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
Affiliations
- Dan Schwarz
- Harvard Medical School, Program in Global Primary Care and Social Change, Boston; Ariadne Labs at Brigham and Women’s Hospital and Harvard T.H. Chan School of Public Health, Boston
- David Duong
- Harvard Medical School, Program in Global Primary Care and Social Change, Boston
- Chase Adam
- Watsi, San Francisco
- J. K. Awoonor-Williams
- Ghana Health Services, Policy, Planning, Monitoring and Evaluation, Accra
- Darren Back
- Pfizer Inc., Social Investments and Corporate Responsibility, New York
- Abhay Bang
- Society for Education, Action and Research in Community Health (SEARCH), Gadchiroli, Nagpur
- Rani Bang
- Society for Education, Action and Research in Community Health (SEARCH), Gadchiroli, Nagpur
- Madeleine Beebe
- Muso, Bamako
- Shreya Bhatt
- Medic Mobile, Mumbai
- John Campbell
- Results for Development, Washington, DC
- Magnus Conteh
- Last Mile Health Inc., Community Health Academy, Boston
- Dessislava Dimitrova
- World Economic Forum, Geneva
- Donika Dimovska
- Results for Development, Washington, DC
- Jean-Paul Dossou
- Centre de recherche en Reproduction Humaine et en Démographie, Public Health, BJ; Instituut voor Tropische Geneeskunde, Public Health, Antwerpen
- Timothy Evans
- The World Bank Group, Health, Nutrition and Population Global Practice, Washington, DC
- Mazin Gadir
- Dubai Health Authority, Executive Office for Organizational Transformation, Dubai
- Khaleda Islam
- Health Services of Bangladesh
- Ronald Kasyaba
- Uganda Catholic Medical Bureau, Kampala
- Priya Kumar
- Watsi, San Francisco
- Catherine Levy
- Sanofi SA, Global Health Programs for Non Communicable Diseases, Paris
- Tran Mai Oanh
- Health Strategy and Policy Institute, Department of Public Health, Hanoi
- Nahed Monsef
- Dubai Health Authority, Department of Health Affairs, Dubai
- Juhwan Oh
- Seoul National University College of Medicine, JW LEE Center for Global Medicine, Seoul
- Nathaniel Otoo
- Results for Development, Washington, DC
- Daniel Palazuelos
- Harvard Medical School, Department of Global Health and Social Medicine, Boston; Partners In Health, Boston
- Andy Poh
- United Arab Emirates Prime Minister’s Office, Dubai
- Sylvana Sinha
- Praava Health
- Catharine Smith
- Harvard Medical School, Center for Primary Care, Boston
- Ben Stewart
- F Hoffmann-La Roche AG, Foundation Medicine, Basel
- Cicely Thomas
- Results for Development, Washington, DC
- Beth Tritter
- Primary Health Care Performance Initiative, Washington, DC
- Peter Varnum
- World Economic Forum, Global Health and Healthcare, Geneva
- Taylor Weilnau
- Harvard Medical School, Center for Primary Care, Boston
- Andrew Ellner
- Harvard Medical School, Program in Global Primary Care and Social Change, Boston
- DOI
- https://doi.org/10.5334/aogh.2471
- Journal volume & issue
-
Vol. 86,
no. 1
Abstract
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.
