In 1978 the WHO adopted the Alma-Ata declaration, a seminal document which stated that economic and political policy are the major determinants of global health and well-being. It stated that inequality is unacceptable and that the people have the right and duty to participate in the planning and implementation of their health care. At the same time governments have a responsibility for the health of their people and must provide health & social measures, and that Primary health care is key to attaining this in the spirit of social justice. It also highlighted the crucial role of community health care workers as opposed to the heirarchical structures within existing health care services.
The slides below summarise the Declaration and the political and economic forces which frustrated its implementation.