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Designing and implementing primary
health care-oriented models of care in
the Eastern Mediterranean Region:
Regional initiative for transforming vision
into action
Dr Hassan Salah
Regional Adviser, Primary Health Care
Team Lead, Access to Health Services
By 2030 (in 7 years)
2023
*EB152/5.Reorienting health systems to primary health care as a resilient foundation for
universal health coverage and preparations for a high -level meeting of the United Nations
General Assembly on universal health coverage; Report by the Director -General, p. 4
90%
of the recommended interventions for
universal health coverage (UHC) can be
delivered through primary health
care (PHC)*
510% of health care budget
< 10% of PHC facilities
use quality indicators
70% of prescriptions
include antibiotics
Essential health services
packages mostly implicit
Private sector is the main
health provider
Establishing a
PHC-oriented model
of care is a
PRIORITY
for resilient health
systems to advance
universal health
coverage (UHC) and
promote health
security in the
Region
PHC Operational Framework
PHC-oriented models of care
A model of care is a description of the way health
services are selected, designed, organized,
delivered, managed and supported by different
service delivery platforms
Selection and organization of
services
Management of services
Management of population health
Design PHC-oriented models | Key elements
The
population
for whom
the model is
designed
1 2 3 4 5 6
The
selection
and
planning of
services
Service
design
Organization
and
management
Community
linkages and
engagement
Health
financing
arrangements
How to
operationalize a
PHC-oriented
model of care?
A PHC-oriented model of
care promotes high-quality,
people-centred primary
care and essential public
health functions as the core
element of integrated health
services throughout the life
course
Define a context-specific
essential health services
package (EHSP)
FIRST:
Adapt service delivery arrangements to
ensure effective delivery of UHC-priority
benefits package (PBP)/EHSP
SECOND:
A. Capacity-building of
human resources for health
MoU with 9 universities for family medicine diploma
Scholarships for GPs at pilot sites to do the diploma
Training on disease management
Implementation of patient safety & quality of care
Adapt service delivery
arrangements to ensure
effective delivery of UHC-
PBP/EHSP
SECOND:
B. Minor renovation,
provision of essential
supplies and equipment
Adapt service delivery
arrangements to ensure
effective delivery of UHC-
PBP/EHSP
SECOND:
C. Establishment of family
medical records and
telemedicine
Integrate health
programme specificities
THIRD:
Inclusive health approach
and integrated service
delivery
Establish strong linkages
between community
health and facility-based
services
FOURTH:
Lady health workers to
strengthen community
engagement
Feedback on regional PHC-
oriented model of care
initiative
Recommended actions to
overcome current challenges
Future sustainability of
PHC-oriented model of
care
Member States interested in
joining regional PHC-oriented
model of care initiative
Topics for
discussion

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Designing and implementing primary health care-oriented models of care in the Eastern Mediterranean Region.pptx

  • 1. Designing and implementing primary health care-oriented models of care in the Eastern Mediterranean Region: Regional initiative for transforming vision into action Dr Hassan Salah Regional Adviser, Primary Health Care Team Lead, Access to Health Services
  • 2. By 2030 (in 7 years) 2023 *EB152/5.Reorienting health systems to primary health care as a resilient foundation for universal health coverage and preparations for a high -level meeting of the United Nations General Assembly on universal health coverage; Report by the Director -General, p. 4 90% of the recommended interventions for universal health coverage (UHC) can be delivered through primary health care (PHC)* 510% of health care budget < 10% of PHC facilities use quality indicators 70% of prescriptions include antibiotics Essential health services packages mostly implicit Private sector is the main health provider
  • 3. Establishing a PHC-oriented model of care is a PRIORITY for resilient health systems to advance universal health coverage (UHC) and promote health security in the Region
  • 5. PHC-oriented models of care A model of care is a description of the way health services are selected, designed, organized, delivered, managed and supported by different service delivery platforms Selection and organization of services Management of services Management of population health
  • 6. Design PHC-oriented models | Key elements The population for whom the model is designed 1 2 3 4 5 6 The selection and planning of services Service design Organization and management Community linkages and engagement Health financing arrangements
  • 7. How to operationalize a PHC-oriented model of care? A PHC-oriented model of care promotes high-quality, people-centred primary care and essential public health functions as the core element of integrated health services throughout the life course
  • 8. Define a context-specific essential health services package (EHSP) FIRST:
  • 9. Adapt service delivery arrangements to ensure effective delivery of UHC-priority benefits package (PBP)/EHSP SECOND: A. Capacity-building of human resources for health MoU with 9 universities for family medicine diploma Scholarships for GPs at pilot sites to do the diploma Training on disease management Implementation of patient safety & quality of care
  • 10. Adapt service delivery arrangements to ensure effective delivery of UHC- PBP/EHSP SECOND: B. Minor renovation, provision of essential supplies and equipment
  • 11. Adapt service delivery arrangements to ensure effective delivery of UHC- PBP/EHSP SECOND: C. Establishment of family medical records and telemedicine
  • 12. Integrate health programme specificities THIRD: Inclusive health approach and integrated service delivery
  • 13. Establish strong linkages between community health and facility-based services FOURTH: Lady health workers to strengthen community engagement
  • 14. Feedback on regional PHC- oriented model of care initiative Recommended actions to overcome current challenges Future sustainability of PHC-oriented model of care Member States interested in joining regional PHC-oriented model of care initiative Topics for discussion