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Integrated primary health care-based service delivery in the Global Conference
on Primary Health Care, Astana, Kazakhstan
NOVEMBER 2018 | GENEVA -- The Global Conference on Primary Health Care
took place in Astana, Kazakhstan, on 2526 October 2018 and brought together
2050 delegates from 147 countries. The conference was held at the Palace of
Independence and was co-hosted by the Government of Kazakhstan, WHO and
UNICEF. The aim of the conference was to commemorate the 40th Anniversary of
the Alma-Ata Declaration and to renew political commitment to placing primary
health care (PHC) at the heart of achieving Universal Health Coverage (UHC) and
the Sustainable Development Agenda.
The structure of the conference included plenary and parallel sessions on high-priority
topics related to PHC and UHC. Heads of States, Ministers of Health, Ministers of
Finance, Ministers of Education and representatives from international organizations,
development partners, civil society, professional organizations and academia attended
Adoption of the Declaration of Astana
A high-level ministerial plenary explored the whole-of-government approach to
advancing primary health care. The session, moderated by the Minister of Health of
Kazakhstan, Dr Yelzhan Birtanov, included the Prime Minister of Kazakhstan,
Bakytzhan Sagintayev; WHO Director-General, Dr Tedros Ghebreyesus; United
UNICEF Executive Director, Henrietta Fore; the Prime Minister of Samoa, Tuilaepa
Aiono Sailele Malielegaoi; the Deputy Prime Minister of Nepal, Upendra Yadav; and the
European Commissioner for Health and Food Safety, Dr Vytenis Andriukaitis.
The plenary looked at lessons learned over the past 40 years and sought to create a
movement, with the Declaration of Astana as a starting point, for the strengthening of
primary health care as the foundation of universal health coverage and to achieve the
Sustainable Development Goals.
The Declaration of Astana was then adopted unanimously by Member