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November 2004, Vol 94, No. 11 | American Journal of Public Health 1864-1874
© 2004 American Public Health Association

PUBLIC HEALTH THEN AND NOW

The ORIGINS of Primary Health Care and SELECTIVE Primary Health Care

Marcos Cueto, PhD

The author is with the Department of Sociomedical Sciences, School of Public Health, Universidad Peruana Cayetano Heredia, Lima, Peru.

Correspondence: Requests for reprints should be sent to Marcos Cueto, PhD, Roca Bologna 633, Lima 18, Peru (e-mail: mcueto{at}upch.edu.pe).

I present a historical study of the role played by the World Health Organization and UNICEF in the emergence and diffusion of the concept of primary health care during the late 1970s and early 1980s. I have analyzed these organizations’ political context, their leaders, the methodologies and technologies associated with the primary health care perspective, and the debates on the meaning of primary health care.

These debates led to the development of an alternative, more restricted approach, known as selective primary health care. My study examined library and archival sources; I cite examples from Latin America.




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