Service delivery and safety

WHO Framework on integrated people-centred health services

Resolution on “Strengthening integrated people-centred health services” adopted by World Health Assembly

In May 2016 at the Sixty-ninth World Health Assembly (WHA) Member States adopted, with overwhelming support, resolution WHA 69.24 on “Strengthening integrated people-centred health services” that supports the “Framework on integrated people-centred health services”.

The Framework on integrated people-centred health services represents a call for a fundamental shift in the way health services are funded, managed and delivered. This is urgently needed to meet the challenges being faced nowadays by health systems around the world. The fact that people are living longer, along with the burden of treating long-term chronic conditions and preventable illnesses which often require multiple complex interventions, means that pressure on health systems continues to grow. Moreover, universal health coverage will not be achieved without improvements in the delivery of health services. Unless a people-centred and integrated health services approach is adopted, health care will become increasingly fragmented, inefficient and unsustainable.

Putting people at the heart of the health-care experience and focusing on a true and lasting integration of services offered to them is urgently needed to meet the challenges faced by today’s health systems, however diverse. The Framework presents a compelling vision of a future in which all people have access to health services that are provided in a way that responds to their preferences, are coordinated around their needs and are safe, effective, timely, efficient and of an acceptable quality. A new mother in Dubrovnik, a cancer sufferer in Delhi, a mental health patient in Dubai and an accident victim in Dakar will each have the promise of better, more customized and timely care.

Preliminary versions of the Framework on integrated people-centred health services

In 2009 the World Health Assembly adopted resolution WHA62.12, urging improvements in primary health care and health system strengthening, and requesting the Director-General to prepare implementation plans for the four broad policy directions, including putting people at the centre of service delivery, and to ensure that these plans span the work of the entire Organization.

An interim framework on integrated people-centred health services was published in March 2015 under the name “WHO global strategy on people-centred and integrated health services”.

Alignment of the Framework with other WHO strategies

In 2015 an analysis was conducted of the Framework on integrated people-centred health services with five other strategies at WHO (“Global Strategy and Action Plan on Aging and Health 2016-2020”, “Global strategy on human resources for health: Workforce 2030”, “Global Health Sector Strategy on STIs, 2016-2021”, “Global Health Sector Strategy on HIV, 2016-2021” and “Global Health Sector Strategy on viral hepatitis, 2016-2021”). The analysis aimed at identifying common themes and cross cutting issues along several key dimensions. A summary documenting these discussions can be accessed at the link below.

Online public consultation

In 2015 the Service Delivery and Safety Department undertook a public consultation on the Framework on integrated people-centred health services.

An online survey was made available to individuals and organizations with an interest in people-centred and integrated health services. The aim of the survey was to critically review the strategy’s strengths and weaknesses and gather valuable inputs to inform its implementation.