30 years Alma Ata

PHC revival?

Science (2006),

311: 161-167

…an obscure

1978 health

conference in

the USSR…

The effectiveness of health interventions

• Access to care 30%

• Correct diagnosis 70%

• Sensitivity 70%

• Adequate management 70%

• Drug efficacy 70% 95%

Over-all effectiveness 7.2% 9.8%

ACCESS TO AND QUALITY OF CARE ARE

MAIN KEYS TO PUBLIC HEALTH IMPACT