A foundational approach to primary care service delivery. It prioritizes proactive community outreach and engagement, from involving people in their own health care decisions to involving communities in PHC planning and decision-making at the local level. In some places, this also means assigning every person to a primary care team that is responsible for supporting their health and well-being.

Resilient facilities and services show an ability to effectively respond and adapt to public health emergencies, all while sustaining essential primary care services and functions. This requires strong links at the point of care between health security and routine health system capabilities. Resilient facilities and services should seek to measure and identify areas of vulnerability and improvement before, during and after a crisis, and leverage lessons learned to adapt, recover more quickly and improve for next time.

The way services are managed at the facility level. This includes: 1) organization and management of facility operations, including facility budgets; 2) routine collection and use of data to monitor quality and progress; 3) capability of managers to oversee, support, and enforce these processes; and 4) supportive supervision for staff.

Organization of services refers to the way in which primary health care services in a country are selected, designed, organized, delivered, and supported by different service delivery platforms. Key components of organization of services include mechanisms that outline essential service packages, the standard of care for these services, the roles and capabilities of facilities that deliver them, and interoperable systems of referral from lower to higher level facilities and vice versa.