Advancing the Science and Practice of Primary Health Care as a Foundation for Universal Health Coverage: A Call for Papers

By Langlois, Etienne V.; Barkley, Shannon et al. | Bulletin of the World Health Organization, August 2019 | Go to article overview

Advancing the Science and Practice of Primary Health Care as a Foundation for Universal Health Coverage: A Call for Papers


Langlois, Etienne V., Barkley, Shannon, Kelley, Edward, Ghaffar, Abdul, Bulletin of the World Health Organization


Health systems face increasingly complex challenges, such as the growing burden of chronic noncommunicable diseases, multisource pollution, new epidemics and antimicrobial resistance. These challenges have prompted an important shift in focus from curative care to health promotion and disease prevention, as well as the development of new models of service delivery, financing and governance for primary health care.

Global health stakeholders are pushing for renewed commitments to enhance primary health care in the 21st century, in light of the 2018 Declaration of Astana. (1) The 2019 World Health Assembly adopted an ambitious resolution recognizing the role of primary health care in providing the full range of health services needed throughout the life course, including prevention, treatment, rehabilitation and palliative care. (2)

Achieving the health-related sustainable development goals (SDGs), including universal health coverage (UHC), will not be possible without stronger primary health care. (3) Action is required to strengthen the three pillars of primary health care, that is, primary care and essential public health functions as the core of integrated health services; empowered people and communities; and multisectoral policy and action. (1)

Most people not covered by essential health services belong to disadvantaged groups. Primary health care can address this issue because it enhances equity and is the most feasible approach to reach people. (4-6) Strengthening primary health care is a cost-effective strategy for UHC (7) and is a strong entry point to improving high-quality health systems. (8) Primary health-care systems are also well positioned to address evolving population needs and contribute to the responsiveness and resilience of health systems. (8)

However, in many low- and middle-income countries, primary health-care systems are weak and do not provide sufficient high-quality, comprehensive, people-centred and integrated care. In addition, the core principles of empowering people and strengthening health systems are often overshadowed by short-term interventions, with countries attempting to meet an overwhelming number of programme-specific targets that are dependent on donor priorities and funding. This situation highlights the need to strengthen comprehensive primary health-care systems based on local priorities, needs and contexts. These systems should be co-developed by people who are engaged in their own health.

Implementation and systems reforms of primary health care are also challenged by the lack of contextualized knowledge and scarcity of research on effective and acceptable approaches to strengthen primary health care, especially in low- and middle-income countries. Primary health-care research that is applicable to different health systems settings is needed.

To tackle these challenges, the Bulletin of the World Health Organization will publish a theme issue on advancing the science and practice of primary health care as a foundation for UHC. The theme issue aims at providing a forward-looking view of the innovations, challenges and shared responsibilities in driving primary health care, and at filling gaps and fostering discussions around what is needed to implement a primary health-care vision towards UHC.

We welcome manuscripts that capture learnings and experience in the implementation of primary health-care policies and interventions as well as the strengthening of primary health-care systems. The ability of countries to fulfil the commitments made in the Declaration of Astana depends on the active engagement of various stakeholders of primary health care. We therefore encourage analysis of challenges, contextualized research, good practices and innovations in enhancing primary health care at the national or sub-national level, with a strong focus on stakeholder engagement and impact on population health and equity. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Advancing the Science and Practice of Primary Health Care as a Foundation for Universal Health Coverage: A Call for Papers
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.