Service delivery and safety

WHO Framework on integrated people-centred health services

Tokyo Declaration on UHC reiterates importance of integrated people-centred health services

December 2017 | Japan -- The Tokyo Declaration on Universal Health Coverage was issued at the global forum on UHC held from 12-15 December in Tokyo, Japan. The declaration reiterated the importance of “providing all people with access to high-quality, integrated, people-centred health services”, particularly in supporting target 3.8 of the SDGs. The forum was hosted by the Government of Japan, World Bank, World Health Organization, UNICEF, UHC2030 and JICA.

Lancet Commission on the future of health in Africa: “People-centred health systems are the way forward”

September 2017 | Africa -- “A framework shift is needed to deliver better health outcomes through people-centred health systems, with a focus on prevention, primary care and public health” is a key message in a new report by the Lancet Commission on the Future of Health in Sub-Saharan Africa. Action towards this will contribute to the vision of the Commission that by 2030, Africans should have the same opportunities for long and healthy lives that new technologies, well-functioning health systems, and good governance offer people living on other continents.

Innovations from BRICS countries on people-centred health reforms at 70th World Health Assembly

Ministers of Health and Director-Generals from Brazil, Russian Federation, People's Republic of China, India and South Africa at WHA70.

July 2017 | Geneva -- On 24 May at the 70th World Health Assembly, a group of large emerging economies referred to as the “BRICS countries” – which includes Brazil, the Russian Federation, India, China and South Africa – convened at a side event sponsored by China. The aim: to share experiences and innovations on people-centred reforms as a cornerstone to making progress towards universal health coverage, using the WHO Framework on integrated people-centred health services as a basis for discussion.

WHO advisory group launched in Almaty to shape the future of primary health care

Minister of Health of Kazakhstan, Dr Yelzhan Birtanov, and
WHO Regional Director for Europe, Dr Zsuzsanna Jakab.

June 2017 | Kazakhstan -- Experts convened in Almaty, Kazakhstan, on 20–21 June 2017 for the inaugural meeting of the Primary Health Care Advisory Group. The WHO Regional Director for Europe launched the Advisory Group to advance primary health care in the WHO European Region.

At its first meeting, the Advisory Group engaged in discussions on the readiness and responsiveness of primary health care to embrace future health and social needs.

OECD: Next generation of health reforms to focus on people-centred systems

January 2017 | Paris -- From 16-17 January the OECD hosted a meeting for Ministers of Health and a High-Level Policy Forum on the theme of people-centred care at its Headquarters in Paris. Ministers from over 35 OECD and partner countries exchanged their ideas, ambitions and challenges for The Next Generation of Health Reforms and agreed on future priorities for the work of the OECD’s Health Committee.

Reforming service delivery is key for achieving the health-related SDG targets

September 2016 | New York -- The need to reform service delivery to be integrated and people-centred is a key recommendation in the final report from the High-Level Commission on Health Employment and Economic Growth. The report was delivered at a high profile event to the UN Secretary General Ban Ki-moon on the sidelines of the UN General Assembly in New York in September 2016. The report suggests that reformed service delivery models are required with a move away from hospital care towards a focus on prevention and providing high-quality, affordable, integrated, community-based, people-centred primary and ambulatory care. This is critical to ensure that services match the health needs of populations, which will ultimately help us make progress towards universal health coverage and the Sustainable Development Goals.

Integrated people-centred health services means putting the comprehensive needs of people and communities, not only diseases, at the centre of health systems, and empowering people to have a more active role in their own health.

What is the Framework on integrated people-centred health services?

Today's health services are not fit for 21st century challenges. Globally, more than 400 million people lack access to essential health care. Where health care is accessible, it is often fragmented and of poor quality. The Framework on integrated people-centred health services is a call for a fundamental shift in the way health services are funded, managed and delivered. It supports countries progress towards universal health coverage by shifting away from health systems designed around diseases and health institutions towards health systems designed for people.

Five strategies for integrated people-centred health services

WHO recommends five interwoven strategies that need to be implemented:
1. Engaging and empowering people and communities;
2. Strengthening governance and accountability;
3. Reorienting the model of care;
4. Coordinating services within and across sectors;
5. Creating an enabling environment.

How do we transform service delivery to be integrated and people-centred?

IntegratedCare4People is an online network of practitioners and organizations from around the world working together to encourage health systems and services to be integrated and people-centred. Through the exchange of high quality knowledge products and leading practices, the IntegratedCare4People platform aims to provide technical and operational insights into how health services can be transformed to achieve the IPCHS vision.

How is WHO supporting implementation of the Framework on IPCHS?

At WHO we are committed to working together with countries and health system stakeholders worldwide to support their goals towards integrated people-centred health services. Through mutually beneficial partnerships that leverage technical expertise and align efforts of everyone involved, we can achieve greater results than any country could alone.

Recent highlights

  • March 2018

    WHO and IFIC sign Memorandum of Understanding

    Building on past and current collaboration efforts between the World Health Organization (WHO) and the International Foundation for Integrated Care (IFIC), this new agreement aims to support the global implementation of integrated people-centred health services by encouraging discussion and knowledge exchange among international community of policy makers, practitioners, and researchers; by generating experience and evidence around people-centred and integrated models of care; and by fostering engagements across Regions and Members States according to WHO priorities.

  • January 2018

    Learning from Ireland: expanding the role of nurses and midwives to improve health outcomes

    In a move to better meet patient needs and expand access to health services, Ireland has made it possible for nurses and midwives to prescribe medicinal products. Primary health-care providers across the WHO European Region are under great pressure to provide high-quality, patient-centred care, despite heavy workloads and the ever-growing burden of noncommunicable diseases (NCDs). In some countries, such as Ireland, these challenges have triggered changes in the health workforce.

  • November 2017

    Joint Learning Network launches new People-Centred Integrated Care (PCIC) Service Delivery collaborative

    The Joint Learning Network for Universal Health Coverage launched a new People-Centered Integrated Care (PCIC) Service Delivery collaborative this past October 2017 in Hanoi, Vietnam. People-Centered Integrated Care aims to improve the effectiveness of health service delivery, and to rebalance the care delivery system through strengthening the central role of primary health care and promoting care integration and coordination across provider settings.

  • November 2017

    Ioannina becomes the first city in Greece to pilot integrated health and social services

    Integrated health and social services will soon become reality in Greece, with the city of Ioannina set to pilot a new model of service integration to better meet the needs of its people. Experts from WHO/Europe and the Greek Ministry of Health discussed the piloting of integrated services at a local policy dialogue in Ioannina on 25–26 October 2017.

  • October 2017

    New WHO Guidelines on Integrated Care for Older People (ICOPE)

    Many primary care providers need support on how to assess the health status of older people and address their needs. WHO has developed Guidelines on Integrated Care for Older People (ICOPE) to provide the best available evidence to guide clinical practice.