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Declaration of Ribeirão Preto

Declaration of Ribeirão Preto


Ribeirão Preto, Brazil, November 28, 2008: International Symposium: Globalization and Social Determinants of Health: implications for the development of human resources and health systems


Ribeirao Preto Commitment to Action in Global Health


We, more than 220 nurses, midwives, physicians and other professionals from 20 countries across 4 WHO regions, working in healthcare organizations, communities, universities, governments, non-governmental organizations and the private sector, as participants at the International Symposium – Globalization and Social Determinants of Health: Implications for Human Resource and Health Systems, November 28th, 2008, in Ribeirao Preto, Brazil, unanimously endorse this Ribeirao Preto Commitment to Action.

This Year, 2008, is the 30th anniversary of the Alma Ata Declaration that launched the Primary Health Care (PHC) movement, thereby advancing the health of all people.

We recognize that progress in achieving the Alma Ata goal of health for all has been mixed. Considerable advances have been made but many gaps and inequities still exist.

We applaud and join in the United Nations commitment to achieve the Millennium Development Goals (MDGs), recognizing that several of these goals depend on successful Primary Health Care delivery by qualified personnel.

Upon conclusion of this Symposium, we commit to:

Lead delivery of primary health care in all settings of health educations and care practice.
Ensure care is delivered consistent with quality and safety standards in health systems.
Develop and educational framework that supports advanced practice roles and regulations.
Prepare health professionals to work in interdisciplinary team to support primary health care.
Promote information and knowledge production that contributes to the development of health systems based on PHC through articulated research, education and service actions.
In two years, the signatories will evaluate the progress achieved towards the objectives set in this commitment.


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