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National Primary Health Care Conference – Celebrating the 25th Anniversary of the Alma Ata
HST
2003-08-27

This conference which celebrated 25 years since the Alma Ata Declaration and the primary health care approach, was well attended by national, provincial and district level Department of Health representatives, civil society representatives and international guests. The poorest districts (rural development nodes) were all represented. Health Systems Trust made several key contributions to the conference by assisting with presentations to the rural development nodes, as rapporteurs and facilitators for sessions and through presentations of the work and research supported by HST. Two presentations by HST staff were awarded best in their section place. The objectives of the conference included: * revisiting the Alma Ata Declaration and reviewing progress * placing the spotlight on the primary health care apporach and re-dedicating South Africa to the Primary Health Care Approach * Celebrating achievements and sharing lessons * Developing key priorities for Primary Health Care for the next 5 years. An important output of the conference was the Kopanong Declaration on Primary Health Care, which attempts to chart the way forward on the future of primary health care in South Africa. KOPANONG DECLARATION ON PRIMARY HEALTH CARE 26 AUGUST 2003 We, community members, academics, members of NGOs and CBOs, representatives of government, officials and guests meeting at Benoni, Gauteng on the eve of the 25th anniversary of the signing of the Alma Ata Declaration in the former USSR, having assessed South Africa’s achievements and challenges in implementing primary health care using the primary health care approach Noting: 1. The progress made in implementing primary health care nationally; and 2. The challenges that remain. Hereby resolve that the key focus of the agenda for strengthening primary health care over the next five years will include: 1. Concrete strategies and processes, with clear targets, to reduce inequities in the allocation of resources for primary health care with a focus on both horizontal and vertical equity over the next 10 years. 2. Committed funding and budgets for sustaining community involvement in health through, inter alia regular area summits leading to provincial summits. 3. Strengthening the health system by focusing investment of resources on priority health programmes and by accelerating the implementation of the DHS including its various components. 4. Develop, implement and monitor the implementation of coherent human resource plans at district, provincial and national levels based on national guidelines including the strengthening of recruitment and retention strategies. 5. Re-invigorated committed to the principles of the PHC approach by all partners with effective national and provincial leadership. 6. strengthening of PHC through the development of intersectoral forums at every level but especially at the facility and district levels. We will use the performance management system of government and the accountability mechanisms in each municipality, province and nationally to assess and report on progress each year on the six areas listed above.

This conference which celebrated 25 years since the Alma Ata Declaration and the primary health care approach, was well attended by national, provincial and district level Department of Health representatives, civil society representatives and international guests. The poorest districts (rural development nodes) were all represented. Health Systems Trust made several key contributions to the conference by assisting with presentations to the rural development nodes, as rapporteurs and facilitators for sessions and through presentations of the work and research supported by HST. Two presentations by HST staff were awarded "best in their section" place.

The objectives of the conference included:

  •  revisiting the Alma Ata Declaration and reviewing progress
  •  placing the spotlight on the primary health care apporach and re-dedicating South Africa to the Primary Health Care Approach
  •  Celebrating achievements and sharing lessons
  •  Developing key priorities for Primary Health Care for the next 5 years.

An important output of the conference was the Kopanong Declaration on Primary Health Care, which attempts to chart the way forward on the future
of primary health care in South Africa.

KOPANONG DECLARATION ON PRIMARY HEALTH CARE
26 AUGUST 2003

We, community members, academics, members of NGOs and CBOs, representatives of government, officials and guests meeting at Benoni, Gauteng on the eve of the 25th anniversary of the signing of the Alma Ata Declaration in the former USSR, having assessed South Africa’s achievements and challenges in implementing primary health care using the primary health care approach

Noting:

  1. The progress made in implementing primary health care nationally; and
  2. The challenges that remain.

Hereby resolve that the key focus of the agenda for strengthening primary health care over the next five years will include:

  1. Concrete strategies and processes, with clear targets, to reduce inequities in the allocation of resources for primary health care with a focus on both horizontal and vertical equity over the next 10 years.
  2. Committed funding and budgets for sustaining community involvement in health through, inter alia regular area summits leading to provincial summits.
  3. Strengthening the health system by focusing investment of resources on priority health programmes and by accelerating the implementation of the DHS including its various components.
  4. Develop, implement and monitor the implementation of coherent human resource plans at district, provincial and national levels based on national guidelines including the strengthening of recruitment and retention strategies.
  5. Re-invigorated committed to the principles of the PHC approach by all partners with effective national and provincial leadership.
  6. strengthening of PHC through the development of intersectoral forums at every level but especially at the facility and district levels.

We will use the performance management system of government and the accountability mechanisms in each municipality, province and nationally to assess and report on progress each year on the six areas listed above.


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