Primary Health Care Systems (PRIMASYS)

Primary Health Care Systems (PRIMASYS)

Overview

Far too many health systems around the globe fall short of providing accessible, quality, comprehensive, and integrated care. Realizing the 2030 Agenda for Sustainable Development requires integrated action on system-wide challenges, including on primary health care (PHC) systems in low- and middle-income countries (LMICs). A wide array of stakeholders including development agencies, global health funders, as well as policy planners and health systems decision-makers need a better understanding of primary health care schemes to plan and support complex health systems interventions.

Understanding the knowledge gap related to strategic information on PHC systems at national and sub-national levels in LMICs provides insights on the key points of entry to improve health programme implementation, effectiveness, and efficiency. To address these challenges, the Alliance for Health Policy and Systems Research is leading a portfolio of work entitled Primary Health Care Systems (PRIMASYS).

Research programme

The PRIMASYS initiative supported the development of twenty case studies focused on primary health care systems in selected LMICs. Funded by the Bill & Melinda Gates Foundation, PRIMASYS aims to inform efforts to strengthen PHC systems and improve the implementation, effectiveness, and efficiency of PHC interventions worldwide.

The PRIMASYS case studies cover key aspects of primary health care systems, including policy development and implementation, financing, integration of primary health care into comprehensive health systems, scope, quality and coverage of care, governance and organization, and monitoring and evaluation of system performance.

The Alliance has developed both comprehensive and abridged versions of the case studies. The abridged versions provide an overview of the primary health care system, written for policy-makers and global health stakeholders interested in understanding the key entry points to strengthen primary health care systems. The comprehensive case studies provide an in-depth assessment of the system for researchers and stakeholders who wish to gain deeper insight into the determinants and performance of primary health care systems in selected low- and middle-income countries.

The case studies will serve as the basis for a multi-country analysis of primary health care systems, to understand the systems-level determinants of primary health care performance, and to draw cross-cutting lessons learned in the implementation of PHC policies and PHC systems reforms and interventions.

Key facts

20 country case studies have been developed

Impact

In Indonesia, the PRIMASYS case studies have been used by WHO and its partners to develop cost estimates for essential primary health care services, including a pilot phase in Indonesia.

Globally, the PRIMASYS initiative is highlighted as a model for policy-relevant research in the WHO/UNICEF Operational Framework to implement the Astana Vision for Primary Health Care in the 21st Century.

Case studies

Bangladesh

 

PRIMASYS: Abridged case study from Bangladesh

This case study was developed by the Alliance for Health Policy and Systems Research, an international partnership hosted by the World Health Organization,...

PRIMASYS: Comprehensive case study from Bangladesh

The purpose of the report is to provide an overview of Bangladesh’s PHC system. Key informant data were used to provide a critical review of some...

Cameroon

PRIMASYS: Abridged case study from Cameroon

PHC performance in Cameroon is below expectations when compared to the current health expenditure, mostly because of growing privatization, the weak regulatory...

PRIMASYS: Comprehensive case study from Cameroon

PHC performance in Cameroon is below expectations when compared to the current health expenditure, mostly because of growing privatization, the weak regulatory...

Colombia

PRIMASYS: Abridged case study from Colombia

For elaboration of this primary case, a literature review was carried out in the Colombian context. Reports submitted by the Ministry of Health and Social...

PRIMASYS: Comprehensive case study from Colombia

For elaboration of this primary case, a literature review was carried out in the Colombian context. Reports submitted by the Ministry of Health and Social...

Ethiopia

PRIMASYS: Abridged case study from Ethiopia

This is an abridged version of a full case study of Ethiopia's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Ethiopia

This case study provides a comprehensive, in-depth assessment of the national primary health care (PHC) system of Ethiopia. It presents the structures, processes...

Georgia

PRIMASYS: Abridged case study from Georgia

This is an abridged version of a full case study of Georgia's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Georgia

This case study gives a comprehensive overview of Georgia's primary health care system.This case study was developed by the Alliance for Health Policy...

Ghana

PRIMASYS: Abridged case study from Ghana

This is an abridged version of a full case study of Ghana's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Ghana

Many low- and middle-income countries, including Ghana, were not able to achieve most of the health MDGs. With the adoption of the Sustainable Development...

Indonesia

PRIMASYS: Abridged case study from Indonesia

This is an abridged version of a full case study of Indonesia's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Indonesia

This case study gives a comprehensive overview of Indonesia's primary health care system.This case study was developed by the Alliance for Health Policy...

Kenya

PRIMASYS: Abridged case study from Kenya

This is an abridged version of a full case study of Ethiopia's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Kenya

This is an comprehensive case study of Kenya's primary health care system.This case study was developed by the Alliance for Health Policy and Systems Research,...

Lebanon

PRIMASYS: Abridged case study from Lebanon

This is an abridged version of a full case study of Lebanon's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Lebanon

This case study gives a comprehensive overview of Lebanon's primary health care system.This case study was developed by the Alliance for Health Policy...

Mexico

PRIMASYS: Abridged case study from Mexico

This is an abridged version of a full case study of Mexico's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Mexico

The general objective of this case study is to analyse the structure, processes and outcomes of the Mexican primary care system in order to draw cross-cutting...

Mongolia

PRIMASYS: Abridged case study from Mongolia

This is an abridged version of a full case study of Mongolia's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Mongolia

This case study gives a comprehensive overview of Mongolia's primary health care system. Mongolia implemented a centralized and planned health system,...

Nigeria

PRIMASYS: Abridged case study from Nigeria

This is an abridged version of a full case study of Nigeria's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Nigeria

This case study gives a comprehensive overview of Nigeria's primary health care system.This case study was developed by the Alliance for Health Policy...

Pakistan

PRIMASYS: Abridged case study from Pakistan

This is an abridged version of a full case study of Pakistan's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Pakistan

This case study gives a comprehensive overview of Pakistan's primary health care system. This study aims to capture the dimensions of the PHC sector in...

Peru

PRIMASYS: Abridged case study from Peru

This is an abridged version of a full case study of Peru's primary health care system.This case study was developed by the Alliance for Health Policy and...

PRIMASYS: Comprehensive case study from Peru

This document describes the current situation of the Peruvian health system, with an emphasis on PHC.This case study was developed by the Alliance for...

Rwanda

PRIMASYS: Abridged case study from Rwanda

This is an abridged version of a full case study of Rwanda's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Rwanda

The present case study provides a comprehensive, in-depth assessment of the national primary health care (PHC) system of Rwanda in order to understand the...

South Africa

PRIMASYS: Abridged case study from South Africa

This is an abridged version of a full case study of South Africa's primary health care system.This case study was developed by the Alliance for Health...

PRIMASYS: Comprehensive case study from South Africa

This report provides an overview of key developments in and features of PHC in South Africa, situated in the socioeconomic and health system context...

Sri Lanka

PRIMASYS: Abridged case study from Sri Lanka

This is an abridged version of a full case study of Sri Lanka's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Sri Lanka

This case study gives a comprehensive overview of Sri Lanka's primary health care system. Primary care has been the backbone of the Sri Lankan health...

Thailand

PRIMASYS: Abridged case study from Thailand

This is an abridged version of a full case study of Thailand's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Thailand

This case study gives a comprehensive overview of Thailand's primary health care system.This case study was developed by the Alliance for Health Policy...

Uganda

PRIMASYS: Abridged case study from Uganda

This is an abridged version of a full case study of Uganda's primary health care system.This case study was developed by the Alliance for Health Policy...

PRIMASYS: Comprehensive case study from Uganda

This case study gives a comprehensive overview of Uganda's primary health care system.This case study was developed by the Alliance for Health Policy and...

United Republic of Tanzania

PRIMASYS: Abridged case study from the United Republic of Tanzania

This is an abridged version of a full case study of the United Republic of Tanzania's primary health care system.This case study was developed by the Alliance...

PRIMASYS: Comprehensive case study from the United Republic of Tanzania

This case study gives a comprehensive overview of the United Republic of Tanzania's primary health care system.This case study was developed by the Alliance...