Catalyzing Improvement in PHC Through Innovation in Measurement, Knowledge Sharing, and South to South Learning Daniel H. KRESS, Ph.D. Deputy Director Global PHC and Health Financing, Bill and Melinda Gates Foundation 7 April

About PHCPI The Primary Health Care Performance Initiative (PHCPI) is a partnership that supports country policymakers, health system managers, practitioners, advocates and other development partners to catalyze improvements in primary health care in low- and middle-income countries through better measurement, knowledge- sharing and south to south learning. Led by: In partnership with: 2

Lack of measures: We all want “strong health systems and strong PHC” but we don’t have good measures of what constitutes “strong PHC/Health Systems” Lack of data: we especially lack data on service delivery The HSS/PHC Measurement Gap “You can’t improve what you can’t measure.” – Dr. Margaret Chan 3

Source: World Bank Service Delivery Indicators (SDI) Regional data SOURCE: SDI Challenges in Service Delivery for PHC in Public Facilities

Our Conceptual Framework for PHC 5

PHC Vital Signs Indicators The 25 PHC Vital Signs indicators provide a snapshot of primary health care (PHC) performance. System Inputs Service Delivery Outputs Outcomes Is PHC prioritized in the country’s health system? Does the PHC system offer sufficient facilities, health care professionals, and supplies? Are services accessible and effectively organized, managed, and coordinated to deliver high quality care? Does the PHC system provide the essential services you need throughout each phase of life? Does the PHC system efficiently deliver better outcomes and greater equity? 6

Our Activities PHCPI supports stronger PHC through four interconnected areas of work: 7

Our Products to Support Country PHC Improvement PHC Conceptual Framework PHC Vital Signs Indicators Diagnostic Indicators New Surveys and Indicators Practical Tools for Data Collection and Reporting Promising Practices in Primary Health Care PHC Evidence PHCPI is working with partners to develop a set of tools that can be used to improve PHC in countries around the world. 8

PHCPI Website 9

Achieving the SDGs and attaining quality UHC Improving health over the course of life, from birth to old age Leading to high-quality and cost-effective care for people and communities Serving as an early warning mechanism to detect and stop disease outbreaks Supporting a more equitable distribution of health Empowering individuals, families, and communities to be active decision-makers about their health Benefits of Strong PHC Systems 10

Strong PHC can accelerate Progress towards UHC Strong PHC means progress towards UHC is: Faster More equitable Lower cost More client and community centered 11

12 Thank you!