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Primary health care contributions to universal health coverage, Ethiopia
Many global health institutions, including the World Health Organization, consider primary health care as the path towards achieving universal health coverage (UHC). However, there remain concerns about the feasibility and effectiveness of this approach in low-resource countries. Ethiopia has been i...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
World Health Organization
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716108/ https://www.ncbi.nlm.nih.gov/pubmed/33293750 http://dx.doi.org/10.2471/BLT.19.248328 |
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author | Assefa, Yibeltal Hill, Peter S Gilks, Charles F Admassu, Mengesha Tesfaye, Dessalegn Van Damme, Wim |
author_facet | Assefa, Yibeltal Hill, Peter S Gilks, Charles F Admassu, Mengesha Tesfaye, Dessalegn Van Damme, Wim |
author_sort | Assefa, Yibeltal |
collection | PubMed |
description | Many global health institutions, including the World Health Organization, consider primary health care as the path towards achieving universal health coverage (UHC). However, there remain concerns about the feasibility and effectiveness of this approach in low-resource countries. Ethiopia has been implementing the primary health-care approach since the mid-1970s, with primary health care at the core of the health system since 1993. Nevertheless, comprehensive and systemic evidence on the practice and role of primary health care towards UHC is lacking in Ethiopia. We made a document review of publicly available qualitative and quantitative data. Using the framework of the Primary Health Care Performance Initiative we describe and analyse the practice of primary health care and identify successes and challenges. Implementation of the primary health-care approach in Ethiopia has been possible through policies, strategies and programmes that are aligned with country priorities. There has been a diagonal approach to disease control programmes along with health-systems strengthening, community empowerment and multisectoral action. These strategies have enabled the country to increase health services coverage and improve the population’s health status. However, key challenges remain to be addressed, including inadequate coverage of services, inequity of access, slow health-systems transition to provide services for noncommunicable diseases, inadequate quality of care, and high out-of-pocket expenditure. To resolve gaps in the health system and beyond, the country needs to improve its domestic financing for health and target disadvantaged locations and populations through a precision public health approach. These challenges need to be addressed through the whole sustainable development agenda. |
format | Online Article Text |
id | pubmed-7716108 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | World Health Organization |
record_format | MEDLINE/PubMed |
spelling | pubmed-77161082020-12-07 Primary health care contributions to universal health coverage, Ethiopia Assefa, Yibeltal Hill, Peter S Gilks, Charles F Admassu, Mengesha Tesfaye, Dessalegn Van Damme, Wim Bull World Health Organ Policy & Practice Many global health institutions, including the World Health Organization, consider primary health care as the path towards achieving universal health coverage (UHC). However, there remain concerns about the feasibility and effectiveness of this approach in low-resource countries. Ethiopia has been implementing the primary health-care approach since the mid-1970s, with primary health care at the core of the health system since 1993. Nevertheless, comprehensive and systemic evidence on the practice and role of primary health care towards UHC is lacking in Ethiopia. We made a document review of publicly available qualitative and quantitative data. Using the framework of the Primary Health Care Performance Initiative we describe and analyse the practice of primary health care and identify successes and challenges. Implementation of the primary health-care approach in Ethiopia has been possible through policies, strategies and programmes that are aligned with country priorities. There has been a diagonal approach to disease control programmes along with health-systems strengthening, community empowerment and multisectoral action. These strategies have enabled the country to increase health services coverage and improve the population’s health status. However, key challenges remain to be addressed, including inadequate coverage of services, inequity of access, slow health-systems transition to provide services for noncommunicable diseases, inadequate quality of care, and high out-of-pocket expenditure. To resolve gaps in the health system and beyond, the country needs to improve its domestic financing for health and target disadvantaged locations and populations through a precision public health approach. These challenges need to be addressed through the whole sustainable development agenda. World Health Organization 2020-12-01 2020-09-28 /pmc/articles/PMC7716108/ /pubmed/33293750 http://dx.doi.org/10.2471/BLT.19.248328 Text en (c) 2020 The authors; licensee World Health Organization. This is an open access article distributed under the terms of the Creative Commons Attribution IGO License (http://creativecommons.org/licenses/by/3.0/igo/legalcode), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In any reproduction of this article there should not be any suggestion that WHO or this article endorse any specific organization or products. The use of the WHO logo is not permitted. This notice should be preserved along with the article's original URL. |
spellingShingle | Policy & Practice Assefa, Yibeltal Hill, Peter S Gilks, Charles F Admassu, Mengesha Tesfaye, Dessalegn Van Damme, Wim Primary health care contributions to universal health coverage, Ethiopia |
title | Primary health care contributions to universal health coverage, Ethiopia |
title_full | Primary health care contributions to universal health coverage, Ethiopia |
title_fullStr | Primary health care contributions to universal health coverage, Ethiopia |
title_full_unstemmed | Primary health care contributions to universal health coverage, Ethiopia |
title_short | Primary health care contributions to universal health coverage, Ethiopia |
title_sort | primary health care contributions to universal health coverage, ethiopia |
topic | Policy & Practice |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7716108/ https://www.ncbi.nlm.nih.gov/pubmed/33293750 http://dx.doi.org/10.2471/BLT.19.248328 |
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