The Political Economy of Primary Care and “Health by the People”: An Historical Explanation

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Abstract
During the last several years “primary care” has come to the fore as the “new” priority in health care. In September, 1978 the World Health Organization and UNICEF jointly sponsored the first International Conference on Primary Health Care. The following general principles were put forward in 1975 by the 28th World Health Assembly as the basis of successful primary care efforts. 1.Primary health care should be shaped around the life patterns of the population it should serve and should meet the needs of the community. 2.Primary health care should be an integral part of the national health system and other echelons of services should be designed in support of the needs of the peripheral level, especially as this pertains to technical supply, supervisory, and referral support.

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