Primary health care,Health promotion , 'Solid facts' ・・・・their differences

　Ｉ　feel incompatibility   when  someone  usese three  technical terms ,primary health care, health promotion ,and 'sold facts' related to WHO as  they have quite  same  meanig.

If  they have same meaning, three  terms are unnecessary . An important  thing must  be concealed in the difference of  three terms.

I'm  afraid  that my story  may  be  wrong.

However, I will write  my  idea now  to record  from where I  begin this discussion .

The movement  for primary health care had started by Declaration of Alma-Ata in 1978.
It was  a strategy  of  the advanced countries for  continuous control of  their former colonies  and  lower workers . That  intended  the relief of the most poor layer not  all people.

The movement  for health promotion was started from the Ottawa charter in 1986.
In the 1970's Europe had serious advanced country recession and the globalization that had become remarkable in Japan in the 1990's. Health promotion  was induced this political and economical  situation.
The difference  between  the primary healthcare and health promotion  is whether for   poorest layer or for all layers.

At first ,health promotion was eclectic for US style(individual empowerment ) and Eueopean style( improvement of  social condition ),i.e.,allowing the self-responsibility principle of the health of US  style. .
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But,Jakarta declaration 1997  had established  the posture overcoming   social  determinants   which  induce  diseases.

1998, WHO European secretariat announced  the 'solid  facts' that  contained two introduction items and eight  detailed discussions of  social determinants of health .

In 2005 , the Bangkok charter made this tendency clearer. And, the Marmot review announced in 2010 in England  has extended  in advanced countries. The posture of the self-responsibility pursuit of health is not here.

The declaration of Alma-Ata, the Ottawa charter, the Jakarta declaration, and the Bangkok charter are continuous and discontinuous.

Primary  health care is for only poorest people ,
Health promotion is for all persons ,but under  the self responsibility principle,
and  'Solid facts' is beyond  the self responsibility principle ,so is truely for all persons.