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Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care
The understanding of primary health care (PHC) has evolved significantly, evident in key World Health Organization (WHO) reports, promoting PHC as a means for health for all, identifying key health systems reforms and focusing on health care experience. This study explores the WHO’s current framing...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Public Library of Science
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381056/ https://www.ncbi.nlm.nih.gov/pubmed/37506057 http://dx.doi.org/10.1371/journal.pgph.0002204 |
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author | Khatri, Resham B. Hill, Peter S. Wolka, Eskinder Nigatu, Frehiwot Zewdie, Anteneh Assefa, Yibeltal |
author_facet | Khatri, Resham B. Hill, Peter S. Wolka, Eskinder Nigatu, Frehiwot Zewdie, Anteneh Assefa, Yibeltal |
author_sort | Khatri, Resham B. |
collection | PubMed |
description | The understanding of primary health care (PHC) has evolved significantly, evident in key World Health Organization (WHO) reports, promoting PHC as a means for health for all, identifying key health systems reforms and focusing on health care experience. This study explores the WHO’s current framing of PHC, and its configuration of WHO Collaborating Centres (WHOCCs) on PHC using the data available on the WHOCCs Portal. We analysed the following variables: title, institutions, location, economy, date of mandate, objectives, subject, and activity. There were 13 WHOCCs on PHC, nine based in North America and Europe, and none in Africa. Only three were in Low- and Middle-Income Countries (LMICs). The WHOCCs on PHC focused on three broad subjects: five focused on human resources for health (HRH); four on health systems research (HSR) and development, with an emphasis on family medicine; four on PHC systems. Activities were related to training and education, provision of technical advice, and research. Support to WHO on implementation of PHC was an activity for two LMIC based WHOCCs. The current configuration of WHOCCs on PHC is consistent with the evolution of PHC and its intersection with Universal Health Coverage and the Sustainable Development Goals. The increasing attention to people-centred health systems aligns with WHO’s commitment to PHC in all health systems, though this needs special interpretation for LMICs with their limited HRH. There has been a shift in subjects from HRH towards primary care and family medicine, and HSR highlighting primary care and PHC systems. The concern is an absence of WHOCCs in the Africa and Latin and South Americas, and under-representation in LMICs. Designating more institutions from the South with expertise in PHC is necessary to address the challenges post-Astana. |
format | Online Article Text |
id | pubmed-10381056 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Public Library of Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-103810562023-07-29 Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care Khatri, Resham B. Hill, Peter S. Wolka, Eskinder Nigatu, Frehiwot Zewdie, Anteneh Assefa, Yibeltal PLOS Glob Public Health Research Article The understanding of primary health care (PHC) has evolved significantly, evident in key World Health Organization (WHO) reports, promoting PHC as a means for health for all, identifying key health systems reforms and focusing on health care experience. This study explores the WHO’s current framing of PHC, and its configuration of WHO Collaborating Centres (WHOCCs) on PHC using the data available on the WHOCCs Portal. We analysed the following variables: title, institutions, location, economy, date of mandate, objectives, subject, and activity. There were 13 WHOCCs on PHC, nine based in North America and Europe, and none in Africa. Only three were in Low- and Middle-Income Countries (LMICs). The WHOCCs on PHC focused on three broad subjects: five focused on human resources for health (HRH); four on health systems research (HSR) and development, with an emphasis on family medicine; four on PHC systems. Activities were related to training and education, provision of technical advice, and research. Support to WHO on implementation of PHC was an activity for two LMIC based WHOCCs. The current configuration of WHOCCs on PHC is consistent with the evolution of PHC and its intersection with Universal Health Coverage and the Sustainable Development Goals. The increasing attention to people-centred health systems aligns with WHO’s commitment to PHC in all health systems, though this needs special interpretation for LMICs with their limited HRH. There has been a shift in subjects from HRH towards primary care and family medicine, and HSR highlighting primary care and PHC systems. The concern is an absence of WHOCCs in the Africa and Latin and South Americas, and under-representation in LMICs. Designating more institutions from the South with expertise in PHC is necessary to address the challenges post-Astana. Public Library of Science 2023-07-28 /pmc/articles/PMC10381056/ /pubmed/37506057 http://dx.doi.org/10.1371/journal.pgph.0002204 Text en © 2023 Khatri et al https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Article Khatri, Resham B. Hill, Peter S. Wolka, Eskinder Nigatu, Frehiwot Zewdie, Anteneh Assefa, Yibeltal Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care |
title | Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care |
title_full | Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care |
title_fullStr | Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care |
title_full_unstemmed | Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care |
title_short | Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care |
title_sort | beyond astana: configuring the world health organization collaborating centres for primary health care |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10381056/ https://www.ncbi.nlm.nih.gov/pubmed/37506057 http://dx.doi.org/10.1371/journal.pgph.0002204 |
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