Primary health care systems (PRIMASYS): comprehensive case study from United Republic of Tanzania
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Date
2017
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Publisher
World Health Organisation
Abstract
Health systems around the globe still fall short of
providing accessible, good-quality, comprehensive
and integrated care. As the global health community
is setting ambitious goals of universal health
coverage and health equity in line with the 2030
Agenda for Sustainable Development, there is
increasing interest in access to and utilization of
primary health care in low- and middle-income
countries. A wide array of stakeholders, including
development agencies, global health funders, policy
planners and health system decision-makers, require
a better understanding of primary health care
systems in order to plan and support complex health
system interventions. There is thus a need to fill the
knowledge gaps concerning strategic information
on front-line primary health care systems at national
and subnational levels in low- and middle-income
settings.
The Alliance for Health Policy and Systems
Research, in collaboration with the Bill & Melinda
Gates Foundation, is developing a set of 20 case
studies of primary health care systems in selected
low- and middle-income countries as part of an
initiative entitled Primary Care Systems Profiles
and Performance (PRIMASYS). PRIMASYS aims to
advance the science of primary health care in lowand
middle-income countries in order to support
efforts to strengthen primary health care systems
and improve the implementation, effectiveness
and efficiency of primary health care 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 full and abridged versions
of the 20 PRIMASYS case studies. The abridged
version provides an overview of the primary health
care system, tailored to a primary audience of policymakers
and global health stakeholders interested in
understanding the key entry points to strengthen
primary health care systems. The comprehensive case
study provides an in-depth assessment of the system
for an audience of 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.
Furthermore, the case studies will serve as the basis
for a multicountry analysis of primary health care
systems, focusing on the implementation of policies
and programmes, and the barriers to and facilitators
of primary health care system reform. Evidence from
the case studies and the multi-country analysis will
in turn provide strategic evidence to enhance the
performance and responsiveness of primary health
care systems in low- and middle-income countries.
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Citation
Maluka S & Chitama D. Primary health care systems (PRIMASYS): comprehensive case study from United Republic of Tanzania. Geneva: World Health Organization; Licence: CC BY-NC-SA 3.0 IGO.