Format

Send to

Choose Destination
Health Aff (Millwood). 2004 May-Jun;23(3):167-76.

Comprehensive versus selective primary health care: lessons for global health policy.

Author information

1
Department of Epidemiology, School of Public Health, University of Alabama at Birmingham, USA.

Abstract

Primary health care was declared the model for global health policy at a 1978 meeting of health ministers and experts from around the world. Primary health care requires a change in socioeconomic status, distribution of resources, a focus on health system development, and emphasis on basic health services. Considered too idealistic and expensive, it was replaced with a disease-focused, selective model. After several years of investment in vertical interventions, preventable diseases remain a major challenge for developing countries. The selective model has not responded adequately to the interrelationship between health and socioeconomic development, and a rethinking of global health policy is urgently needed.

PMID:
15160814
DOI:
10.1377/hlthaff.23.3.167
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Atypon
Loading ...
Support Center