26: Paradox in family medicine: Equity vs equality

A. Sattar Khan
Family Medicine, Ataturk University, Erzurum, Turkey
Every one should have equal right or opportunity to be healthy whether belonging to develop or developing countries. Nevertheless during last three decades after Alma Ata declaration and a decade before in 2000 development of millennium goals by World Health Organization (WHO) couldn’t accomplish the rights of peoples living especially in developing countries. On the other hand, the WONCA makes clatter every year by build up of declarations for enrichment of family medicine through out the world; conversely the result is further development and enhancement of family medicine in developed countries.
In reality, the situation as regard to health status is very dreadful in developing countries and family medicine gurus who lay emphasis on that the solution of health problems is in the family medicine are failed to convince developing countries’ health policy makers to broaden family medicine in their countries. For instance, in Pakistan where they have 104 medical colleges but only four institutions (3.85%) offer formal training in family medicine, in India out 345 medical colleges, only a handful (5%) offer training in family medicine whereas Bangladesh has around 50 medical colleges but a few offer formal training. The comparable circumstances present in Africa and as well as in some part of Middle East.
Thus this paper highlights the paradox in institutionalization and ennoblement of family medicine and debate about the equal or equity based establishment of family medicine through out the world

Disclosure: No conflict of interest declared