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Primary Health Care Improvement Global Stakeholder Meeting Report

Investigating interventions that can positively influence breastfeeding rates at six months postpartum.

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Added on  2023-06-12

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This report provides background on the challenges and opportunities in the field of measurement for improvement in primary health care (PHC). It describes current, relevant multi-stakeholder efforts to address these challenges and opportunities, followed by key questions for consideration and potential deliverables for the global stakeholder community. The report also discusses the Primary Health Care Performance Initiative (PHCPI) and the Health Data Collaborative (HDC) and their role in improving PHC in low- and middle-income countries.

Primary Health Care Improvement Global Stakeholder Meeting Report

Investigating interventions that can positively influence breastfeeding rates at six months postpartum.

   Added on 2023-06-12

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Primary Health Care Improvement
Global Stakeholder Meeting
6-8 April 2016
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Table of Contents
Table of Contents ........................................................................................................................ 3
Key Messages ............................................................................................................................. 4
Acronym Index............................................................................................................................ 5
Purpose ...................................................................................................................................... 7
Background................................................................................................................................. 7
Measurement ............................................................................................................................. 9
Monitoring and Evaluation Framework ................................................................................................. 9
Establishing priorities for PHC measurement ....................................................................................... 10
Health Data Collaborative................................................................................................................... 13
From Measurement to Improvement ........................................................................................ 15
Accelerating the process of using measurement to drive improvement ............................................... 15
Knowledge Management.................................................................................................................... 16
Action for Improvement ............................................................................................................ 18
Common causes of poor PHC performance.......................................................................................... 18
Strategies for PHC improvement ......................................................................................................... 19
PHC improvement activities (current and future) ................................................................................ 20
Global Challenge for Primary Health Care Improvement ...................................................................... 21
Annex 1: Situation Analysis Measurement ................................................................................ 23
Annex 2: PHCPI Vital Signs ........................................................................................................ 24
This report contains the collective views of an international group of experts, and does not necessarily
represent the decisions or the stated policy of the World Health Organization.
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Key Messages
1. Health systems based on high-performing primary health care (PHC) are able to achieve better health
outcomes, more equitably, and at lower relative cost than health systems that over emphasize disease-
specific and/or hospital-based care.
2. Little is known about the performance of PHC, particularly in domains of service delivery: access,
comprehensiveness, continuity, coordination, people-centeredness and quality. Challenges exist across
the measurement spectrum from data collection, analysis, visualization and use for improvement.
3. Recent efforts by international agencies, including the Primary Health Care Performance Initiative
(PHCPI) and the Health Data Collaborative (HDC), offer an opportunity for stakeholders to collaborate
and complement country investments in the area of PHC measurement for improvement.
4. The Primary Health Care Performance Initiative (PHCPI) seeks to catalyze improvements in PHC in low-
and middle-income countries by developing better measurement of PHC-relevant domains, increasing
data availability and sharing knowledge.
5. The Health Data Collaborative (HDC) aims to address disparate funding and fragmented sources of
health data that lead to the current inadequacy of data for reliable, timely decision-making. The output
of HDC is more collaborative and efficient investment in country information systems and monitoring
and evaluation plans.
6. This meeting seeks to inform these stakeholder efforts and provide a common work plan for (1)
improved PHC performance measurement including research and development of less measured
domains of quality PHC and incorporation of these measures into existing measurement platforms and
(2) PHC improvement efforts including relevant guidance and tools and the WHO Global Challenge on
Primary Health Care Improvement.
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Acronym Index
AeHIN Asia eHealth Information Network
ASSD Africa Symposium on Statistical Development
BMGF
CoP
CQI
The Bill and Melinda Gates Foundation
Community of practice
Continuous quality improvement
CRVS Civil registration and vital statistics
DHIS District Health Information System
GAVI Global Alliance for Vaccines and Immunization
GFATM The Global Fund to Fight AIDS, Tuberculosis and Malaria
GFF Global Financing Facility in Support of Every Woman Every Child
GIZ German Corporation for International Cooperation
HDC Health data collaborative
HMIS Health management information system
IHP+ The international health partnership
IPCHS Integrated, people-centred health services
JICA Japan International Cooperation Agency
LMIC Low and Middle Income Countries
M&E Monitoring and evaluation
NHA National health accounts
NORAD Norwegian Agency for Development Cooperation
OECD Organisation for Economic Co-operation and Development
PEPFAR The United States President's Emergency Plan for AIDS Relief
PHC Primary health care
PHCPI Primary health care performance initiative
RBF Results based financing
SARA Service Availability and Readiness Assessment
SDG Sustainable development goal
SDI Service Delivery Indicators
SPA Service Provision Assessment
UHC Universal health coverage
UNFPA United Nations Population Fund
UNICEF United Nations Children's Fund
UNSD United Nations Statistical Division
USAID United States Agency for International Development
WBG World Bank Group
WHO World Health Organization
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