Comprehensive Primary Health Care in South America: contexts, achievements and policy implications

Naydu Acosta-Ramirez, Jennifer Ruiz, Roman Vega-Romero, Ronald Labonte

    Research output: Contribution to journalArticlepeer-review

    26 Citations (Scopus)


    This article summarizes an extensive review of South American experiences with primary health care since the Declaration of Alma-Ata. It aims to address the following specific questions: What are the enabling and constraining historical and structural conditions for primary health care policies and practices? How has health care reform supported or undermined primary health care? What evidence exists on the effectiveness of primary health care? What strategies are common to best practices? What evidence exists on the roles of citizen participation and intersectoral action? And finally, what are the policy lessons to be learned from these experiences? Narrative synthesis was used to identify and examine patterns in the data consistent with these questions. Conditions that were found to promote successful implementation of primary health care are outlined, together with features of effective primary health care systems that help create more equitable health services and health outcomes.

    Original languageEnglish
    Pages (from-to)1875-1890
    Number of pages16
    JournalCadernos de Saude Publica
    Issue number10
    Publication statusPublished - Oct 2011


    • Comprehensive health care
    • Health policy
    • Primary health care


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