The Alma Ata Declaration and Elements for a PHC 2.0

Priya, Ritu and Gaitonde, Rakha and Gandhi, Mohit and Sarkar, Amitabha and Das, Sayan and Ghodajkar, Prachinkumar (2019) The Alma Ata Declaration and Elements for a PHC 2.0. [Publications (Pre-joining)]

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Abstract

Based on understandings from histori�cal experience, we believe that an overly centralised political and economic system is not the most sustainable or best for people’s health and wellbeing, nor is a centralised and monolithic health service system. It tends to get bureaucratised and a ‘governmentality’ takes over rational and progressive democratic intentions. This cre�ates a mechanistic framework that does not organically relate to the marginalised ma�jorities and diversity of communities. Thereby it is unable to respond to people’s urges and sense of wellbeing. At the same time we recognise the essential role the state has to play in contemporary times, as arbiter and re-distributor of society’s power and resources for a democratic and egali�tarian society. Thereby what the structure of the state and public systems should be is critical, and this within the context of the relationship of the state, market, society and professional knowledge. Health is political: as in ‘personal is political’ and as public health where the collective’s health has to be taken care of by optimal social organisation.

Item Type:	Publications (Pre-joining)
Authors:	Priya, Ritu and Gaitonde, Rakha and Gandhi, Mohit and Sarkar, Amitabha and Das, Sayan and Ghodajkar, Prachinkumar
Document Language:	Language English
Subjects:	Technology > Medicine & health
Divisions:	Azim Premji University > School of Development
Full Text Status:	Restricted
URI:	http://publications.azimpremjiuniversity.edu.in/id/eprint/5309
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