文章基本信息

标题：No universal health coverage without strong local health systems
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作者：Bruno Meessen ; Belma Malanda ; for the Community of Practice “Health Service Delivery 等
期刊名称：Bulletin of the World Health Organization
印刷版ISSN：0042-9686
出版年度：2014
卷号：92
期号：2
页码：78
DOI：10.2471/BLT.14.135228
出版社：World Health Organisation
摘要：Despite the current global and national momentum, 1 universal health coverage could remain an empty promise unless it is focussed on the provision of qual- ity ess ential services to everyone. And this, in turn, will not happen without strengthening local health systems. More than 25 years ago, the framing was slightly different – primary health care instead of universal health coverage – but the assessment was similar. In Au- gust 1987, the World Health Organiza- tion organized an interregional meeting in Harare, Zimbabwe, that resulted in the Declaration on strengthening district health systems based on primary health care (the "Harare Declaration"). 2 In the decades that followed, many actors joined forces to implement the district strategy, which emphasizes the impor- tance of organizing and coordinating health service delivery at the local level.