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Declaración de Astaná

Organizaion Mundial de la Salud OMS, (2018)

Conferencia Mundial sobre Atención Primaria de Salud Desde Alma-Ata hacia la cobertura sanitaria universal y los Objetivos de Desarrollo Sostenible Astaná (Kazajstán), 25 y 26 de octubre de 2018

Declaration of Astana

World Health Organization WHO, (2018)

Global Conference on Primary Health Care From Alma-Ata towards universal health coverage and the Sustainable Development Goals Astana, Kazakhstan, 25 and 26 October 2018

Déclaration d’Astana

Organisation Mondiale de la Santé OMS, (2018)

Conférence internationale sur les soins de santé primaires d’Alma-Ata à la couverture sanitaire universelle et aux objectifs de développement durable , Astana, Kazakhstan, 25 et 26 octobre 2018

Declaration of Astana. Arabic Version. إعلان أستانا

World Health Organization WHO, (2018)

المؤتمر العالمي المعني بالرعاية الصحية الأولية انطلاقاً من ألما- آتا صوب تحقيق التغطية الصحية الشاملة وأهداف التنمية المستدامة

Integrating palliative care and symptom relief into primary health care : WHO guide for planners, implementers and managers

World Health Organization WHO, (2018)

Inequality of access to palliative care and symptom relief is one of the greatest disparities in global health care (1). Currently, there is avoidable suffering on a massive scale due to lack of access to palliative care and symptom relief in low- and middle-income countries (LMICs) (1). Yet basic palliative care that can prevent or relieve most suffering due to serious or life-threatening health conditions can be taught easily to generalist clinicians, can be provided in the community and requires only simple, inexpensive medicines and equipment. For these reasons, the World Health Assembly (WHA) resolved that palliative care is "an ethical responsibility of health systems"(2). Further, most patients who need palliative care are at home and prefer to remain there. Thus, it is imperative that palliative care be provided in the community as part of primary care. This document was written to assist ministries of health and health care planners, implementers and managers to integrate palliative care and symptom control into primary health care (PHC).

State of Health in the WHO African Region

World Health Organization WHO, Regional Office African Region, (2018)

This report is not a country scorecard. Rather, its purpose is to act as a compass to guide progress towards health in the SDGs. There has been a significant improvement in the state of health in the region with healthy life expectancy - time spent in full health - in the region increasing from 50.9 years to 53.8 between 2012 and 2015 - the most marked increase of any region in the world. What is making Africans sick is changing. The top killers are still lower respiratory infections, HIV and diarrhoeal disease and countries have routinely focused on preventing and treating this trio, often through specialized programmes. The payoff has been significant declines in deaths due to these diseases. There has been a 50% reduction in the burden of disease caused by what have been the top 10 killers since 2000 and death rates have dropped from 87.7 to 51.1 deaths per 100,000 persons between 2000 and 2015... Chronic diseases like heart disease and cancer are now claiming more lives with a person aged 30 to 70 in the region having a one in five chance of dying from a noncommunicable disease (NCDs). Countries are specifically failing to provide essential services to two critical age groups – adolescents and the elderly...

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