<div dir="ltr"><div class="gmail_default" style="font-size:large"><br></div><br><div class="gmail_quote"><div dir="ltr" class="gmail_attr">---------- Forwarded message ---------<br>From: <b class="gmail_sendername" dir="auto">Editor</b> <span dir="auto"><<a href="mailto:editor@phmovement.org">editor@phmovement.org</a>></span><br>Date: Sun, Jan 26, 2020 at 11:56 AM<br>Subject: WHO to consider a new Operational Framework for Primary Health Care<br>To: <<a href="mailto:cschuftan@phmovement.org">cschuftan@phmovement.org</a>><br></div><br><br><u></u>
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<span class="m_4694541783468358392mcnPreviewText" style="display:none;font-size:0px;line-height:0px;max-height:0px;max-width:0px;opacity:0;overflow:hidden">And a Special Program on PHC if the Operational Framework is endorsed!</span>
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<h1 style="text-align:center;display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:26px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal">WHO Executive Board to consider new 'Operational Framework for Primary Health Care'</h1>
<h2 style="text-align:center;display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:22px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal">Special Program on PHC proposed if member states support operational framework</h2>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">The February 2020 meeting of WHO's Executive Board (EB) will discuss a proposed new Operational Framework on Primary Health Care (in <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=1770ab199b&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">EB146/5</a>) through which the commitments of the Astana Conference on PHC will be progressed. The Operational Framework includes four core strategic levers and ten operational levers.</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">Core strategic levers include: political commitment and leadership, governance and policy frameworks, funding and allocation of resources, and engagement of communities and other stakeholders.</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">The ten operational levers include: models of care, the PHC workforce, physical infrastructure, medicines and other health products, engagement with private-sector providers, purchasing and payment systems, digital technologies, systems for improving quality of care, PHC oriented research, and monitoring and evaluation.</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">In association with the draft operational framework, the WHO Secretariat has elaborated a new definition of PHC (developed by WHO and UNICEF in advance of the Astana Conference). As described in <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=f664abb404&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">EB144/12</a>:</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">"Primary health care is a whole-of-society approach to health that aims to ensure the highest possible level of health and well-being and equitable distribution through action on three levels:</p>
<ul>
<li>meeting people’s health needs through comprehensive and integrated health services (promotive, protective, preventive, curative, rehabilitative and palliative) throughout the life course, prioritizing primary care and essential public health functions;</li>
<li>systematically addressing the broader determinants of health (including social, economic and environmental factors, as well as individual characteristics and behaviour) through evidence-informed policies and actions across all sectors;</li>
<li>empowering individuals, families and communities to optimize their health as advocates for policies that promote and protect health and well-being, as co-developers of health and social services and as self-carers and caregivers."</li>
</ul>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">PHM has welcomed the new definition which captures some of the core ideas of the Alma-Ata Declaration (although the reference to a New International Economic Order has been expunged). </p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">PHM also welcomes the proposed Operational Framework, while pointing out (see <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=5c39bcc5fe&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">PHM comment</a>) several omissions and problematic formulations. </p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">Under a separate item on the EB agenda (Item 7.1 on UHC) the Secretariat foreshadows the establishment of a Special Program on PHC, conditional on the endorsement of the Operational Framework, by the member states (at the Board and the Assembly in May).</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">"WHO’s special programme on primary health care is being created as a one-stop mechanism for providing implementation support to Member States. It will put into action the operational framework for primary health care, once it is approved, which outlines 14 levers around which countries and partners may want to prioritize their investments and customize their actions to accelerate progress across all three components of primary health care: (a) multisectoral policy and action; (b) empowering people and communities; and (c) putting primary care and essential public health functions at the core of integrated health services." (From <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=f220bd51e2&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">para 14 of EB146/6</a>).</p>
<h3 style="display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:20px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal;text-align:left">More</h3>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">For further links and more detailed comment on the PHC item on the WHO Executive Board agenda see the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=e297921dba&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">PHM comment</a> on Item 6.</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">The full agenda for the EB can be accessed through the WHO Tracker at <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=2bfea423ad&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">who-track.phmovement.org/eb146</a>, including PHM comments on most items.</p>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">To provide feedback on this commentary please write to <a href="mailto:editor@phmovement.org" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">editor@phmovement.org</a>.</p>
<h3 style="display:block;margin:0;padding:0;color:#202020;font-family:Helvetica;font-size:20px;font-style:normal;font-weight:bold;line-height:125%;letter-spacing:normal;text-align:left">Spread the word</h3>
<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">The WHO Tracker and PHM item commentaries are produced through WHO Watch which is a project of the <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=380a46c318&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">People's Health Movement</a> in association with <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=bb9d0b688c&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">Medicus Mundi International</a>, <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=9e24eb46d9&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">Third World Network</a> and a number of other civil society networks.</p>
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<p style="margin:10px 0;padding:0;color:#202020;font-family:Helvetica;font-size:16px;line-height:150%;text-align:left">Review Update Reports from previous WHO governing body meetings and earlier alerts regarding items at EB146 <a href="https://phmovement.us20.list-manage.com/track/click?u=559d715f58f654accf3de987e&id=1fa5871f07&e=916df65fd1" style="color:#007c89;font-weight:normal;text-decoration:underline" target="_blank">here</a>.</p>
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