Report of the regional conference “Health districts in Africa: progress and perspectives 25 years after the Harare Declaration” 21-23rd October 2013, Dakar, Senegal
From August 3-7, 1987, the World Health Organization (WHO) organized an interregional meeting in Harare (Zimbabwe) on strategies to strengthen health districts. Building on the “Health for All” movement from Alma Ata (1978), this meeting was a key milestone that established and gave political endorsement to the district health system as the backbone of primary health care. More than twenty-five years later, it is clear that African health systems – particularly in rural areas – have been defined by these efforts. However, many challenges remain especially low-quality care and limited access to key services.