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The concept of primary health care has had a significant influence on the populace in many less-developed countries. However, there is little understanding of the origins of the term. Even less is known of the transition to another version of primary health care, best known as selective primary health care. During the final decades of the Cold War the late s and early s the US was embroiled in a crisis of its own world hegemony—it was in this political context that the concept of primary health care emerged.
By then, the so-called vertical health approach used in malaria eradication by US agencies and the WHO since the late s were being criticized. Another important influence for primary health care came from the experience of missionaries. The Christian Medical Commission, a specialized organization of the World Council of Churches and the Lutheran World Federation, was created in the late s by medical missionaries working in developing countries.
The new organization emphasized the training of village workers at the grassroots level, equipped with essential drugs and simple methods. In , it created the journal Contact , which used the term primary health care, probably for the first time.
By the mids, French and Spanish versions of the journal appeared and its circulation reached 10 A close collaboration between these organizations was also possible because the WHO headquarters in Geneva were situated close to the main office of the World Council of Churches. The landmark event for primary health care was the International Conference on Primary Health Care that took place at Alma-Ata from September 6 to 12, The term referred to technology, such as body scanners or heart-lung machines, which were too sophisticated or expensive or were irrelevant to the common needs of the poor.
