An approach to primary health care towards people-

centred health-service delivery: recounting

changes and restoring principlesHans Kluge

Director, Division of Health Systems and Public Health

Primary health care (PHC): a call throughout the ages

1978 2008 20122008

Celebrating 35 years with PHC in the driver’s seat: charting change

Africa

America

South-E

ast A

sia

Europe

Easter

n Medit

erra

nean

Wester

n Pac

ific

Global

0

20

40

60

Male Female Both

The changing health landscape? Context

HEALTH SYSTEM

Africa

America

South-

East A

sia

Europe

Easter

n Med

iterra

nean

Wester

n Pac

ific

Global

010203040506070

Male Female Both

The changing health landscape? Context

HEALTH SYSTEM

Health system innovations: products, processes, services, technologies and ideas TECHNOLOGIES

MODEL OF CARE

INFORMATICS

FINANCING

PUBLIC–PRIVATE PARTNERSHIPS

WORKFORCE

MEDICINES

HEALTH SYSTEM

MODEL OF CARE

Ambulatory care-sensitive conditions in Germany

Public health with multisectoral actions in Finland

PHC financingin Latvia

Project to support health reform in Greece

Primary care evaluation in Andorra

Strengthening PHC in Europe

Roll out family medicinein Tajikistan

Family medicine model in Turkey

Integrating public healthinto service delivery

Revitalized approach to PHC

Providing the full continuum of services

throughout the life-course

Improving access to essential medicines,

funds and technology

Raising the prestige of PHC and its workforce

from early stages of workforce education

Establishing new partnerships to effectively

tackle the social determinants of health

Evidence

Technical skills

Capacity building

Network

Consolidated experiences & evidence-base of tools/instruments for CIHSD

Common approach to CIHSD & clearly defined key concepts

Developing in-country capacity to lead and manage change towards more CIHSD

Network of partners and national focal points for the continued exchange of knowledge and experience

Evidence

Leadership for change

Capacity building

Way forward: towards coordinated/integrated health- service delivery in the European Region

Thank you