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
Figures
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Contribution of general government, private pre-paid and private out-of-pocket expenditure to the yearly growth in total health expenditure per capita, percentage, weighted averages
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Projected per capita health expenditure in 2015, rapid-growth health economies (weighted averages)
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Projected per capita health expenditure in 2015, low-expenditure, low-growth health economies (weighted averages)
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The progressive extension of coverage by community-owned, community–operated health centres in Mali, 1998–2007
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