Main Challenges of Primary Health Care in Five Latin American Countries

Abstract

This article provides a description of integrated primary healthcare strategies in five Latin American countries to assess options for the implementation of a healthcare system based on Primary Care. Based on a document review of scientific articles and official documents from multilateral organisations, ministries, or health entities, it was possible to synthesise the Primary Health Care strategies that had been implemented to derive the main proposals that were potentially transferable. Argentina, Chile, Colombia, and Mexico have Primary Health Care actions aimed at promoting health and preventing diseases; Cuba is highlighted as a reference because of its family health model. The main difficulties are from healthcare system based on the neoliberal model and segmentation and fragmentation of healthcare services.This study provides important aspects of Primary Health Care, in terms of the need to revitalise with a family and community approach, integrating health services at three levels of primary prevention, intersectoral factors, community empowerment, resource allocation and training in human skills, as well as strengthening mental health and sexual health programmes. It concludes with suggestions for a more integrated Primary Health Care based on the strategies implemented and the local needs of the countries under study.