Elsevier

The Lancet

Volume 392, Issue 10156, 20–26 October 2018, Page 1369
The Lancet

Editorial
The Astana Declaration: the future of primary health care?

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    The 2018 Astana Declaration stated primary health care (PHC) is a cornerstone of a sustainable health system that provides universal health coverage and empowers individuals and communities [3, 4]. PHC represents the first contact with individuals and families in a community-oriented health system [5, 6, 7]. Good health and well-being is a key component of the United Nations Sustainable Development Goals [8].

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    Over the past 40 years, this definition has evolved. In 2018, Astana’s Declaration emphasised the critical role of PHC worldwide, defining that a PHC approach is the most effective way to sustainably address current health system challenges.2 The Brazilian Unified Health System (SUS) is a universal public health system created from the Federal Constitution of 1988.

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