Revista Panamericana de Salud Pública
On-line version ISSN 1680-5348Print version ISSN 1020-4989
Atención primaria ambiental para el siglo XXI. Rev Panam Salud Publica [online]. 1998, vol.4, n.4, pp.-. ISSN 1680-5348. http://dx.doi.org/10.1590/S1020-49891998001000020.
Primary environmental care combines the original strategy proclaimed at Alma-Ata as primary health care and the conception of integral rural development that emerged from the agrarian policies of Third World countries during the seventies. Within the renewed goal of health for all in the 21st century, the primary environmental care strategy may be considered as all those actions necessary to improve and protect the local surroundings through foresight and prevention of possible problems, with tasks institutionalized at the local level. Analysis and practice of this strategy are based on a model focused on the promotion of human beings, the environment, and social development. Furthermore, it is founded on critical theory and has a holistic perspective. This operational frame encourages participation and action, thus endowing individuals, communities, and societies with the power to make decisions. In this way, leadership is created for the sustainable development of nations.