governments should provide the necessary backup facilities to meet the demand created in keeping with the declaration of alma ata all countries should reduce mortality and morbidity and seek to make primary health care including reproductive health care available universally by the end of the current decade countries should aim to achieve by a life expectancy at birth greater than years and by a life expectancy at birth greater than years countries with the highest levels of mortality should aim to achieve by a life expectancy at birth greater than years and by a life expectancy at birth greater than years efforts to ensure a longer and healthier life for all should emphasize the reduction of morbidity and mortality differentials between males and females as well as among geographical regions social classes and indigenous and ethnic groups the role of women as primary custodians of family health should be recognized and supported