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A Collaborative on Foundational Reforms for Primary Healthcare Financing and Service Delivery
About the Collaborative – This activity is currently active
Primary Healthcare (PHC) is widely recognized as a critical foundation for health systems to achieve universal health coverage (UHC). PHC is often the first point of contact for households with the formal healthcare system, providing access to basic essential health services. Despite recognition of the critical role of PHC, it remains chronically underfunded, and bottlenecks exist that limit the effective use of available PHC resources.
To address these challenges, many countries are prioritizing reforms that strengthen PHC by redesigning and testing different organization configurations and addressing bottlenecks by increasing health facility autonomy. The goal of this collaborative is to support country efforts of implementing PHC reforms through practical lessons on sequencing and understanding how to navigate common bottlenecks.
Fourteen country teams from Botswana, Burkina Faso, Colombia, Ghana, Indonesia, Kenya, Lebanon, Liberia, Malaysia, Mongolia, Nigeria, Philippines and Vietnam – joined the collaborative and co-developed a learning agenda, which three sub-streams; allocation of PHC resources. provider payment mechanisms for PHC services, and provider autonomy to use PHC resources,
Continuing through September 2025, this collaborative will consist of in-person convenings, virtual country pairings, and several virtual workshops to progress learning across the three streams.
Anticipated outputs:
The anticipated outputs include in-person meeting reports, blogs, country technical briefs, and a final knowledge product.
Useful Resources:
About R4D
R4D is a leading non-profit global development partner that prioritizes collaboration with change agents around the world — government officials, civil society leaders and social innovators — to create strong systems that support healthy, educated people. R4D combines global expertise in health, education and nutrition with analytic rigor, practical support for decision-making and implementation and access to peer problem-solving networks. With their partners, R4D builds self-sustaining systems that serve everyone and deliver lasting results.
Participating Countries
Botswana, Burkina Faso, Colombia, Ghana, Ethiopia, Kenya, Indonesia, Lebanon, Liberia, Nigeria, Malaysia, Mongolia, Philippines, and Vietnam.
Technical Facilitators
Technical facilitation for this collaborative is provided by Results for Development (R4D). R4D will facilitate the collaborative which brings together a group of national and sub-national representatives and practitioners to exchange experiences and ideas to improve their strategies for implementing foundational reforms to strengthen PHC. R4D will also bring in external experts to assist on the facilitation team, based on the needs of country teams participating in each sub-stream.
In Person Meeting Report: April 2024
Synopsis:
Primary health care has been a cornerstone of global health since the Alma Alta declaration in 1978 and reaffirmed by the 2018 Astana declaration. Despite its recognition and pivotal role in achieving universal health coverage (UHC), PHC services remain underfunded, particularly in low and middle-income countries.
Facilitators
Cheryl Cashin, Managing Director
Agnes Munyua, Program Director
Adwoa Twum, Senior Program Officer
Emma Satzger, Program Officer
Rachel Gessel, Program Associate