An Assessment of Primary Health Care in the Caribbean Pre and Post Alma Ata Declaration and A way Forward
Prof. Karl Theodore, Mrs. Patricia Edwards-Wescott

ABSTRACT
In a sense the very positive primary health care (PHC) experience of the Caribbean pre-dated the 1978 declaration of the Alma Ata. Prior to the 1978 declaration, many programmes in a number of Caribbean countries were executed with a PHC bias. This paper presents a review of PHC programmes in a number of Caribbean countries during 1950 and 2010 and presents a comparison of two actual health status indicators with pre Alma-Ata trend data. The results suggest that the method of implementation of PHC and other political and economic events which occurred at that time did not deliver on expectations.

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