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Rethinking how development assistance for health can catalyse progress on primary health care.

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dc.contributor.author Kasper, Tobias
dc.contributor.author Yamey, Gavin
dc.contributor.author Dwyer, Sinead
dc.contributor.author McDade, Kaci Kennedy
dc.contributor.author Lidén, Jon
dc.contributor.author Lüdemann, Cora
dc.contributor.author Diab, Mohamed Mustafa
dc.contributor.author Ogbuoji, Osondu
dc.contributor.author Poodla, Prashant
dc.contributor.author Schrade, Christina
dc.contributor.author Thoumi, Andrea
dc.contributor.author Zimmerman, Armand
dc.contributor.author Assefa, Yibeltal
dc.contributor.author Allen, Luke N.
dc.contributor.author Basinga, Paulin
dc.contributor.author Garcia Funegra, Patricia Jannet
dc.contributor.author Jackson, Debra
dc.contributor.author Mwanyika, Henry
dc.contributor.author Nugent, Rachel
dc.contributor.author Ofosu, Anthony
dc.contributor.author Rawaf, Salman
dc.contributor.author Reddy, K. Srinath
dc.contributor.author Settle, Dykki
dc.contributor.author Tritter, Beth
dc.contributor.author Benn, Christoph
dc.date.accessioned 2023-12-05T17:48:04Z
dc.date.available 2023-12-05T17:48:04Z
dc.date.issued 2023
dc.identifier.uri https://hdl.handle.net/20.500.12866/14666
dc.description.abstract Global campaigns to control HIV, tuberculosis, malaria, and vaccine-preventable illnesses showed that large-scale impact can be achieved by using additional international financing to support selected, evidence-based, high-impact investment areas and to catalyse domestic resource mobilisation. Building on this paradigm, we make the case for targeting additional international funding for selected high-impact investments in primary health care. We have identified and costed a set of concrete, evidence-based investments that donors could support, which would be expected to have major impacts at an affordable cost. These investments are in: (1) individuals and communities empowered to engage in health decision making, (2) a new model of people-centred primary care, and (3) next generation community health workers. These three areas would be supported by strengthening two cross-cutting elements of national systems. The first is the digital tools and data that support facility, district, and national managers to improve processes, quality of care, and accountability across primary health care. The second is the educational, training, and supervisory systems needed to improve the quality of care. We estimate that with an additional international investment of between US$1·87 billion in a low-investment scenario and $3·85 billion in a high-investment scenario annually over the next 3 years, the international community could support the scale-up of this evidence-based package of investments in the 59 low-income and middle-income countries that are eligible for external financing from the World Bank Group's International Development Association. en_US
dc.language.iso eng
dc.publisher Elsevier
dc.relation.ispartofseries Lancet
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Development Assistance for Health en_US
dc.subject Primary Health Care en_US
dc.subject Public Health en_US
dc.subject.mesh Asistencia Técnica a la Planificación en Salud
dc.subject.mesh Atención Primaria de Salud
dc.subject.mesh Salud Pública
dc.title Rethinking how development assistance for health can catalyse progress on primary health care. en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.1016/S0140-6736(23)01813-5
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.03.01
dc.relation.issn 1474-547X


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