Everyday resilience

Everyday resilience includes having the policies, structures, and capacities in place to respond to the next health emergency and function with quality during non-emergency times. High functioning resilience is required during non-emergency times to minimize the danger and impact of acute public health events when they emerge.

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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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Institutional capacity to meet essential public health functions and operations
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Management capability And leadership
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Availability of essential in vitro diagnostics
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Availability of communications
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Percentage of facilities compliant with infection prevention and control (IPC) measures
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Percentage of facilities meeting minimum standards to deliver tracer services
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Percentage of facilities offering services according to national defined service package
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Collaboration between facility and community-based service providers
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Protocols for patient referral, counter-referral and emergency transfer
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Existence of effective surveillance system
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Completeness of reporting by facilities
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Availability of priority medical equipment and other medical devices
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Availability of essential medicines
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Access to emergency transport for interfacility transfer
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Availability of basic water, sanitation and hygiene (WASH) amenities
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Purchasing and provider payment methods are in place (including in primary care)
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Health in All Policies with multisectoral coordination
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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Medicines & Supplies
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Multi-Sectoral Approach
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Physical Infrastructure
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Policy and Leadership
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Purchasing & Payment Systems
Everyday resilience
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Documenting lessons learned and researching potential prevention interventions helps promote health system resilience.
PHC Workforce
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Workforce deployment, distribution and retention to ensure constant access to adequate health human resources is complimentary to resilience.
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 maintaining and delivering high quality 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 can help promote resilience.
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 continued delivery of essential health services during public health emergencies.
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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Walking the Talk: Reimagining Primary Health Care After COVID-19
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Universal Health Coverage for Sustainable Development (Issue Brief)
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Universal Health Coverage
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UNICEF Health Strategy 2016-2030
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UNDP Strategic Plan 2022-2025
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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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Institutional Strategy
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HIV
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High-Performance Health-Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century
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Health Sector Framework Document
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Global Delivery Programs
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Global AIDS Strategy 2021-2026
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Emergency Response
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Catalytic Investments
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2020-2022 Strategic Initiatives