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From Alma-Ata to Astana. Primary health care and universal health systems: an inseparable commitment and a fundamental human right.

The Brazilian National Constitution of 1988 acknowledges the link between economic and social development and environmental conditions in the determination of the health-disease process and defines “health as the right of all and the state’s duty”. The 1988 Constitution creates a universal public health system, the Brazilian Unified National Health System (SUS), with a 30-year history in pursuit of the principles of universality, comprehensiveness, equity, and social participation.