{"id":113,"date":"2021-08-17T21:07:03","date_gmt":"2021-08-17T21:07:03","guid":{"rendered":"https:\/\/strongerwithphc.org\/?page_id=113"},"modified":"2025-06-25T18:19:45","modified_gmt":"2025-06-25T18:19:45","slug":"report","status":"publish","type":"page","link":"https:\/\/phcvitalsigns.org\/es\/","title":{"rendered":"Hogar"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"113\" class=\"elementor elementor-113\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-30864e9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"30864e9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-f0f3e8e\" data-id=\"f0f3e8e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c52a7e5 elementor-widget elementor-widget-image\" data-id=\"c52a7e5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/improvingphc.org\/\" target=\"_blank\">\n\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"857\" height=\"244\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI_white.png\" class=\"attachment-full size-full wp-image-322\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI_white.png 857w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI_white-300x85.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI_white-768x219.png 768w\" sizes=\"(max-width: 857px) 100vw, 857px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c53b082 elementor-widget elementor-widget-spacer\" data-id=\"c53b082\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d79d0a2 elementor-widget elementor-widget-heading\" data-id=\"d79d0a2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">If Health Systems Could Talk:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ed02f39 elementor-widget elementor-widget-heading\" data-id=\"ed02f39\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Illuminating the Vital Signs of Strong Primary Health Care<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4a1e6ee elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-image\" data-id=\"4a1e6ee\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"223\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-1024x223.png\" class=\"attachment-large size-large wp-image-423\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-1024x223.png 1024w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-300x65.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-768x167.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-1536x334.png 1536w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-2048x445.png 2048w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/phc-vital-signs_logomobile-18x4.png 18w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-002ff6e elementor-hidden-desktop elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"002ff6e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-be78a83 elementor-hidden-mobile elementor-widget elementor-widget-image\" data-id=\"be78a83\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"97\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/partner-logos-1024x97.png\" class=\"attachment-large size-large wp-image-293\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/partner-logos-1024x97.png 1024w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/partner-logos-300x28.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/partner-logos-768x73.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/partner-logos-1536x145.png 1536w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/partner-logos-2048x193.png 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-35b80e7 elementor-widget elementor-widget-spacer\" data-id=\"35b80e7\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-9292cb9\" data-id=\"9292cb9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e02fbaa elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default\" data-id=\"e02fbaa\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8fe9420\" data-id=\"8fe9420\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-683628b elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"683628b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-43ffda4\" data-id=\"43ffda4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b15ae56 elementor-widget elementor-widget-text-editor\" data-id=\"b15ae56\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"margin-bottom: 0px; color: #4b4f58;\"><a href=\"#executive-summary\">Executive Summary<\/a>\u00a0 \u2022\u00a0 <a href=\"#introduction\">Introduction<\/a>\u00a0 \u2022\u00a0 <a href=\"#measuring-what-matters\">1. Measuring the Vital Signs<\/a>\u00a0 \u2022\u00a0 <a href=\"#lessons-from-the-vsps\">2. Vital Signs in Action<\/a>\u00a0 \u2022\u00a0 <a href=\"#scaling-up-progress\">3. Scaling Up Progress<\/a>\u00a0 \u2022\u00a0 <a href=\"#looking-ahead\">Looking Ahead<\/a><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b8d0aae elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"b8d0aae\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-1839bc7\" data-id=\"1839bc7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2f71af8 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"2f71af8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6b8c9d9 elementor-widget elementor-widget-menu-anchor\" data-id=\"6b8c9d9\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"executive-summary\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-705b4c3 elementor-widget elementor-widget-heading\" data-id=\"705b4c3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Executive Summary<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b1b8f93 elementor-widget elementor-widget-text-editor\" data-id=\"b1b8f93\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Every day, leaders face tough choices to ensure that their health systems can protect everyone, in crisis and calm.<\/p><p>Imagine making those decisions in the dark, with sparse information on where primary health care \u2013 the foundation of health systems \u2013 is working or not, and why.<\/p><p><span style=\"font-weight: 400\">While global commitments to primary health care extend back decades, as recently as 2015, there was no comprehensive framework for primary health care, and once the essential building blocks were <\/span><a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/VEILLARD_et_al-2017-The_Milbank_Quarterly_2.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">defined<\/span><\/a>, only 25% could be evaluated through <a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/2015%20PHCPI%20Methodology%20Note.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">well-established measures.<\/span><\/a><\/p><h3 style=\"color: #65aebc\"><strong>The good news: we have come a long way.<\/strong><\/h3><p>After helping to define what strong primary health care\u00a0<em>should<\/em> look like, <strong>the <a href=\"https:\/\/improvingphc.org\/\" target=\"_blank\" rel=\"noopener\">Primary Health Care Performance Initiative<\/a> has partnered with 23 countries to date to develop a Vital Signs Profile<\/strong>: an actionable snapshot showing the strengths and weaknesses of primary health care in the health system.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-55f8444\" data-id=\"55f8444\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5c385b4 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"5c385b4\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-402cbe8 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"402cbe8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-4576545\" data-id=\"4576545\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-69225fd elementor-widget elementor-widget-text-editor\" data-id=\"69225fd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h3 style=\"color: #65aebc\"><b>At a pivotal moment for health systems everywhere, this report takes stock of what we have learned from the Vital Signs of primary health care in 23 countries:<\/b><\/h3>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-861cd9d elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"861cd9d\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b572b21\" data-id=\"b572b21\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6a97328 elementor-widget elementor-widget-image\" data-id=\"6a97328\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"201\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21_numbers.png\" class=\"attachment-large size-large wp-image-298\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21_numbers.png 201w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21_numbers-150x150.png 150w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-bcac651\" data-id=\"bcac651\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-13f6c63 elementor-widget elementor-widget-text-editor\" data-id=\"13f6c63\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>It is possible to define and examine the strength of primary health care in a rigorous, standardized way <\/strong>\u2013 <strong>and therefore necessary to prioritize a primary health care approach<\/strong> <strong>in any national or global health data collection effort. <\/strong>This includes elements of health system <a href=\"#pillar-capacity\"><em>Capacity<\/em><\/a> that traditionally seemed difficult to measure, such as governance, team-based care, or community engagement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-bda8840 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"bda8840\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-0b592ec\" data-id=\"0b592ec\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9a41c85 elementor-widget elementor-widget-image\" data-id=\"9a41c85\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"201\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy_numbers.png\" class=\"attachment-large size-large wp-image-299\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy_numbers.png 201w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy_numbers-150x150.png 150w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-00cca92\" data-id=\"00cca92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e16088f elementor-widget elementor-widget-text-editor\" data-id=\"e16088f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Data from the Vital Signs Profiles confirm, with stark clarity, that every country\u2019s path to strong primary health care should be highly tailored to maximize resources and impact. <\/strong>While countries are aiming for the same destination, they are starting with widely varying strengths and weaknesses. Better measurement can pinpoint where action is needed most in each country, thereby helping leaders set strategic priorities, leverage existing resources efficiently and effectively, and accelerate progress toward Health for All.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f08dd7f elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"f08dd7f\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-96bf255\" data-id=\"96bf255\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bfb689b elementor-widget elementor-widget-image\" data-id=\"bfb689b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"201\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy-2_numbers.png\" class=\"attachment-large size-large wp-image-300\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy-2_numbers.png 201w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy-2_numbers-150x150.png 150w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a465291\" data-id=\"a465291\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a44bcb7 elementor-widget elementor-widget-text-editor\" data-id=\"a44bcb7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>We need more and better PHC data<\/strong><strong> on a global and sub-national scale, so that leaders everywhere can hear what their health systems are saying about the state of primary health care. <\/strong>In particular, quality remains the most undermeasured aspect of primary health care <a href=\"#pillar-performance\"><em>Performance<\/em><\/a>; and more nuanced data on <a href=\"#pillar-equity\"><em>Equity<\/em><\/a> and<a href=\"#pillar-financing\"><em> Financing<\/em><\/a> can give leaders the information they need to govern health systems that respond to everyone\u2019s needs, without causing financial hardship. By reimagining how PHC data is collected, harmonized and used going forward, we can ensure that better measurement translates into concrete action and accountability.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-e0be0ff elementor-hidden-desktop elementor-hidden-tablet elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"e0be0ff\" data-element_type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c5d572 elementor-invisible elementor-widget elementor-widget-text-editor\" data-id=\"7c5d572\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400\">Strong primary health care is the foundation of health systems that can help manage today\u2019s COVID-19 crisis, build resilience to future threats, and achieve universal health coverage. With more and better measurement, it\u2019s possible. The time to act is now.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d3a9b89 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d3a9b89\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ee4abd9\" data-id=\"ee4abd9\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0172310 elementor-widget elementor-widget-menu-anchor\" data-id=\"0172310\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"introduction\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f78dd0e elementor-widget elementor-widget-spacer\" data-id=\"f78dd0e\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8bb1e82 elementor-widget elementor-widget-heading\" data-id=\"8bb1e82\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Introduction<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-db2b1f4 elementor-widget elementor-widget-spacer\" data-id=\"db2b1f4\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-98f12ab elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"98f12ab\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-1a11085\" data-id=\"1a11085\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5338178 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"5338178\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5d1edf3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5d1edf3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4f6ace8\" data-id=\"4f6ace8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64a0d6e elementor-widget elementor-widget-text-editor\" data-id=\"64a0d6e\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<b>Investments in primary health care can\u2019t wait<\/b>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a540294 elementor-widget elementor-widget-text-editor\" data-id=\"a540294\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 16px;font-weight: 400\">The story of any health crisis often begins with a common dilemma: someone, somewhere, starts to feel sick. In certain stories, the source is an infection or heart attack; in others, it\u2019s the first symptoms of cancer or depression. In December 2019, it was COVID-19.<br \/><br \/>While we can\u2019t predict every health challenge that will arise, people\u2019s concerns in these moments often revolve around familiar questions:<\/span><\/p><p style=\"padding-left: 40px\"><span style=\"color: #65afbc\"><i><span style=\"font-weight: 400\">Should I seek help? Is there a health facility nearby? How much time, money, or effort will it take? Can I trust the staff and services? Will they help me get better?<\/span><\/i><\/span><\/p><p><span style=\"font-weight: 400\">Strong primary health care is the foundation of strong health systems\u2014ensuring all people can get the right care, at the right time, right in their community.<\/span><\/p><p><span style=\"font-weight: 400\">The ongoing COVID-19 pandemic is a stark example of what happens when this foundation is not strong enough. It should also be a wake-up call for leaders everywhere to invest in primary health care as a priority\u2014now.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9136d5a elementor-widget elementor-widget-heading\" data-id=\"9136d5a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">With more and better data, progress is possible<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b568123 elementor-widget elementor-widget-text-editor\" data-id=\"b568123\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><span style=\"font-weight: 400\">The good news is that today, we know more about what strong primary health care should look like, and how it can be measured, than ever before. This was not always the case: <\/span><b>as recently as 2015, there was no comprehensive framework<\/b><span style=\"font-weight: 400\"> for the essential building blocks of primary health care across countries. <\/span><\/strong><strong>Once these building blocks were <\/strong><a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/VEILLARD_et_al-2017-The_Milbank_Quarterly_2.pdf\" target=\"_blank\" rel=\"noopener\"><strong>defined<\/strong><\/a><strong>, only 25% of them could be evaluated through <\/strong><a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/2015%20PHCPI%20Methodology%20Note.pdf\" target=\"_blank\" rel=\"noopener\"><strong>well-established measures.<\/strong><\/a><\/p><p><span style=\"font-weight: 400\">This meant that the leaders who were responsible for governing health systems rarely had a full or accurate picture of where their system was strong and weak, and more importantly, why.<\/span><\/p><p><strong style=\"font-size: 16px\"><span style=\"font-weight: 400\">The <\/span><a href=\"https:\/\/improvingphc.org\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">Primary Health Care Performance Initiative (PHCPI)<\/span><\/a><span style=\"font-weight: 400\"> is a partnership that has been working to fill these gaps and translate data into information that leaders can act on. <\/span><b>To date, PHCPI has worked with 23 countries to develop and release a Vital Signs Profile, a first-of-its-kind tool that helps stakeholders quickly diagnose the main strengths and weaknesses of primary health care in their country<\/b>.<\/strong><\/p><p><b><span style=\"color: #65aeba;font-size: 20px\"> As leaders everywhere face tough choices to ensure that health systems protect everyone in the pandemic and beyond, this report aims to share what the first generation of Vital Signs Profiles can tell us about measuring and strengthening primary health care.<\/span><\/b><\/p><p><span style=\"font-weight: 400\">Ultimately, as people everywhere demand strong health systems that are long overdue, leaders must start at the foundation: primary health care. These investments are just as vital to today\u2019s pandemic response as they will be to ensuring a swift recovery, building resilience to future threats, and achieving our shared goal of universal health coverage.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-be5d9d8\" data-id=\"be5d9d8\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;none&quot;,&quot;animation_mobile&quot;:&quot;none&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-40e184d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"40e184d\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-20be0c9\" data-id=\"20be0c9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-38a640c elementor-widget elementor-widget-heading\" data-id=\"38a640c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">'Primary' for a reason<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e459959 elementor-widget elementor-widget-text-editor\" data-id=\"e459959\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Strong primary health care can meet the vast majority of people\u2019s diverse health needs across a lifetime.<\/strong> Primary health care is a health system approach that should reach and support every community by:<\/p><ul><li>promoting healthy behaviors and routine check-ups<\/li><li>preventing disease and injuries<\/li><li>providing and coordinating any curative, rehabilitative, and palliative care that people need.<\/li><\/ul><p>Health workers in primary health care settings are more likely to know the unique needs and context of the community, and can build long-term relationships with people they serve. <strong>This keeps people healthy in times of calm, saves lives in times of crisis, and increases collective trust and participation in the health system overall.<\/strong><\/p><p>In the face of a crisis like COVID-19, strong primary health care becomes the frontlines of epidemic response, including by:<\/p><ul><li>ensuring people get tested and <a href=\"https:\/\/improvingphc.org\/phc-and-covid-19-vaccination\" target=\"_blank\" rel=\"noopener\">vaccinated<\/a><\/li><li>supporting <a href=\"https:\/\/improvingphc.org\/surveillance-response-management\" target=\"_blank\" rel=\"noopener\">contact tracing<\/a> and information sharing<\/li><li>helping people manage short- and long-term symptoms.<\/li><\/ul><p>Strong primary health care also makes the health system more resilient. Even in an emergency, people need other <a href=\"https:\/\/improvingphc.org\/maintaining-access-routine-and-essential-services\" target=\"_blank\" rel=\"noopener\">essential health services<\/a>\u2014including for maternal or newborn health, sexual and reproductive health, non-communicable diseases and more\u2014to continue without disruption.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-d4216d1 elementor-widget elementor-widget-image\" data-id=\"d4216d1\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"1200\" height=\"800\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/GA1272507_PP010564.gif\" class=\"attachment-full size-full wp-image-177\" alt=\"\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ab04755 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ab04755\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-122543c\" data-id=\"122543c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-de642ec elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"de642ec\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e20d463 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e20d463\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-ff0b948\" data-id=\"ff0b948\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-bc444dc elementor-widget elementor-widget-menu-anchor\" data-id=\"bc444dc\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"measuring-what-matters\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7c50fd0 elementor-widget elementor-widget-spacer\" data-id=\"7c50fd0\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6dec1c2 elementor-widget elementor-widget-heading\" data-id=\"6dec1c2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Measuring the Vital Signs of PHC<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7a1e8f elementor-widget elementor-widget-text-editor\" data-id=\"b7a1e8f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Strong primary health care is <strong>measurable<\/strong> \u2013 and therefore achievable.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3a9d72a elementor-widget elementor-widget-spacer\" data-id=\"3a9d72a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-b2917fd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"b2917fd\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-79e2f6e\" data-id=\"79e2f6e\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5565877 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"5565877\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-429dbcd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"429dbcd\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-19d867b\" data-id=\"19d867b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9f7a9b8 elementor-widget elementor-widget-text-editor\" data-id=\"9f7a9b8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400\">One of the most important lessons from the first 23 Vital Signs Profiles is that <\/span><b>it is possible to define and examine the strength of primary health care in a rigorous, standardized way.<\/b><span style=\"font-weight: 400\"> This is something that could not be said with confidence at the start of the Sustainable Development Goal era, and should help dispel any myths that primary health care is too difficult for leaders to define, measure, or prioritize.<\/span><\/p><p><span style=\"font-weight: 400\">That said, primary health care remains a complex, multi-faceted concept that could never be summarized with a single number. <\/span><b>By pulling data together from diverse sources and distilling this information in an accessible way, the Vital Signs Profile helps leaders visualize and act on the main strengths and weaknesses of primary health care in their health system.<\/b><\/p><p>The first generation Vital Signs Profile measures across four main pillars: <span style=\"font-weight: normal !msorm\"><strong><span style=\"color: #65afbc\">Financing<\/span><\/strong>, <strong><span style=\"color: #f69d73\">Capacity<\/span><\/strong>,<strong> <span style=\"color: #c0becb\">Performance<\/span><\/strong>, and <strong><span style=\"color: #91c8b6\">Equity<\/span><\/strong>.<\/span><\/p><p>Crucially, each Vital Signs Profile acts like a unique fingerprint. Across all countries that finalized\u00a0a first-generation Vital Signs Profile\u00a0<span>between 2018 and September 2021, <strong>no two have seen the same story revealed across the four pillars<\/strong>.\u00a0<\/span><span style=\"font-style: inherit;font-weight: inherit\">Moreover, countries need to increase investments in each of these areas\u2014and pay attention to how different domains influence one another\u2014to realize the full promise and potential of primary health care.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a97d71a\" data-id=\"a97d71a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6787cfd elementor-widget elementor-widget-image\" data-id=\"6787cfd\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"480\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Unknown.jpeg\" class=\"attachment-large size-large wp-image-353\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Unknown.jpeg 640w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Unknown-300x225.jpeg 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Unknown-16x12.jpeg 16w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9a1b2ff elementor-widget elementor-widget-text-editor\" data-id=\"9a1b2ff\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>Eleven countries launched the first Vital Signs Profiles in 2018 at the Global Conference on Primary Health Care in Kazakhstan.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6fb801a elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"6fb801a\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f34dcf8\" data-id=\"f34dcf8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5d6173a elementor-widget elementor-widget-html\" data-id=\"5d6173a\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div id=\"vsp-container\">\r\n    <div class=\"vps-content\">\r\n    \t<div class=\"vps-prompt-container\">\r\n        \t<span>hover and click<br \/>to learn more<\/span>\r\n            <img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/arrow.png\" \/>\r\n        <\/div>\r\n    \t<div class=\"vps-input\">\r\n        \t<div class=\"vps-input-header\">\r\n            \t<span>The Anatomy of a Vital Signs Profile (VSP)<\/span>\r\n                <span>*Sample First-Generation VSP<\/span>\r\n                <span>*Sample first-generation Vital Signs Profile has four key domains, all shaped be deep collaboration with Trailblazer country stakeholders. Hover over a pillar for more infomation.<\/span>\r\n            <\/div>\r\n            <div class=\"vps-input-content\">\r\n            \t<div class=\"vps-input-row\">\r\n                \t<div class=\"vps-row-header\">\r\n                    \t<span>financing<\/span>\r\n                    <\/div>\r\n                    <div class=\"vps-row-content\">\r\n                    \t<div class=\"vps-row-content-item\">\r\n                        \t<div class=\"vps-row-item-header\">\r\n                        \t\t<span>PHC spending<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider\">\r\n                            \t<div class=\"vps-row-item-slider-inner\" style=\"width: 35%\"><\/div>\r\n                                <span>35%<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>$29 per capita<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner\"><\/div>\r\n                            <\/div>\r\n                        <\/div>\r\n                        <div class=\"vps-row-content-item\">\r\n                        \t<div class=\"vps-row-item-header\">\r\n                        \t\t<span>sources of spending<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-donut\">\r\n                                <div class=\"vps-row-item-donut-chart\">\r\n                                    <div class=\"portion-1 vps-row-item-donut-portion vps-color-code-medium\">\r\n                                        <div class=\"vps-row-item-donut-circle\"><\/div>\r\n                                    <\/div>\r\n                                    <div class=\"portion-2 vps-row-item-donut-portion vps-color-code-dark\">\r\n                                        <div class=\"vps-row-item-donut-circle\"><\/div>\r\n                                    <\/div>\r\n                                    <div class=\"portion-3 vps-row-item-donut-portion vps-color-code-dark\">\r\n                                        <div class=\"vps-row-item-donut-circle\"><\/div>\r\n                                    <\/div>\r\n                                    <div class=\"vps-row-item-donut-chart-center vps-color-code-light\"><\/div>        \r\n                                <\/div>\r\n                                <div class=\"vps-row-item-donut-key\">\r\n                                    <span>14%<br><span>government<\/span><\/span>\r\n                                <\/div>\r\n                                <div class=\"vps-row-item-donut-key\">\r\n                                    <span>86%<br><span>other<\/span><\/span>\r\n                                <\/div>\r\n                            <\/div>\r\n                        <\/div>\r\n                    <\/div>\r\n                    <div class=\"vps-row-item-text vps-gradient-code-0 vps-scroll-display vps-custom-scroll\"><span>How much does your government spend on primary health care?<\/span><span>The Financing pillar of the VSP provides standardized metrics for how much money is spent per person on primary health care in a country and as a proportion of total health spending, based on a shared definition developed by the World Health Organization.<\/span><\/div>\r\n                <\/div>\r\n                <div class=\"vps-input-row\">\r\n                \t<div class=\"vps-row-header\">\r\n                    \t<span>capacity<\/span>\r\n                    <\/div>\r\n                    <div class=\"vps-row-content\">\r\n                    \t<div class=\"vps-row-content-item\">\r\n                        \t<div class=\"vps-row-item-header\">\r\n                        \t\t<span>governance<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner-25 vps-color-code-green\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-green\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-green\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-medium\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>inputs<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner-25 vps-color-code-yellow\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-yellow\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-medium\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-medium\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>Population Health and Facility Management<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner-25 vps-color-code-red\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-medium\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-medium\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-25 vps-color-code-medium\"><\/div>\r\n                            <\/div>\r\n                        <\/div>\r\n                    <\/div>\r\n                    <div class=\"vps-row-item-text vps-gradient-code-1 vps-scroll-display vps-custom-scroll\"><span>Does your system have the policies, infrastructure, and other physical and human resources required to deliver primary health care?<\/span><span>Are the fundamentals of primary health care service delivery -- such as strong population health management and effective facility management -- in place? To effectively measure Capacity, PHCPI pioneered a new  measurement tool called the <a href=\"https:\/\/improvingphc.org\/primary-health-care-progression-model\" target=\"_blank\">PHC Progression Model<\/a> that combines quantitative and qualitative data from a diversity of informants, documents, and data sources.<\/span><\/div>\r\n                <\/div>\r\n                <div class=\"vps-input-row\">\r\n                \t<div class=\"vps-row-header\">\r\n                    \t<span>performance<\/span>\r\n                    <\/div>\r\n                    <div class=\"vps-row-content\">\r\n                    \t<div class=\"vps-row-content-item\">\r\n                        \t<div class=\"vps-row-item-header\">\r\n                        \t\t<span>access<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider\">\r\n                            \t<div class=\"vps-row-item-slider-inner vps-color-code-green\" style=\"width: 86%\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>quality<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider\">\r\n                            \t<div class=\"vps-row-item-slider-inner vps-color-code-yellow\" style=\"width: 64%\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>service coverage<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider\">\r\n                            \t<div class=\"vps-row-item-slider-inner vps-color-code-red\" style=\"width: 42%\"><\/div>\r\n                            <\/div>\r\n                        <\/div>\r\n                    <\/div>\r\n                    <div class=\"vps-row-item-text vps-gradient-code-2 vps-scroll-display vps-custom-scroll\"><span>Does primary health care in your country  deliver quality care that meets people's health needs?<\/span><span>The Performance pillar looks at how a country is doing in terms of <strong>access, quality, and coverage<\/strong> of care and services. To gain the clearest picture of performance in their Vital Signs Profiles, stakeholders supplemented globally comparable data with data from local sources.<\/span><\/div>\r\n                <\/div>\r\n                <div class=\"vps-input-row\">\r\n                \t<div class=\"vps-row-header\">\r\n                    \t<span>equity<\/span>\r\n                    <\/div>\r\n                    <div class=\"vps-row-content\">\r\n                    \t<div class=\"vps-row-content-item\">\r\n                        \t<div class=\"vps-row-item-header\">\r\n                        \t\t<span>access by wealth quintile<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner-slim vps-color-code-medium\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-range vps-color-code-yellow\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-dot vps-color-code-yellow\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-dot vps-color-code-yellow\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>coverage of rmnch<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner-slim vps-color-code-medium\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-range vps-color-code-red\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-dot vps-color-code-red\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-dot vps-color-code-red\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-header\">\r\n                        \t\t<span>outcomes: u5 mortality<\/span>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-slider vps-color-code-light\">\r\n                            \t<div class=\"vps-row-item-slider-inner-slim vps-color-code-medium\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-range vps-color-code-green\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-dot vps-color-code-green\"><\/div>\r\n                                <div class=\"vps-row-item-slider-inner-dot vps-color-code-green\"><\/div>\r\n                            <\/div>\r\n                        <\/div>\r\n                    <\/div>\r\n                    <div class=\"vps-row-item-text vps-gradient-code-3 vps-scroll-display vps-custom-scroll\"><span>Does primary health care effectively serve the marginalized and disadvantaged groups in your society?<\/span><span>Building on growing evidence that high-quality primary health care reduces health inequities, the Vital Signs Profile examines whether all people are receiving the care they need -- regardless of where they live, how much money they have, or how much education they have received.<\/span><\/div>\r\n                <\/div>\r\n            <\/div>\r\n            <div class=\"vps-input-footer\">\r\n            \t<div class=\"vps-row-header\">\r\n                \t<div class=\"vps-row-header-line\">\r\n                    \t<div><\/div>\r\n                    <\/div>\r\n                    <div class=\"vps-row-header-content\">\r\n                    \t<span>context<\/span>\r\n                    <\/div>\r\n                    <div class=\"vps-row-header-line\">\r\n                    \t<div><\/div>\r\n                    <\/div>\r\n            \t<\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>GDP per<br \/>capita<\/span>\r\n                    <span>$2894<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>living in<br \/>poverty<\/span>\r\n                    <span>22%<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>gov health<br \/>spending<\/span>\r\n                    <span>2%<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>life<br \/>expectancy<\/span>\r\n                    <span>68<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>maternal<br \/>mortality<\/span>\r\n                    <span>290<\/span>\r\n                    <span>per 100k<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>neonatal<br \/>mortality<\/span>\r\n                    <span>15<\/span>\r\n                    <span>per 1k<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>premature ncd<br \/>mortality<\/span>\r\n                    <span>18%<\/span>\r\n                 <\/div>\r\n            \t<div class=\"vps-row-content\">\r\n                    <span>causes of<br \/>death<\/span>\r\n                    <div class=\"vps-row-item-donut\">\r\n                        <div class=\"vps-row-item-donut-chart\">\r\n                            <div class=\"portion-1 vps-row-item-donut-portion vps-color-code-medium\">\r\n                            \t<div class=\"vps-row-item-donut-circle\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"portion-2 vps-row-item-donut-portion vps-color-code-dark\">\r\n                            \t<div class=\"vps-row-item-donut-circle\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"portion-3 vps-row-item-donut-portion vps-color-code-dark\">\r\n                           \t\t<div class=\"vps-row-item-donut-circle\"><\/div>\r\n                            <\/div>\r\n                            <div class=\"vps-row-item-donut-chart-center vps-color-code-light\"><\/div>        \r\n                        <\/div>\r\n                        <div class=\"vps-row-item-donut-key\">\r\n                            <span>40% infectious disease<\/span>\r\n                        <\/div>\r\n                        <div class=\"vps-row-item-donut-key\">\r\n                            <span>60% NCDS<\/span>\r\n                        <\/div>\r\n                    <\/div>\r\n                 <\/div>\r\n                 <div class=\"vps-row-item-text vps-gradient-code-4 vps-scroll-display vps-custom-scroll\"><span><\/span><span>The Context section of the Vital Signs Profile provides a broad overview of health outcome measures that are expected to improve with sustained investments and improvements in primary health care. It also provides key contextual metrics about the country's income status, poverty level, health spending, and common causes of death, which can provide useful background when interpreting the data featured in a Vital Signs Profile. These values are sourced from global estimates such as the Global Health Observatory and World Development Indicators.<\/span><\/div>\r\n            <\/div>\r\n        <\/div>\r\n        <div class=\"vps-output-container\">\r\n        \t<div class=\"vps-output vps-scroll-display vps-custom-scroll\"><\/div>\r\n            <div class=\"vsp-times-close\">&times;<\/div>\r\n        <\/div>\r\n    <\/div>\r\n<\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1050db3 premium-modal-dismissible-yes elementor-widget elementor-widget-premium-addon-modal-box\" data-id=\"1050db3\" data-element_type=\"widget\" data-settings=\"{&quot;premium_modal_box_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"premium-addon-modal-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"premium-modal-box-container\" data-settings=\"{&quot;trigger&quot;:&quot;text&quot;}\">\r\n\t\t\t<div class=\"premium-modal-trigger-container\">\r\n\t\t\t\t\t\t\t\t\t<span data-toggle=\"premium-modal\" data-target=\"#premium-modal-1050db3\" class=\"premium-modal-trigger-text\">\r\n\t\t\t\t\t\t<div >\r\n\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t<div id=\"premium-modal-1050db3\" class=\"premium-modal-box-modal\"\r\n\t\t\trole=\"dialog\"\r\n\t\t\tstyle=\"display: none\"\r\n\t\t\t>\r\n\t\t\t\t<div class=\"premium-modal-box-modal-dialog\" data-delay-animation=\"\" data-modal-animation=\"fadeIn animated-fast\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-header\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"premium-modal-box-modal-title\">\r\n\t\t\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-close-button-container\">\r\n\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"premium-modal-box-modal-close\" data-dismiss=\"premium-modal\">&times;<\/button>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-body\">\r\n\t\t\t\t\t\t<p>The VSP is constructed from a wide array of national surveys and global databases in addition to data collected and reported by countries.<\/p><p>Data in the Financing pillar are sourced from the World Health Organization Global Health Expenditure Database, classified according to the System of Health Accounts (SHA) 2011.<\/p><p>The Capacity pillar is assessed through the PHC Progression Model, a novel mixed-methods assessment tool developed by PHCPI to systematically assess the foundational capacities to deliver quality primary health care.<\/p><p>The Performance pillar is developed from several globally comparable sources including the DHS STATcompiler, SPA, SDI, WHO\/UNICEF, WHO TB Programme, and JHC Global Monitoring Report. In cases in which a global source was not available, an attempt was made to identify a similar indicator using locally-available data relevant to the specific domain.<\/p><p>The Equity pillar is created using access data from Demographic and Health Surveys (DHS) and coverage and outcomes data from DHS and Multiple Indicator Cluster Surveys (MICS).<\/p><p>Across all pillars, to leverage as much available data as possible, the Vital Signs Profiles drew upon the most recent data source available for each indicator, and therefore not all data sources represent the year of publication.<\/p><p><span style=\"font-weight: normal !msorm;\"><strong>Interested in learning even more?<\/strong><\/span> The full methodology note can be found <a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/Long%20explainer%20v2%2019%2006%202019.pdf\" target=\"_blank\" rel=\"noopener\">here<\/a>.<\/p>\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8003586 elementor-widget elementor-widget-spacer\" data-id=\"8003586\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d09c990 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d09c990\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-d7e8b11\" data-id=\"d7e8b11\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-49043f3 elementor-widget elementor-widget-menu-anchor\" data-id=\"49043f3\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"lessons-from-the-pillars\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-0bf7b86 elementor-widget elementor-widget-heading\" data-id=\"0bf7b86\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Lessons from the Pillars<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-fc5563c elementor-widget elementor-widget-text-editor\" data-id=\"fc5563c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The greatest value-add of the Vital Signs Profile is its ability to help national stakeholders visualize their entire system and take action across all pillars of primary health care. Nevertheless, a handful of important lessons emerged across countries that completed a Vital Signs Profile in the process of developing and measuring each unique pillar.\u00a0<em><b>Click on each pillar to read more:<\/b><\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-174b9cb elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"174b9cb\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-31527ce\" data-id=\"31527ce\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-837116d elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"837116d\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-837116d\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"837116d\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-financing\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1371\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><span style=\"font-family:Bebas Neue;font-size:36px\">Financing&nbsp;&nbsp;&nbsp;<\/strong><\/span>  <span style=\"font-weight:400;color:white;font-size:18px;line-height:1.2\">More government investment in primary health care is greatly needed, alongside more detailed data to better understand who is bearing the cost, where funds are coming from and how funds are being spent.<\/span>  <img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/phcpi-capacity_barsfiancing-3.gif\"><\/span><\/div><div id=\"elementor-tab-content-1371\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-financing\"><style>.elementor-238 .elementor-element.elementor-element-48afc5f8 > .elementor-container > .elementor-column > .elementor-widget-wrap{align-content:flex-start;align-items:flex-start;}.elementor-bc-flex-widget .elementor-238 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.elementor-element.elementor-element-630bb98a{width:60.255%;}}<\/style>\t\t<div data-elementor-type=\"page\" data-elementor-id=\"238\" class=\"elementor elementor-238\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fcde46f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7fcde46f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-15a41e0c\" data-id=\"15a41e0c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42f3c0d2 elementor-widget elementor-widget-text-editor\" data-id=\"42f3c0d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There is no global target for spending on primary health care (PHC). However, we know that infrastructure, providers, and other critical resources for PHC <a href=\"https:\/\/gh.bmj.com\/content\/4\/1\/e001497\" target=\"_blank\" rel=\"noopener\">remain underfunded<\/a> in countries around the world.<br \/><br \/><span style=\"font-style: inherit; font-weight: inherit;\">To better understand investment in PHC, the Vital Signs Profiles measurement tool draws on recent work by the <\/span><a style=\"font-style: inherit; font-weight: inherit; background-color: #ffffff;\" href=\"https:\/\/apps.who.int\/nha\/database\/DocumentationCentre\/GetFile\/57752201\/en\" target=\"_blank\" rel=\"noopener\">WHO<\/a><span style=\"font-style: inherit; font-weight: inherit;\"> to track PHC expenditures using a globally standardized measure and approach. This is an important step toward understanding how to fund primary health care more effectively and efficiently.<br \/><br \/><\/span><span style=\"font-style: inherit; font-weight: inherit;\">VSP country data confirm that, on average, governments in upper middle-income countries spend more per capita on PHC than lower-income countries, although there is wide variation among countries at similar income levels. Given that primary health care investments play a critical role in advancing equity and access to health services, and thus also advancing universal health coverage and greater health security, boosting funding levels to strengthen PHC is essential.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-48afc5f8 elementor-section-full_width elementor-section-content-top elementor-section-height-default elementor-section-height-default\" data-id=\"48afc5f8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-def2a75\" data-id=\"def2a75\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-293897c3 elementor-widget elementor-widget-text-editor\" data-id=\"293897c3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>A deeper analysis of VSP data reveals that less than half of PHC spending comes from government sources in low- and-middle income VSP countries alike<\/strong>, illustrating an opportunity for governments to continue mobilizing domestic resources for PHC overall, ideally from pooled, public sources. Extrapolating from what we know about overall health spending globally,<strong> it\u2019s likely that out-of-pocket spending comprises a substantial portion of the other sources of funding for primary health care.<br \/><br \/><\/strong>High out-of-pocket costs, especially at the point of delivery, can be catastrophic to individuals and families, particularly in the most marginalized communities. Even modest costs can deter people from seeking the care they need, which can put their health\u2014and as we have seen during COVID-19, potentially the health of others\u2014at risk. Placing the burden of PHC costs on people and communities is an inequitable way to fund primary health care, which holds such promise to promote health equity when strong and effective.<br \/><br \/><strong>This is why efforts to strengthen PHC financing cannot focus solely on increasing overall spending within a country<\/strong>, which risks further marginalizing vulnerable populations if they are left to foot the bill through co-payments and other out-of-pocket costs. However, to identify and address potential inequities, <strong>leaders need more and better information on PHC-specific financing to have a clearer picture of where funds are coming from.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-d6c8f92\" data-id=\"d6c8f92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-630bb98a\" data-id=\"630bb98a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ed6ab0 elementor-widget elementor-widget-heading\" data-id=\"7ed6ab0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Per capita PHC spending broken down by funding source<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b3ce37c elementor-widget elementor-widget-html\" data-id=\"b3ce37c\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7260652\"><script src=\"https:\/\/public.flourish.studio\/resources\/embed.js\"><\/script><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a397307 eael-tooltip-align-right eael-tooltip-align-mobile-center eael-tooltip-text-align-left eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"a397307\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-a397307\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-a397307\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>Since Vital Signs Profiles were completed across multiple years, the financing data in this graph were standardized to the 2018 data year of the World Health Organization <a href=\"https:\/\/apps.who.int\/nha\/database\" target=\"_blank\" rel=\"noopener\">Global Health Expenditure Database<\/a>. As such, the financing statistics used in this report may not match the figures published in countries' original VSPs, and only includes those VSPs that utilize SHA 2011.<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-09cbb1c elementor-widget elementor-widget-spacer\" data-id=\"09cbb1c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-729061ab elementor-widget elementor-widget-text-editor\" data-id=\"729061ab\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In addition to needing more and better data on who is bearing the costs of primary health care, countries need more granular health expenditure data on where and to what PHC funds are being channeled, and whether these investments are producing the desired results. Without this, countries cannot know which investments \u2013 for example, increasing nursing staff and doctors or financing technological advancements \u2013 have a greater impact on PHC Capacity, Performance and Equity. Countries may also look to decrease inefficiencies caused by duplication due to multiple funding flows and pools as well as within the purchasing process, i.e. how PHC funds are being spent and how service providers are paid, for example. Though strides have been made to shape a global measure of PHC spending for potential cross-country comparison, more work is needed on country level measures with sufficient context to drive local policy decisions.<br \/><br \/>Issues of PHC financing have only become more complex with the pandemic, as outlined in a <a href=\"https:\/\/openknowledge.worldbank.org\/handle\/10986\/35298\" target=\"_blank\" rel=\"noopener\">recent World Bank report<\/a> on financing of health in the time of COVID-19. In the face of COVID-19, government spending surged to deal with the health and economic impacts, leading to increased government debt. As a result, government expenditures are now expected to decline in the near term. While the level of future government spending on health is uncertain, out-of-pocket spending is projected to decrease\u2014but mainly as a result of missed or deferred essential and routine care, rather than from increased portions of governmental or external financing on health care costs. In past crises, reduced funding for PHC critically impacted services and shifted costs back onto people. During crises like these, and especially in the lowest-income settings, countries benefit from donor funding committed to supplementing domestic resources for comprehensive primary health care.<br \/><br \/>Overall, protecting and increasing investments in primary health care and community health \u2013 especially in vulnerable communities \u2013 will be critical to maintaining health system performance during this crisis and meeting the need for gains in quality and access already identified before the pandemic.<br \/><br \/><strong>To achieve universal health coverage and ensure no one is left behind, <\/strong><a href=\"https:\/\/www.worldbank.org\/en\/topic\/health\/publication\/walking-the-walk-reimagining-primary-health-care-after-covid-19-a-health-nutrition-and-population-global-practice-flagsh\" target=\"_blank\" rel=\"noopener\"><strong>maximizing public spending for PHC<\/strong><\/a><strong> is an important first step. In tandem, we must work to increase the availability and quality of PHC financing data. In the hands of civil society and decision-makers alike, more and better data will increase countries\u2019 ability to deliver strong PHC for their communities.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e64c3b8 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"e64c3b8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9e48f94 elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"9e48f94\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-9e48f94\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"9e48f94\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-capacity\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1651\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><span style=\"font-family:Bebas Neue;font-size:36px\">Capacity&nbsp;&nbsp;&nbsp; <\/strong> <\/span> <span style=\"font-weight:400;color:white;font-size:18px;line-height:1.2\"> Robust data collection on health system capacity is possible and necessary. By leveraging a mix of qualitative and quantitative data, country leaders have the best opportunity to uncover gaps that impact how a health system is functioning and act to improve primary health care. <\/b><\/span>  <img decoding=\"async\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/capcity-thumbnail-gif-1.gif\"><\/span><\/div><div id=\"elementor-tab-content-1651\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-capacity\"><style>.elementor-bc-flex-widget .elementor-167 .elementor-element.elementor-element-a36fbb9.elementor-column .elementor-widget-wrap{align-items:center;}.elementor-167 .elementor-element.elementor-element-a36fbb9.elementor-column.elementor-element[data-element_type=\"column\"] > .elementor-widget-wrap.elementor-element-populated{align-content:center;align-items:center;}.elementor-167 .elementor-element.elementor-element-a36fbb9 > .elementor-element-populated{margin:0px 0px 0px 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.elementor-element.elementor-element-a4fb23f > .elementor-widget-container{margin:0px 10px 0px 15px;}@media(min-width:768px){.elementor-167 .elementor-element.elementor-element-a36fbb9{width:60.797%;}.elementor-167 .elementor-element.elementor-element-d1f4210{width:39.153%;}.elementor-167 .elementor-element.elementor-element-ca0bbc3{width:34.015%;}.elementor-167 .elementor-element.elementor-element-bce1992{width:3.254%;}.elementor-167 .elementor-element.elementor-element-6a16f31{width:62.165%;}.elementor-167 .elementor-element.elementor-element-0748c66{width:33.208%;}.elementor-167 .elementor-element.elementor-element-6e7db79{width:33.124%;}.elementor-167 .elementor-element.elementor-element-5be39ac{width:32.967%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"167\" class=\"elementor elementor-167\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d8e2631 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d8e2631\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e1f5f25\" data-id=\"e1f5f25\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a8f1f69 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a8f1f69\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-db72fdb\" data-id=\"db72fdb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-be095f4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"be095f4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a36fbb9\" data-id=\"a36fbb9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-17381ac7 elementor-widget elementor-widget-text-editor\" data-id=\"17381ac7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left\">The \u201ccapacity\u201d of a Primary Health Care system refers to the foundational properties of the system that enable it to deliver high quality primary health care (PHC).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9626de elementor-widget elementor-widget-text-editor\" data-id=\"c9626de\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Many different structural elements are needed to achieve a high-functioning health system.<br \/><br \/>In addition to the more visible capacities associated with quality care at the point of service \u2014 such as an adequate number of trained care providers and sufficient medicines and supplies \u2014 there are additional elements at play behind the scenes.<br \/><br \/><span style=\"font-style: inherit;\">These include activities led by countries like planning, procurement, staff management and community engagement, as well as less tangible elements such as leadership and trust. <\/span><span style=\"font-style: inherit;\">Because each and every one of these components of PHC impact if and how people seek care, it\u2019s critical to comprehensively assess them and gain a full picture of health system capacity.<br \/><br \/><\/span><span style=\"font-weight: 400;\">The good news is a novel tool used for the VSPs called the PHC Progression Model demonstrates that this level of robust data collection on Capacity is possible. The <\/span><a href=\"https:\/\/improvingphc.org\/primary-health-care-progression-model\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">PHC Progression Model<\/span><\/a><span style=\"font-weight: 400;\"> represents <\/span><a href=\"https:\/\/gh.bmj.com\/content\/4\/5\/e001822\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">the first comprehensive and standardized mixed-methods measurement of PHC system Capacity<\/span><\/a><span style=\"font-weight: 400;\">. This tool <\/span><a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/PHC-Progression%20Model%202019-04-04_FINAL.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">defines key components of PHC system Capacity<\/span><\/a><span style=\"font-weight: 400;\"> and leverages both quantitative and qualitative data sources across three domains: <em>Governance<\/em>, <em>Inputs<\/em>, and <em>Population Health and Facility Management. <\/em><\/span><\/p><p><span style=\"font-style: inherit;\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d1f4210\" data-id=\"d1f4210\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-345766e elementor-widget elementor-widget-heading\" data-id=\"345766e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A Novel approach to how <br>PHC Capacity is measured<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a88f8c5 elementor-widget elementor-widget-text-editor\" data-id=\"a88f8c5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">The <a href=\"https:\/\/improvingphc.org\/primary-health-care-progression-model\" target=\"_blank\" rel=\"noopener\">PHC Progression Model<\/a><\/span><span style=\"font-weight: 400;\">\u00a0represents <\/span><span style=\"font-weight: 400;\">the first comprehensive and standardized mixed-methods measurement of PHC system Capacity<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">It looks at 33 measures, each of which is scored from a Level 1 (low) to Level 4 (high). To ensure sufficient data, the Progression Model process helped countries identify, gather, and synthesize information from a large range of datasets, documents, and key informants. Each country\u2019s Progression Model leverages a unique combination of data sources, with interviews <\/span><span style=\"font-weight: 400;\">spanning across government, civil society, academia, development partners, private sector and more.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d85fe7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d85fe7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-ca0bbc3\" data-id=\"ca0bbc3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-496e182 elementor-widget elementor-widget-text-editor\" data-id=\"496e182\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The graph in this section depicts the Capacity data collected across VSP countries that completed a Progression Model.<br \/><br \/>Though each country has a unique PHC Capacity profile, seeing these data together highlights some patterns worth exploring. Historically, certain capacities have been less understood and have received less investment. These include elements that relate to how a health system is delivering for and working with individuals and communities, such as: social accountability, community engagement and community health workers.<br \/><br \/>Many VSP countries were found to have lower levels of these capacities, suggesting they may be key areas of focus for PHC improvement. For example, the majority of VSP countries have systems for surveillance to track disease metrics. But few have reached an adequate capability for less visible capacities such as local priority setting and leadership that enable data to be transformed into improved population health. Several countries had reached a higher level on their capacity to pay health workers, but lacked systems for equitably distributing that PHC workforce to ensure care is delivered at the right place and time.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-bce1992\" data-id=\"bce1992\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-6a16f31\" data-id=\"6a16f31\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d7c7819 elementor-widget elementor-widget-heading\" data-id=\"d7c7819\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Capacity Levels Across Countries<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f394dbf elementor-widget elementor-widget-shortcode\" data-id=\"f394dbf\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7163717\"><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-254b9ee eael-tooltip-align-right eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"254b9ee\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-254b9ee\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-254b9ee\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p><span style=\"font-weight: 400\">Depending on when they completed their Progression Models, countries assessed their PHC capacity using one of two versions of the Progression Model. To allow for comparability in this report, PHCPI underwent a review process to harmonize the measures used in the two versions. All measures except one were determined to be similar across the two versions. There was no equivalent measure for \"Primary Health Care workforce competencies\" in the earlier version, so this measure was excluded from the analysis. To learn more about any of the specific indicators featured in the Capacity graphs, including their definitions and measures, explore the detailed PHC Progression Model <a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/PHC-Progression%20Model%202019-04-04_FINAL.pdf\" target=\"_blank\" rel=\"noopener\">rubric<\/a>.<\/span><\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a6587d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a6587d6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5771809\" data-id=\"5771809\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb51d41 elementor-widget elementor-widget-text-editor\" data-id=\"fb51d41\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Importantly, the unique mix of data in the Progression Model and the collaborative process of uncovering the data with country stakeholders revealed vital insights to inform country action on weaker areas of PHC Capacity.<br \/><br \/>The specific goals outlined in the rubric of the Progression Model can also act as a blueprint of best practices for PHC Capacity that countries can strive to implement, learning from each other along the way.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-beaf739 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"beaf739\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-55c0042\" data-id=\"55c0042\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e159a37 elementor-widget elementor-widget-spacer\" data-id=\"e159a37\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-550ef4e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"550ef4e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-0748c66\" data-id=\"0748c66\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cffdc19 elementor-widget elementor-widget-image\" data-id=\"cffdc19\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"893\" height=\"534\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco.png\" class=\"attachment-large size-large wp-image-381\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco.png 893w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco-300x179.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco-768x459.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco-18x12.png 18w\" sizes=\"(max-width: 893px) 100vw, 893px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5393cf elementor-widget elementor-widget-text-editor\" data-id=\"d5393cf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><em>PHC Leadership (Level 3)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86c5aca elementor-widget elementor-widget-text-editor\" data-id=\"86c5aca\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>While <strong>Morocco<\/strong>\u2019s data revealed strong national PHC leadership and accountability, qualitative feedback from sub-national directorates revealed a more complex story. The VSP identified\u00a0some gaps in coordination mechanisms between national, regional and local entities. In particular, local leaders, especially in some remote areas, faced staffing or budgetary challenges affecting their ability to effectively channel available resources to PHC. With this realization, the government is now taking steps to bridge and improve PHC leadership at all levels throughout the country, including ensuring that all levels of the government are engaged in setting PHC improvement priorities (i.e., local priority setting). The Ministry is already planning work with regional counterparts to develop and implement relevant and operational action plans\u2014including a dashboard to monitor the PHC performance\u2014building on the forthcoming publication of the PHC National Strategy in late fall 2021.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6e7db79\" data-id=\"6e7db79\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d85913 elementor-widget elementor-widget-image\" data-id=\"4d85913\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"892\" height=\"534\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia.png\" class=\"attachment-large size-large wp-image-383\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia.png 892w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia-300x180.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia-768x460.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia-18x12.png 18w\" sizes=\"(max-width: 892px) 100vw, 892px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e949c97 elementor-widget elementor-widget-text-editor\" data-id=\"e949c97\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><em>Health Workforce (Level 2)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-512f5d2 elementor-widget elementor-widget-text-editor\" data-id=\"512f5d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In <strong>Colombia<\/strong>, the government knew that health workforce availability and quality were areas for growth before starting the VSP. The Progression Model helped articulate specific opportunities to improve collaboration across central and regional government sectors and non-governmental institutions to support the PHC workforce (i.e. multi-sectoral action). For instance, although there are mechanisms and regulations in place to support coordination between the Ministries of Health and Education, educational institutions have a high degree of autonomy when deciding which programs to open and how many students to accept\u2014and it is important to ensure these decisions support national priorities and targets for strengthening the training and quality of the health workforce. The assessment also identified a need to improve mechanisms for distributing health workers equitably across rural and urban areas (i.e. workforce density and distribution), and encouraged Ministries of Health, Education and Labor to increase coordination so that PHC workers are guaranteed appropriate compensation, social protection and incentives no matter where they live and work. Lastly, the assessment highlighted that organizing multidisciplinary healthcare teams would be an impactful way to provide PHC services more efficiently and better meet the needs of local communities. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5be39ac\" data-id=\"5be39ac\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4eb8d12 elementor-widget elementor-widget-image\" data-id=\"4eb8d12\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"893\" height=\"534\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique.png\" class=\"attachment-large size-large wp-image-382\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique.png 893w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique-300x179.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique-768x459.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique-18x12.png 18w\" sizes=\"(max-width: 893px) 100vw, 893px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12d1ce8 elementor-widget elementor-widget-text-editor\" data-id=\"12d1ce8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><em>Community Engagement (Level 1)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4fb23f elementor-widget elementor-widget-text-editor\" data-id=\"a4fb23f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At the time <strong>Mozambique <\/strong>completed its Progression Model, the Ministry of Health had already begun developing a Community Health Subsystem Strategy, to leverage community health engagement. Stakeholders were not surprised that the system was performing at Level 1 of 4 in community engagement at the national level. However, through key informant interviews and sub-national analysis, the assessment team identified some positive examples of strong community engagement in specific regions of Mozambique and approaches that could serve as models for the rest of the country. These insights are now being used to inform plans to increase the involvement of community members in the new strategy. The Ministry of Health plans to promote the use of Community Score Cards and Health Management Committees, and formalize systems for incorporating regional and local input into decision-making within the strategy.<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e6e597f elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"e6e597f\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-e6e597f\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"e6e597f\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-performance\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-2421\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><span style=\"font-family:Bebas Neue;font-size:36px\">Performance&nbsp;&nbsp;&nbsp;<\/strong><\/span>   <span style=\"font-weight:400;font-size:18px;color:white;line-height:1.2\">There is substantial room for improvement across access, quality and coverage of primary health care services; and quality remains the most under-measured dimension of primary health care performance, even after innovative efforts to fill data gaps through local sources.<\/b><\/span>&nbsp;<img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/phcpi_barsperformance-2.gif\"><\/span><\/div><div id=\"elementor-tab-content-2421\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-performance\"><style>.elementor-165 .elementor-element.elementor-element-372ebb1f{transition:background 0.3s, border 0.3s, border-radius 0.3s, box-shadow 0.3s;}.elementor-165 .elementor-element.elementor-element-372ebb1f > .elementor-background-overlay{transition:background 0.3s, border-radius 0.3s, opacity 0.3s;}.elementor-165 .elementor-element.elementor-element-fc612ca:not(.elementor-motion-effects-element-type-background) > .elementor-widget-wrap, .elementor-165 .elementor-element.elementor-element-fc612ca > .elementor-widget-wrap > .elementor-motion-effects-container > .elementor-motion-effects-layer{background-color:#C0BECB;}.elementor-165 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.elementor-element.elementor-element-50c5fea0.elementor-column .elementor-widget-wrap{align-items:flex-start;}.elementor-165 .elementor-element.elementor-element-50c5fea0.elementor-column.elementor-element[data-element_type=\"column\"] > .elementor-widget-wrap.elementor-element-populated{align-content:flex-start;align-items:flex-start;}.elementor-165 .elementor-element.elementor-element-50c5fea0 > .elementor-element-populated{transition:background 0.3s, border 0.3s, border-radius 0.3s, box-shadow 0.3s;margin:0px 0px 0px 20px;--e-column-margin-right:0px;--e-column-margin-left:20px;}.elementor-165 .elementor-element.elementor-element-50c5fea0 > .elementor-element-populated > .elementor-background-overlay{transition:background 0.3s, border-radius 0.3s, opacity 0.3s;}@media(max-width:767px){.elementor-165 .elementor-element.elementor-element-a209c96 .eael-tooltip{border-radius:0px 0px 0px 0px;}.elementor-165 .elementor-element.elementor-element-a209c96 .eael-tooltip .eael-tooltip-text{width:805px;max-width:250px;}}@media(min-width:768px){.elementor-165 .elementor-element.elementor-element-8a04d0f{width:59.428%;}.elementor-165 .elementor-element.elementor-element-fc612ca{width:40.416%;}.elementor-165 .elementor-element.elementor-element-902b2a2{width:44.329%;}.elementor-165 .elementor-element.elementor-element-3812f73{width:55.515%;}.elementor-165 .elementor-element.elementor-element-9d76794{width:37.294%;}.elementor-165 .elementor-element.elementor-element-50c5fea0{width:62.706%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"165\" class=\"elementor elementor-165\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-372ebb1f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"372ebb1f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bed3581\" data-id=\"bed3581\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-54107d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"54107d9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8a04d0f\" data-id=\"8a04d0f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c9f738c elementor-widget elementor-widget-text-editor\" data-id=\"c9f738c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To transform primary health care, countries must clearly understand if and how well all communities are being served by the system in place. The Performance pillar of the VSP gets at the heart of this issue by assessing how well primary health care (PHC) is performing in terms of three mutually-reinforcing domains: Access, Quality, and Service Coverage.<br \/><span style=\"font-style: inherit;\"><b><br \/>Looking at the combined Performance data within and across VSP countries, it is clear that substantial room for improvement remains across all three domains.<\/b><\/span><\/p><ul><li><strong>Access <\/strong>is quite variable across VSP countries, and nearly a third of people in VSP countries report substantial barriers to care. More often than not, the Vital Signs Profiles found greater perceived barriers due to financial cost, than to geography.<\/li><li>While <strong>Quality <\/strong>values are also quite variable across VSP countries, nearly all show major deficits. In the many areas where quality data is lacking, performance on Quality is likely even worse than the available data show, as suggested by a growing body of research on <a href=\"https:\/\/www.thelancet.com\/journals\/langlo\/article\/PIIS2214-109X(18)30386-3\/fulltext\" target=\"_blank\" rel=\"noopener\">high-quality health systems<\/a>. Indeed, the three VSP countries with the highest Quality indices had more than half of their indicators missing. Underlying challenges in quality can only be seen and addressed with intentional investments in PHC quality data.<\/li><li>For <strong>Service Coverage<\/strong>, where there is greatest data availability, barely over half of all people across VSP countries received necessary or recommended services \u2013 and the best performing country barely topped 70% coverage. However, even where a comprehensive range of services is available, leaders need to ensure the services are effective and high-quality \u2013 which is why all elements of Performance must be taken into account.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-fc612ca\" data-id=\"fc612ca\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b3a0dd elementor-widget elementor-widget-heading\" data-id=\"4b3a0dd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Three domains of PHC performance:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5bc7ea elementor-widget elementor-widget-text-editor\" data-id=\"e5bc7ea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Access:<\/strong> People\u2019s ability to get the primary health care they need when they need it, regardless of where they live or how much money they have.<br \/><br \/><strong>Quality:<\/strong> PHC services that meet necessary standards for comprehensiveness of care, continuity of care, person-centeredness, provider availability and competence, and safety practices.<br \/><br \/><strong>Service Coverage:<\/strong> The proportion of the population that is receiving the range of essential services they need, including for infectious diseases, maternal and child health, and non-communicable diseases. These interventions are selected from the <a href=\"https:\/\/www.who.int\/docs\/default-source\/documents\/2019-uhc-report.pdf\" target=\"_blank\" rel=\"noopener\">UHC Service Coverage index<\/a>, and the vast majority can be delivered through strong primary health care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f3a3a9f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f3a3a9f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-902b2a2\" data-id=\"902b2a2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9f08586 elementor-widget elementor-widget-text-editor\" data-id=\"9f08586\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 1rem;\">Taken together, these domains reveal<\/span><span style=\"font-size: 1rem;\">\u00a0<\/span><span style=\"font-size: 1rem; font-weight: bold;\">how much work remains to improve primary health care performance. <\/span><span style=\"font-size: 1rem;\">Greater investment in all areas of Performance\u2014which also depends on strong neighboring pillars of Financing, Capacity, and Equity as well<\/span><span style=\"font-size: 1rem; font-weight: bold; margin-bottom: 0px !important;\">\u2014<\/span><span style=\"font-size: 1rem;\">will be necessary to build systems that meet people\u2019s health needs.<br \/><br \/><\/span><span style=\"font-size: 16px; font-weight: bold;\">From a measurement perspective, the Performance pillar\u2014and Quality in particular\u2014also highlights that missing data continues to pose a major obstacle to ensuring strong, equitable primary health care.<br \/><br \/><\/span><span style=\"font-size: 16px;\">To complete this pillar of the VSP, PHCPI recommended a core set of Performance indicators drawn from global service delivery datasets. Additionally, most VSP countries also supplemented their assessment with data drawn from in-country sources, illustrating that performance can be assessed effectively through a mix of global and local data sources.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ba5d44 elementor-widget elementor-widget-text-editor\" data-id=\"8ba5d44\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong style=\"font-style: inherit;\">As shown, data in each Performance domain was often missing despite these innovative efforts to source information from both local and global sources. <\/strong><span style=\"font-style: inherit; font-weight: inherit;\">And while countries generally had more data available for Service Coverage and Access, <\/span><strong style=\"font-style: inherit;\">only 45% of Quality indicators in the VSP had data available. <\/strong><span style=\"font-style: inherit; font-weight: inherit;\">These gaps meant that some important measures of PHC Quality\u2014such as timeliness, provider motivation and coordination of care\u2014could not be included in the VSP at all.<br \/><br \/><\/span><span style=\"font-style: inherit; font-weight: inherit;\">Even for PHC Service Coverage\u2014which has the greatest data availability from the global UHC Coverage Index\u2014the data picture could be strengthened going forward. For example, we know that countries are more likely to have data available on infectious diseases and maternal and child health, and less likely to have data on tracer interventions for\u00a0<\/span><a style=\"background-color: #ffffff; font-style: inherit; font-weight: inherit;\" href=\"https:\/\/www.who.int\/docs\/default-source\/documents\/2019-uhc-report.pdf\" target=\"_blank\" rel=\"noopener\">non-communicable diseases<\/a><span style=\"font-style: inherit; font-weight: inherit;\">, even though combined, NCDs represent the leading cause of premature death and disability around the world. This means that many countries may be missing critical insights into how primary health care is managing and responding to these health needs. Moreover, leaders need to ask not only what services are being delivered, but how they are being delivered \u2013 so that countries can move\u00a0<\/span><a style=\"background-color: #ffffff; font-style: inherit; font-weight: inherit;\" href=\"https:\/\/openknowledge.worldbank.org\/handle\/10986\/35842?cid=hnp_tt_health_en_ext\" target=\"_blank\" rel=\"noopener\">from fragmentation to person-centered integration<\/a><span style=\"font-style: inherit; font-weight: inherit;\">.<br \/><\/span><span style=\"font-style: inherit; font-weight: inherit;\"><br \/><\/span>Looking ahead, it is imperative that countries continue to improve data collection processes to meet people\u2019s health needs and strengthen PHC performance. With more and better PHC data, countries can pinpoint where they need to improve most and drive resources to overlooked areas, such as quality, that may accelerate PHC progress.<span style=\"font-style: inherit; font-weight: inherit;\"><br \/><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3812f73\" data-id=\"3812f73\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-03fc977 elementor-widget elementor-widget-heading\" data-id=\"03fc977\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Performance Across Three Domains, by Country<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-09e48a0 elementor-widget elementor-widget-html\" data-id=\"09e48a0\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7398317\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a209c96 eael-tooltip-align-mobile-center eael-tooltip-text-align-left eael-tooltip-align-right eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"a209c96\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-a209c96\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-a209c96\" class=\"eael-tooltip-text eael-tooltip-left\" role=\"tooltip\">The Performance domain looks at three key dimensions of service delivery:<br><br>\n<ul>\n \t<li>Access includes measurements of perceived financial and geographic barriers to care using data from USAID\u2019s Demographic and Health Surveys (DHS).<\/li>\n \t<li>Quality of care measures include indicators of comprehensiveness of care, continuity of care, person-centeredness, provider availability and competence, and safety practices.<\/li>\n \t<li>Coverage measures the proportion of the population in need of services who receive them. These services include a broad range of PHC-focused clinical services, based on the UHC service coverage index of essential health services from the joint WHO\/World Bank Group report in December 2017.<\/li>\n<\/ul>\nHeadline scores for Access, Quality, and Coverage are calculated by taking the unweighted average of indicator values within subdomains, and then taking the average across subdomain scores. In the case of select indicators where the desired value would be small in high-performing systems, specific variables are transformed by subtracting the value from 100 before inclusion for calculation of summary scores.<br><br>\n\nIn cases in which a global source was not available, an attempt was made to identify a similar indicator using locally-available data relevant to the specific domain.<\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5df1a5b elementor-widget elementor-widget-heading\" data-id=\"5df1a5b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Data Gaps in the Quality, Service Coverage &amp; Access Indexes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9768931 elementor-widget elementor-widget-html\" data-id=\"9768931\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7150303\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c7722c eael-tooltip-align-mobile-center eael-tooltip-align-right eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"5c7722c\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-5c7722c\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-5c7722c\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p><span style=\"font-weight: 400\">To allow for completeness of data, some countries used alternative sources of locally available and contextually appropriate data for indicators. The PHCPI report team reviewed all such indicators to ensure that similar concepts were being measured and excluded indicators in cases in which alternative data sources did not provide a comparable measure.<\/span><\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-56f66dc6 elementor-section-content-top elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56f66dc6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9d76794\" data-id=\"9d76794\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-50c5fea0\" data-id=\"50c5fea0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ae8a61a elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"ae8a61a\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-ae8a61a\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"ae8a61a\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-equity\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1831\"><span class=\"eael-advanced-accordion-icon-closed\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-plus\"><\/i><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"> <strong><span style=\"font-family:Bebas Neue;font-size:36px\">Equity&nbsp;&nbsp;<\/strong><\/span>     <span style=\"font-weight:400;font-size:18px;color:white;line-height:1.2\"> Equity is a fundamental goal of primary health care. By comprehensively assessing the extent of disparities in access, coverage and outcomes within a health system, countries can pinpoint who is being left behind and progress further on their unique path to Health for All. <\/b> <\/span> &nbsp;<img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/phcpi_barsequity.gif\"><\/span><\/div><div id=\"elementor-tab-content-1831\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-equity\"><style>.elementor-168 .elementor-element.elementor-element-00bc26b{text-align:center;}.elementor-168 .elementor-element.elementor-element-00bc26b .elementor-heading-title{font-family:\"Bebas Neue\", Sans-serif;font-size:28px;font-weight:500;color:var( --e-global-color-secondary );}.elementor-168 .elementor-element.elementor-element-b587742{text-align:center;}.elementor-168 .elementor-element.elementor-element-b587742 .elementor-heading-title{font-family:\"Bebas Neue\", Sans-serif;font-size:28px;font-weight:500;color:var( --e-global-color-secondary );}.elementor-168 .elementor-element.elementor-element-2c43860{text-align:center;}.elementor-168 .elementor-element.elementor-element-2c43860 .elementor-heading-title{font-family:\"Bebas Neue\", Sans-serif;font-size:28px;font-weight:500;color:var( --e-global-color-secondary );}.elementor-168 .elementor-element.elementor-element-4af9484 > .elementor-widget-container{margin:-36px 0px -23px 0px;padding:0px 0px -15px 0px;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-top{animation-duration:300ms;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-left{animation-duration:300ms;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-bottom{animation-duration:300ms;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-right{animation-duration:300ms;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip{width:685px;color:#223E4C;font-size:13px;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip a{color:#223E4C;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip svg{fill:#223E4C;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover{color:#65AEBA;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover a{color:#65AEBA;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip:hover svg{fill:#65AEBA;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip .eael-tooltip-text{width:240px;max-width:365px;background-color:#555555E6;color:#fff;font-size:13px;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip .eael-tooltip-text:after{border-width:5px;}.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip .eael-tooltip-text.eael-tooltip-left::after{top:calc( 50% - 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5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-right::after{top:calc( 50% - 5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-top::after{left:calc( 50% - 5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-bottom::after{left:calc( 50% - 5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-top:after{border-top-color:var( --e-global-color-primary );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-bottom:after{border-bottom-color:var( --e-global-color-primary );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-left:after{border-left-color:var( --e-global-color-primary );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-right:after{border-right-color:var( --e-global-color-primary );}@media(max-width:767px){.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip{border-radius:0px 0px 0px 0px;}}@media(min-width:768px){.elementor-168 .elementor-element.elementor-element-dcb656c{width:50.33%;}.elementor-168 .elementor-element.elementor-element-7542e09{width:49.67%;}.elementor-168 .elementor-element.elementor-element-d87ae20{width:49.998%;}.elementor-168 .elementor-element.elementor-element-6a81b49{width:49.95%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"168\" class=\"elementor elementor-168\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fcde46f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7fcde46f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-15a41e0c\" data-id=\"15a41e0c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42f3c0d2 elementor-widget elementor-widget-text-editor\" data-id=\"42f3c0d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">We can\u2019t say a health system is functioning well if it\u2019s not functioning well for all people, especially a country\u2019s most vulnerable communities.<br \/><br \/><\/span><span style=\"font-style: inherit;\">The VSPs leverage data related to three common sources of health disparities \u2013 wealth, level of education and the rural and urban divide \u2013 to assess three critical dimensions of equity: access, coverage and outcomes. To demonstrate equitable service delivery grounded in primary health care (PHC), a country must perform well on all three dimensions.<br \/><br \/><\/span>Data from the VSPs showed that every country, regardless of its income or levels of PHC Performance or Capacity, had significant room for improvement on at least one dimension of Equity. This reveals that countries cannot rely on any single measure of equity alone to understand whether communities are being underserved and that there is no common formula or path to achieve equity.<br \/><br \/><span style=\"font-weight: 400;\">While the Equity pillar helps provide a first \u201cdiagnosis\u201d of inequities, the root causes from country-to-country are difficult to determine without additional information. <\/span><span style=\"font-weight: 400;\">For example, countries with more government PHC spending also tended to have lower disparities in perceived access barriers due to cost. Pairing equity data with other aspects of PHC enables countries to explore potential relationships and sources of inequity as well as the best ways to address them.<br \/><br \/><\/span><span style=\"font-weight: 400;\">Every country\u2019s journey to equitable health care will look different. More and better data will help them craft blueprints of health systems that have a strong foundation in PHC and the best chance to provide all people with the care they need and deserve.\u00a0 <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e73bcd3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e73bcd3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-dcb656c\" data-id=\"dcb656c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-00bc26b elementor-widget elementor-widget-heading\" data-id=\"00bc26b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Equity Values by Country<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7542e09\" data-id=\"7542e09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b587742 elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"b587742\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Equity Values by Indicator<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f8934ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f8934ed\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d87ae20\" data-id=\"d87ae20\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4cf4528 elementor-widget elementor-widget-html\" data-id=\"4cf4528\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-scatter\" data-src=\"visualisation\/7264203\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6a81b49\" data-id=\"6a81b49\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c43860 elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-heading\" data-id=\"2c43860\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Equity Values by Indicator<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11c26b9 elementor-widget elementor-widget-html\" data-id=\"11c26b9\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-scatter\" data-src=\"visualisation\/7264539\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4af9484 eael-tooltip-align-right eael-tooltip-align-mobile-center eael-tooltip-text-align-left eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"4af9484\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-4af9484\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-4af9484\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p><span style=\"font-style: normal !msorm\">The Equity pillar is made up of three key indicators. The indicator for \"equity in access\" uses data from Demographic &amp; Health Surveys (DHS) from the DHS STAT<\/span> <span style=\"font-style: normal !msorm\">compiler to calculate <\/span><span style=\"font-style: normal !msorm\">differences in perceived financial barriers to care between the highest and lowest quintiles of wealth for the country. The \"equity in coverage\" indicator us<\/span><span style=\"font-style: normal !msorm\">e<\/span><span style=\"font-style: normal !msorm\">s data from the WHO Health Equity Monitor to assess the difference in effective coverage of matern<\/span><span style=\"font-style: normal !msorm\">al and child health care services between mothers with secondary education compared to those with no education. The \"equity in outcomes\" indicator also uses data from the WHO Health Equity Monitor to indicate the difference in under-five mortality of child<\/span><span style=\"font-style: normal !msorm\">ren residing in urban and rural areas of the VSP country. Countries included in the figures are those with complete equity data.<\/span><\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-90e820f elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"90e820f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-bf6c7ea\" data-id=\"bf6c7ea\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-7657a0b\" data-id=\"7657a0b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2049db1 eael-tooltip-align-center eael-tooltip-text-align-center elementor-widget elementor-widget-eael-tooltip\" data-id=\"2049db1\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-2049db1\"><p style=\"text-align: center\"><span style=\"text-decoration: underline\">Access<\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-2049db1\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>% with perceived barriers due to cost, by wealth quintile (lowest \u25cf vs. highest \u271a)<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-6882c34\" data-id=\"6882c34\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2949bda eael-tooltip-align-center eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"2949bda\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-2949bda\"><p style=\"text-align: center\"><span style=\"text-decoration: underline\">Coverage<\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-2949bda\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>% of RMNCH services covered, by mother's education (no education \u25cf vs. secondary education \u271a)<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-0b27042\" data-id=\"0b27042\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-366972f eael-tooltip-align-center eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"366972f\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-366972f\"><p style=\"text-align: center\"><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">Outcomes<\/span><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-366972f\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>Under-five mortality rate, by residence (rural \u25cf vs. urban \u271a)<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-f37672c\" data-id=\"f37672c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-55050a3 elementor-widget elementor-widget-spacer\" data-id=\"55050a3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-116ca39 elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"116ca39\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3d95abf\" data-id=\"3d95abf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-91aa117 elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"91aa117\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-91aa117\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"91aa117\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-financing\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1521\"><span class=\"eael-advanced-accordion-icon-closed\"><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><p style=\"font-family:Bebas Neue;font-size:36px\">\u2795 Financing&nbsp;<\/strong><\/span><\/p> <span style=\"font-weight:400;color:white;font-size:18px;line-height:1.2\">More government investment in primary health care is greatly needed, alongside more detailed data to better understand who is bearing the cost, where funds are coming from and how funds are being spent.<\/span> <br> <br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/phcpi-capacity_barsfiancing-3.gif\"><\/span><\/div><div id=\"elementor-tab-content-1521\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-financing\"><style>.elementor-238 .elementor-element.elementor-element-48afc5f8 > .elementor-container > .elementor-column > .elementor-widget-wrap{align-content:flex-start;align-items:flex-start;}.elementor-bc-flex-widget .elementor-238 .elementor-element.elementor-element-def2a75.elementor-column .elementor-widget-wrap{align-items:center;}.elementor-238 .elementor-element.elementor-element-def2a75.elementor-column.elementor-element[data-element_type=\"column\"] > .elementor-widget-wrap.elementor-element-populated{align-content:center;align-items:center;}.elementor-238 .elementor-element.elementor-element-def2a75 > .elementor-element-populated{padding:0px 0px 0px 0px;}.elementor-238 .elementor-element.elementor-element-630bb98a > .elementor-element-populated{padding:0px 0px 0px 0px;}.elementor-238 .elementor-element.elementor-element-7ed6ab0 .elementor-heading-title{font-size:31px;color:var( --e-global-color-secondary );}.elementor-238 .elementor-element.elementor-element-a397307 > .elementor-widget-container{margin:-36px 0px -23px 0px;padding:0px 0px -15px 0px;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-top{animation-duration:300ms;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-left{animation-duration:300ms;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-bottom{animation-duration:300ms;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover .eael-tooltip-text.eael-tooltip-right{animation-duration:300ms;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip{width:685px;color:#223E4C;font-size:13px;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip a{color:#223E4C;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip svg{fill:#223E4C;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover{color:#65AEBA;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover a{color:#65AEBA;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip:hover svg{fill:#65AEBA;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text{width:240px;max-width:365px;background-color:#555555E6;color:#fff;font-size:13px;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text:after{border-width:5px;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-left::after{top:calc( 50% - 5px );}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-right::after{top:calc( 50% - 5px );}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-top::after{left:calc( 50% - 5px );}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-bottom::after{left:calc( 50% - 5px );}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-top:after{border-top-color:#555;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-bottom:after{border-bottom-color:#555;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-left:after{border-left-color:#555;}.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip .eael-tooltip-text.eael-tooltip-right:after{border-right-color:#555;}.elementor-238 .elementor-element.elementor-element-09cbb1c{--spacer-size:10px;}.elementor-238 .elementor-element.elementor-element-e64c3b8{--spacer-size:10px;}@media(max-width:767px){.elementor-238 .elementor-element.elementor-element-a397307 .eael-tooltip{border-radius:0px 0px 0px 0px;}}@media(min-width:768px){.elementor-238 .elementor-element.elementor-element-def2a75{width:35.919%;}.elementor-238 .elementor-element.elementor-element-d6c8f92{width:3.385%;}.elementor-238 .elementor-element.elementor-element-630bb98a{width:60.255%;}}<\/style>\t\t<div data-elementor-type=\"page\" data-elementor-id=\"238\" class=\"elementor elementor-238\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fcde46f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7fcde46f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-15a41e0c\" data-id=\"15a41e0c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42f3c0d2 elementor-widget elementor-widget-text-editor\" data-id=\"42f3c0d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>There is no global target for spending on primary health care (PHC). However, we know that infrastructure, providers, and other critical resources for PHC <a href=\"https:\/\/gh.bmj.com\/content\/4\/1\/e001497\" target=\"_blank\" rel=\"noopener\">remain underfunded<\/a> in countries around the world.<br \/><br \/><span style=\"font-style: inherit; font-weight: inherit;\">To better understand investment in PHC, the Vital Signs Profiles measurement tool draws on recent work by the <\/span><a style=\"font-style: inherit; font-weight: inherit; background-color: #ffffff;\" href=\"https:\/\/apps.who.int\/nha\/database\/DocumentationCentre\/GetFile\/57752201\/en\" target=\"_blank\" rel=\"noopener\">WHO<\/a><span style=\"font-style: inherit; font-weight: inherit;\"> to track PHC expenditures using a globally standardized measure and approach. This is an important step toward understanding how to fund primary health care more effectively and efficiently.<br \/><br \/><\/span><span style=\"font-style: inherit; font-weight: inherit;\">VSP country data confirm that, on average, governments in upper middle-income countries spend more per capita on PHC than lower-income countries, although there is wide variation among countries at similar income levels. Given that primary health care investments play a critical role in advancing equity and access to health services, and thus also advancing universal health coverage and greater health security, boosting funding levels to strengthen PHC is essential.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-48afc5f8 elementor-section-full_width elementor-section-content-top elementor-section-height-default elementor-section-height-default\" data-id=\"48afc5f8\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-def2a75\" data-id=\"def2a75\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-293897c3 elementor-widget elementor-widget-text-editor\" data-id=\"293897c3\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>A deeper analysis of VSP data reveals that less than half of PHC spending comes from government sources in low- and-middle income VSP countries alike<\/strong>, illustrating an opportunity for governments to continue mobilizing domestic resources for PHC overall, ideally from pooled, public sources. Extrapolating from what we know about overall health spending globally,<strong> it\u2019s likely that out-of-pocket spending comprises a substantial portion of the other sources of funding for primary health care.<br \/><br \/><\/strong>High out-of-pocket costs, especially at the point of delivery, can be catastrophic to individuals and families, particularly in the most marginalized communities. Even modest costs can deter people from seeking the care they need, which can put their health\u2014and as we have seen during COVID-19, potentially the health of others\u2014at risk. Placing the burden of PHC costs on people and communities is an inequitable way to fund primary health care, which holds such promise to promote health equity when strong and effective.<br \/><br \/><strong>This is why efforts to strengthen PHC financing cannot focus solely on increasing overall spending within a country<\/strong>, which risks further marginalizing vulnerable populations if they are left to foot the bill through co-payments and other out-of-pocket costs. However, to identify and address potential inequities, <strong>leaders need more and better information on PHC-specific financing to have a clearer picture of where funds are coming from.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-d6c8f92\" data-id=\"d6c8f92\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-630bb98a\" data-id=\"630bb98a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-7ed6ab0 elementor-widget elementor-widget-heading\" data-id=\"7ed6ab0\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Per capita PHC spending broken down by funding source<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b3ce37c elementor-widget elementor-widget-html\" data-id=\"b3ce37c\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7260652\"><script src=\"https:\/\/public.flourish.studio\/resources\/embed.js\"><\/script><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a397307 eael-tooltip-align-right eael-tooltip-align-mobile-center eael-tooltip-text-align-left eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"a397307\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-a397307\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-a397307\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>Since Vital Signs Profiles were completed across multiple years, the financing data in this graph were standardized to the 2018 data year of the World Health Organization <a href=\"https:\/\/apps.who.int\/nha\/database\" target=\"_blank\" rel=\"noopener\">Global Health Expenditure Database<\/a>. As such, the financing statistics used in this report may not match the figures published in countries' original VSPs, and only includes those VSPs that utilize SHA 2011.<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-09cbb1c elementor-widget elementor-widget-spacer\" data-id=\"09cbb1c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-729061ab elementor-widget elementor-widget-text-editor\" data-id=\"729061ab\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In addition to needing more and better data on who is bearing the costs of primary health care, countries need more granular health expenditure data on where and to what PHC funds are being channeled, and whether these investments are producing the desired results. Without this, countries cannot know which investments \u2013 for example, increasing nursing staff and doctors or financing technological advancements \u2013 have a greater impact on PHC Capacity, Performance and Equity. Countries may also look to decrease inefficiencies caused by duplication due to multiple funding flows and pools as well as within the purchasing process, i.e. how PHC funds are being spent and how service providers are paid, for example. Though strides have been made to shape a global measure of PHC spending for potential cross-country comparison, more work is needed on country level measures with sufficient context to drive local policy decisions.<br \/><br \/>Issues of PHC financing have only become more complex with the pandemic, as outlined in a <a href=\"https:\/\/openknowledge.worldbank.org\/handle\/10986\/35298\" target=\"_blank\" rel=\"noopener\">recent World Bank report<\/a> on financing of health in the time of COVID-19. In the face of COVID-19, government spending surged to deal with the health and economic impacts, leading to increased government debt. As a result, government expenditures are now expected to decline in the near term. While the level of future government spending on health is uncertain, out-of-pocket spending is projected to decrease\u2014but mainly as a result of missed or deferred essential and routine care, rather than from increased portions of governmental or external financing on health care costs. In past crises, reduced funding for PHC critically impacted services and shifted costs back onto people. During crises like these, and especially in the lowest-income settings, countries benefit from donor funding committed to supplementing domestic resources for comprehensive primary health care.<br \/><br \/>Overall, protecting and increasing investments in primary health care and community health \u2013 especially in vulnerable communities \u2013 will be critical to maintaining health system performance during this crisis and meeting the need for gains in quality and access already identified before the pandemic.<br \/><br \/><strong>To achieve universal health coverage and ensure no one is left behind, <\/strong><a href=\"https:\/\/www.worldbank.org\/en\/topic\/health\/publication\/walking-the-walk-reimagining-primary-health-care-after-covid-19-a-health-nutrition-and-population-global-practice-flagsh\" target=\"_blank\" rel=\"noopener\"><strong>maximizing public spending for PHC<\/strong><\/a><strong> is an important first step. In tandem, we must work to increase the availability and quality of PHC financing data. In the hands of civil society and decision-makers alike, more and better data will increase countries\u2019 ability to deliver strong PHC for their communities.<\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e64c3b8 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"e64c3b8\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-618dab9 elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"618dab9\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-618dab9\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"618dab9\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-capacity\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-1021\"><span class=\"eael-advanced-accordion-icon-closed\"><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><p style=\"font-family:Bebas Neue;font-size:36px\">\u2795 Capacity&nbsp;<\/strong><\/span><\/p> <span style=\"font-weight:400;color:white;font-size:18px;line-height:1.2\">Robust data collection on health system capacity is possible and necessary. By leveraging a mix of qualitative and quantitative data, country leaders have the best opportunity to uncover gaps that impact how a health system is functioning and act to improve primary health care. <\/span> <br> <br>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/capcity-thumbnail-gif-1.gif\"><\/span><\/div><div id=\"elementor-tab-content-1021\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-capacity\"><style>.elementor-bc-flex-widget .elementor-167 .elementor-element.elementor-element-a36fbb9.elementor-column .elementor-widget-wrap{align-items:center;}.elementor-167 .elementor-element.elementor-element-a36fbb9.elementor-column.elementor-element[data-element_type=\"column\"] > .elementor-widget-wrap.elementor-element-populated{align-content:center;align-items:center;}.elementor-167 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.elementor-element.elementor-element-a4fb23f > .elementor-widget-container{margin:0px 10px 0px 15px;}@media(min-width:768px){.elementor-167 .elementor-element.elementor-element-a36fbb9{width:60.797%;}.elementor-167 .elementor-element.elementor-element-d1f4210{width:39.153%;}.elementor-167 .elementor-element.elementor-element-ca0bbc3{width:34.015%;}.elementor-167 .elementor-element.elementor-element-bce1992{width:3.254%;}.elementor-167 .elementor-element.elementor-element-6a16f31{width:62.165%;}.elementor-167 .elementor-element.elementor-element-0748c66{width:33.208%;}.elementor-167 .elementor-element.elementor-element-6e7db79{width:33.124%;}.elementor-167 .elementor-element.elementor-element-5be39ac{width:32.967%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"167\" class=\"elementor elementor-167\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d8e2631 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d8e2631\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e1f5f25\" data-id=\"e1f5f25\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a8f1f69 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a8f1f69\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-db72fdb\" data-id=\"db72fdb\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-be095f4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"be095f4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-a36fbb9\" data-id=\"a36fbb9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-17381ac7 elementor-widget elementor-widget-text-editor\" data-id=\"17381ac7\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left\">The \u201ccapacity\u201d of a Primary Health Care system refers to the foundational properties of the system that enable it to deliver high quality primary health care (PHC).<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c9626de elementor-widget elementor-widget-text-editor\" data-id=\"c9626de\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Many different structural elements are needed to achieve a high-functioning health system.<br \/><br \/>In addition to the more visible capacities associated with quality care at the point of service \u2014 such as an adequate number of trained care providers and sufficient medicines and supplies \u2014 there are additional elements at play behind the scenes.<br \/><br \/><span style=\"font-style: inherit;\">These include activities led by countries like planning, procurement, staff management and community engagement, as well as less tangible elements such as leadership and trust. <\/span><span style=\"font-style: inherit;\">Because each and every one of these components of PHC impact if and how people seek care, it\u2019s critical to comprehensively assess them and gain a full picture of health system capacity.<br \/><br \/><\/span><span style=\"font-weight: 400;\">The good news is a novel tool used for the VSPs called the PHC Progression Model demonstrates that this level of robust data collection on Capacity is possible. The <\/span><a href=\"https:\/\/improvingphc.org\/primary-health-care-progression-model\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">PHC Progression Model<\/span><\/a><span style=\"font-weight: 400;\"> represents <\/span><a href=\"https:\/\/gh.bmj.com\/content\/4\/5\/e001822\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">the first comprehensive and standardized mixed-methods measurement of PHC system Capacity<\/span><\/a><span style=\"font-weight: 400;\">. This tool <\/span><a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/PHC-Progression%20Model%202019-04-04_FINAL.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">defines key components of PHC system Capacity<\/span><\/a><span style=\"font-weight: 400;\"> and leverages both quantitative and qualitative data sources across three domains: <em>Governance<\/em>, <em>Inputs<\/em>, and <em>Population Health and Facility Management. <\/em><\/span><\/p><p><span style=\"font-style: inherit;\">\u00a0<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d1f4210\" data-id=\"d1f4210\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-345766e elementor-widget elementor-widget-heading\" data-id=\"345766e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A Novel approach to how <br>PHC Capacity is measured<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a88f8c5 elementor-widget elementor-widget-text-editor\" data-id=\"a88f8c5\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">The <a href=\"https:\/\/improvingphc.org\/primary-health-care-progression-model\" target=\"_blank\" rel=\"noopener\">PHC Progression Model<\/a><\/span><span style=\"font-weight: 400;\">\u00a0represents <\/span><span style=\"font-weight: 400;\">the first comprehensive and standardized mixed-methods measurement of PHC system Capacity<\/span><span style=\"font-weight: 400;\">. <\/span><span style=\"font-weight: 400;\">It looks at 33 measures, each of which is scored from a Level 1 (low) to Level 4 (high). To ensure sufficient data, the Progression Model process helped countries identify, gather, and synthesize information from a large range of datasets, documents, and key informants. Each country\u2019s Progression Model leverages a unique combination of data sources, with interviews <\/span><span style=\"font-weight: 400;\">spanning across government, civil society, academia, development partners, private sector and more.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4d85fe7 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4d85fe7\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-ca0bbc3\" data-id=\"ca0bbc3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-496e182 elementor-widget elementor-widget-text-editor\" data-id=\"496e182\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The graph in this section depicts the Capacity data collected across VSP countries that completed a Progression Model.<br \/><br \/>Though each country has a unique PHC Capacity profile, seeing these data together highlights some patterns worth exploring. Historically, certain capacities have been less understood and have received less investment. These include elements that relate to how a health system is delivering for and working with individuals and communities, such as: social accountability, community engagement and community health workers.<br \/><br \/>Many VSP countries were found to have lower levels of these capacities, suggesting they may be key areas of focus for PHC improvement. For example, the majority of VSP countries have systems for surveillance to track disease metrics. But few have reached an adequate capability for less visible capacities such as local priority setting and leadership that enable data to be transformed into improved population health. Several countries had reached a higher level on their capacity to pay health workers, but lacked systems for equitably distributing that PHC workforce to ensure care is delivered at the right place and time.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-bce1992\" data-id=\"bce1992\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-6a16f31\" data-id=\"6a16f31\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-d7c7819 elementor-widget elementor-widget-heading\" data-id=\"d7c7819\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Capacity Levels Across Countries<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f394dbf elementor-widget elementor-widget-shortcode\" data-id=\"f394dbf\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7163717\"><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-254b9ee eael-tooltip-align-right eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"254b9ee\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-254b9ee\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-254b9ee\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p><span style=\"font-weight: 400\">Depending on when they completed their Progression Models, countries assessed their PHC capacity using one of two versions of the Progression Model. To allow for comparability in this report, PHCPI underwent a review process to harmonize the measures used in the two versions. All measures except one were determined to be similar across the two versions. There was no equivalent measure for \"Primary Health Care workforce competencies\" in the earlier version, so this measure was excluded from the analysis. To learn more about any of the specific indicators featured in the Capacity graphs, including their definitions and measures, explore the detailed PHC Progression Model <a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/PHC-Progression%20Model%202019-04-04_FINAL.pdf\" target=\"_blank\" rel=\"noopener\">rubric<\/a>.<\/span><\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a6587d6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a6587d6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-5771809\" data-id=\"5771809\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-fb51d41 elementor-widget elementor-widget-text-editor\" data-id=\"fb51d41\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Importantly, the unique mix of data in the Progression Model and the collaborative process of uncovering the data with country stakeholders revealed vital insights to inform country action on weaker areas of PHC Capacity.<br \/><br \/>The specific goals outlined in the rubric of the Progression Model can also act as a blueprint of best practices for PHC Capacity that countries can strive to implement, learning from each other along the way.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-beaf739 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"beaf739\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-55c0042\" data-id=\"55c0042\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e159a37 elementor-widget elementor-widget-spacer\" data-id=\"e159a37\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-550ef4e elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"550ef4e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-0748c66\" data-id=\"0748c66\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cffdc19 elementor-widget elementor-widget-image\" data-id=\"cffdc19\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"893\" height=\"534\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco.png\" class=\"attachment-large size-large wp-image-381\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco.png 893w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco-300x179.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco-768x459.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_morocco-18x12.png 18w\" sizes=\"(max-width: 893px) 100vw, 893px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d5393cf elementor-widget elementor-widget-text-editor\" data-id=\"d5393cf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><em>PHC Leadership (Level 3)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-86c5aca elementor-widget elementor-widget-text-editor\" data-id=\"86c5aca\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>While <strong>Morocco<\/strong>\u2019s data revealed strong national PHC leadership and accountability, qualitative feedback from sub-national directorates revealed a more complex story. The VSP identified\u00a0some gaps in coordination mechanisms between national, regional and local entities. In particular, local leaders, especially in some remote areas, faced staffing or budgetary challenges affecting their ability to effectively channel available resources to PHC. With this realization, the government is now taking steps to bridge and improve PHC leadership at all levels throughout the country, including ensuring that all levels of the government are engaged in setting PHC improvement priorities (i.e., local priority setting). The Ministry is already planning work with regional counterparts to develop and implement relevant and operational action plans\u2014including a dashboard to monitor the PHC performance\u2014building on the forthcoming publication of the PHC National Strategy in late fall 2021.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-6e7db79\" data-id=\"6e7db79\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4d85913 elementor-widget elementor-widget-image\" data-id=\"4d85913\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"892\" height=\"534\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia.png\" class=\"attachment-large size-large wp-image-383\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia.png 892w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia-300x180.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia-768x460.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_colombia-18x12.png 18w\" sizes=\"(max-width: 892px) 100vw, 892px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e949c97 elementor-widget elementor-widget-text-editor\" data-id=\"e949c97\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><em>Health Workforce (Level 2)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-512f5d2 elementor-widget elementor-widget-text-editor\" data-id=\"512f5d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In <strong>Colombia<\/strong>, the government knew that health workforce availability and quality were areas for growth before starting the VSP. The Progression Model helped articulate specific opportunities to improve collaboration across central and regional government sectors and non-governmental institutions to support the PHC workforce (i.e. multi-sectoral action). For instance, although there are mechanisms and regulations in place to support coordination between the Ministries of Health and Education, educational institutions have a high degree of autonomy when deciding which programs to open and how many students to accept\u2014and it is important to ensure these decisions support national priorities and targets for strengthening the training and quality of the health workforce. The assessment also identified a need to improve mechanisms for distributing health workers equitably across rural and urban areas (i.e. workforce density and distribution), and encouraged Ministries of Health, Education and Labor to increase coordination so that PHC workers are guaranteed appropriate compensation, social protection and incentives no matter where they live and work. Lastly, the assessment highlighted that organizing multidisciplinary healthcare teams would be an impactful way to provide PHC services more efficiently and better meet the needs of local communities. <\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-5be39ac\" data-id=\"5be39ac\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4eb8d12 elementor-widget elementor-widget-image\" data-id=\"4eb8d12\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"893\" height=\"534\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique.png\" class=\"attachment-large size-large wp-image-382\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique.png 893w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique-300x179.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique-768x459.png 768w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/08\/capacity_Countries_mozambique-18x12.png 18w\" sizes=\"(max-width: 893px) 100vw, 893px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-12d1ce8 elementor-widget elementor-widget-text-editor\" data-id=\"12d1ce8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: center\"><em>Community Engagement (Level 1)<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a4fb23f elementor-widget elementor-widget-text-editor\" data-id=\"a4fb23f\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>At the time <strong>Mozambique <\/strong>completed its Progression Model, the Ministry of Health had already begun developing a Community Health Subsystem Strategy, to leverage community health engagement. Stakeholders were not surprised that the system was performing at Level 1 of 4 in community engagement at the national level. However, through key informant interviews and sub-national analysis, the assessment team identified some positive examples of strong community engagement in specific regions of Mozambique and approaches that could serve as models for the rest of the country. These insights are now being used to inform plans to increase the involvement of community members in the new strategy. The Ministry of Health plans to promote the use of Community Score Cards and Health Management Committees, and formalize systems for incorporating regional and local input into decision-making within the strategy.<\/p><p>\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5400454 elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"5400454\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-5400454\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"5400454\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-performance\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-8801\"><span class=\"eael-advanced-accordion-icon-closed\"><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><p style=\"font-family:Bebas Neue;font-size:36px\">\u2795 Performance&nbsp;<\/strong><\/span><\/p> <span style=\"font-weight:400;color:white;font-size:18px;line-height:1.2\">There is substantial room for improvement across access, quality and coverage of primary health care services; and quality remains the most under-measured dimension of primary health care performance, even after innovative efforts to fill data gaps through local sources.<\/span> <br> <br> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/phcpi_barsperformance-2.gif\"><\/span><\/div><div id=\"elementor-tab-content-8801\" class=\"eael-accordion-content clearfix\" data-tab=\"1\" aria-labelledby=\"pillar-performance\"><style>.elementor-165 .elementor-element.elementor-element-372ebb1f{transition:background 0.3s, border 0.3s, border-radius 0.3s, box-shadow 0.3s;}.elementor-165 .elementor-element.elementor-element-372ebb1f > .elementor-background-overlay{transition:background 0.3s, border-radius 0.3s, opacity 0.3s;}.elementor-165 .elementor-element.elementor-element-fc612ca:not(.elementor-motion-effects-element-type-background) > .elementor-widget-wrap, .elementor-165 .elementor-element.elementor-element-fc612ca > .elementor-widget-wrap > .elementor-motion-effects-container > 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-11px;--e-column-margin-right:28px;--e-column-margin-left:-11px;}.elementor-bc-flex-widget .elementor-165 .elementor-element.elementor-element-50c5fea0.elementor-column .elementor-widget-wrap{align-items:flex-start;}.elementor-165 .elementor-element.elementor-element-50c5fea0.elementor-column.elementor-element[data-element_type=\"column\"] > .elementor-widget-wrap.elementor-element-populated{align-content:flex-start;align-items:flex-start;}.elementor-165 .elementor-element.elementor-element-50c5fea0 > .elementor-element-populated{transition:background 0.3s, border 0.3s, border-radius 0.3s, box-shadow 0.3s;margin:0px 0px 0px 20px;--e-column-margin-right:0px;--e-column-margin-left:20px;}.elementor-165 .elementor-element.elementor-element-50c5fea0 > .elementor-element-populated > .elementor-background-overlay{transition:background 0.3s, border-radius 0.3s, opacity 0.3s;}@media(max-width:767px){.elementor-165 .elementor-element.elementor-element-a209c96 .eael-tooltip{border-radius:0px 0px 0px 0px;}.elementor-165 .elementor-element.elementor-element-a209c96 .eael-tooltip .eael-tooltip-text{width:805px;max-width:250px;}}@media(min-width:768px){.elementor-165 .elementor-element.elementor-element-8a04d0f{width:59.428%;}.elementor-165 .elementor-element.elementor-element-fc612ca{width:40.416%;}.elementor-165 .elementor-element.elementor-element-902b2a2{width:44.329%;}.elementor-165 .elementor-element.elementor-element-3812f73{width:55.515%;}.elementor-165 .elementor-element.elementor-element-9d76794{width:37.294%;}.elementor-165 .elementor-element.elementor-element-50c5fea0{width:62.706%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"165\" class=\"elementor elementor-165\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-372ebb1f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"372ebb1f\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-bed3581\" data-id=\"bed3581\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-54107d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"54107d9\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8a04d0f\" data-id=\"8a04d0f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c9f738c elementor-widget elementor-widget-text-editor\" data-id=\"c9f738c\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To transform primary health care, countries must clearly understand if and how well all communities are being served by the system in place. The Performance pillar of the VSP gets at the heart of this issue by assessing how well primary health care (PHC) is performing in terms of three mutually-reinforcing domains: Access, Quality, and Service Coverage.<br \/><span style=\"font-style: inherit;\"><b><br \/>Looking at the combined Performance data within and across VSP countries, it is clear that substantial room for improvement remains across all three domains.<\/b><\/span><\/p><ul><li><strong>Access <\/strong>is quite variable across VSP countries, and nearly a third of people in VSP countries report substantial barriers to care. More often than not, the Vital Signs Profiles found greater perceived barriers due to financial cost, than to geography.<\/li><li>While <strong>Quality <\/strong>values are also quite variable across VSP countries, nearly all show major deficits. In the many areas where quality data is lacking, performance on Quality is likely even worse than the available data show, as suggested by a growing body of research on <a href=\"https:\/\/www.thelancet.com\/journals\/langlo\/article\/PIIS2214-109X(18)30386-3\/fulltext\" target=\"_blank\" rel=\"noopener\">high-quality health systems<\/a>. Indeed, the three VSP countries with the highest Quality indices had more than half of their indicators missing. Underlying challenges in quality can only be seen and addressed with intentional investments in PHC quality data.<\/li><li>For <strong>Service Coverage<\/strong>, where there is greatest data availability, barely over half of all people across VSP countries received necessary or recommended services \u2013 and the best performing country barely topped 70% coverage. However, even where a comprehensive range of services is available, leaders need to ensure the services are effective and high-quality \u2013 which is why all elements of Performance must be taken into account.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-fc612ca\" data-id=\"fc612ca\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4b3a0dd elementor-widget elementor-widget-heading\" data-id=\"4b3a0dd\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Three domains of PHC performance:<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5bc7ea elementor-widget elementor-widget-text-editor\" data-id=\"e5bc7ea\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Access:<\/strong> People\u2019s ability to get the primary health care they need when they need it, regardless of where they live or how much money they have.<br \/><br \/><strong>Quality:<\/strong> PHC services that meet necessary standards for comprehensiveness of care, continuity of care, person-centeredness, provider availability and competence, and safety practices.<br \/><br \/><strong>Service Coverage:<\/strong> The proportion of the population that is receiving the range of essential services they need, including for infectious diseases, maternal and child health, and non-communicable diseases. These interventions are selected from the <a href=\"https:\/\/www.who.int\/docs\/default-source\/documents\/2019-uhc-report.pdf\" target=\"_blank\" rel=\"noopener\">UHC Service Coverage index<\/a>, and the vast majority can be delivered through strong primary health care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-f3a3a9f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f3a3a9f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-902b2a2\" data-id=\"902b2a2\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9f08586 elementor-widget elementor-widget-text-editor\" data-id=\"9f08586\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-size: 1rem;\">Taken together, these domains reveal<\/span><span style=\"font-size: 1rem;\">\u00a0<\/span><span style=\"font-size: 1rem; font-weight: bold;\">how much work remains to improve primary health care performance. <\/span><span style=\"font-size: 1rem;\">Greater investment in all areas of Performance\u2014which also depends on strong neighboring pillars of Financing, Capacity, and Equity as well<\/span><span style=\"font-size: 1rem; font-weight: bold; margin-bottom: 0px !important;\">\u2014<\/span><span style=\"font-size: 1rem;\">will be necessary to build systems that meet people\u2019s health needs.<br \/><br \/><\/span><span style=\"font-size: 16px; font-weight: bold;\">From a measurement perspective, the Performance pillar\u2014and Quality in particular\u2014also highlights that missing data continues to pose a major obstacle to ensuring strong, equitable primary health care.<br \/><br \/><\/span><span style=\"font-size: 16px;\">To complete this pillar of the VSP, PHCPI recommended a core set of Performance indicators drawn from global service delivery datasets. Additionally, most VSP countries also supplemented their assessment with data drawn from in-country sources, illustrating that performance can be assessed effectively through a mix of global and local data sources.<\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ba5d44 elementor-widget elementor-widget-text-editor\" data-id=\"8ba5d44\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong style=\"font-style: inherit;\">As shown, data in each Performance domain was often missing despite these innovative efforts to source information from both local and global sources. <\/strong><span style=\"font-style: inherit; font-weight: inherit;\">And while countries generally had more data available for Service Coverage and Access, <\/span><strong style=\"font-style: inherit;\">only 45% of Quality indicators in the VSP had data available. <\/strong><span style=\"font-style: inherit; font-weight: inherit;\">These gaps meant that some important measures of PHC Quality\u2014such as timeliness, provider motivation and coordination of care\u2014could not be included in the VSP at all.<br \/><br \/><\/span><span style=\"font-style: inherit; font-weight: inherit;\">Even for PHC Service Coverage\u2014which has the greatest data availability from the global UHC Coverage Index\u2014the data picture could be strengthened going forward. For example, we know that countries are more likely to have data available on infectious diseases and maternal and child health, and less likely to have data on tracer interventions for\u00a0<\/span><a style=\"background-color: #ffffff; font-style: inherit; font-weight: inherit;\" href=\"https:\/\/www.who.int\/docs\/default-source\/documents\/2019-uhc-report.pdf\" target=\"_blank\" rel=\"noopener\">non-communicable diseases<\/a><span style=\"font-style: inherit; font-weight: inherit;\">, even though combined, NCDs represent the leading cause of premature death and disability around the world. This means that many countries may be missing critical insights into how primary health care is managing and responding to these health needs. Moreover, leaders need to ask not only what services are being delivered, but how they are being delivered \u2013 so that countries can move\u00a0<\/span><a style=\"background-color: #ffffff; font-style: inherit; font-weight: inherit;\" href=\"https:\/\/openknowledge.worldbank.org\/handle\/10986\/35842?cid=hnp_tt_health_en_ext\" target=\"_blank\" rel=\"noopener\">from fragmentation to person-centered integration<\/a><span style=\"font-style: inherit; font-weight: inherit;\">.<br \/><\/span><span style=\"font-style: inherit; font-weight: inherit;\"><br \/><\/span>Looking ahead, it is imperative that countries continue to improve data collection processes to meet people\u2019s health needs and strengthen PHC performance. With more and better PHC data, countries can pinpoint where they need to improve most and drive resources to overlooked areas, such as quality, that may accelerate PHC progress.<span style=\"font-style: inherit; font-weight: inherit;\"><br \/><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-3812f73\" data-id=\"3812f73\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-03fc977 elementor-widget elementor-widget-heading\" data-id=\"03fc977\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Performance Across Three Domains, by Country<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-09e48a0 elementor-widget elementor-widget-html\" data-id=\"09e48a0\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7398317\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-a209c96 eael-tooltip-align-mobile-center eael-tooltip-text-align-left eael-tooltip-align-right eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"a209c96\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-a209c96\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-a209c96\" class=\"eael-tooltip-text eael-tooltip-left\" role=\"tooltip\">The Performance domain looks at three key dimensions of service delivery:<br><br>\n<ul>\n \t<li>Access includes measurements of perceived financial and geographic barriers to care using data from USAID\u2019s Demographic and Health Surveys (DHS).<\/li>\n \t<li>Quality of care measures include indicators of comprehensiveness of care, continuity of care, person-centeredness, provider availability and competence, and safety practices.<\/li>\n \t<li>Coverage measures the proportion of the population in need of services who receive them. These services include a broad range of PHC-focused clinical services, based on the UHC service coverage index of essential health services from the joint WHO\/World Bank Group report in December 2017.<\/li>\n<\/ul>\nHeadline scores for Access, Quality, and Coverage are calculated by taking the unweighted average of indicator values within subdomains, and then taking the average across subdomain scores. In the case of select indicators where the desired value would be small in high-performing systems, specific variables are transformed by subtracting the value from 100 before inclusion for calculation of summary scores.<br><br>\n\nIn cases in which a global source was not available, an attempt was made to identify a similar indicator using locally-available data relevant to the specific domain.<\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5df1a5b elementor-widget elementor-widget-heading\" data-id=\"5df1a5b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Data Gaps in the Quality, Service Coverage &amp; Access Indexes<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9768931 elementor-widget elementor-widget-html\" data-id=\"9768931\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-chart\" data-src=\"visualisation\/7150303\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5c7722c eael-tooltip-align-mobile-center eael-tooltip-align-right eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"5c7722c\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-5c7722c\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-5c7722c\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p><span style=\"font-weight: 400\">To allow for completeness of data, some countries used alternative sources of locally available and contextually appropriate data for indicators. The PHCPI report team reviewed all such indicators to ensure that similar concepts were being measured and excluded indicators in cases in which alternative data sources did not provide a comparable measure.<\/span><\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-56f66dc6 elementor-section-content-top elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"56f66dc6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9d76794\" data-id=\"9d76794\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-50c5fea0\" data-id=\"50c5fea0\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c46fc1 elementor-invisible elementor-widget elementor-widget-eael-adv-accordion\" data-id=\"3c46fc1\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"eael-adv-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div class=\"eael-adv-accordion\" id=\"eael-adv-accordion-3c46fc1\" data-scroll-on-click=\"no\" data-scroll-speed=\"300\" data-accordion-id=\"3c46fc1\" data-accordion-type=\"accordion\" data-toogle-speed=\"300\">\n    <div class=\"eael-accordion-list\">\n                <div id=\"pillar-equity\" class=\"elementor-tab-title eael-accordion-header\" tabindex=\"0\" data-tab=\"1\" aria-controls=\"elementor-tab-content-6321\"><span class=\"eael-advanced-accordion-icon-closed\"><\/span><span class=\"eael-advanced-accordion-icon-opened\"><i aria-hidden=\"true\" class=\"fa-accordion-icon fas fa-minus\"><\/i><\/span><span class=\"eael-accordion-tab-title\"><strong><p style=\"font-family:Bebas Neue;font-size:36px\">\u2795 Equity&nbsp;<\/strong><\/span><\/p> <span style=\"font-weight:400;color:white;font-size:18px;line-height:1.2\">Equity is a fundamental goal of primary health care. 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5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-right::after{top:calc( 50% - 5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-top::after{left:calc( 50% - 5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-bottom::after{left:calc( 50% - 5px );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-top:after{border-top-color:var( --e-global-color-primary );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-bottom:after{border-bottom-color:var( --e-global-color-primary );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-left:after{border-left-color:var( --e-global-color-primary );}.elementor-168 .elementor-element.elementor-element-366972f .eael-tooltip .eael-tooltip-text.eael-tooltip-right:after{border-right-color:var( --e-global-color-primary );}@media(max-width:767px){.elementor-168 .elementor-element.elementor-element-4af9484 .eael-tooltip{border-radius:0px 0px 0px 0px;}}@media(min-width:768px){.elementor-168 .elementor-element.elementor-element-dcb656c{width:50.33%;}.elementor-168 .elementor-element.elementor-element-7542e09{width:49.67%;}.elementor-168 .elementor-element.elementor-element-d87ae20{width:49.998%;}.elementor-168 .elementor-element.elementor-element-6a81b49{width:49.95%;}}<\/style>\t\t<div data-elementor-type=\"section\" data-elementor-id=\"168\" class=\"elementor elementor-168\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-7fcde46f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7fcde46f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-15a41e0c\" data-id=\"15a41e0c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-42f3c0d2 elementor-widget elementor-widget-text-editor\" data-id=\"42f3c0d2\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400;\">We can\u2019t say a health system is functioning well if it\u2019s not functioning well for all people, especially a country\u2019s most vulnerable communities.<br \/><br \/><\/span><span style=\"font-style: inherit;\">The VSPs leverage data related to three common sources of health disparities \u2013 wealth, level of education and the rural and urban divide \u2013 to assess three critical dimensions of equity: access, coverage and outcomes. To demonstrate equitable service delivery grounded in primary health care (PHC), a country must perform well on all three dimensions.<br \/><br \/><\/span>Data from the VSPs showed that every country, regardless of its income or levels of PHC Performance or Capacity, had significant room for improvement on at least one dimension of Equity. This reveals that countries cannot rely on any single measure of equity alone to understand whether communities are being underserved and that there is no common formula or path to achieve equity.<br \/><br \/><span style=\"font-weight: 400;\">While the Equity pillar helps provide a first \u201cdiagnosis\u201d of inequities, the root causes from country-to-country are difficult to determine without additional information. <\/span><span style=\"font-weight: 400;\">For example, countries with more government PHC spending also tended to have lower disparities in perceived access barriers due to cost. Pairing equity data with other aspects of PHC enables countries to explore potential relationships and sources of inequity as well as the best ways to address them.<br \/><br \/><\/span><span style=\"font-weight: 400;\">Every country\u2019s journey to equitable health care will look different. More and better data will help them craft blueprints of health systems that have a strong foundation in PHC and the best chance to provide all people with the care they need and deserve.\u00a0 <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e73bcd3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e73bcd3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-dcb656c\" data-id=\"dcb656c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-00bc26b elementor-widget elementor-widget-heading\" data-id=\"00bc26b\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Equity Values by Country<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-7542e09\" data-id=\"7542e09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b587742 elementor-hidden-mobile elementor-widget elementor-widget-heading\" data-id=\"b587742\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Equity Values by Indicator<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f8934ed elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f8934ed\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-d87ae20\" data-id=\"d87ae20\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4cf4528 elementor-widget elementor-widget-html\" data-id=\"4cf4528\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-scatter\" data-src=\"visualisation\/7264203\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6a81b49\" data-id=\"6a81b49\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2c43860 elementor-hidden-desktop elementor-hidden-tablet elementor-widget elementor-widget-heading\" data-id=\"2c43860\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">PHC Equity Values by Indicator<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11c26b9 elementor-widget elementor-widget-html\" data-id=\"11c26b9\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"flourish-embed flourish-scatter\" data-src=\"visualisation\/7264539\"><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4af9484 eael-tooltip-align-right eael-tooltip-align-mobile-center eael-tooltip-text-align-left eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"4af9484\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-4af9484\"><p><span style=\"text-decoration: underline\"><strong>Methodological Note<\/strong><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-4af9484\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p><span style=\"font-style: normal !msorm\">The Equity pillar is made up of three key indicators. The indicator for \"equity in access\" uses data from Demographic &amp; Health Surveys (DHS) from the DHS STAT<\/span> <span style=\"font-style: normal !msorm\">compiler to calculate <\/span><span style=\"font-style: normal !msorm\">differences in perceived financial barriers to care between the highest and lowest quintiles of wealth for the country. The \"equity in coverage\" indicator us<\/span><span style=\"font-style: normal !msorm\">e<\/span><span style=\"font-style: normal !msorm\">s data from the WHO Health Equity Monitor to assess the difference in effective coverage of matern<\/span><span style=\"font-style: normal !msorm\">al and child health care services between mothers with secondary education compared to those with no education. The \"equity in outcomes\" indicator also uses data from the WHO Health Equity Monitor to indicate the difference in under-five mortality of child<\/span><span style=\"font-style: normal !msorm\">ren residing in urban and rural areas of the VSP country. Countries included in the figures are those with complete equity data.<\/span><\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-90e820f elementor-hidden-tablet elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"90e820f\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-bf6c7ea\" data-id=\"bf6c7ea\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-7657a0b\" data-id=\"7657a0b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2049db1 eael-tooltip-align-center eael-tooltip-text-align-center elementor-widget elementor-widget-eael-tooltip\" data-id=\"2049db1\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-2049db1\"><p style=\"text-align: center\"><span style=\"text-decoration: underline\">Access<\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-2049db1\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>% with perceived barriers due to cost, by wealth quintile (lowest \u25cf vs. highest \u271a)<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-6882c34\" data-id=\"6882c34\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-2949bda eael-tooltip-align-center eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"2949bda\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-2949bda\"><p style=\"text-align: center\"><span style=\"text-decoration: underline\">Coverage<\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-2949bda\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>% of RMNCH services covered, by mother's education (no education \u25cf vs. secondary education \u271a)<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-0b27042\" data-id=\"0b27042\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-366972f eael-tooltip-align-center eael-tooltip-text-align-left elementor-widget elementor-widget-eael-tooltip\" data-id=\"366972f\" data-element_type=\"widget\" data-widget_type=\"eael-tooltip.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t<div class=\"eael-tooltip\">\n\t\t\t\t\t<span class=\"eael-tooltip-content\" tabindex=\"0\" aria-describedby=\"tooltip-text-366972f\"><p style=\"text-align: center\"><span style=\"text-decoration: underline\"><span style=\"font-weight: 400\">Outcomes<\/span><\/span><\/p><\/span>\n  \t\t\t<span id=\"tooltip-text-366972f\" class=\"eael-tooltip-text eael-tooltip-top\" role=\"tooltip\"><p>Under-five mortality rate, by residence (rural \u25cf vs. urban \u271a)<\/p><\/span>\n  \t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-20 elementor-top-column elementor-element elementor-element-f37672c\" data-id=\"f37672c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t<\/div>\n                <\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3bdf80a elementor-widget elementor-widget-spacer\" data-id=\"3bdf80a\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-52ff6d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"52ff6d9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-8fb4152\" data-id=\"8fb4152\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0d303f0 elementor-widget elementor-widget-menu-anchor\" data-id=\"0d303f0\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"lessons-from-the-vsps\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-073edfb elementor-widget elementor-widget-spacer\" data-id=\"073edfb\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d6293a elementor-widget elementor-widget-heading\" data-id=\"5d6293a\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Vital Signs in Action<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-13f7f68 elementor-widget elementor-widget-text-editor\" data-id=\"13f7f68\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>No two countries<\/strong> will have the same path to strong primary health care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9fe4704 elementor-widget elementor-widget-spacer\" data-id=\"9fe4704\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-8342178 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"8342178\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-08f0a17\" data-id=\"08f0a17\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5f65f65 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"5f65f65\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b810981 elementor-widget elementor-widget-heading\" data-id=\"b810981\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">EVERY COUNTRY HAS A UNIQUE PHC \u201cFINGERPRINT\u201d<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc47725 elementor-widget elementor-widget-text-editor\" data-id=\"bc47725\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>While there is now growing global consensus around what \u2018strong primary health care\u2019 should look like, the<b> Vital Signs Profiles have confirmed, with stark clarity, that no two country strategies for getting there will look exactly alike.<\/b><\/p><p>A snapshot of data from all 23 Vital Signs Profiles concretely reveals that every country is starting in a very different place. Each country has strengths and weaknesses in primary health care, and these vary widely, even within country income groups.<\/p><p>It follows that each country must tailor its strategy to make the most of limited resources, and ultimately find the most efficient and effective path to strong, equitable primary health care.<\/p><p><b>The COVID-19 pandemic has sent a clear signal that primary health care is not strong enough around the world. However, the specific details of each country\u2019s unique primary health care \u201cfingerprint\u201d\u2014shaped by generations of both local context and global influences\u2014are only visible with more and better data.<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4e9dc49 elementor-hidden-mobile elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4e9dc49\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-e8b5ff0\" data-id=\"e8b5ff0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-9c06b67\" data-id=\"9c06b67\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-f1a6cdf elementor-widget elementor-widget-heading\" data-id=\"f1a6cdf\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">countries' unique strengths and gaps<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-05b740b elementor-widget elementor-widget-shortcode\" data-id=\"05b740b\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"flourish-embed flourish-radar\" data-src=\"visualisation\/7214843\"><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8e3ef80 elementor-widget elementor-widget-text-editor\" data-id=\"8e3ef80\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>*Value 1 (outer ring) = High\u00a0<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-569baf3 premium-modal-dismissible-yes elementor-widget elementor-widget-premium-addon-modal-box\" data-id=\"569baf3\" data-element_type=\"widget\" data-settings=\"{&quot;premium_modal_box_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"premium-addon-modal-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"premium-modal-box-container\" data-settings=\"{&quot;trigger&quot;:&quot;text&quot;}\">\r\n\t\t\t<div class=\"premium-modal-trigger-container\">\r\n\t\t\t\t\t\t\t\t\t<span data-toggle=\"premium-modal\" data-target=\"#premium-modal-569baf3\" class=\"premium-modal-trigger-text\">\r\n\t\t\t\t\t\t<div >\r\n\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t<div id=\"premium-modal-569baf3\" class=\"premium-modal-box-modal\"\r\n\t\t\trole=\"dialog\"\r\n\t\t\tstyle=\"display: none\"\r\n\t\t\t>\r\n\t\t\t\t<div class=\"premium-modal-box-modal-dialog\" data-delay-animation=\"\" data-modal-animation=\"fadeIn animated-fast\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-header\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"premium-modal-box-modal-title\">\r\n\t\t\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-close-button-container\">\r\n\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"premium-modal-box-modal-close\" data-dismiss=\"premium-modal\">&times;<\/button>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-body\">\r\n\t\t\t\t\t\t<p style=\"text-align: left;\"><span style=\"font-style: normal !msorm;\">In order to <\/span><span style=\"font-style: normal !msorm;\">create the graph of <\/span><span style=\"font-style: normal !msorm;\">countries&#8217; Vital Signs Profile strengths and gaps, select Vital Signs Profile indicators from each pillar were plotted on a radar chart with their original metric <\/span><span style=\"font-style: normal !msorm;\">rescaled to a scale of 0 to 1<\/span><span style=\"font-style: normal !msorm;\">,<\/span><span style=\"font-style: normal !msorm;\"> with 0 <\/span><span style=\"font-style: normal !msorm;\">representing <\/span><span style=\"font-style: normal !msorm;\">the lowest possible <\/span><span style=\"font-style: normal !msorm;\">value <\/span><span style=\"font-style: normal !msorm;\">or missing data<\/span><span style=\"font-style: normal !msorm;\">;<\/span><span style=\"font-style: normal !msorm;\"> and 1 being the highest<\/span><span style=\"font-style: normal !msorm;\">:<\/span>\u00a0<\/p><ul><li><span style=\"font-style: normal !msorm;\">For &#8220;PHC spend per capita,&#8221; the maximum was set at USD 200. <\/span><\/li><li><span style=\"font-style: normal !msorm;\">For the Capacity indicators (Governance, Inputs, Population Health &amp; Facility Management), a <\/span><span style=\"font-style: normal !msorm;\">Level <\/span><span style=\"font-style: normal !msorm;\">4<\/span> <span style=\"font-style: normal !msorm;\">for high<\/span><span style=\"font-style: normal !msorm;\"> Capacity<\/span><span style=\"font-style: normal !msorm;\"> was rescaled to a 1<\/span><span style=\"font-style: normal !msorm;\"> on this graph<\/span><span style=\"font-style: normal !msorm;\">, a <\/span><span style=\"font-style: normal !msorm;\">Level 3 to a <\/span><span style=\"font-style: normal !msorm;\">75, a <\/span><span style=\"font-style: normal !msorm;\">Level 2 to<\/span><span style=\"font-style: normal !msorm;\"> 0.50, and a <\/span><span style=\"font-style: normal !msorm;\">Level <\/span><span style=\"font-style: normal !msorm;\">1 <\/span><span style=\"font-style: normal !msorm;\">for low Capacity <\/span><span style=\"font-style: normal !msorm;\">to<\/span><span style=\"font-style: normal !msorm;\"> 0.25.<\/span>\u00a0<\/li><li><span style=\"font-style: normal !msorm;\">For the Performance <\/span><span style=\"font-style: normal !msorm;\">indicators (Access, Quality, Service Coverage), <\/span><span style=\"font-style: normal !msorm;\">a value <\/span><span style=\"font-style: normal !msorm;\">of 0 corresponds <\/span><span style=\"font-style: normal !msorm;\">to a 0 on this graph,<\/span> <span style=\"font-style: normal !msorm;\">and<\/span><span style=\"font-style: normal !msorm;\"> a <\/span><span style=\"font-style: normal !msorm;\">value of<\/span><span style=\"font-style: normal !msorm;\"> 100 on the <\/span><span style=\"font-style: normal !msorm;\">Performance <\/span><span style=\"font-style: normal !msorm;\">indices<\/span> <span style=\"font-style: normal !msorm;\">corresponds to <\/span><span style=\"font-style: normal !msorm;\">a 1 on this g<\/span><span style=\"font-style: normal !msorm;\">raph<\/span><span style=\"font-style: normal !msorm;\">. <\/span><\/li><li><span style=\"font-style: normal !msorm;\">For the Equity indicators (Access, Coverage, Outcomes), the disparity was rescaled with <\/span><span style=\"font-style: normal !msorm;\">a 0 on this graph <\/span><span style=\"font-style: normal !msorm;\">matching the maximum possible di<\/span><span style=\"font-style: normal !msorm;\">sparities<\/span><span style=\"font-style: normal !msorm;\"> from the Vital Signs Profile (100 for Access and Coverage and 200 for Outcomes)<\/span><span style=\"font-style: normal !msorm;\">, and <\/span><span style=\"font-style: normal !msorm;\">a<\/span><span style=\"font-style: normal !msorm;\"> 1<\/span><span style=\"font-style: normal !msorm;\"> on this graph indicating zero disparity.<\/span><\/li><\/ul><p><span style=\"font-style: normal !msorm;\">Each country&#8217;s Vital Signs Profile scores were rescaled and mapped onto the radial graph. Medians were also calculated across countries and plotted on the radial graph. Overall, the graph reflects countries&#8217; relative ratings across select Vital Signs Profile indicators to <\/span><span style=\"font-style: normal !msorm;\">demonstrate their unique &#8220;fingerprint&#8221; or profile of strengths and gaps.<\/span><\/p>\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-f83b549\" data-id=\"f83b549\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-29b085e elementor-hidden-desktop elementor-hidden-tablet elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"29b085e\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-3b8c483\" data-id=\"3b8c483\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-eb8009f\" data-id=\"eb8009f\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-72ca4d4 elementor-widget elementor-widget-heading\" data-id=\"72ca4d4\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">countries' unique strengths and gaps<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-60062bf elementor-widget elementor-widget-shortcode\" data-id=\"60062bf\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"flourish-embed flourish-radar\" data-src=\"visualisation\/7471281\"><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdb09fb elementor-widget elementor-widget-text-editor\" data-id=\"cdb09fb\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>*Value 1 = High\u00a0<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4efd0bc premium-modal-dismissible-yes elementor-widget elementor-widget-premium-addon-modal-box\" data-id=\"4efd0bc\" data-element_type=\"widget\" data-settings=\"{&quot;premium_modal_box_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"premium-addon-modal-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"premium-modal-box-container\" data-settings=\"{&quot;trigger&quot;:&quot;text&quot;}\">\r\n\t\t\t<div class=\"premium-modal-trigger-container\">\r\n\t\t\t\t\t\t\t\t\t<span data-toggle=\"premium-modal\" data-target=\"#premium-modal-4efd0bc\" class=\"premium-modal-trigger-text\">\r\n\t\t\t\t\t\t<div >\r\n\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t<div id=\"premium-modal-4efd0bc\" class=\"premium-modal-box-modal\"\r\n\t\t\trole=\"dialog\"\r\n\t\t\tstyle=\"display: none\"\r\n\t\t\t>\r\n\t\t\t\t<div class=\"premium-modal-box-modal-dialog\" data-delay-animation=\"\" data-modal-animation=\"fadeIn animated-fast\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-header\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"premium-modal-box-modal-title\">\r\n\t\t\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-close-button-container\">\r\n\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"premium-modal-box-modal-close\" data-dismiss=\"premium-modal\">&times;<\/button>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-body\">\r\n\t\t\t\t\t\t<p><span style=\"font-style: normal !msorm\">In order to <\/span><span style=\"font-style: normal !msorm\">create the graph of <\/span><span style=\"font-style: normal !msorm\">countries&#8217; VSP strengths and gaps, select VSP indicators from each pillar were plotted on a radar chart with their original metric <\/span><span style=\"font-style: normal !msorm\">rescaled to a scale of 0 to 1<\/span><span style=\"font-style: normal !msorm\">,<\/span><span style=\"font-style: normal !msorm\"> with 0 <\/span><span style=\"font-style: normal !msorm\">representing <\/span><span style=\"font-style: normal !msorm\">the lowest possible <\/span><span style=\"font-style: normal !msorm\">value <\/span><span style=\"font-style: normal !msorm\">or missing data<\/span><span style=\"font-style: normal !msorm\">;<\/span><span style=\"font-style: normal !msorm\"> and 1 being the highest<\/span><span style=\"font-style: normal !msorm\">:<\/span>\u00a0<\/p><ul><li><span style=\"font-style: normal !msorm\">For &#8220;PHC spend per capita,&#8221; the maximum was set at USD 200. <\/span><\/li><li><span style=\"font-style: normal !msorm\">For the Capacity indicators (Governance, Inputs, Population Health &amp; Facility Management), a <\/span><span style=\"font-style: normal !msorm\">Level <\/span><span style=\"font-style: normal !msorm\">4<\/span> <span style=\"font-style: normal !msorm\">for high<\/span><span style=\"font-style: normal !msorm\"> Capacity<\/span><span style=\"font-style: normal !msorm\"> was rescaled to a 1<\/span><span style=\"font-style: normal !msorm\"> on this graph<\/span><span style=\"font-style: normal !msorm\">, a <\/span><span style=\"font-style: normal !msorm\">Level 3 to a <\/span><span style=\"font-style: normal !msorm\">75, a <\/span><span style=\"font-style: normal !msorm\">Level 2 to<\/span><span style=\"font-style: normal !msorm\"> 0.50, and a <\/span><span style=\"font-style: normal !msorm\">Level <\/span><span style=\"font-style: normal !msorm\">1 <\/span><span style=\"font-style: normal !msorm\">for low Capacity <\/span><span style=\"font-style: normal !msorm\">to<\/span><span style=\"font-style: normal !msorm\"> 0.25.<\/span>\u00a0<\/li><li><span style=\"font-style: normal !msorm\">For the Performance <\/span><span style=\"font-style: normal !msorm\">indicators (Access, Quality, Service Coverage), <\/span><span style=\"font-style: normal !msorm\">a value <\/span><span style=\"font-style: normal !msorm\">of 0 corresponds <\/span><span style=\"font-style: normal !msorm\">to a 0 on this graph,<\/span> <span style=\"font-style: normal !msorm\">and<\/span><span style=\"font-style: normal !msorm\"> a <\/span><span style=\"font-style: normal !msorm\">value of<\/span><span style=\"font-style: normal !msorm\"> 100 on the <\/span><span style=\"font-style: normal !msorm\">Performance <\/span><span style=\"font-style: normal !msorm\">indices<\/span> <span style=\"font-style: normal !msorm\">corresponds to <\/span><span style=\"font-style: normal !msorm\">a 1 on this g<\/span><span style=\"font-style: normal !msorm\">raph<\/span><span style=\"font-style: normal !msorm\">. <\/span><\/li><li><span style=\"font-style: normal !msorm\">For the Equity indicators (Access, Coverage, Outcomes), the disparity was rescaled with <\/span><span style=\"font-style: normal !msorm\">a 0 on this graph <\/span><span style=\"font-style: normal !msorm\">matching the maximum possible di<\/span><span style=\"font-style: normal !msorm\">sparities<\/span><span style=\"font-style: normal !msorm\"> from the VSP (100 for Access and Coverage and 200 for Outcomes)<\/span><span style=\"font-style: normal !msorm\">, and <\/span><span style=\"font-style: normal !msorm\">a<\/span><span style=\"font-style: normal !msorm\"> 1<\/span><span style=\"font-style: normal !msorm\"> on this graph indicating zero disparity.<\/span><\/li><\/ul><p><span style=\"font-style: normal !msorm\">Each country&#8217;s VSP scores were rescaled and mapped onto the radial graph. Medians were also calculated across countries and plotted on the radial graph. Overall, the graph reflects countries&#8217; relative ratings across select VSP indicators to <\/span><span style=\"font-style: normal !msorm\">demonstrate their unique &#8220;fingerprint&#8221; or profile of strengths and gaps.<\/span><\/p>\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-inner-column elementor-element elementor-element-f4539ee\" data-id=\"f4539ee\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-8ba15bf elementor-widget elementor-widget-menu-anchor\" data-id=\"8ba15bf\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"lessons-from-countries\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e88db0d elementor-widget elementor-widget-heading\" data-id=\"e88db0d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">VITAL SIGNS IN ACTION: LESSONS FROM COUNTRIES<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1a56543 elementor-widget elementor-widget-text-editor\" data-id=\"1a56543\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: 400\">With a Vital Signs Profile in hand, leaders<\/span><span style=\"font-weight: 400\"> can see where their system is working or not, and more importantly, why.<\/span><\/p><p><span style=\"font-weight: 400\">This information opens countless doors by helping leaders to: <br \/><\/span><\/p><ul><li><span style=\"font-weight: 400\">Make informed decisions about where to spend time and resources<\/span><\/li><li><span style=\"font-weight: 400\">Track progress and communicating these updates to constituents or funders<\/span><\/li><li><span style=\"font-weight: 400\">Gain new insights into long-standing trends or surprising gaps\u00a0\u00a0<\/span><\/li><\/ul><p><span style=\"font-weight: 400\">Take a look at how <\/span><b>Ghana, Malaysia, and Mozambique<\/b><span style=\"font-weight: 400\"> are using their Vital Signs to spur health system improvements. <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-de54acf elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"de54acf\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9f6bcdf\" data-id=\"9f6bcdf\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4b4d48b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4b4d48b\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-9a523b9\" data-id=\"9a523b9\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a373074 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"a373074\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d0b9f44 elementor-widget elementor-widget-text-editor\" data-id=\"d0b9f44\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><em>Click on a country to learn more.<\/em><\/strong><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e92928f elementor-widget elementor-widget-eael-adv-tabs\" data-id=\"e92928f\" data-element_type=\"widget\" data-widget_type=\"eael-adv-tabs.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t        <div data-scroll-on-click=\"no\" data-scroll-speed=\"300\" id=\"eael-advance-tabs-e92928f\" class=\"eael-advance-tabs eael-tabs-horizontal eael-tab-auto-active  active-caret-on\" data-tabid=\"e92928f\">\n            <div class=\"eael-tabs-nav\">\n                <ul class=\"eael-tab-inline-icon\" role=\"tablist\">\n                                            <li id=\"\" class=\"inactive eael-tab-item-trigger eael-tab-nav-item\" aria-selected=\"true\" data-tab=\"1\" role=\"tab\" tabindex=\"0\" aria-controls=\"-tab\" aria-expanded=\"false\">\n                            \n                                                                <img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/07\/Artboard-19_countries.png\" alt=\"\">\n                                                            \n                                                            <span class=\"eael-tab-title title-after-icon\" ><\/span>                            \n                                                    <\/li>\n                                            <li id=\"\" class=\"inactive eael-tab-item-trigger eael-tab-nav-item\" aria-selected=\"false\" data-tab=\"2\" role=\"tab\" tabindex=\"-1\" aria-controls=\"-tab\" aria-expanded=\"false\">\n                            \n                                                                <img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/08\/VSP-case-study_Malaysia.png\" alt=\"\">\n                                                            \n                                                            <span class=\"eael-tab-title title-after-icon\" ><\/span>                            \n                                                    <\/li>\n                                            <li id=\"\" class=\" eael-tab-item-trigger eael-tab-nav-item\" aria-selected=\"false\" data-tab=\"3\" role=\"tab\" tabindex=\"-1\" aria-controls=\"-tab\" aria-expanded=\"false\">\n                            \n                                                                <img decoding=\"async\" src=\"https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/07\/Artboard-19-copy_countries.png\" alt=\"\">\n                                                            \n                                                            <span class=\"eael-tab-title title-after-icon\" ><\/span>                            \n                                                    <\/li>\n                                    <\/ul>\n            <\/div>\n            \n            <div class=\"eael-tabs-content\">\n\t\t        \n                    <div id=\"-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"-tab\">\n\t\t\t\t        <h2><span style=\"color: #333d59;\"><strong>Creating an Evidence-Based Action Plan for Strong Primary Health Care<\/strong><\/span><\/h2><p><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-445 size-full alignright\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/GHANA_Artboard-1_1.png\" alt=\"\" width=\"430\" height=\"394\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/GHANA_Artboard-1_1.png 430w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/GHANA_Artboard-1_1-300x275.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/GHANA_Artboard-1_1-13x12.png 13w\" sizes=\"(max-width: 430px) 100vw, 430px\" \/><\/p><p>Ghana was among the first 11 countries to create a Vital Signs Profile and present it at the Global Conference on Primary Health Care in Kazakhstan in 2018. Just as meaningful as the results were the participatory processes that led up to and followed this moment &#8212; ultimately culminating in an evidence-based national Strategic Implementation Plan for PHC.<\/p><p>From the beginning of the Vital Signs Profile process, leaders at the Ghana Health Service emphasized the importance of Ghanaian stakeholders taking ownership at all levels, so that results could be institutionalized and woven into existing structures wherever possible. In order to make this happen, they convened a multi-stakeholder technical working group that drove the process of populating Ghana\u2019s Vital Signs Profile to resonate in a local context, while PHCPI partners provided technical guidance and facilitation support.<\/p><p>Once completed, Ghana\u2019s Vital Signs Profile reflected several key strengths of the health system, drawing on decades of investment in primary health care. For example, Ghana stood out for having a clear cadre of health workers who were adequately trained, salaried, and distributed across the population, and whose primary responsibilities were primary health care-related \u2013 just one important legacy of Ghana\u2019s trailblazing Community-based Health Planning and Services (CHPS) program, established in the 1990s.<\/p><p><span style=\"font-weight: 400;\">The Vital Signs Profile also demonstrated several key areas for improvement, including ensuring clear management structures at the facility level and tracking the supply of essential medicines and equipment.<\/span><\/p><p>These Vital Signs Profile results were put to work right away. With support from a Trailblazer Opportunity Fund grant from PHCPI, Ghana\u2019s Vital Signs were distributed widely to stakeholders at national, regional, district, and health facility levels. This helped set the scene for regional workshops with 70+ Senior Managers to define priorities for a national Strategic Implementation Plan for primary health care. According to key stakeholders, the process of completing and disseminating the Vital Signs Profile played an important role in sensitizing key decision-makers to the \u2018health\u2019 of primary health care in Ghana; building consensus on key strategies to fix gaps; and informing the nine top priorities for the Strategic Implementation Plan <span style=\"font-style: normal !msorm;\"><em>(see box)<\/em><\/span>\u00a0 \u2013 each coupled with short, medium, and long-term actions.<\/p><p>At the end of the day, countless stakeholders later commented that the participatory process for producing and leveraging the Vital Signs Profile was as valuable as the results, generating significant stakeholder engagement and buy-in that enabled a rigorous understanding and snapshot of primary health care in Ghana to be embraced and translated to action.<\/p>                    <\/div>\n\t\t        \n                    <div id=\"-tab\" class=\"clearfix eael-tab-content-item inactive\" data-title-link=\"-tab\">\n\t\t\t\t        <h2><span style=\"color: #333d59;\"><strong>Aligning Public &amp; Private Health Care Systems to Meet People\u2019s Needs <\/strong><\/span><\/h2><p>After completing a partial Vital Signs Profile in 2018, the Malaysian Ministry of Health decided to collect data on Capacity measures by completing a PHC Progression Model in 2020. They wished to continue improving comprehensive measurement of primary health care in Malaysia, including for quality of care; and to increase Malaysia\u2019s ability to benchmark and showcase its progress on a global scale.<\/p><p>The Ministry of Health also brought specific questions to the table \u2013 namely, how to better understand and integrate the country\u2019s public and private health care systems.<\/p><p>Like many countries, Malaysia offers primary health care services through both public and private providers, with around 3,000+ public facilities and 6,000+ private facilities. Even though there are more private facilities across the country, the public sector accounts for <a href=\"https:\/\/iku.moh.gov.my\/images\/IKU\/Document\/REPORT\/NHMS2019\/Fact_Sheet_NHMS_2019-English.pdf\" target=\"_blank\" rel=\"noopener\">approximately 64%<\/a> of primary health care utilization in the country. The public sector is heavily subsidized by the government, whereas the private sector charges user fees for patients.<\/p><p>The Progression Model highlighted that information systems are one particular strength of Malaysia\u2019s public health sector, from successfully recording 90-99% of all births and deaths in the country to maintaining long-term personal care records in 91% of public health clinics. Malaysia also regularly collects health status updates from all public primary health care facilities. Beyond informing direct patient care and administration in communities, this facility data feeds into a centralized Malaysian Health Data Warehouse that supports strong governance and informed planning at the national level.<\/p><p>By comparison, Malaysia\u2019s private sector facilities were not as integrated into the country\u2019s information systems. If harnessed to support the\u00a0private sector as well, these systems could help boost quality and responsiveness across all facilities.<\/p><p><span style=\"font-size: 16px; font-weight: 400;\">The Ministry of Health was committed to including a close look at the private sector in its Vital Signs Profile assessment. The Progression Model enabled the MOH to unearth specific, actionable information, including:<\/span><\/p><ul><li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Exactly where and how many private facilities did not have data integrated into existing information systems<\/span><\/li><li style=\"font-weight: 400;\"><span style=\"font-weight: 400;\">Which facilities have regulatory approval to deliver essential drugs or required, well-functioning equipment.<\/span><\/li><\/ul><p><span style=\"font-weight: 400;\">Now, the government is exploring ways to address remaining data gaps and strengthen coordination with the public and private sectors, building on the recent launch of a web-based platform to facilitate data collection from private practitioners. The country will review current legislative instruments like the Private Healthcare Facilities &amp; Services Act and assess the potential for expanded use of electronic medical records, surveys, and audits to further institutionalize data collection from the private sector.<\/span><\/p><p><span style=\"font-weight: 400;\">The upcoming National Policy for Quality in Healthcare, expected to launch in October 2021, will also reflect additional pathways to strengthen engagement between both sectors to strengthen primary health care delivery. <\/span><\/p>                    <\/div>\n\t\t        \n                    <div id=\"-tab\" class=\"clearfix eael-tab-content-item \" data-title-link=\"-tab\">\n\t\t\t\t        <h2><strong><span style=\"color: #333d59;\">Strengthening Local and National Information Systems during COVID-19<\/span><\/strong><\/h2><p>In the last year, Mozambique completed its Vital Signs Profile <a href=\"https:\/\/improvingphc.org\/sites\/default\/files\/Understanding%20the%20Role%20of%20PHC%20in%20Mozambique.pdf\" target=\"_blank\" rel=\"noopener\">amid the COVID-19 pandemic<\/a>. The Ministry of Health quickly leveraged assessment results to develop the country\u2019s 2020-2024 Strategic Plan for the Health Sector. While the previous strategic plan for 2014-2019 was grounded in the guiding principles of primary health care, it lagged in the use of evidence and data to inform and implement concrete policies and plans to strengthen the health system. The Vital Signs Profile data, including the Progression Model, helped bring areas for improvement into sharp focus and shape an array of primary health care initiatives\u2014from crafting new health sector policies to formulating investment plans for the Global Fund and Global Financing Facility.<\/p><p>Mozambique was able to draw on a uniquely rich set of data to complete its Vital Signs Profile, particularly at the sub-national level, due to efforts to develop resources like Community Score Cards and Performance Balance Reports that are used in 75% of districts and 75% of health facilities. This helped government stakeholders to clearly identify and track goals across national, provincial, and district levels. Critically, the Vital Signs Profile identified that at all levels nationwide more investment is needed in the fundamental building blocks of primary health care \u2013 elements such as the availability of essential medicines, basic equipment, and the health workforce.<\/p><p>Data also revealed key differences between levels of the health system in resources for and implementation of primary health care. Identifying these gaps has been instrumental as Mozambique continues work to decentralize administrative and financial governance of the health system. The country was able to act quickly to address one key gap in the use of informational systems to respond to the COVID-19 pandemic. Though Mozambique has an electronic monitoring and evaluation system, the Progression Model revealed it was not being fully implemented in lower, community-level facilities. Limited analytical capacity and a reliance on paper records in most health centers contributed to poor data quality, undermining the ability of the system to support effective decision-making.<\/p><p>This insight influenced Mozambique\u2019s decision to roll-out a novel surveillance system at community-level facilities to capture flu-like symptoms as part of the national COVID-19 response. Local focal points were appointed to capture and transcribe COVID-19 indicators into the national database, providing more timely and complete information to support the Ministry of Health in COVID-19 response planning and resource allocation.<\/p>                    <\/div>\n\t\t                    <\/div>\n        <\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-47b1494 elementor-widget elementor-widget-spacer\" data-id=\"47b1494\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d4b3b64 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d4b3b64\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cff3a0a\" data-id=\"cff3a0a\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-715407d elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"715407d\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-378ea3f\" data-id=\"378ea3f\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-1ed5847 elementor-widget elementor-widget-text-editor\" data-id=\"1ed5847\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h2 style=\"color: #223e4c;\"><b>23 countries &amp; counting<\/b><\/h2>\n<span style=\"font-weight: 400;\"><strong>To date, 23 countries <\/strong>have partnered with PHCPI to complete their Vital Signs Profile, each revealing a unique story. More Vital Signs Profiles are on the way.<\/span>\n\n<em>Select any country on the map to learn more.<\/em>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-e72d588\" data-id=\"e72d588\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8ce34ce elementor-widget elementor-widget-shortcode\" data-id=\"8ce34ce\" data-element_type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><div class=\"map_wrapper\" id=\"map_wrapper_142\">\n<div class=\"map_box\" style=\"max-width:2200px\">\n<div class=\"map_aspect_ratio\" style=\"padding-top:56%\" data-padding-top=\"56%\" data-padding-top-mobile=\"\">\n<div class=\"map_container\">\n<div class=\"map_render map_loading\" id=\"map_142\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e5b5ff8 elementor-widget elementor-widget-text-editor\" data-id=\"e5b5ff8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong><span style=\"font-size: 14px; color: #9fccd4;\">\u25a0 in progress\u00a0 \u00a0 \u00a0<\/span><\/strong><span style=\"font-size: 14px; color: #333e59;\"><strong>\u25a0 finalized<\/strong> <\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6404f06 premium-modal-dismissible-yes elementor-widget elementor-widget-premium-addon-modal-box\" data-id=\"6404f06\" data-element_type=\"widget\" data-settings=\"{&quot;premium_modal_box_animation&quot;:&quot;fadeIn&quot;}\" data-widget_type=\"premium-addon-modal-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\r\n\t\t<div class=\"premium-modal-box-container\" data-settings=\"{&quot;trigger&quot;:&quot;text&quot;}\">\r\n\t\t\t<div class=\"premium-modal-trigger-container\">\r\n\t\t\t\t\t\t\t\t\t<span data-toggle=\"premium-modal\" data-target=\"#premium-modal-6404f06\" class=\"premium-modal-trigger-text\">\r\n\t\t\t\t\t\t<div >\r\n\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t<\/span>\r\n\t\t\t\t\t\t\t<\/div>\r\n\r\n\t\t\t<div id=\"premium-modal-6404f06\" class=\"premium-modal-box-modal\"\r\n\t\t\trole=\"dialog\"\r\n\t\t\tstyle=\"display: none\"\r\n\t\t\t>\r\n\t\t\t\t<div class=\"premium-modal-box-modal-dialog\" data-delay-animation=\"\" data-modal-animation=\"fadeIn animated-fast\">\r\n\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-header\">\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h3 class=\"premium-modal-box-modal-title\">\r\n\t\t\t\t\t\t\t\t\tMethodological Note\t\t\t\t\t\t\t\t<\/h3>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-close-button-container\">\r\n\t\t\t\t\t\t\t\t\t<button type=\"button\" class=\"premium-modal-box-modal-close\" data-dismiss=\"premium-modal\">&times;<\/button>\r\n\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t\t<div class=\"premium-modal-box-modal-body\">\r\n\t\t\t\t\t\t<p>Countries shaded dark blue on the map finalized their Vital Signs Profile at some point between 2018 and September 2021. Countries shaded light blue are actively working on their Vital Signs Profile assessment as of September 2021, defined here as any country that has either officially begun the assessment or returned a signed letter from the Ministry of Health indicating a commitment to complete a Vital Signs Profile. Beyond the countries highlighted here, many more are engaging with PHCPI in different ways to improve PHC data collection at national or sub-national levels or translate data to action.<\/p>\t\t\t\t\t<\/div>\r\n\t\t\t\t\t\t\t\t\t<\/div>\r\n\t\t\t<\/div>\r\n\t\t<\/div>\r\n\r\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-b27a107 elementor-widget elementor-widget-spacer\" data-id=\"b27a107\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-83834e9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"83834e9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-806e35a\" data-id=\"806e35a\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-385db27 elementor-widget elementor-widget-menu-anchor\" data-id=\"385db27\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"scaling-up-progress\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2187dd3 elementor-widget elementor-widget-spacer\" data-id=\"2187dd3\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-016ebe3 elementor-widget elementor-widget-heading\" data-id=\"016ebe3\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Scaling Up Progress<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1262626 elementor-widget elementor-widget-text-editor\" data-id=\"1262626\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;none&quot;,&quot;_animation_delay&quot;:&quot;1000&quot;}\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>We need <strong>more and better data<\/strong> at global and sub-national levels to accelerate progress on primary health care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e44e0b elementor-widget elementor-widget-spacer\" data-id=\"4e44e0b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e9cc48b elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e9cc48b\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6149ae5\" data-id=\"6149ae5\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6ec057c elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"6ec057c\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cac8ecf elementor-widget elementor-widget-text-editor\" data-id=\"cac8ecf\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>While a major step forward, these 23 Vital Signs Profiles are just the beginning. To accelerate progress on primary health care and make every investment count, <strong>now is the time to make sure that all countries have a clear understanding of their unique primary health care \u201cfingerprint,\u201d as well as how to translate that information into action.<\/strong><\/p><p>Building on lessons from the first generation of Vital Signs Profiles, there is still a vast amount of work needed to fill primary health care data gaps, refine and scale measurement tools.<\/p><p>For example, across the Vital Signs Profile pillars, quality remains the most undermeasured aspect of primary health care <i>Performance<\/i>, and therefore should be on every leader\u2019s radar to prioritize. More nuanced data on PHC Financing and Equity is also necessary to ensure that health systems are responding to everyone\u2019s needs, without causing financial hardship.<\/p><p><strong>As health systems are strained to a breaking point\u2014from COVID-19, to the climate crisis, to rising inequities within and across countries\u2014we need to radically scale up the quality and quantity of PHC data available to decision-makers and ordinary citizens.<\/strong><\/p><p><strong>This means taking a hard look not only at what information countries are collecting, but how they are collecting and making sense of it, and who is most likely to use and benefit from it. <\/strong>These key shifts needed in PHC measurement go hand-in-hand with every pillar of strong primary health care.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-cdce833 elementor-widget elementor-widget-text-editor\" data-id=\"cdce833\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p style=\"text-align: left\"><b>Key Shifts Needed in PHC Measurement<\/b><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a2908a3 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a2908a3\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-7e4d21b elementor-invisible\" data-id=\"7e4d21b\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b294f63 elementor-widget elementor-widget-heading\" data-id=\"b294f63\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">FINANCING<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d9ef4a9 elementor-widget elementor-widget-text-editor\" data-id=\"d9ef4a9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Leaders can work to ensure that countries\u2019 main mechanisms for standardizing, collecting, analyzing and reporting PHC data, particularly for PHC Financing, are fit-for-purpose in an evolving health systems landscape.<\/strong> At the moment, best efforts are being made with existing infrastructure, but many of these data systems were not designed for delineating and understanding PHC-specific expenditures. Investments are needed to align these data systems around a common definition of primary health care, and help leaders capture key local nuances\u2014such as where primary health care funding is coming from, who is bearing the costs, and how funds are being allocated. This is the only way to make certain that primary health care is well-resourced and not causing financial hardship for those who need it most.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-10fc138 elementor-invisible\" data-id=\"10fc138\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8e5f463 elementor-widget elementor-widget-heading\" data-id=\"8e5f463\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Capacity<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-50feac1 elementor-widget elementor-widget-text-editor\" data-id=\"50feac1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: normal !msorm\"><strong>Health system measurement should be led and driven by the people and communities whom it is intended to help.<\/strong><\/span> At its core, strong primary health care depends on strong community engagement\u2014not least because this is the best way to ensure that the health system is responsive to people\u2019s diverse needs. This goes for primary health care measurement as well. Local stakeholders need to be engaged in data decisions\u2014including collection and analysis\u2014to understand what strong primary health care should look like, know how their system is performing, and create a positive cycle of action and accountability. The process itself should be informed by a community\u2019s unique needs, and leverage all available data resources\u2014both qualitative and quantitative\u2014to address more difficult-to-measure aspects such as governance, population health, and management.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-1054479 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1054479\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-8f44caa elementor-invisible\" data-id=\"8f44caa\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0677700 elementor-widget elementor-widget-heading\" data-id=\"0677700\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Performance<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-e46e0e1 elementor-widget elementor-widget-text-editor\" data-id=\"e46e0e1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Countries and donors should prioritize harmonizing data collection in global health<\/strong>\u2014for example, across multiple household and facility surveys\u2014<strong>and emphasize measurement of the primary care functions and a primary health care approach as organizing principles for service delivery.<\/strong> This will require additional development of new PHC-specific indicators and survey questions, but is one concrete way to move toward health systems that center people and their experiences, rather than single diseases or issue areas. Additionally, this will help make data collection more efficient and effective.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-9c9c6a9 elementor-invisible\" data-id=\"9c9c6a9\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-e5a1428 elementor-widget elementor-widget-heading\" data-id=\"e5a1428\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Equity<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4e86278 elementor-widget elementor-widget-text-editor\" data-id=\"4e86278\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><span style=\"font-weight: normal !msorm\"><strong>Equity must be front-and-center in all health system measurement efforts, especially for primary health care.<\/strong><\/span> Strong, primary health care is a crucial vehicle for reducing inequities of all kinds and finally ensuring health for all, including the marginalized and most vulnerable.\u00a0 More and better data on who is benefitting most and least from the health system is the only way to know if the promise of primary health care \u2013 and ultimately universal health coverage &#8211; is being realized in practice.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-eb5af3b elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"eb5af3b\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-5001f01 elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5001f01\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1358795\" data-id=\"1358795\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4bcfcb8 elementor-widget elementor-widget-text-editor\" data-id=\"4bcfcb8\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Investing in improved PHC data and measurement systems is not a \u201cnice-to-have,\u201d but a necessity to ensure the quality, people-centered, integrated primary health care that people everywhere are demanding. If more leaders at national, sub-national, and global levels commit to more and better data for primary health care, they can help to accelerate crucial structural shifts in how primary health care is designed, financed, and delivered going forward, including the four fundamental shifts recently highlighted in a <a href=\"https:\/\/openknowledge.worldbank.org\/handle\/10986\/35842?cid=hnp_tt_health_en_ext\" target=\"_blank\" rel=\"noopener\">World Bank Flagship Report on Reimagining Primary Health Care after COVID-19<\/a>.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-b90eb60 elementor-invisible\" data-id=\"b90eb60\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-7a0118c elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"7a0118c\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-710bf76\" data-id=\"710bf76\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-51e9e01 elementor-widget elementor-widget-text-editor\" data-id=\"51e9e01\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>To learn more about what it will take to reimagine primary health care in every country, check out a recent flagship report from a core PHCPI partner, the World Bank.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-31b6675\" data-id=\"31b6675\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6d48fa5 elementor-widget elementor-widget-image\" data-id=\"6d48fa5\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/openknowledge.worldbank.org\/handle\/10986\/35842?cid=hnp_tt_health_en_ext\" target=\"_blank\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"283\" height=\"396\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/phcpi_Artboard-1-2.png\" class=\"attachment-large size-large wp-image-403\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/phcpi_Artboard-1-2.png 283w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/phcpi_Artboard-1-2-214x300.png 214w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/phcpi_Artboard-1-2-9x12.png 9w\" sizes=\"(max-width: 283px) 100vw, 283px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-9d64ed6 elementor-widget elementor-widget-spacer\" data-id=\"9d64ed6\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-ab771d9 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"ab771d9\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-4e5251c\" data-id=\"4e5251c\" data-element_type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-85d6986 elementor-widget elementor-widget-menu-anchor\" data-id=\"85d6986\" data-element_type=\"widget\" data-widget_type=\"menu-anchor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-menu-anchor\" id=\"looking-ahead\"><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c139361 elementor-widget elementor-widget-spacer\" data-id=\"c139361\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ad0a75d elementor-widget elementor-widget-heading\" data-id=\"ad0a75d\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Looking Ahead<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d4bf4d elementor-widget elementor-widget-spacer\" data-id=\"5d4bf4d\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e4a0c2c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e4a0c2c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-f14b9f6\" data-id=\"f14b9f6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-83765a2 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"83765a2\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6a9afa8 elementor-widget elementor-widget-heading\" data-id=\"6a9afa8\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Recap: We have come a long way<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-bc4b2a6 elementor-widget elementor-widget-text-editor\" data-id=\"bc4b2a6\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>The creation of the first generation of Vital Signs Profiles represented a significant step forward for primary health care measurement and learning experience all countries and stakeholders involved.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0e0d9c4 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"0e0d9c4\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-afcbf09\" data-id=\"afcbf09\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a1ce400 elementor-widget elementor-widget-image\" data-id=\"a1ce400\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"201\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21_numbers.png\" class=\"attachment-large size-large wp-image-298\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21_numbers.png 201w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21_numbers-150x150.png 150w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1ef1702\" data-id=\"1ef1702\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-9947544 elementor-widget elementor-widget-text-editor\" data-id=\"9947544\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>The PHC Vital Signs demonstrated it is possible to give health systems a voice\u2014and by listening, leaders can accelerate progress toward strong primary health care.<\/strong> At last, we can say with confidence that defining and measuring progress against common primary health care goals is possible \u2013 including those that have been historically more challenging to measure, such as primary health care capacity, quality of care, or responsiveness to community needs. This is a crucial step toward more and better investment, more useful knowledge sharing within and across countries, and greater political accountability than ever before. Now that we know what the strong pillars of primary health care look like and how they can be measured\u2014and have data from 23 countries to show it\u2014<strong>it is necessary for countries to mainstream a primary health care approach across all efforts to strengthen health systems and collect health data going forward.<\/strong> This will help countries harmonize investments, improve how services are delivered, and achieve universal health coverage, ensuring people are centered every step of the way<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e91d5be elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"e91d5be\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-1ddc4e4\" data-id=\"1ddc4e4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-52ac1d4 elementor-widget elementor-widget-image\" data-id=\"52ac1d4\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"201\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy_numbers.png\" class=\"attachment-large size-large wp-image-299\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy_numbers.png 201w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy_numbers-150x150.png 150w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-f465917\" data-id=\"f465917\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cba662d elementor-widget elementor-widget-text-editor\" data-id=\"cba662d\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>No two countries will have the same primary health care strategy, and robust PHC data can help leaders tailor their approach to maximize impact.<\/strong> The Vital Signs Profiles demonstrate that each country is starting with a unique \u201cfingerprint\u201d of strengths and weaknesses across all domains of primary health care. While there may be certain domains of primary health care that require attention across many countries, the precise areas for improvement and their underlying causes vary significantly from country to country. Collecting robust PHC data helps ensure that leaders are not making critical decisions in the dark, especially when lives, livelihoods, and limited resources are at stake. When PHCPI was first launched in 2015, it was not possible to reveal those \u201cfingerprints\u201d as clearly as we can today \u2013 making us optimistic that even sharper findings may be just around the corner. Moreover, countries have shown that the process of developing each unique Vital Signs Profile is often just as valuable as the final result, engaging key stakeholders, ensuring data collection efforts are locally tailored and contextualized, and ultimately generating more political will to translate information into action.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-0d09374 elementor-section-boxed elementor-section-height-default elementor-section-height-default elementor-invisible\" data-id=\"0d09374\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;fadeInUp&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-19e1984\" data-id=\"19e1984\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-56564c8 elementor-widget elementor-widget-image\" data-id=\"56564c8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"201\" height=\"201\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy-2_numbers.png\" class=\"attachment-large size-large wp-image-300\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy-2_numbers.png 201w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/Artboard-21-copy-2_numbers-150x150.png 150w\" sizes=\"(max-width: 201px) 100vw, 201px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-d162373\" data-id=\"d162373\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-cc95569 elementor-widget elementor-widget-text-editor\" data-id=\"cc95569\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Now, more and better PHC data is needed so that leaders in every country, including at the sub-national level, can hear what their health systems have to say about the state of primary health care. <\/strong>Illuminating the Vital Signs of 23 countries is not enough. We need to radically scale up the quality and quantity of PHC data available to decision-makers and ordinary citizens around the world\u2014capturing the national and sub-national nuances that are critical to success. This also requires a fresh look at the \u2018what,\u2019 \u2018how\u2019, and \u2018who\u2019 of primary health care measurement, so that our data is truly fit-for-purpose to fuel our shared goal: a world where all people and communities can get the quality health services they need, without financial hardship.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-f3fa013 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"f3fa013\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-257c504\" data-id=\"257c504\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-04aab54 elementor-hidden-mobile elementor-widget elementor-widget-spacer\" data-id=\"04aab54\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-dd40f4c elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"dd40f4c\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-6d635a0\" data-id=\"6d635a0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-aa9c28c elementor-widget elementor-widget-heading\" data-id=\"aa9c28c\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">A turning point for PHC measurement<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-9319cda elementor-widget elementor-widget-text-editor\" data-id=\"9319cda\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>In February 2022, <strong>the World Health Organization and UNICEF\u2014two core PHCPI partners\u2014jointly released the landmark global <a href=\"http:\/\/www.bit.ly\/MeasurePHC\"><em>Primary Health Care Measurement Framework <\/em><i>and Indicators<\/i><\/a>, the official measurement framework in support of the <a href=\"https:\/\/www.who.int\/docs\/default-source\/primary-health\/declaration\/gcphc-declaration.pdf\" target=\"_blank\" rel=\"noopener\">Astana Declaration<\/a> and corresponding <a href=\"https:\/\/www.who.int\/publications\/i\/item\/9789240017832\" target=\"_blank\" rel=\"noopener\">PHC Operational Framework<\/a>. <\/strong>This is the first-ever globally normative and endorsed primary health care measurement and monitoring framework and represents a pivotal opportunity to accelerate progress on a global scale.<\/p>\n<p><strong>All PHCPI partners are proud to have contributed to this new framework, informed by PHCPI\u2019s early measurement work, robust partnerships with countries, and lessons from the Vital Signs Profile journey. <\/strong><\/p>\n<p>PHCPI partners are committed to help support and harness this new global push for more and better PHC data, which has the potential to inspire greater investment in primary health care, standardize, and streamline key aspects of PHC data collection efforts, and support leaders and advocates to create a much-needed cycle of action and accountability.<\/p>\n<p><span style=\"color: #65afbc; font-size: 20px;\"><strong>After decades of commitments, it is time for leaders to deliver on the promise of strong primary health care to help manage today\u2019s COVID-19 crisis, build resilience to future threats, and finally achieve Health for All. With more and better measurement, it\u2019s possible.<\/strong><\/span><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-e810d9b\" data-id=\"e810d9b\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-a5487bc elementor-widget elementor-widget-heading\" data-id=\"a5487bc\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Four Decades of Advocacy<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3d52586 elementor-widget elementor-widget-eael-image-accordion\" data-id=\"3d52586\" data-element_type=\"widget\" data-widget_type=\"eael-image-accordion.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t    <div class=\"eael-img-accordion accordion-direction-vertical eael-img-accordion-horizontal-align-center eael-img-accordion-vertical-align-top\" id=\"eael-img-accordion-3d52586\" data-img-accordion-id=\"3d52586\" data-img-accordion-type=\"on-hover\">\n                    \n            <div class=\"eael-image-accordion-hover eael-image-accordion-item\" style=\"background-image: url(https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/08\/alma-ata-1978-blog.jpg);\"  tabindex=\"0\">\n                <div class=\"overlay\">\n                    <div class=\"overlay-inner \">\n                        <a href=\"https:\/\/www.who.int\/publications\/almaata_declaration_en.pdf\" target=\"_blank\"><h2 class=\"img-accordion-title\">1978<\/h2><\/a>                            <p><p>The historic Declaration of Alma-Ata is endorsed at the International Conference on Primary Health Care in Kazakhstan. This is the first time world leaders commit to achieving Health for All, putting primary health care first.\u00a0<\/p><p>Read More <strong>\u2192<\/strong><\/p><\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n                    \n            <div class=\"eael-image-accordion-hover eael-image-accordion-item\" style=\"background-image: url(https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/08\/PHC-report_2008.png);\"  tabindex=\"0\">\n                <div class=\"overlay\">\n                    <div class=\"overlay-inner \">\n                        <a href=\"https:\/\/apps.who.int\/iris\/bitstream\/handle\/10665\/43949\/9789241563734_eng.pdf?sequence=1&#038;isAllowed=y\" target=\"_blank\"><h2 class=\"img-accordion-title\">2008<\/h2><\/a>                            <p><p>The World Health Organization (WHO) releases a landmark World Health Report: \u201c<strong>Primary Health Care: Now More Than Ever.\u201d<\/strong> Read more \u2192<\/p><\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n                    \n            <div class=\"eael-image-accordion-hover eael-image-accordion-item\" style=\"background-image: url(https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/WhatsApp-Image-2021-09-29-at-4.18.43-PM-e1633538156643.jpeg);\"  tabindex=\"0\">\n                <div class=\"overlay\">\n                    <div class=\"overlay-inner \">\n                        <a href=\"https:\/\/improvingphc.org\/blog\/2015\/09\/26\/press-release-new-partnership-help-countries-close-gaps-primary-health-care\"><h2 class=\"img-accordion-title\">2015<\/h2><\/a>                            <p><p>On the sidelines of the UN General Assembly, world leaders unanimously endorse the Sustainable Development Goals (SDGs), including target 3.8: universal health coverage. The very next day, the Primary Health Care Performance Initiative is officially launched. Read More \u2192<\/p><\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n                    \n            <div class=\"eael-image-accordion-hover eael-image-accordion-item\" style=\"background-image: url(https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/unnamed.jpeg);\"  tabindex=\"0\">\n                <div class=\"overlay\">\n                    <div class=\"overlay-inner \">\n                        <a href=\"https:\/\/www.who.int\/primary-health\/conference-phc\/declaration\" target=\"_blank\"><h2 class=\"img-accordion-title\">2018<\/h2><\/a>                            <p><p>On the 40<sup>th<\/sup> anniversary of Alma-Ata, the Global Conference on Primary Health Care in Astana, Kazakhstan marks the world\u2019s renewed commitment to strong primary health care as a cornerstone of universal health coverage and the health-related SDGs. Against this backdrop, 11 Trailblazer countries join PHCPI to launch the first Vital Signs Profiles. Read more \u2192<\/p><p>\u00a0<\/p><\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n                    \n            <div class=\"eael-image-accordion-hover eael-image-accordion-item\" style=\"background-image: url(https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/08\/Shinzo-Abe_UHCHLM-e1570774369327-scaled.jpg);\"  tabindex=\"0\">\n                <div class=\"overlay\">\n                    <div class=\"overlay-inner \">\n                        <a href=\"https:\/\/www.uhc2030.org\/un-hlm-2019\/\" target=\"_blank\"><h2 class=\"img-accordion-title\">2019<\/h2><\/a>                            <p><p>At the UN High-Level Meeting on Universal Health Coverage, world leaders endorse the most ambitious and comprehensive political declaration on health in history. Primary health care is highlighted as key to upholding quality of care and investing more &amp; investing better. Read more \u2192<\/p><\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n                    \n            <div class=\"eael-image-accordion-hover eael-image-accordion-item\" style=\"background-image: url(https:\/\/strongerwithphc.org\/wp-content\/uploads\/2021\/09\/Artboard1_4.png);\"  tabindex=\"0\">\n                <div class=\"overlay\">\n                    <div class=\"overlay-inner \">\n                        <h2 class=\"img-accordion-title\">2022<\/h2>                            <p><p>WHO &amp; UNICEF jointly release the landmark\u00a0<span style=\"color: #ffffff\"><a style=\"color: #ffffff\" href=\"http:\/\/www.bit.ly\/MeasurePHC\"><em>Primary Health Care Measurement Framework and Indicators<\/em><\/a><\/span>, in support of the Astana Declaration.<\/p><\/p>\n                                            <\/div>\n                <\/div>\n            <\/div>\n                <\/div>\n        <style typr=\"text\/css\">\n                    #eael-img-accordion-3d52586 .eael-image-accordion-hover:hover {\n                        flex: 3 1 0% !important;\n                    }\n                    #eael-img-accordion-3d52586 .eael-image-accordion-hover:hover:hover .overlay-inner * {\n                        opacity: 1;\n                        visibility: visible;\n                        transform: none;\n                        transition: all .3s .3s;\n                    }\n                <\/style>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-4bf94a6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4bf94a6\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-6894ca6\" data-id=\"6894ca6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-539afae elementor-widget elementor-widget-spacer\" data-id=\"539afae\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9cb2e84 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"9cb2e84\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;,&quot;animation&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-b12abe8\" data-id=\"b12abe8\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-0c92e17 elementor-widget elementor-widget-spacer\" data-id=\"0c92e17\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4368dcd elementor-invisible elementor-widget elementor-widget-heading\" data-id=\"4368dcd\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Take action<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-353bace elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"353bace\" data-element_type=\"section\" data-settings=\"{&quot;animation&quot;:&quot;none&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-29ba918\" data-id=\"29ba918\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-61a5b43 elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"61a5b43\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"https:\/\/drive.google.com\/drive\/folders\/1m78jva6mYsqKzrnl1jCPKhC2zNFjkSyz\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">SHARE THIS REPORT<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-fd18e9c\" data-id=\"fd18e9c\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-155bf93 elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"155bf93\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"https:\/\/www.improvingphc.org\/trailblazer-vital-signs-profiles\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\"> EXPLORE THE DATA<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-6b4d3c4\" data-id=\"6b4d3c4\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-b9f0225 elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"b9f0225\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"https:\/\/phcdigitalhub.improvingphc.org\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Learn more about the PHC Vital Signs<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-25 elementor-inner-column elementor-element elementor-element-e7d1266\" data-id=\"e7d1266\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-4392840 elementor-align-center elementor-invisible elementor-widget elementor-widget-button\" data-id=\"4392840\" data-element_type=\"widget\" data-settings=\"{&quot;_animation&quot;:&quot;fadeInUp&quot;}\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl\" href=\"https:\/\/phcdigitalhub.improvingphc.org\/country-profiles\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Second-Generation Vital Signs Profile (Beta)<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<div class=\"elementor-element elementor-element-e43d995 elementor-widget elementor-widget-spacer\" data-id=\"e43d995\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-abe5211 elementor-section-height-min-height elementor-section-items-bottom elementor-section-boxed elementor-section-height-default\" data-id=\"abe5211\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9be22c6\" data-id=\"9be22c6\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-dacdf08 elementor-widget elementor-widget-text-editor\" data-id=\"dacdf08\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Header photo: \u00a9Gates Archive\/Saumya Khandelwal<br \/>Footer photo: \u00a9Gates Archive\/Daniel Lanari\u00a0<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-d51faeb elementor-section-content-middle elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"d51faeb\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-dec983e\" data-id=\"dec983e\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-28b020b elementor-widget elementor-widget-image\" data-id=\"28b020b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"http:\/\/improvingphc.org\" target=\"_blank\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"857\" height=\"244\" src=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI.png\" class=\"attachment-large size-large wp-image-323\" alt=\"\" srcset=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI.png 857w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI-300x85.png 300w, https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/09\/PHCPI-768x219.png 768w\" sizes=\"(max-width: 857px) 100vw, 857px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-cd5eab7\" data-id=\"cd5eab7\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-c75a35a elementor-widget elementor-widget-text-editor\" data-id=\"c75a35a\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><em>The Primary Health Care Performance Initiative (PHCPI) was a partnership dedicated to transforming the global state of primary health care, beginning with better measurement. When published, the content in this report represented the position of the partnership as a whole, though it did not necessarily reflect the official policy or position of any specific partner organization. With the conclusion of the partnership at the end of 2022, this report is hosted and managed by the World Bank and the content should not be considered to necessarily reflect the official policy or position of any former PHCPI partner organization. All responsibility for the interpretation of the content, and any action or inaction taken based on the information made available, lies with the user.<\/em><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-53752b6 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"53752b6\" data-element_type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-792f2d3\" data-id=\"792f2d3\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5aa27d9 elementor-widget elementor-widget-text-editor\" data-id=\"5aa27d9\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i><span style=\"font-weight: 400;\">Report published October 2021. &#8220;Looking Ahead: A Turning Point for PHC Measurement&#8221; section revised in early 2022 to reflect the launch of the <em><span style=\"color: #ffffff;\"><a style=\"color: #ffffff;\" href=\"http:\/\/www.bit.ly\/MeasurePHC\">Primary Health Care Measurement Framework and Indicators<\/a><\/span>. &#8220;Take Action&#8221; section revised in March 2023 to reflect new PHC Digital Hub and second-generation Vital Signs Profile (Beta) resources from the PHCPI partnership.\u00a0<\/em><\/span><\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>If Health Systems Could Talk: Illuminating the Vital Signs of Strong Primary Health Care Executive Summary\u00a0 \u2022\u00a0 Introduction\u00a0 \u2022\u00a0 1. Measuring the Vital Signs\u00a0 \u2022\u00a0 2. Vital Signs in Action\u00a0 \u2022\u00a0 3. Scaling Up Progress\u00a0 \u2022\u00a0 Looking Ahead Executive Summary Every day, leaders face tough choices to ensure that their health systems can protect everyone, [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-113","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Home &#8211; If Health Systems Could Talk<\/title>\n<meta name=\"description\" content=\"At a pivotal moment for health systems everywhere, this report takes stock of lessons learned from primary health care in 23 countries.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/phcvitalsigns.org\/es\/\" \/>\n<meta property=\"og:locale\" content=\"es_MX\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Home &#8211; If Health Systems Could Talk\" \/>\n<meta property=\"og:description\" content=\"At a pivotal moment for health systems everywhere, this report takes stock of lessons learned from primary health care in 23 countries.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/phcvitalsigns.org\/es\/\" \/>\n<meta property=\"og:site_name\" content=\"If Health Systems Could Talk\" \/>\n<meta property=\"article:modified_time\" content=\"2025-06-25T18:19:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/PHC-vital-signs_cover-photo.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2048\" \/>\n\t<meta property=\"og:image:height\" content=\"1153\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:title\" content=\"If Health Systems Could Talk \u2013\u00a0PHC Vital Signs Report\" \/>\n<meta name=\"twitter:description\" content=\"At a pivotal moment for health systems everywhere, this report takes stock of lessons learned from primary health care in 23 countries.\" \/>\n<meta name=\"twitter:image\" content=\"https:\/\/phcvitalsigns.org\/wp-content\/uploads\/2021\/10\/PHC-vital-signs_cover-photo.png\" \/>\n<meta name=\"twitter:label1\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data1\" content=\"101 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/phcvitalsigns.org\\\/\",\"url\":\"https:\\\/\\\/phcvitalsigns.org\\\/\",\"name\":\"Home &#8211; 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