Henry B. Perry is with the Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD. Jon Rohde is with the James P Grant School of Public Health, BRAC University, Dhaka, Bangladesh.
Am J Public Health. 2019 May;109(5):699-704. doi: 10.2105/AJPH.2019.304968. Epub 2019 Mar 21.
The Jamkhed Comprehensive Rural Health Project (Jamkhed CRHP) was established in central India in 1970. The Jamkhed CRHP approach, developed by Rajanikant and Mabelle Arole, was instrumental in influencing the concepts and principles embedded in the 1978 Declaration of Alma-Ata. The Jamkhed CRHP pioneered provision of services close to people's homes, use of health teams (including community workers), community engagement, integration of services, and promotion of equity, all key elements of the declaration. The extraordinary contributions that the Jamkhed CRHP has made as it approaches its 50th anniversary need to be recognized as the world celebrates the 40th anniversary of the International Conference on Primary Health Care and the writing of the declaration. We describe the early influence of the Jamkhed CRHP on the declaration as well as the work at Jamkhed, its notable influence in improving the health of the people it has served and continues to serve, the remarkable contributions it has made to training people from around India and the world, and its remarkable influences on programs and policies in India and beyond.
贾姆克德农村综合健康项目（Jamkhed CRHP）于 1970 年在印度中部成立。由 Rajanikant 和 Mabelle Arole 开发的贾姆克德 CRHP 方法，对影响 1978 年《阿拉木图宣言》中所包含的概念和原则起到了重要作用。贾姆克德 CRHP 率先在人们家门口提供服务，使用卫生团队（包括社区工作者）、社区参与、服务整合以及促进公平，这些都是宣言的关键要素。贾姆克德 CRHP 在即将迎来 50 周年之际所做出的卓越贡献，需要得到认可，因为世界正在庆祝国际初级卫生保健会议 40 周年和宣言的撰写。我们描述了贾姆克德 CRHP 对宣言的早期影响，以及贾姆克德的工作，它在改善所服务和继续服务的人民的健康方面的显著影响，它为来自印度和世界各地的人们培训做出的显著贡献，以及它对印度和其他国家的计划和政策的显著影响。
