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阿拉木图宣言(1978)提出应通过初级卫生保健(PHC)以达到“到2000年人人享有健康”这个目标.虽然宣言是与会国家一致通过的,但多数国家没有实行,首先是以“选择性”PHC代替全面的PHC,继而PHC受到“结构调整项目”中要求的卫生服务收费及卫生机构私有化的冲击.亚洲一些作者提出选择性PHC不解决根本问题,而结构调整则使某些国家经济遭到破坏和儿童健康恶化.我国社区儿童卫生保健从来就是代表阿拉木图方向的,故儿童身心健康水平得以不断提高.80年代以来社区保健又有进展,除采用UNICEF提倡的“选择性”措施外,还增加防治结合、身心并重、母亲与儿童个体和集体兼顾的内容.展望未来,得到领导承诺与支持,以社区人员为主力、综合服务,卫生辅助人员与非卫生人员合理分工,注意提高社区各类人员素质的社区卫生保健必将普及于全国.
The Alma-Ata Declaration (1978) proposed that primary health care (PHC) should be adopted to achieve the goal of “health for all by the year 2000”. Although the declaration was adopted by the participating countries in unanimous terms, most countries did not implement it, and the first was to “choose Sexual PHC replaces comprehensive PHC, and PHC is then impacted by the charges for sanitation services and the privatization of health institutions as required by the “Structural Adjustment Project.” Some authors in Asia have suggested that selective PHC will not solve the underlying problem, while structural adjustment will make certain countries The economy has been destroyed and children’s health has deteriorated. China’s community health care for children has always been the direction of Almaty, so the level of physical and mental health of children has been continuously improved. Community health care has progressed since the 1980s, in addition to the “selectivity” advocated by UNICEF. In addition to the measures, we also added content that combines prevention and treatment, physical and mental integrity, and individual and collective consideration of mothers and children. Looking forward to the future, we will receive leadership commitment and support. We will use community members as the main force, comprehensive services, and rational division of labor between health assistance personnel and non-health personnel. Community health care to improve the quality of all kinds of people in the community will surely be popular in the country.