Resilient Facilities and Services
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.
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.
Safety
The practice of following procedures and guidelines in the delivery of PHC services in order to avoid harm to the people for whom care is intended.
Efficiency
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.
Effectiveness
Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.
People-Centeredness
People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.
First Contact Accessibility
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
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.
Continuity
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.
Comprehensiveness
The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.
Indicators
The below indicators are from WHO/UNICEF's Primary health care measurement framework and indicators: monitoring health systems through a primary health care lens. Metadata links are provided for the full WHO/UNICEF technical specifications.
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.
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.
The explainer graphic below presents a quick overview of the concept of Resilient Facilities & Services. View the full Improvement Strategy on Resilient Facilities & Services to learn more.
Potential Funding opportunities
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.
