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2004 Nov-Dec; 12(6):847.The Millennium Goals were defined by the United Nations Organization in 2000 and approved by consensus during the Millennium Summit, a meeting that joined 147 heads of State. These goals reflect increasing concerns about the sustainability of the planet and about the serious problems affecting humanity. Constituted by a set of eight goals to be reached by 2015, they refer to the eradication of extreme poverty and hunger, universal access to basic education, gender equality promotion, infant mortality reduction, maternal health improvement, fight against HIV/Aids and other illnesses, guarantee of environmental sustainability and the establishment of a global partnership for development. Sustainability and development are closely linked to health and imply joint actions by States and civil society in the attempt to minimize the influence of the huge gap that exists between countries and persons. Thus, health and particularly nursing professionals' actions are paramount and can lead to local actions with regional, national and international impacts. (excerpt)
Social Science and Medicine. 1979 Aug; 13A(5):505-514.The focal point of Primary Health Care (PHC) is the community. PHC represents a natural outcome of a political ideology implying that health service is not something to be delivered to the people from above; with the high cost technology teaching hospital as the center of medical universe. But rather, PHC is a concept of health services generated within the community and linking up with a referral system; and it is firmly established as the avenue which most developing countries will explore in the next 20 years. This commitment is largely the result of the Alma-Ata Conference which clarified many of the political; technical; social; administrative and educational aspects of PHC. This paper summarizes this process of consolidation of the concept; gives more examples of national plans in Sudan, Tanzania, Ghana, and India; and then deals with types of support that facilitate community participation. Because PHC involves people rather than merely technology, the role of social scientists is one which needs greater emphasis.