Strengthening how countries manage and improve primary health care performance by bringing policymakers and practitioners together to collectively diagnose challenges, share practical experiences, and co-produce adaptable solutions.
The Primary Healthcare Performance Management Learning Collaborative looks to strengthen how countries manage and improve primary health care (PHC) performance by bringing policymakers and practitioners together to collectively diagnose challenges, share practical experiences, and co-produce adaptable solutions.
The collaborative is designed to bridge the relationship between PHC performance management practices and outcomes, emphasizing the critical role of district-level management and supervision.
Bahrain, Egypt, Ethiopia, Fiji, Ghana, Kenya, Lebanon, Liberia, Malaysia, Mongolia, Nigeria, Philippines, South Africa
Mapping existing initiatives and identifying shared priorities. Countries highlighted bottlenecks such as fragmented data systems, limited analytical capacity, and weak feedback loops.
Seven virtual technical workshops on participant-prioritized topics: indicator selection, systematic performance feedback, hard and soft skills, and project management for PHC quality improvement.
In-person workshops in Nairobi, Kenya (Oct 2024) and Istanbul, Turkey (Jul 2025) launched two implementation workstreams across member countries.
During scoping, countries highlighted several shared bottlenecks in PHC performance management:
Different systems and processes for different health programs (MCH, TB, HIV/AIDs, PHC). Lack of integration and donor reliance impede effective performance management.
Poor data quality and gaps in reported data undermine reliable, standardized information, especially in rural areas and at facility levels.
PHC managers at the subnational level require capacity development to analyze data and use it for work planning and performance improvement.
Excessive data collection with 50–100+ indicators that disproportionately emphasize outputs but not process or quality measures.
Performance feedback systems appear limited or non-existent in some countries, preventing actionable information from reaching frontline workers.
During the foundational phase (May–September 2024), the collaborative delivered seven virtual technical workshops:
Two focused workstreams launched to support member countries with concrete implementation activities.
Mongolia has completed a needs assessment, defined dashboard requirements, and drafted visualization layouts, and is now developing an in-house PHC performance dashboard to be piloted in selected facilities. Nigeria has used the process to clarify its needs.
Developing a 4–5 day hard skills training program supported by a package of global goods that can be adapted for use by other countries. Piloting has commenced in all three lead countries.
Training materials, facilitator guides, and reference literature developed through the collaborative. These global goods can be adapted for use by other countries.
Read some of the Technical Facilitators’ blogs on lessons learned from the collaborative, including reflections on the resources available and the implementation learning process
