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An approach to primary health 
care towards people-centred 
health-service delivery: recounting 
changes and restoring principles 
Hans Kluge 
Director, Division of Health Systems and Public Health
Primary health care (PHC): a call throughout the ages 
1978 2008 2008 2012
Celebrating 35 years with PHC in the driver’s seat: 
charting change
60 
50 
40 
30 
20 
10 
0 
70 
The changing health landscape? 
Male Female Both 
Context 
HEALTH 
SYSTEM
The changing health landscape? 
60 
50 
40 
30 
20 
10 
0 
70 
Male Female Both 
Context 
HEALTH 
SYSTEM
Health system innovations: products, processes, 
services, technologies and ideas 
TECHNOLOGIES 
MODEL OF CARE 
INFORMATICS 
FINANCING 
PUBLIC–PRIVATE 
PARTNERSHIPS 
WORKFORCE 
MEDICINES 
HEALTH 
SYSTEM 
MODEL 
OF CARE
Ambulatory care-sensitive 
conditions in Germany 
Public health with 
multisectoral actions in Finland 
PHC financing 
in Latvia 
Project to support health 
reform in Greece 
Primary care 
evaluation in Andorra 
Strengthening PHC in Europe 
Roll out family medicine 
in Tajikistan 
Family medicine 
model in Turkey 
Integrating public health 
into service delivery
Revitalized approach to PHC 
Improving access to 
essential medicines, 
funds and technology 
Providing the full 
continuum of services 
throughout the life-course 
Establishing new 
partnerships to effectively 
tackle the social 
determinants of health 
Raising the prestige of 
PHC and its workforce 
from early stages of 
workforce education
Way forward: towards coordinated/integrated health-service 
Evidence 
Leadership 
for change 
Technical 
skills 
Capacity 
building 
Network 
 Consolidated experiences & evidence-base 
Developing Common approach in-country to CIHSD capacity & clearly 
to lead and 
manage defined key change concepts 
towards more CIHSD 
 Network of partners and national focal points for the 
continued exchange of knowledge and experience 
of tools/instruments for CIHSD 
Capacity 
building 
delivery in the European Region
WHO Regional Office for Europe 
Division of 
Health Systems 
and Public Health 
Thank you

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An approach to primary health care towards people-centred health-service delivery: recounting changes and restoring principles

  • 1. An approach to primary health care towards people-centred health-service delivery: recounting changes and restoring principles Hans Kluge Director, Division of Health Systems and Public Health
  • 2. Primary health care (PHC): a call throughout the ages 1978 2008 2008 2012
  • 3. Celebrating 35 years with PHC in the driver’s seat: charting change
  • 4. 60 50 40 30 20 10 0 70 The changing health landscape? Male Female Both Context HEALTH SYSTEM
  • 5. The changing health landscape? 60 50 40 30 20 10 0 70 Male Female Both Context HEALTH SYSTEM
  • 6. Health system innovations: products, processes, services, technologies and ideas TECHNOLOGIES MODEL OF CARE INFORMATICS FINANCING PUBLIC–PRIVATE PARTNERSHIPS WORKFORCE MEDICINES HEALTH SYSTEM MODEL OF CARE
  • 7. Ambulatory care-sensitive conditions in Germany Public health with multisectoral actions in Finland PHC financing in Latvia Project to support health reform in Greece Primary care evaluation in Andorra Strengthening PHC in Europe Roll out family medicine in Tajikistan Family medicine model in Turkey Integrating public health into service delivery
  • 8. Revitalized approach to PHC Improving access to essential medicines, funds and technology Providing the full continuum of services throughout the life-course Establishing new partnerships to effectively tackle the social determinants of health Raising the prestige of PHC and its workforce from early stages of workforce education
  • 9. Way forward: towards coordinated/integrated health-service Evidence Leadership for change Technical skills Capacity building Network  Consolidated experiences & evidence-base Developing Common approach in-country to CIHSD capacity & clearly to lead and manage defined key change concepts towards more CIHSD  Network of partners and national focal points for the continued exchange of knowledge and experience of tools/instruments for CIHSD Capacity building delivery in the European Region
  • 10. WHO Regional Office for Europe Division of Health Systems and Public Health Thank you