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2017, Number 2-3

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MEDICC Review 2017; 19 (2-3)

Personal responsibility in cuba’s universal health model

Luis-Gonzálvez IP
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Language: English
References: 3
Page: 76
PDF size: 114.40 Kb.


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The premise that individuals have a personal responsibility to protect and promote health has been debated throughout public health history. This notion gained a special place in country agendas and political discourse in 1978, when it was included in the Declaration of Alma-Ata, which also posed health as a fundamental human right and primary health care as essential to achieve it.
Undoubtedly personal responsibility was one of the original underpinnings of primary health care, although the term was never defined. Nearly four decades later, the idea that individuals have a responsibility for their own and their community’s health has not been fully articulated theoretically or explored empirically. It is always accompanied by polemics emerging from a) inexact translations of the term (in our case, between English and Spanish); b) lack of consensus on the concept itself; and c) multiple health strategies adopted in the late 20th century by various countries, using personal responsibility for their neoliberal rationale and theoretical foundation.


REFERENCES

  1. World Health Organization. Declaration of Alma-Ata [Internet]. Geneva: World Health Organization; 1978 Sep [cited 2012 Mar 29]. Available from: http://new .paho.org/hq/dmdocuments/2010/PHC_Alma_Ata-Declaration-1978.pdf

  2. Luis Gonzálvez IP, Martínez Calvo S, Álvarez Pérez AG. Community Engagement, Personal Responsibility and Self Help in Cuba’s Health System Reform. MEDICC Rev [Internet]. 2012 Oct [cited 2013 Jan 13];14(4):44–7. Available from: http://www.medicc.org/mediccreview/index .php?issue=22&id=279&a=va

  3. National Assembly of People’s Power (CU). Constitution of the Republic of Cuba. Havana: National Assembly of People’s Power (CU); 1992 Aug 1. Article 50. p. 24. Spanish, English




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MEDICC Review. 2017;19