Ratan Singh, MBBS, MD, Family and Community Medicine, Al Tahady University, 16, Sirte, Libya, Awad H. Abudejaja, M D, Ph D, Epidemiology & Bio-statistics, Faculty of Public Health, University of Garyounis, Faculty of Public Health, Benghazi, Libya, and Aman Ullah Khan, MD, MPH &TM, Ph, Public Health and Epidemiology, Post Graduate Institute of Public Health, 27 Phase II, Defense Society, Lahore, Pakistan, 0092-42-3845, Amans786@hotmail.com.
Libya continues to endorse the goal of Health for All (HFA) through basic medical care approach. The objectives of present study were to review the progress in the evolution of health services, take stock of current health situation & achievements, assess current health challenges and project future prospects of Health for All for 21st century. The main direction and emphasis of development health services so far have been to build health services infrastructure, to equip standard health facilities, to substitute expatriates by national health manpower, to extend medical care for all citizens and to achieve self-sufficiency in health care delivery. The country at present is simultaneously passing through unprecedented demographic, economic, cultural, epidemiological, health and technological transitions. Most of the 12 Global Indicators of HFA have been achieved by the end of last century. The country has since 1996 adopted administrative decentralization for the purpose of both socio-economic and health development. However, the success of the HFA for 21st century would dependent on integration of health with the Basic Development Needs Initiative; unification of various organs of health services; balancing of local, national and regional goals; selection of healthy public policy; preparation of comprehensive national health development plan and establishment of health system research. Further more, equity, quality, relevance, and cost-effectiveness would have to be kept in balance at optimum levels. All state, community and private sectors would have to play the roles of equal partners both for better prospects of health as well as for supporting basic health determinants.
Keywords: Health Risks, International Public Health
Presenting author's disclosure statement:
The 134th Annual Meeting & Exposition (November 4-8, 2006) of APHA