How can governments, health organizations, health care professionals and communities transform the bold vision of the Declaration of Astana into action?
The Operational framework for primary health care: transforming vision into action provides stakeholders with a series of levers to help countries and communities adopt a PHC approach and work to strengthen health systems as a way to achieve universal health coverage
Core strategic levers
Political commitment and leadership
Governance and policy frameworks
Funding and allocation of resources
Engagement of community and other stakeholders
Operational levers
Models of care
Primary health care workforce
Physical infrastructure
Medicines and other health products
Engagement with private sector providers
Purchasing and payment systems
Digital technologies for health
Systems for improving the quality of care
Primary health care-oriented research
Monitoring and evaluation
Primary health care
All people, everywhere, deserve the right care, right in their community. This is the fundamental premise of primary health care.
Primary health care (PHC) addresses the majority of a person’s health needs throughout their lifetime. This includes physical, mental and social well-being and it is people-centred rather than disease-centred. PHC is a whole-of-society approach that includes health promotion, disease prevention, treatment, rehabilitation and palliative care.
A primary health care approach includes three components:
- meeting people’s health needs throughout their lives;
- addressing the broader determinants of health through multisectoral policy and action; and
- empowering individuals, families and communities to take charge of their own health.
By providing care in the community as well as care through the community, PHC addresses not only individual and family health needs, but also the broader issue of public health and the needs of defined populations.
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