GOAL OF WHO
• Health For All is the main social
goal of governments and WHO.
• It is the attainment by all the
people of the world by the year
2000 AD “a level of health that
will permit them to lead a
socially and economically
• This goal has come to be
popularly known as “Health For
All by 2000 AD”.
BACKGROUND OF THE
• The background of this philosophy
was the unacceptably low levels of
health status of the world’s
population especially the rural
poor and gross disparities in health
between the rich and poor, urban
and rural population.
CONCEPT OF HFA
• The essential concept of “EQUITY
IN HEALTH” i.e., all people
should have an opportunity to
enjoy good health.
• The global strategy provides a
global framework that is broad
enough to apply to all member
States and flexible enough to be
adapted to national and regional
variations of conditions and
• This was followed by each
member countries developing
their own strategies for
achieving HFA and synthesis of
national strategies for
developing regional strategies.
• The WHO has established 12
global indicators as the basic
point of reference for assessing
the progress towards HFA.
E.g., a minimum life expectancy
of 60 years and maximum IMR of
50 per live births.
NATIONAL STRATEGY FOR
• As a signatory to the Alma-Ata
Declatation in 1978, the Govt of
India was committed to taking
steps to provide HFA to its
citizens by 2000 AD.
• In pursuance of this objective
various attempts were made to
evolve suitable strategies and
• In this connection two important
• 1. Report on the Study Group on
“Health Fror All- an alternative
strategy”, sponsored by ICSSR
• 2. Report of Working Group on
“Health For All by 2000 AD”
sponsored by the Ministry of
Health and family Welfare, Govt
• Both the groups considered in
great detail the various issues
involved in providing primary
health care in the Indian context.
• These reports formed the basis
of the National health Policy
formulated by the Ministry of
Health & family Welfare, Govt of
India in 1983 which committed
the Govt and people of India to
the achievement of HFA.
• The National Health Policy
echoes the WHO call for HFA and
the Alma- Ata Declaration.
• It has laid down specific goals in
respect of the various health
indicators by different dates such
as 1990, and 2000 AD.
• Foremost among the goals to be
achieved by 2000 AD were :
1. Reduction of IMR from the level
of 125 (1978) to below 60.
2. To raise the expectation of life
at birth from the level of 52
years to 64.
3. To reduce the crude death rate
from the level of 14 per 1000
pop to 9 per 1000 pop.
4. To reduce the crude birth rate
from the level of 33 per 1000
pop to 21.
5. To achieve a net reproduction
rate of one.