A/RES/65/1
Promoting global public health for all to achieve the Millennium
Development Goals
73. We commit ourselves to accelerating progress in promoting global public
health for all, including by:
(a) Realizing the values and principles of primary health care, including
equity, solidarity, social justice, universal access to services, multisectoral action,
transparency, accountability, community participation and empowerment, as the
basis for strengthening health systems, and recall, in this regard, the Declaration of
Alma-Ata; 21
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(b) Strengthening the capacity of national health systems to deliver equitable
and quality health-care services and promoting the widest possible access to healthcare services at the point of use, especially to those in vulnerable situations, through
public policies that remove barriers to access to and use of health-care services,
complemented by the support of international programmes, measures and policies
that align with national priorities;
(c) Providing and strengthening comprehensive and affordable communitybased primary health-care services so as to ensure a continuum from health
promotion and disease prevention to care and rehabilitation, while paying particular
attention to poor people and populations, especially in rural and remote areas, with a
view to extending health protection to all those in need;
(d) Improving the quality and effectiveness of health-care services delivery
by providing integrated health-care services through coordinated approaches at the
country level, the increased use of common platforms and the integration of relevant
services of other sectors, including water and sanitation;
(e) Realizing the international commitment to supporting national efforts in
strengthening health systems that deliver equitable health outcomes as a basis for a
comprehensive approach that includes health financing, the training and retention of
the health workforce, procurement and distribution of medicines and vaccines,
infrastructure, information systems and service delivery;
(f) Strengthening basic infrastructure, human and technical resources and
the provision of health facilities so as to improve health systems and ensure the
accessibility, affordability and quality, especially in rural and remote areas, of
health-care services, as well as sustainable access to safe drinking water and basic
sanitation, bearing in mind the commitment to halving, by 2015, the proportion of
the population without sustainable access to safe drinking water and basic sanitation
as a means of fighting waterborne diseases;
(g) Stressing the importance of multisectoral and inter-ministerial
approaches in formulating and implementing national policies that are crucial for
promoting and protecting health, and reiterating that Governments will play the
central role, in collaboration with civil society organizations, including academia
and the private sector, in implementing national strategies and action plans on social
service delivery and in making progress towards ensuring more equitable health
outcomes;
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See Report of the International Conference on Primary Health Care, Alma-Ata, Kazakhstan,
6–12 September 1978 (Geneva, World Health Organization, 1978).
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