Future Public Health

pp 39-57

International Public Health — The Future Place of Primary Care

  • Jenny Amery
  • , Stephen Gillam


Most preventable deaths occur in poor countries. Poor people carry the greatest burden from communicable diseases including AIDS, TB and malaria, particularly in Africa. However, non-communicable chronic conditions, once regarded as diseases of affluence, are increasing in poor countries (World Health Organisation, 2005b). The changing burden of disease implies changing models of service delivery. Reducing income poverty through economic development will improve health status, but poor people also need access to effective, affordable, preventive and curative health services, including essential medicines. Primary care services have an essential role to play in future global health.