The availability and affordability of medicines, vaccines, products, and technologies at primary care facilities. All medicines and supplies should be appropriate, safe, effective, high-quality and appropriately regulated.
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Timeliness
The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.
The ability of the health system to provide primary care services to patients when they need them, with acceptable and reasonable wait times and at days and times that are convenient to them.
Efficiency refers to the ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.
The ability of a health system to attain its desired objective(s) with the available resources, while minimizing waste and maximizing capacities to deliver care to those who need it.
People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.
People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases. This involves engaging with people, families, and communities as equal partners in promoting and maintaining their health - including through communication, trust, and respect for preferences, as well as ongoing education and support so that they can participate in health care decisions.
The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.
The capacity of a primary care system to serve as the first point of contact, or a patient's entry point to the health system, for most of a person's health needs.
Coordination of care refers to the system's ability to oversee and manage patient care over time and across levels of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications.
The system's ability to oversee and manage patient care throughout the course of treatment and across various sites of care to ensure appropriate follow-up, minimize the risk of error, and prevent complications. Coordination of care happens across levels of care and over time, and often requires proactive outreach on the part of health care teams and consistent tracking and communication of progress.
Continuity is the degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context.
The degree to which a patient experiences a series of discrete healthcare events as coherent and consistent with their medical needs and personal context. This requires fostering trusted relationships between health care providers and patients over time (relational continuity), ensuring information is communicated from one event to the next (informational continuity), and ensuring the process is managed in a timely, complementary, and effective way across providers (management continuity).
The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.
The provision of holistic and appropriate care across a broad spectrum of health needs, ages, and solutions. Comprehensive primary health care is able to address a majority of promotive, preventive, curative, rehabilitative, chronic and palliative service needs.
Percentage of health facilities with availability of appropriate set of essential IVDs and associated laboratory equipment and consumables for their health care facility level on a sustainable basis, based on the WHO’s model list of essential IVDs (EDL 3) and priority medical devices listed in the WHOMEDEVISAn in vitro diagnostic test and its associated laboratory equipment (when applicable) and consumables are available in a community setting or health facility when it is found in this setting/facility by the interviewer on the day of data collection
Percentage of health facilities that have a core set of relevant essential medicines available and affordable on a sustainable basis. The indicator is a multidimensional index reported as a proportion (%) of health facilities that have a defined core set of quality-assured medicines that are available and affordable relative to the total number of surveyed health facilities at national level. A medicine is available in a facility when it is found in this facility by the interviewer on the day of data collection
There are regulatory mechanisms for medicines, measured against key criteria (see technical specifications in metadata)
Related Concepts
Delivering high-quality primary health care requires many elements of the health system working effectively together. This mapping explores how different concepts with the framework relate to one another.
Upstream elements are those that are required to develop or improve a particular concept. Absence or poor performance of an upstream element is expected to negatively impact the performance of the concept of focus.
Complementary elements are those where improvements or developments in this area will be mutually beneficial to the concept of focus but not required for improvement.
UPSTREAM CONCEPTS
COMPLEMENTARY CONCEPTS
UPSTREAM SUBDOMAINS
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Information & Technology
Information systems are critical for market surveillance, procurement, and supply chain management.
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Policy and Leadership
Policies should set essential medicine, drug, and supply lists that are based on population health needs. PHC policies should also set a strong regulatory environment to enable the safety, quality, and efficacy of health products. These priorities and quality standards help to ensure integrated procurement and supply chain mechanisms for increased system efficiency and supply availability.
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Organization of Services
Organization of services helps to define which PHC services are supported and delivered by varying facility types, thereby influencing the necessary drugs and supplies needed at the point of service.
Medicines & Supplies
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Adjustment to population health needs, partitcularly in the form of local planning, allows for the planning and procurement of medicines and supplies that are most needed for local facilities. For example, some countries have established systems to "pull" demand for medicines and supples as they are needed by local facilities.
Funding & Allocation of Resources
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Changes to spending on PHC as a whole can impact the provision and availability of Drugs & Suppplies, however it is not necessary that spending on PHC alone would impact this input.
Purchasing & Payment Systems
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Purchasing & Payment systems often impact the acquisition of and investment into necessary medicines and supplies, however it is not necessary that this alone would impact Medicines & Supplies.
Effectiveness
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Adherence to established, evidence-based standards at the facility level is complimentary to effective and safe use of drugs and supplies for their intended purposes.
Management of Services
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Given some facility funding is decentralized, it can be complimentary to the procurement of drugs and supplies. Additionally, quality management at the facility level ensures quality standards for safety and efficacy in drug and supply procurement and use are followed.
Population Health Management
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Understanding local priorities and local contexts is complementary in enabling the identification of necessary (and cost-effective) drugs and supplies.
Resilient Facilities and Services
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Assessments of resilience in service preparedness can help identify vulnerabilities in drug or supply chains that require improvement.
Safety
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Safety mechanisms are helpful for the safe administration and use of drugs and supplies in the facility setting.
Service Availability & Readiness
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Facility readiness for service delivery aids in the safe and appropriate administration and use of drugs and supplies in the facility setting.
Improvement Strategies
Each PHCPI Improvement Strategy is designed to help decision-makers begin to plan and enact reforms within their own context by providing additional resources and evidence on the topic, as well as practical recommendations for action.
Interested in understanding how this topic intersects with investment opportunities from major funding streams? The Global Frameworks Mapping provides a starting point to help identify and make connections between key PHC topics, relevant funding initiatives, and investment cases.
Goal 1B: Support countries to introduce and scale up coverage of vaccines for prevention of endemic and epidemic diseases
Goal 1C: Enhance outbreak response through availability and strategic allocation of vaccine stockpiles
Goal 2A: Help countries extend immunisation services to regularly reach under-immunised and zero-dose children to build a stronger primary health care platform
Goal 3B: Promote domestic public resources for immunisation and primary health care to improve allocative efficiency
"Goal 4A: Ensure sustainable, healthy market dynamic for vaccines and immunisation-related products at affordable prices"
Goal 4C: Scale up innovative immunisation-related products
Outcome 4: Quality sexual and reproductive health information and services are accessible to prevent and treat obstetric fistula and other obstetric morbidities.
