declaration, developing countries threw down the gauntlet to the world's richer nations: it was time to recognize health care as a fundamental human right, implemented first and foremost by adopting comprehensive, universal primary health care models. The fiery debates came on the heels of a decade of decolonization and the Non-Aligned Movement's call for a New World Economic Order. The ensuing years, however, brought the unravelling of such an ambitious agenda, with neoliberal economic policies taking apart primary health care piece-by-piece, wrapping the remnants in "minimum" packages for specific population groups. The drive for health equity as a social policy faltered—the comprehensive, accessible, intersectoral, community-engaged, population-based and patient-centered principles of Alma-Ata all but lost.