Annals of Global Health (Feb 2020)

Primary Care 2030: Creating an Enabling Ecosystem for Disruptive Primary Care Models to Achieve Universal Health Coverage in Low- and Middle-Income Countries

  • Dan Schwarz,
  • David Duong,
  • Chase Adam,
  • J. K. Awoonor-Williams,
  • Darren Back,
  • Abhay Bang,
  • Rani Bang,
  • Madeleine Beebe,
  • Shreya Bhatt,
  • John Campbell,
  • Magnus Conteh,
  • Dessislava Dimitrova,
  • Donika Dimovska,
  • Jean-Paul Dossou,
  • Timothy Evans,
  • Mazin Gadir,
  • Khaleda Islam,
  • Ronald Kasyaba,
  • Priya Kumar,
  • Catherine Levy,
  • Tran Mai Oanh,
  • Nahed Monsef,
  • Juhwan Oh,
  • Nathaniel Otoo,
  • Daniel Palazuelos,
  • Andy Poh,
  • Sylvana Sinha,
  • Catharine Smith,
  • Ben Stewart,
  • Cicely Thomas,
  • Beth Tritter,
  • Peter Varnum,
  • Taylor Weilnau,
  • Andrew Ellner

DOI
https://doi.org/10.5334/aogh.2471
Journal volume & issue
Vol. 86, no. 1

Abstract

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Background: Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal health coverage, but there is limited consensus on how to build strong primary health care systems to achieve these goals. Methods: We convened a diverse group of global stakeholders for a high-level dialogue on how to create an enabling ecosystem for disruptive primary care innovation. We focused our discussion on four themes: workforce innovation and strengthening; impactful use of data and technology; private sector engagement; and innovative financing mechanisms. Findings: Here, we present a summary of our convening’s proceedings, with specific recommendations for strengthening primary health care systems within each of these four domains. Conclusions: In the wake of the Astana Declaration, there is global consensus that high-quality primary health care must be the foundation for universal health coverage. Significant disruptive innovation will be required to realize this goal. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Health for All by 2030.