the world has made a great deal of progress through the millennium development goals (mdgs) to improve the health and well-being of people around the globe, but there remains a long way to go. here we provide reflections on rwanda’s experience in working to meet the health-related targets of the mdgs. this experience has informed our proposal of five guiding principles that may be useful for co...

In 1978, the Alma-Ata Declaration established a bold plan for global health action and social justice, identifying primary health care as the lynchpin for achieving health for all.1 Several years later, the Ottawa Charter for Health Promotion, responding to growing health challenges within industrialized societies, formally recognized underlying determinants as an integrated and vital part of h...