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

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

4. PHC Operational Framework

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