Screen Shot 2019-05-18 at 15.09.18.pngThe Brazilian National Constitution of 1988 acknowledges the link between economic and social development and environmental conditions in the determination of the health-disease process and defines “health as the right of all and the state’s duty”. The 1988 Constitution creates a universal public health system, the Brazilian Unified National Health System (SUS), with a 30-year history in pursuit of the principles of universality, comprehensiveness, equity, and social participation. The 1988 Constitution and the SUS are thus aligned with the spirit of the Declaration of Alma-Ata (1978) on primary health care (PHC), which called on governments to formulate national policies, strategies, and action plans to implement PHC as part of comprehensive national health systems and in coordination with other sectors to confront the social and environmental determinants of health, mobilizing the necessary political determination and resources. The Conference of Alma-Ata occurred in the wake of a series of conferences held by United Nations agencies during the 1970s, and that debated an expanded agenda for a new international economic order aimed at reducing the disparities between the central countries and the so-called Third World nations 1. World Health Organization (WHO) Director-General Halfdan Mahler contended that it was impossible to dissociate economic and social development from health, expressed precisely in the ideals of comprehensive PHC and health for all in the Alma-Ata Charter…..more