Community Health Centre in Europe and globally Tonka Poplas Susič, Jan De Maeseneer, Diederik Aarendonk, EFPC Community Health Centre Working Group

Outlines As a respond to patients needs and according to the facts that primary care offers the most cost-effective medical care: ACOPC/EFPC WG has found an agreement on definition/feasibility/networking of the community health centres (CHCs) that could enable comparable medical care in most European countries. Globally: more and more countries over the world are active in developing their own Community Health Centre as far as history and legislation allows.

Delphi study in Europe

Agreement/consensus CHCs according to the IFCHC‘s definition are feasible Agreement on statements about CHCs networking that have upgraded IFCHC definition : collaboration, spreading good practices and coordination among countries

Results: weak/strong The weakest agreement : Community Health Centres may include participation of clients/patients and other community members in governance of the healthcare organization. Community Health Centres take responsibility for a population that is defined by population group(s). High consensus: Cooperation and spreading good practices in/across the countries is important

Globally differences in health (care)are getting more and more expressed knowledge exchange within the global network can support to overcome barriers

WHO:Almaty declaration and the Global Conference on Primary Health Care in Astana in October 2018 EFPC can help to shape future for CHCs worldwide

Topics to be discussed Content Networking To act on social determinants of health To strenghten team-based care and support To empower community participation collaboration between care providers spreading/ supporting good practices Coordinating the care providers

Networking to be identified Collaboration between care providers is important in the CHCs, between CHCs (CHC = a model of care) and between different regions/countries that provide health care, is important. Spreading and supporting good practices is important. in / between CHCs and in / between countries Coordination the care providers is important in the CHCs, between CHCs (CHC = a model of care) and between different regions

CHCs Content to be intensified Topic Suggested subtopics Tools Action on social determinants of health Innovative upstream programs and services   Improving data collection/reporting on SDH programs Call for articles/blogs Integrating services from across multiple sectors Dedicated discussion forum on Hub Making the case with governments/funders Building culture of upstream action at CHCs Strengthening team-based care and support Team-building strategies/tools Task-shifting and optimizing resources Improving connections b/n clinical & non-clinical staff Addressing policy and funding barriers Innovative recruitment/retention strategies Possible subtopics Empowering community Engaging community in governance / planning Building community capacity beyond the CHC CHC role in supporting civic/democratic engagement Engaging community in research / CBPR Improving health literacy

Working in 3 groups: to define WHO and HOW Collaboration between care providers, Action on social determinants of health Group 2: Spreading and supporting good practices Strengthening team-based care and support Group 3: Coordinating the care providers Empowering community