Service delivery and safety

WHO Framework on integrated people-centred health services

How does integrated people-centered health services contribute to UHC, the right to health, and leaving no one behind in the SDG era?

March 2017 | Thailand -- Strategies that focus on engaging and empowering underserved and marginalized subpopulations are essential to inform policy and decision-makers on how they can improve access to quality health services and financial protection and address broader societal goals such as equity, social justice, solidarity, and social cohesion. This was one of key messages to come out of a session on the “WHO Framework on integrated people-centred health services: reaching out to vulnerable populations” that took place on 29 January at the Prince Mahidol Award Conference in Bangkok, Thailand.

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.

People-centred health services: a key feature on Universal Health Coverage Day

IHP for UHC2030/WHO

December 2016 | Geneva -- Reforming health services to be integrated and people-centred must be a core element of strategic efforts to achieve Universal Health Coverage (UHC). This was a key message to come out of the UHC Day 2016 Geneva public event on 12 December, where over 250 stakeholders attended from ministries of health, development partner and UN agencies, CSOs, academia and the private sector.

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.

New report recommends people-centred integrated care as a focus of China’s health reform

July 2016 | China -- A new report says China can offer better health care for its citizens at affordable costs if it restructures its delivery model to focus on providing integrated primary care for its rapidly aging population, and reforming public hospitals so they mainly treat complex and acute cases. Developed by the World Bank Group, the World Health Organization, the Ministry of Finance, the National Health and Family Planning Commission, and the Ministry of Human Resources and Social Security of China, Deepening Health Reform in China is the most comprehensive report published so far on China’s health reform.

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?

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. Globally, more than 400 million people lack access to essential health care. Longer lifespans and the growing burden of chronic conditions requiring complex interventions over many years are also changing the demands on health systems. Integrated people-centred health services means putting the needs of people and communities, not diseases, at the centre of health systems, and empowering people to take charge of their own health.

Five strategies for moving towards integrated people-centred health services

WHO recommends five interwoven strategies that need to be implemented in order for health service delivery to become more integrated and people-centred:
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 this vision.

Taking action on integrated people-centred health services

The Call for Action on Integrated People-Centred Health Services is a document designed to catalyse action and unite the efforts of people working towards achieving integrated people-centred health services. The call identifies concrete actions that can be implemented by decision-makers in ministries of health, as well as other ministries, members of parliament, and local government officials, to translate the IPCHS Framework into their national or sub-national settings.

Recent highlights

  • April 2017

    Health closer to home: transforming care in the Solomon Islands

    A bold new plan developed by the Solomon Islands’ Ministry of Health and Medical Services, with support from WHO, is transforming health services to deliver care closer to where people live. The plan defines what services are to be offered at each of the four levels of the health system, from small rural health clinics offering basic primary care to area health clinics with simple surgical services, provincial hospitals, and the National Referral Hospital.

  • March 2017

    Photo story: Advancing health through attention to gender, equity and human rights

    Attention to gender, equity and human rights can advance health; but the question is: how can this be done? How can health programmes consider the concerns and experiences of women, men, girls and boys from diverse groups as an integral dimension of the design, implementation, monitoring and evaluation of policies and programmes? In this photo story by the WHO Western Pacific Regional Office, see how making gender, equity and human rights everyone’s responsibility is reshaping the way health policies and programmes are developed and implemented to benefit women, men, girls and boys

  • December 2016

    First steering meeting for the IntegratedCare4People web platform

    On 28-30 November in Granada, Spain, IPCHS stakeholders gathered for the first Steering Meeting of the IntegratedCare4People web platform to identify strategies and commit to a workplan. WHO and its collaborating centre the Andalusian School of Public Health (EASP) organized the meeting, which was attended by WHO Regional Offices, technical experts and other stakeholders. Participants discussed strong strategic positioning and clear articulation of the value of the knowledge platform, and how to support broader outreach of its work. A one-year workplan is being finalized with participants demonstrating commitment to its implementation.

  • October 2016

    Patient and community engagement in Oman’s national health plan

    When a country is developing a five-year national health plan, patients, families and communities ideally need to be at the centre of planning and implementation. But how do you go about making sure this actually happens? The Patients for Patient Safety (PFPS) group within the Service Delivery and Safety Department at WHO Headquarters, in collaboration with the WHO Eastern Mediterranean Regional Office, undertook a joint mission to Oman from 23-27 October to raise awareness on the importance of patient, family and community empowerment and engagement.

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