Abstract

Background:Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal health coverage, but there is limited consensus on how to build strong primary health care systems to achieve these goals.Methods:We convened a diverse group of global stakeholders for a high-level dialogue on how to create an enabling ecosystem for disruptive primary care innovation. We focused our discussion on four themes: workforce innovation and strengthening; impactful use of data and technology; private sector engagement; and innovative financing mechanisms.Findings:Here, we present a summary of our convening’s proceedings, with specific recommendations for strengthening primary health care systems within each of these four domains.Conclusions:In the wake of the Astana Declaration, there is global consensus that high-quality primary health care must be the foundation for universal health coverage. Significant disruptive innovation will be required to realize this goal. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Health for All by 2030.

Highlights

  • Forty years after Alma Ata, the global community has made enormous strides in poverty reduction and population health

  • We focused our discussion on four themes: workforce innovation and strengthening; impactful use of data and technology; private sector engagement; and innovative financing mechanisms

  • Given the limited scope of the private sector representation in our convening, we did not discuss the “private sector-ization” of health care services; rather, we focused on how public-private partnerships in the form of how multinational corporations (MNC) can meaningfully contribute to the national or sub-national primary health care (PHC) agenda, aligning objectives, strategies and shared indicators for success

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Summary

Introduction

Forty years after Alma Ata, the global community has made enormous strides in poverty reduction and population health. Forty years after Alma Ata, there is renewed commitment to strengthen primary health care as a foundation for achieving universal health coverage, but there is limited consensus on how to build strong primary health care systems to achieve these goals. Findings: Here, we present a summary of our convening’s proceedings, with specific recommendations for strengthening primary health care systems within each of these four domains. Conclusions: In the wake of the Astana Declaration, there is global consensus that high-quality primary health care must be the foundation for universal health coverage. We offer our recommendations to the global community to catalyze further discourse and inform policy-making and program development on the path to Health for All by 2030

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