Primary Care and Geography: Global Populations

Prim Care. 2026 Mar;53(1):103-108. doi: 10.1016/j.pop.2025.09.012. Epub 2025 Dec 6.

Abstract

Primary care is essential in achieving universal health coverage and addressing health inequities. This article begins by tracing the historical evolution of primary care: its foundational principles, established by the Dawson Report and the Alma-Ata Declaration, which advocate for accessible, community-based health care as a fundamental human right. It focuses on the multifaceted contributions of primary care to health outcomes, disease prevention, and health promotion, underscoring its function as the entry point to the health care system. It also critiques the charity model in global health, proposing a solidarity-based approach that fosters equitable partnerships and local ownership in health care delivery.

Keywords: Global health; Primary care; Primary health care; Universal health care.

Publication types

  • Review

MeSH terms

  • Global Health*
  • Health Services Accessibility
  • Humans
  • Primary Health Care* / history
  • Primary Health Care* / organization & administration