Time for a seismic shift in global healthcare

Investment in primary care is the change the world needs, says ICN director Howard Catton

Investment in primary healthcare is the change the world needs, says International Council of Nurses director Howard Catton

This year marks the 40th anniversary of the Alma-Ata Declaration, a milestone in global health.

The declaration, adopted in what is now Almaty in Kazakhstan, defined and promoted primary healthcare as the central means of achieving good and fair global healthcare – not just services at the primary care level but a health system model that acts on the underlying social, economic and political causes of poor health.

The World Health Organization (WHO), supported by many global health organisations, has grasped this anniversary as an opportunity to refresh the declaration and inspire new generations of leaders to go further and implement a healthcare system that is truly people-centred.

Critical issues

On 25-26 October more than 1,000 government and healthcare leaders


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