Emergency response

Reactive actions taken in anticipation of, during, and immediately after an emergency to ensure that its effects are minimized.” (WHO)

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Timeliness

The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.

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Safety

The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.

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Efficiency

Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.

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Effectiveness

Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.

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People-Centeredness

People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.

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First Contact Accessibility

The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.

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Coordination

Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.

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Continuity

Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.

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Comprehensiveness

The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

Indicators

The following indicators, drawn from Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens are included in this concept.

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Risk communication
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RCCE system for emergencies
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IHR SPAR 9.2 Health care-associated infections (HCAI) surveillance
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Case management
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Emergency logistic and supply chain management
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Effective national diagnostic network
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Laboratory quality system
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Implementation of a laboratory biosafety and biosecurity regime
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Specimen referral and transport system
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Advocacy for IHR implementation
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Multi-sectoral coordination mechanisms
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Gender equality in health emergencies
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Contingency funds available for emergencies
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Proportion of the target population covered by all vaccines included in their national programme
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Percentage of facilities meeting criteria for resilient health facilities and services
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Existence of health emergency and disaster risk management strategies
Related Concepts

Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.

Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.

Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.

UPSTREAM CONCEPTS
COMPLEMENTARY CONCEPTS
UPSTREAM SUBDOMAINS
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Funding & Allocation of Resources
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Information & Technology
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Multi-Sectoral Approach
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Physical Infrastructure
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Policy and Leadership
Emergency response
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Documenting lessons learned and researching potential prevention interventions aids in promoting health security.
PHC Workforce
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Adequate HRH training is in place to enable the PHC workforce to be prepared for and know how to respond to emerging health security threats.
Coordination
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Coordination between health facilities during health emergencies. Joint protocols for preparedness and response.
Management of Services
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Management plans and protocols for responding to health security threats at the facility level.
Organization of Services
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Organization and distribution of services across PHC facility types can help in appopriately triaging care during health emergencies.
Population Health Management
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Involvement of the community in planning for emergency preparedness and response. Understanding the critical role of communities in these events.
Resilient Facilities and Services
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Active and ongoing assessments of resilience in health facilities and in the delivery of PHC services prepares for response to health security threats.
Safety
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Safety protocols are incorporated in preparedness and response measures.
Service Availability & Readiness
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Safety protocols are incorporated in preparedness and response measures.
Improvement Strategies

Explore the Improvement Strategies for approaches to addressing Capacity and Performance concepts that influence Impact.

Potential Funding opportunities

Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.

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UNICEF Health Strategy 2016-2030
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UHC in Africa: A Framework for Action
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The UNICEF Health Systems Strengthening Approach
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Phase V (2021-2025)
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High-Performance Health-Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century
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Global AIDS Strategy 2021-2026
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Emergency Response
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2020-2022 Strategic Initiatives