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. [1] The protocols consisted of a separate declaration, three agreements and annexes. 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. [2] 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. Forty years ago, the World Health Organization (WHO) and UNICEF convened the International Conference on Primary Health 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. However, the implementation of the idealism of this period was painfully stretched by the existing frameworks of political and financial commitments, which were unable and which left the will to cover and redistribute resources.