Perera, Susie;
Ramani, Sudha;
Joarder, Taufique;
Shukla, Rajendra S;
Zaidi, Shehla;
Wellappuli, Nalinda;
Ahmed, Syed Masud;
... Rao, Krishna D; + view all
(2024)
Reorienting health systems towards Primary Health Care in South Asia.
The Lancet Regional Health - Southeast Asia
, 28
, Article 100466. 10.1016/j.lansea.2024.100466.
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Abstract
This series, “Primary health care in South Asia”, is an effort to provide region-specific, evidence-based insights for reorienting health systems towards PHC. Led by regional thinkers, this series draws lessons from five countries in South Asia: Bangladesh, India, Nepal, Pakistan, and Sri Lanka. This is the last paper in the series that outlines points for future action. We call for action in three areas. First, the changing context in the region, with respect to epidemiological shifts, urbanisation, and privatisation, presents an important opportunity to appraise existing policies on PHC and reformulate them to meet the evolving needs of communities. Second, reorienting health systems towards PHC requires concrete efforts on three pillars-integrated services, multi-sectoral collaboration, and community empowerment. This paper collates nine action points that cut across these three pillars. These action points encompass contextualising policies on PHC, scaling up innovations, allocating adequate financial resources, strengthening the governance function of health ministries, establishing meaningful public-private engagements, using digital health tools, reorganising service delivery, enabling effective change–management processes, and encouraging practice-oriented research. Finally, we call for more research-policy-practice networks on PHC in South Asia that can generate evidence, bolster advocacy, and provide spaces for cross-learning. Funding: WHO SEARO funded this paper. This source did not play any role in the design, analysis or preparation of the manuscript.
| Type: | Article |
|---|---|
| Title: | Reorienting health systems towards Primary Health Care in South Asia |
| Location: | England |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.lansea.2024.100466 |
| Publisher version: | https://doi.org/10.1016/j.lansea.2024.100466 |
| Language: | English |
| Additional information: | Copyright © 2024 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Health Care Sciences & Services, Public, Environmental & Occupational Health, Primary Health Care, South Asia, Health systems, Health policy, Way forward, Call to action, Urban, Chronic diseases, Private sector, Alma Ata, Astana, Comprehensive primary health care, Community health workers, India, Bangladesh, Sri Lanka, Pakistan, Nepal, MIDDLE-INCOME COUNTRIES, COVERAGE |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10208269 |
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