Service delivery and safety

Framework on integrated people-centred health services

Globally, more than 400 million people lack access to essential health care. Longer lifespans and the growing burden of long-term chronic conditions requiring complex interventions over many years are also changing the demands on health systems.

Adopted with overwhelming support by Member States at the World Health Assembly in May 2016, the Framework on integrated people-centred health services (IPCHS) aims to address these issues by calling for a fundamental shift in the way health services are funded, managed and delivered. 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 are coordinated around their needs, respects their preferences, and are safe, effective, timely, affordable, and of acceptable quality. Developed as a universal vision – the Framework can be adapted to all countries whether high, medium or low income, with mature or fragile health systems.

Key documents

IPCHS and the path to universal health coverage

Universal health coverage is a global priority for WHO, and the linchpin of the health-related SDGs. It’s the one target that, if achieved, will help to deliver all others. For health care to be truly universal, it requires a shift from health systems designed around diseases and health institutions towards health systems designed for people. A renewed focus on service delivery through an integrated and people-centred lens is critical to achieving this, particularly for reaching underserved and marginalized populations to ensure that no one is left behind.

A people-centred approach is needed for:

  • Equity in access: For everyone, everywhere to access the quality health services they need, when and where they need them.

  • Quality: Safe, effective and timely care that responds to people’s comprehensive needs and are of the highest possible standards.

  • Responsiveness and participation: Care is coordinated around people`s needs, respects their preferences, and allows for people’s participation in health affairs.

  • Efficiency: Ensuring that services are provided in the most cost-effective setting with the right balance between health promotion, prevention, and in- and-out patient care, avoiding duplication and waste of resources.

  • Resilience: Strengthening the capacity of health actors, institutions and populations to prepare for, and effectively respond to, public health crises.

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