Accelerating Primary Health Care Strengthening
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Accelerating primary health care strengthening in the context of the Declaration of Astana
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Accelerating Primary Health Care Strengthening
- 1. Accelerating primary health care strengthening in the context of the Declaration of Astana Dr Santino Severoni, Director, ad interim, Division of Health Systems and Public Health Dr Anne Staehr Johansen Acting Head of Office WHO European Centre for Primary Health Care, Almaty
- 2. The enduring call for primary health care… 1978 2008 2012 2018 ….
- 3. We commit to: • Make bold political choices for health across all sectors • Build sustainable primary health care • Empower individuals and communities • Align stakeholders to support national policies, strategies and plans.
- 4. May 2019 Oct 2018 Declaration of Astana adopted Oct 2018 UN agencies make commitment to develop Global Action Plan (GAP) for healthy lives and well-being, with PHC as accelerator Jan 2019 WHO’s Thirteenth General Programme of Work, 2019-2023, starts Declaration of Astana adopted by the WHA (WHA72.2) and Secretariat mandated to develop the operational and monitoring and evaluation frameworks Sept 2019 UNGA GAP presentation and launch May 2020 WHA on the operational and monitoring and evaluation frameworks Global developments and regional response Sept 2019 Regional Committee for Europe resolution on implementation of the Declaration of Astana through 10 evidence-based policy accelerators Jul–Sept 2019 July–Dec 2019 WHO drafts the monitoring and evaluation strategy (concerted effort headquarters with regions) Consultations with Member States on draft operational framework
- 5. Organization, performance and quality of primary health care in North Macedonia What does the evidence tell us?
- 6. Ten primary health care policy accelerators Establish feedback loops for learning and improvement Align accountability and incentives Establish multi-profile teams Adopt a population health management approach Invest in the competencies of doctors and nurses Support patients to take responsibility for their health Make health care accessible across the life course Upgrade primary health care facilities Empower health managers Integrate health and social care
- 7. The origins of the policy accelerators 1978 2008 2012 2018 …. 2016
- 8. Prioritize a primary health care approach Advance 10 evidence- based, high impact policy actions Measure and monitor impact, performance and capacity Place people at the centre of the health system Resolution: commitments of Member States
- 9. Technical assistance in countries Health intelligence on primary health care Partnerships knowledge sharing and learning Resolution: support from the Regional Office
- 10. Leads the efforts to adapt the Operational framework for primary health care to the European Region Ensures alignment of the policy accelerators with the Operational framework Contibutes to WHO’s efforts to monitor the implementation of the Astana Declaration The WHO European Centre for Primary Health Care in Almaty, Kazakhstan
- 11. due to
- 12. WHO Regional Office for Europe UN City Marmorvej 51 DK-2100 Copenhagen Ø Denmark www.euro.who.int Thank you
Editor's Notes
- Declaration of Astana principles It is a fundamental right of every human being to enjoy the highest attainable standard of health PHC is most inclusive, effective and efficient approach to enhance people’s physical and mental health, as well as social wellbeing PHC is a cornerstone of a sustainable health system for universal health coverage and Sustainable Development Goals.
- Oct 2018. Declaration of Astana. Oct 2018. UN agencies commitment towards a Global Action Plan (GAP) for healthy lives and wellbeing for all, with PHC as accelerator Jan 2019. WHO’s Thirteenth General Program of Work 2019-2023 starts May 2019. Declaration of Astana adopted by the WHA (WHA72.9) and Secretariat mandated to develop the operational and the M&E frameworks in consultation with MSs by May 2020 Jul-Sep 2019. Consultations with Member States on the draft operational framework. Jul-Dec 2019. WHO drafts the M&E (concerted hq/regions) Sept 2019. EUR resolution on implementation of the Declaration of Astana through 10 evidence-based policy accelerators, aligned with Sept 2019. UNGA GAP presentation and launch May 2020. WHA on the Operational and M&E frameworks Oct 2018 All heads of agencies fully engaged to work together to define a common vision, commit to an initial set of actions and define accelerators and milestones.
- We know what needs to be done - re the huge volume of evidence and experience that is available Order of appearance: Multi-country studies, research evidence, journal articles Case studies on good practices and country/expert experiences Country studies – on PHC, NCDs The policy accelerators, based on the best available research and practice, highlight high-impact entry points for rapidly advancing progress in primary health care.
- The aim of the policy accelerators is to provide guidance to policy-makers in prioritizing evidence-based innovations for timely implementation and scale up. Importantly, these policy accelerators include the use of performance intelligence. They are accompanied by “digital pointers”, which briefly describe relevant information technology solutions.
- I would like to give you a bit of historical background about the policy accelerators. Some of you may be puzzled about why they are being introduced now, worrying that they are inconsistent with the Operational Framework for PHC guiding implementation of the Astana Declaration. The answer is simple, they were started much before the preparation of the Astana Declaration after the adoption of the Framework on Integrated Health Services Delivery.
- I want to leave you with one number which conveys the importance of the need to scale up PHC: 34.5 MILLION years of life were lost in 2017—21% of all premature mortality in the WHO EURO region—because of high systolic blood pressure. This ought not be the case. We know how to diagnose and treat hypertension and it is not costly. It is one of the most basic tasks of primary health care. Yet, it is the second ranking risk factor behind dietary risks contributing to premature mortality. For this reason, I hope you will support the implementation of the Astana declaration and the evidence-based policy accelerators as part of the Operational Framework for Primary Health Care.