Service Coverage

"Coverage of essential health services is defined as the average coverage of essential services based on tracer interventions that include reproductive, maternal, newborn and child health, infectious diseases, non-communicable diseases and service capacity and access, among the general and the most disadvantaged population." -

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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.

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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.

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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.

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Effectiveness

Effectiveness measures whether health care and services are driven by evidence, adhere to established standards, and achieve their intended result.

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People-Centeredness

People-centeredness means organizing the health system around the comprehensive needs of people rather than individual diseases.

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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.

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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.

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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.

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Comprehensiveness

The provision of holistic and appropriate care across promotive, preventive, curative, rehabilitative, chronic and palliative service needs.

Indicators
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Service coverage index
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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PHC Workforce
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Policy and Leadership
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Access
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Comprehensiveness
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First Contact Accessibility
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Service Availability & Readiness
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Timeliness
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Equity in Distribution of Health Workers
Service Coverage
COMPLEMENTARY SUBDOMAINS
Adjustment to Population Health Needs
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Prioritization of resources for comprehensive health programs promotes effective service coverage.
Funding & Allocation of Resources
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Increase in PHC funding, allocation, and spending allows for broader and more inclusive service coverage.
Information & Technology
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Surveillance systems enable health systems to track and monitor coverage of various health events and indicators.
Medicines & Supplies
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Access to safe, effective, and high-quality drugs and supplies supports effective service coverage.
Purchasing & Payment Systems
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Purchasing and payment systems allow for broader and more inclusive service coverage.
Coordination
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Coordination mechanisms (i.e. referrals to specialty providers) can help to ensure coverage of needed services.
Population Health Management
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Empanelment identifies and assigns populations to facilities, care teams, or providers who have a responsibility to know their assigned population and to proactively deliver coordinated primary health care, regardless of whether individuals seek care or not. Effective empanelment helps ensure that all people receive the care they need based on individual health needs. Proactive models of care enable people to access care directly in their communities, that when accessed can help to improve service coverage, particularly in heard to reach areas.
Resilient Facilities and Services
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Resilient facilities and services are able to continue the provision of essential health services.
Improvement Strategies

Explore the Improvement Strategies for approaches to addressing Capacity and Performance concepts that influence Impact.

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.

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Walking the Talk: Reimagining Primary Health Care After COVID-19
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Universal Health Coverage for Sustainable Development (Issue Brief)
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UHC in Africa: A Framework for Action
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The UNICEF Health Systems Strengthening Approach
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Phase V (2021-2025)
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Maternal, Newborn & Child Health
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HIV and Universal Health Coverage - A guide for civil society
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High-Performance Health-Financing for Universal Health Coverage: Driving Sustainable, Inclusive Growth in the 21st Century
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Health Sector Framework Document
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Global Delivery Programs
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Global AIDS Strategy 2021-2026