What was Alma-Ata? What shift did it call for in international health and how did the emergence of neoliberal policies impact its trajectory and legacy?

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What was Alma-Ata? What shift did it call for in international health and how did the emergence of neoliberal policies impact its trajectory and legacy?

Make sure to include the necessary background information about Alma-Ata and neoliberalism in your response.

 

Copyright © 2013. University of California Press. All rights reserved.
Health for All?
Competing Theories and Geopolitics
MATTHEW BASILICO, JONATHAN WEIGEL, ANJALI MOTOI,
JACOB BOR, SALMAAN KESHAVJEE
The final quarter of the twentieth century was, to borrow historian Eric
Hobsbawm's phrase, an "age of extremes" for global health. The notion
that all people deserve access to health care gained substantial support at
a 1978 international conference in Alma-Ata, Kazakhstan-but it was
soon eclipsed by neoliberalism, a different type of idealism that put faith
in markets to efficiently deliver health care services. This history shapes
the landscape of global health today. Analyzing the rise and fall of the
primary health care movement in the 1970s and 1980s sheds light on cur-
rent discussions of strengthening health systems; the ascendance of neo-
liberalism in the 1980s offers insight into the institutional development
of many key global health bureaucracies, including the World Health
Organization (WHO), the United Nations Children's Fund (UNICEF),
the International Monetary Fund (IMF), and the World Bank.
The WHO's 2008 report Primary Health Care, Now More Than
Ever attempted to reinvigorate the vision of "health for all" articu-
lated thirty years earlier at Alma-Ata. Universal access to primary
health care remains a core aspiration for many practitioners and stu-
dents of global health today. But the interplay of economic ideology,
geopolitics, and institutional agendas during the roughly two decades
considered in this chapter-the mid-1970s to the mid-1990s-contin-
ues to inform global health policy and practice. In describing these
decades, this chapter details four major topics: Alma-Ata and the pri-
mary health care movement; the ascendance of structural adjustment;
74
Reimagining Global Health: An Introduction, edited by Paul Farmer, et al., University of California Press, 2013. ProQuest Ebook
Central, http://ebookoantral.proquest.com/bufdetail action docD=1337906.
Created from uflon 2023-01-23 16:16:12.
Transcribed Image Text:Copyright © 2013. University of California Press. All rights reserved. Health for All? Competing Theories and Geopolitics MATTHEW BASILICO, JONATHAN WEIGEL, ANJALI MOTOI, JACOB BOR, SALMAAN KESHAVJEE The final quarter of the twentieth century was, to borrow historian Eric Hobsbawm's phrase, an "age of extremes" for global health. The notion that all people deserve access to health care gained substantial support at a 1978 international conference in Alma-Ata, Kazakhstan-but it was soon eclipsed by neoliberalism, a different type of idealism that put faith in markets to efficiently deliver health care services. This history shapes the landscape of global health today. Analyzing the rise and fall of the primary health care movement in the 1970s and 1980s sheds light on cur- rent discussions of strengthening health systems; the ascendance of neo- liberalism in the 1980s offers insight into the institutional development of many key global health bureaucracies, including the World Health Organization (WHO), the United Nations Children's Fund (UNICEF), the International Monetary Fund (IMF), and the World Bank. The WHO's 2008 report Primary Health Care, Now More Than Ever attempted to reinvigorate the vision of "health for all" articu- lated thirty years earlier at Alma-Ata. Universal access to primary health care remains a core aspiration for many practitioners and stu- dents of global health today. But the interplay of economic ideology, geopolitics, and institutional agendas during the roughly two decades considered in this chapter-the mid-1970s to the mid-1990s-contin- ues to inform global health policy and practice. In describing these decades, this chapter details four major topics: Alma-Ata and the pri- mary health care movement; the ascendance of structural adjustment; 74 Reimagining Global Health: An Introduction, edited by Paul Farmer, et al., University of California Press, 2013. ProQuest Ebook Central, http://ebookoantral.proquest.com/bufdetail action docD=1337906. Created from uflon 2023-01-23 16:16:12.
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