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On the occasion of the 30th anniversary of the Alma-Ata Declaration on Universal Primary Health Care celebrated this month, and as world leaders gather at the United Nations this week for the UN General Assembly on Africa's Development Needs and mid term MDG Review, Pambazuka News, in collaboration with , publishes this joint special issue reviewing the state of health in Africa underlining Africa's survival imperative for implementing Primary Health Care, Health MDGs and the AU Africa Health Strategy, and the key role of health workers.