Newsletter 22
September 2023

A digest of successful transformation stories, news and
other resources available on
International Conferences on Primary Health Care Policy and Practice: Implenting for Better Results
On 23 October WHO/Europe, together with UNICEF and the Government of Kazakhstan, is co-hosting an international conference to celebrate the 45th anniversary of Alma-Ata and 5th anniversary of Astana declarations on primary health care. The conference "Primary health care policy and practice: implementing for better results" will be an official side event of the 73rd session of the WHO Regional Committee for Europe, to be held in Astana, Kazakhstan, in October 2023.

The Conference will:

  • take stock of progress implementing the commitments in the Declaration of Astana on primary health care since 2018, including the impact of the COVID-19 pandemic, and demonstrate concrete results;
  • shift focus from concepts to action by identifying implementation success factors based on country experiences; and
  • identify policies and practices to future-proof primary health-care transformation for moving towards universal health coverage, for greater resilience in the face of emergencies, and better health and well-being.

The Conference is aimed at strategic health leadership at national and subnational levels shaping primary health-care and service delivery transformation. In addition, senior officials in ministries of health with technical responsibility for organization of primary health-care services will be invited to participate, as will academic and technical experts from academic institutions, and international and nongovernmental organizations involved in shaping primary health-care services.

Learn more
Access Declaration of Astana

World leaders commit to redouble efforts towards universal health coverage by 2030
At the the High-Level Meeting on Universal Health Coverage (UHC), last 21 September, during the 78th session of the UN General Assembly, global health leaders have achieved a significant milestone by approving a Political Declaration committing to redouble efforts towards UHC by 2030, using a primary health care approach to build more resilient health systems centred on people’s needs.

Once adopted by the UN General Assembly, the Political Declaration will be regularly monitored for implementation to identify gaps and solutions to accelerate progress, and discussed at the next dedicated UN High-Level Meeting in 2027.
A vision for primary health care in the 21st century
This vision document defines the modern concept of Primary Health Care (PHC), A PHC approach that promotes health, equity and efficiency, by and for people, and aligns with and contributes to the Sustainable Development Goals (SDGs) and universal health coverage (UHC).

A vision for primary health care in the 21st century:
towards UHC and the SDGs underlines some of the lessons learned over the past 40 years, describes challenges faced and outlines a vision of PHC for this century, proposing key levers to achieve the vision.
Operational framework for primary health care

This operational framework, requested in resolution WHA72.2 at UN World Health Assembly, was developed to be taken fully into account in the WHO general programmes of work and programme budgets in order to strengthen health systems and support countries in scaling-up national implementation efforts on primary health care.
The framework proposes 14 levers needed to translate the global commitments made in the Declaration of Astana into actions and interventions to accelerate progress in strengthening primary healthcare-oriented systems and ultimately to improve health for all.

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Tracking universal health coverage: 2023 global monitoring report

This 2023 UHC Global Monitoring Report, published by WHO and the World Bank on the eve of the High-Level Meeting on Universal Health Coverage (UHC) at the 78th UN General Assembly, presents an alarming picture of the state of UHC around the world, even before the COVID-19 pandemic hit.

Based on the most up-to-date data, this report shows that as of 2021, about half the world’s population – 4.5 billion people – was not covered by essential health services, and in 2019 about two billion people experienced financial hardship due to out-of-pocket spending on health, including 344 million people living in extreme poverty.

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Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens

As countries strive to reorient their health systems around the principles of Primary Health Care (PHC), this document responds to Member States’ request in resolution WHA72.2 on PHC for guidance to assess, track and monitor PHC performance to accelerate progress towards UHC and the health-related SDGs.

The Operational framework for PHC: transforming vision into action provides a series of 14 interdependent, interrelated and mutually reinforcing levers for action, including four core strategic and 10 operational levers. The levers expand on the health system building blocks, addressing key health sector elements that can help countries accelerate progress on PHC.

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(c) 2023 Escuela Andaluza de Salud Pública S.A. (Andalusian School of Public Health - WHO Collaborating Centre)
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