Astana 2018

An Essential Part of Primary Health Care

The Global Conference on Primary Health Care in Astana, Kazakhstan, in October, 2018, was marked by the 2018 Declaration of Astana, a reaffirmation of the principles of the historic 1978 Declaration of Alma-Ata and the UN’s 2030 Sustainable Development Agenda. 

The Declaration commits the world to: 1) Make bold political choices for health across all sectors; 2) Build sustainable primary health care; 3) Empower individuals & communities; and 4) Align stakeholder support to national policies, strategies & plans.

G4 Alliance Statement on the Declaration of Astana

On 25 October 2018, United Nations Member States unanimously agreed to the Declaration of Astana, vowing to strengthen their primary health care systems as an essential step toward achieving universal health coverage. The Declaration of Astana reaffirms the historic 1978 Declaration of Alma-Ata, the first time world leaders recognized the that primary health care is essential to the attainment of Health for All. We applaud this commitment and recognize with gratitude the leadership of those who have championed this Declaration.

We also recognize that today, around the world, 5 billion people – that’s 5 out of every 7 people – do not have access to safe, affordable surgical, obstetric, trauma, and anaesthesia care. Surgical care is an essential part of Primary Health Care, the Sustainable Development Goals, and Universal Health Coverage.

This is an urgent priority that cannot wait.

We believe that surgery is a right.
We believe that surgery is essential to achieving health for all.
We believe that safe surgical care is essential to comprehensive, sustainable primary health care

World leaders have reaffirmed their commitment to the principles of Alma Ata, pledging to make bold political choices for health across all sectors and build sustainable primary health care. We call upon Member States, Multilateral Agencies and Civil Society Partners to work together to prioritize safe and affordable surgical care as part of this historic commitment and affirmation of our core values.

Make Your Commitment to Supporting the Declaration of Astana Here

Since 2015, the G4 Alliance network of members and partners have collectively contributed more than $1 billion in funds for global surgery, reaching millions of patients, training hundreds of thousands of health workers, mobilizing resources and engaging with thousands of volunteers. Our work is made possible by the power of partnerships and collaboration. Learn more here:

We are proud to support collaborative efforts to achieve safe surgical and anaesthesia care for 80% of the world by 2030

We Want to Hear From You!

Do you have feedback on the 2018 Declaration of Astana? Is your organization supporting #SafeSurgery as part of primary care? Contact us and tell us your thoughts to be featured on the G4 Alliance Blog!