Comprehensive versus selective primary health care: Lessons for global health policy - Meeting people's basic health needs requires addressing the underlying social, economic, and political causes of poor health

Lesley Magnussen, John Ehiri, Pauline Jolly

Research output: Contribution to journalReview article

87 Scopus citations

Abstract

Primary health care was declared the model for global health policy at a 1978 meeting of health ministers and experts from around the world. Primary health care requires a change in socioeconomic status, distribution of resources, a focus on health system development, and emphasis on basic health services. Considered too idealistic and expensive, it was replaced with a disease-focused, selective model. After several years of investment in vertical interventions, preventable diseases remain a major challenge for developing countries. The selective model has not responded adequately to the interrelationship between health and socioeconomic development, and a rethinking of global health policy is urgently needed.

Original languageEnglish (US)
Pages (from-to)167-176
Number of pages10
JournalHealth Affairs
Volume23
Issue number3
DOIs
StatePublished - May 1 2004
Externally publishedYes

ASJC Scopus subject areas

  • Health Policy

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