The minutes included a statement, three agreements and separate schedules. In addition, Field Marshal Yevgeny Chaposhnikov has been confirmed as Commander-in-Chief of the Armed Forces of the Commonwealth of Independent States. A separate agreement „On mutual measures on nuclear weapons“ was signed between Belarus, Kazakhstan, Russia and Ukraine.  Forty years ago, the World Health Organization (WHO) and UNICEF convened the International Conference on Primary Care on 6 September 1978 in Alma-Ata, USSR (now Almaty, Kazakhstan). The conference, made up of representatives from 134 countries, adopted the Declaration on Primary Care (known as the Alma-Ata Declaration), in which delegates reiterated their agreement that primary health care is essential to the achievement of human well-being by the underlying determinants of health. The resulting Alma-Ata Declaration would create a framework that would guide states in the multi-sector policies needed to achieve a wide range of human health rights and embody the idea that human rights and public health are closely linked and mutually reinforcing. Alma Ata`s protocols were the founding statements and principles of the Commonwealth of Independent States (CIS). On 8 December 1991, the leaders of Russia, Ukraine and Belarus approved the Belovetsha agreements by dissolving the Soviet Union and forming the CIS. On 21 December 1991, Armenia, Azerbaijan, Belarus, Kazakhstan, Kyrgyzstan, Moldova, Russia, Tajikistan, Turkmenistan, Ukraine and Uzbekistan joined the Alma Ata Protocols and joined the CIS. The latter agreement included the three former signatories of Belavezha and eight other former Soviet republics.
Georgia was the only former republic not to participate, while Lithuania, Latvia and Estonia opposed it after re-establishing their independence status before 1940.  On 30 December 1991, an interim agreement was reached between the members of the Commonwealth of Independent States on the accession and behaviour of the councils of heads of state and government. A health promotion programme based on rights The Alma-Ata Declaration was adopted at the International Conference on Primary Care (PHC), Almaty (formerly Alma-Ata), Kazakhstan (former Soviet Socialist Republic of Kazakhstan), from 6 to 12 September 1978.  He expressed the need for urgent action by all governments, all health and development workers and the international community to protect and promote the health of all. This was the first international declaration stressing the importance of primary health care. Since then, the primary health care approach has been accepted by World Health Organization (WHO) member countries as a key to achieving the „health for all“ goal, but initially only in developing countries. This applied to all other countries five years later. Alma Ata`s 1978 declaration became an important milestone in the 20th century in the field of public health, identifying basic health care as the key to achieving the „Health for All“ goal around the world. The declaration was therefore decisive in affirming the right to health in the WHO Constitution, reintegrating human rights into global health policy and redefining human health rights. This introductory article in Alma Ata`s blog series examines its historical significance and analyzes how this groundbreaking public health statement has structured the development of human rights in the global health system over the past 40 years.