Reorienting health systems towards Primary Health Care in South Asia.

Autor:	Perera S; Ministry of Health, Sri Lanka., Ramani S; India Primary Health Care Support Initiative, Johns Hopkins India Pvt Ltd, India.; Independent Consultant, Health Policy and Systems Research, India., Joarder T; SingHealth Duke-NUS Global Health Institute, Singapore., Shukla RS; Johns Hopkins University Bloomberg School of Public Health, USA., Zaidi S; Global Business School for Health, University College London, London., Wellappuli N; Centre for Health Economics and Policy Innovation, Imperial College Business School, London, United Kingdom., Ahmed SM; BRAC James P Grant School of Public Health, BRAC University, Bangladesh., Neupane D; Global Business School for Health, University College London, London., Prinja S; Postgraduate Institute of Medical Education and Research Chandigarh, India., Amatya A; Nick Simons Institute, Nepal., Rao KD; Global Business School for Health, University College London, London.
Jazyk:	angličtina
Zdroj:	The Lancet regional health. Southeast Asia [Lancet Reg Health Southeast Asia] 2024 Aug 20; Vol. 28, pp. 100466. Date of Electronic Publication: 2024 Aug 20 (Print Publication: 2024).
DOI:	10.1016/j.lansea.2024.100466
Abstrakt:	This series, "Primary health care in South Asia", is an effort to provide region-specific, evidence-based insights for reorienting health systems towards PHC. Led by regional thinkers, this series draws lessons from five countries in South Asia: Bangladesh, India, Nepal, Pakistan, and Sri Lanka. This is the last paper in the series that outlines points for future action. We call for action in three areas. First, the changing context in the region, with respect to epidemiological shifts, urbanisation, and privatisation, presents an important opportunity to appraise existing policies on PHC and reformulate them to meet the evolving needs of communities. Second, reorienting health systems towards PHC requires concrete efforts on three pillars-integrated services, multi-sectoral collaboration, and community empowerment. This paper collates nine action points that cut across these three pillars. These action points encompass contextualising policies on PHC, scaling up innovations, allocating adequate financial resources, strengthening the governance function of health ministries, establishing meaningful public-private engagements, using digital health tools, reorganising service delivery, enabling effective change-management processes, and encouraging practice-oriented research. Finally, we call for more research-policy-practice networks on PHC in South Asia that can generate evidence, bolster advocacy, and provide spaces for cross-learning. Funding: WHO SEARO funded this paper. This source did not play any role in the design, analysis or preparation of the manuscript. Competing Interests: We declare no conflict of interest. (© 2024 The Authors.)
Databáze:	MEDLINE
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