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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...

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Autores principales: Khatri, Resham B., Hill, Peter S., Wolka, Eskinder, Nigatu, Frehiwot, Zewdie, Anteneh, Assefa, Yibeltal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2023
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.
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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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