The world health report

Chapter 6

The way forward

The starkly different social, economic and health realities faced by countries must inform the way forward for primary health care. This chapter discusses the implications for the way universal coverage, primary care, public policy and leadership reforms are operationalized. It shows how expanding health systems offer opportunities for PHC reform in virtually every country. Despite the need for contextual specificity, there are crosscutting elements in the reforms, common to all countries, which provide a basis for globally shared learning and understanding about how PHC reforms can be advanced more systematically everywhere.

In this chapter

  • Adapting reforms to country context
  • High-expenditure health economies
  • Rapid-growth health economies
  • Low-expenditure, low-growth health economies
  • Mobilizing the drivers of reform