All occupations of health professionals responsible for organizing and delivering PHC at the community and facility levels. It assesses whether there is the right number, skill mix, and distribution of appropriately trained health personnel to meet people's health needs and promote equitable access to quality care. This measure also looks at the system's capacity for training, professional development, and performance management
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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.
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.
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.
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.
People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.
People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases. This involves engaging with people, families, and communities as equal partners in promoting and maintaining their health - including through communication, trust, and respect for preferences, as well as ongoing education and support so that they can participate in health care decisions.
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.
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.
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.
The system's ability to oversee and manage patient care throughout the course of treatment and across various sites of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications. Coordination of care happens across levels of care and over time, and often requires proactive outreach on the part of health care teams and consistent tracking and communication of progress.
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.
The degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context. This requires fostering trusted relationships between health care providers and patients over time (relational continuity), ensuring information is communicated from one event to the next (informational continuity), and ensuring the process is managed in a timely, complementary, and effective way across providers (management continuity).
The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.
The provision of holistic and appropriate care across a broad spectrum of health needs, ages, and solutions. Comprehensive primary health care is able to address a majority of promotive, preventive, curative, rehabilitative, chronic and palliative service needs.
There are national and/or subnational mechanisms for accreditation of education and training institutions, health care organizations, and their programmes, measured against key criteria (see technical specifications in metadata)
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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Policy and Leadership
Supportive HRH policies help to ensure substantative, strategic investments in the PHC workforce and the effective oversight, management, regulation, and distribution of HRH.
PHC Workforce
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Participatory and data-based priority-setting ensures that local health needs and available workforce are aligned.
Funding & Allocation of Resources
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Changes to spending on PHC as a whole can impact the acquistition and retention of PHC Workforce, however it is not necessary that spending on PHC alone would impact this input.
Information & Technology
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Information systems enable the collection of robust workforce-related data for continued HRH strengthening.
Medicines & Supplies
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The PHC workforce must be supported by adequate inputs, including medicines and supplies, in order to effectively carry out their duties.
Multi-Sectoral Approach
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Coordination with the education sector is a component of building a strong and competent PHC workforce.
Physical Infrastructure
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The PHC workforce must be supported by adequate adequate inputs, including physical infrastructure, in order to effectively carry out their duties.
Purchasing & Payment Systems
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Payment systems can impact the acquistition and retention of PHC Workforce, however it is not necessary that this alone would impact this input.
Comprehensiveness
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The high quality primary health care concept of comprehensiveness is important to reinforce as strategy in HRH development such that the workforce is able to address a broad set of needs for a patient.
Coordination
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Coordination is important to reinforce in development of HRH to ensure coordination of services across health-worker types.
Management of Services
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Management of funding is necessary to ensure facilities are sufficiently resourced to ensure safe working conditions for PHC workforce and that the workforce is appropriately remunerated.
Organization of Services
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Quality assurance mechanisms that span from education to practice are important in ensuring that the PHC workforce is equipped with and demonstrates the knowledge and skills needed to deliver high-quality PHC services.
People-Centeredness
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Person-centeredness is important to reinforce in HRH development to ensure the existence of person-centeredness at the service delivery level.
Population Health Management
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Local priority setting helps to ensure that the competencies and skill mix of the PHC workforce are defined in relation to the needs of the local population.
Resilient Facilities and Services
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Assessments of resilience in service preparedness can help identify vulnerabilities in PHC workforce, including potentials for workforce shortages during health emergencies.
Service Availability & Readiness
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Provider availabiility, competency, and motivation are complementary mechanisms in improving the health workforce.
Improvement Strategies
Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.
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
"Outcome 1: Midwifery - Midwives deliver right based quality sexual and reproductive health information and services that are women centered, equitable, accountable, and accessible."
"Outcome 2: EmONC: Referral maternity facilities are staffed with skilled attendants at birth and monitored to deliver quality and accessible essential sexual and reproductive healthcare, including EmONC."
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HIV and Universal Health Coverage - A guide for civil society
