Global thought leaders on PHC & Health Financing: do not miss!

WHO’s Health Financing and PHC teams bolster strategic vision!


Primary Health Care (PHC) has gained traction over the years as the main vehicle to progress towards universal health coverage as well as to strengthen, develop or transform health systems.


The corner stone of health systems, PHC increasingly appears as the only game in town to fast track health systems growth to serve populations, tailor offerings to address people’s needs and epidemiological trends while delivering value for money.


With a new Lancet Commission on PHC and health financing launched on 5th April 2022, this is a welcome light shed on a crucial topic and the foundational pillar of health systems transformation.


But there is more good news in this regard: a detailed commentary published in The Lancet on 6th April provides incommensurable help to the commission and set the course in the right direction, looking at PHC from a multi-faceted perspective.


Under the heading: “An assertive, practical, and substantive agenda to catalyse meaningful change”, global thought-leaders in health financing Joe Kutzin and his team of worldwide specialists in health economics, public finance management, and political economy of health offer a net contribution to the debate.


It is a wealth of knowledge and insight shared with PHC champions and cutting-edge experts Dr Suraya Dalil and Dr Shannon Barkley for the benefit of the whole health ecosystem.


Based on unparalleled access to country data but also a unique combination of skills, the team helps frame the most important issues pertaining to the development of PHC in a resource-constrained context that requires sophisticated knowledge and understanding of the dynamics underpinning health financing.


This leads to the drawing up of clear and all-encompassing conceptual vision of PHC and inspiring operational guidelines which can only provide the Commission with significant help:


From a health financing perspective, perhaps the most far-reaching and potentially influential recommendations in the Commission are (a) to move towards a coherent mixed-provider payment model for PHC with capitation at the core, and (b) to universalise PHC coverage while eliminating or greatly reducing out-of-pocket payments for these services.


The unrivaled insight mustered by Joe Kutzin and colleagues in the commentary reflects the relentless practical support brought to country decision makers committed to use PHC to progress towards universal health coverage.


It draws on a granular knowledge of country’s situation to underline the real challenges. Illustrative of this is the excerpt hereunder:


In reality, a country's starting point for reorienting provider payment to a more coherent set of incentives for “people-centred care” is more complex than the extremes of either line-item budgets or unmanaged fee-for-service, given the fragmentation of revenues flowing from different schemes and programmes that exists in most countries.


Your Decide Hub also has an interest in PHC-related trends and reforms, including cost-effectiveness and priority setting methods, capital investment for infrastructure transformation or contracting to develop new PHC care pathways.


Decide will follow even more closely the work of the WHO Health Financing as well as PHC teams to ensure consistency of its products with the effective guidance designed by those lead specialists!


Do not miss: click here  to read the perspective of the global leading team on health financing



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