Financial Protection

Financial protection in health means that everyone can obtain the health care services they need without experiencing financial hardship.

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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
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Proportion of population with large/impoverishing household expenditure on health as share of total household expenditure of income
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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Adjustment to Population Health Needs
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Policy and Leadership
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Purchasing & Payment Systems
Financial Protection
COMPLEMENTARY SUBDOMAINS
Funding & Allocation of Resources
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Increase in PHC funding allocation and spending allows for broader and more inclusive financial coverage.
Multi-Sectoral Approach
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Social accountability would ensure health systems are accountable to the financial needs of both patients and providers.
Access
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Financial access to services is related to financial protection of a population by ensuring services are affordable.
Population Health Management
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Participatory and data-based local priority setting should determine which services and populations should be covered at the sub-national level.
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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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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Supplies Partnership 2021-2030
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Strategy 2030: Achieving a Prosperous, Inclusive, Resilient, and Sustainable Asia and the Pacific
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Phase V (2021-2025)
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Operational Plan for Health, 2015–2020
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HIV and Universal Health Coverage - A guide for civil society
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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 Financing Facility
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2020-2022 Strategic Initiatives