In May 1977, the World Health Assembly adopted a resolution stating that the primary purpose of the World Health Organization and its member States is to ensure that all citizens of the world have access to health care. economic and socially productive life. These decisions, as well as plans and programs called Health for All (HFA), are based on an awareness of growing health and socio-economic problems and the inadequacy of existing health models and systems.

These activities have identified health as one of the most important elements of human development, laying the groundwork for many global, regional and national initiatives under the 2000 Health Flag (HFA 2000). During a historic and important international conference in Almaty in 1978, representatives of Member States, POPs and many medical organizations and associations agreed that a key factor in implementing the HFA strategy is the development and improvement of primary health care. In 1979, the World Health Assembly approved the Global Health Strategy (HFA) for 2000 as a policy document (19, 20, 21).

The main directions of the Health for All Strategy (HFA 2000) were as follows:

  •  promotion and dissemination of lifestyle and health promotion;
  •  reducing the level of risk factors and the frequency of diseases and health disorders that can be prevented by protecting the environment;
  •  providing convenient, accessible and convenient primary health care for all people.

The main achievement of HFA 2000 is the creation of primary health care in developing countries and the launch of public health programs.In May 1998, the WHO Regional Office for Europe adopted the Health 21 document, which sets out the actions of the governments of the Member States, covering 51 Member States. The document formulates 21 tasks that significantly correspond to the basic functions of health care described below (18).

According to the World Declaration on Health, the Health Strategy XXI states that “one of the fundamental RIGHTS of every human being is the highest standard by which health can be achieved and the success of social policy must be measured by its impact on health. man. “

There are two main goals – the goals of the “Health XXI” strategy:

  • strengthening and protecting human health throughout life;
  • reduce the frequency and suffering of diseases and injuries.

The ethical basis of Health XXI forecasts is three core values:

  • health as a basic human right,
  • equality in the field of health care and cooperation in the field of health care between countries and between countries and their peoples;
  • participation in the sustainable development of health care and responsibility for the consequences of the activities of people, groups, institutions and local communities.

To ensure sustainable scientific, economic, social and political implementation of the Health XXI project, four main strategies have been developed:

  • multidisciplinary strategies that take into account the physical, economic, social and cultural determinants of health, take into account the needs of men and women and take into account the perspective that allows to assess the impact on health;
  • programs aimed at improving the efficiency of health care and investment in health care and clinical care;
  • primary care on the basis of family and community, supported by a flexible, adapted system of inpatient care;