Walking the Talk

Page 31

OVERVIEW

3. Leverage payment reform to promote team-based care, coordination, and quality. Countries can expand the use of strategic/value-based purchasing to facilitate team-based care models. Patients’ voices should be heard when designing provider payment mechanisms. 4. Create an accountability framework that links resources to results. Resource mobilization tends to be more successful when accompanied by a strong accountability framework. Transparent measurement of PHC financing, which has been a weak link in many countries, is critical.

What the World Bank and its partners will do The World Bank will use its lending, learning, and leadership to support countries in delivering the promise of reimagined PHC. 1. Lending: accelerate access to funding for PHC reforms. The World Bank will work with the Global Finance Facility (GFF) and other Global Action Plan (GAP) PHC Accelerator partners to facilitate countries’ access to funds for PHC-oriented system reforms. Advancing PHC assertively in COVID-19 health system-strengthening operations and the GFF Essential Services Grants will be a “win-win” for countries and the World Bank’s programs. 2. Learning: mobilize practice-relevant PHC knowledge. Together with analytic and financial partners, the World Bank will strengthen global knowledge hubs for PHC, including the Primary Health Care Performance Initiative (PHCPI), and ensure that they are equipped to achieve even more in the years ahead. World Bank technical assistance to countries will support the integration and operationalization of PHC knowledge in policies and programs. 3. Leadership: develop country-specific policy options through dialogue. To support national leadership in PHC reform and facilitate a multisectoral whole-of-government approach, the World Bank Health, Nutrition, and Population Global Practice, together with other global practices (such as Agriculture and Environment) and the Human Capital Project, will establish a dedicated platform for policy dialogue, advice, and technical assistance to ministries of health and ministries of finance. Dialogue will identify entry points and strengthen relationships for subsequent ­country-level technical collaboration and financial support, building on and further leveraging the GFF country leadership program. 7


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What will the World Bank do?

6min
pages 219-221

Recommendations for donors and the international health community

1min
page 218

References

50min
pages 182-208

Recommendations for countries

9min
pages 213-217

human capital

1min
page 179

Conclusions

1min
page 180

Notes

1min
page 181

Building skills for multisectoral action among PHC practitioners

3min
pages 174-175

Financing multisectoral engagement

5min
pages 176-178

From fragility to resilience

11min
pages 168-173

A partnership to support primary health care

2min
page 167

From inequities to fairness and accountability

5min
pages 164-166

mechanisms and team-based care models

9min
pages 159-163

From fragmentation to people-centered integration

1min
page 158

resource allocation

10min
pages 153-157

revenue?

3min
pages 151-152

From dysfunctional gatekeeping to quality, comprehensive care for all

1min
page 150

Priority Reform 3: Fit-for-purpose financing for public-health-enabled primary care

1min
page 149

Social and practical support for a resilient health workforce

1min
page 148

From inequities to fairness and accountability

9min
pages 140-144

From fragility to resilience

5min
pages 145-147

practice

5min
pages 137-139

From fragmentation to people-centered integration

3min
pages 135-136

Priority Reform 2: The fit-for-purpose multiprofessional health workforce

1min
page 127

From dysfunctional gatekeeping to quality, comprehensive care for all

13min
pages 128-134

From fragility to resilience

3min
pages 125-126

From inequities to fairness and accountability

7min
pages 121-124

4.1 Why team-based care?

13min
pages 108-114

From fragmentation to people-centered integration

9min
pages 115-119

sharing in primary health care

2min
page 120

and priority reforms

2min
pages 106-107

3.8 What has to change: Sectoral silos inhibit collaboration

2min
page 96

References

11min
pages 98-104

Foundations for change: Enabling multisectoral action in PHC

8min
pages 92-95

Shift 4: From fragility to resilience

3min
pages 86-87

3.4 What has to change: Discontinuous delivery

4min
pages 81-82

health care inequities

3min
pages 84-85

Shift 3: From inequities to fairness and accountability

1min
page 83

Shift 2: From fragmentation to people-centered integration

3min
pages 79-80

Shift 1: From dysfunctional gatekeeping to quality comprehensive care for all

2min
page 76

Implications for primary health care

7min
pages 63-66

by income group and geographic location, 1950–2100

3min
pages 53-54

Policy recommendations

1min
page 30

1 Key recommendations for fit-for-purpose primary

1min
page 29

quality gaps

4min
pages 77-78

1.1 Defining primary health care

4min
pages 43-44

What the World Bank and its partners will do

1min
page 31
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