Strength in Diversity: Integrating Community in Primary Health Care to Advance Universal Health Coverage

Warren, Charlotte E.; Bellows, Benjamin; Marcus, Rachel; Downey, Jordan; Kennedy, Sarah M.; Kureshy, Nazo

doi:10.9745/ghsp-d-21-00125

Cited by 5 publications

(3 citation statements)

References 24 publications

(33 reference statements)

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“…During the COVID-19 pandemic and Ebola epidemic, CHWs and community health systems played a critical role in contact tracing, case management, and provision of health services, and these services and data were critical to understanding what the health contexts and needs were. [113][114][115] However, despite their role and importance, there is insufficient and inadequate coordination, investment, and prioritization of community health systems within PHC.…”

Section: Discussionmentioning

confidence: 99%

How Can Community Data Be Leveraged to Advance Primary Health Care? A Scoping Review of Community-Based Health Information Systems

Pandya,

Kan,

Parr

et al. 2024

Glob Health Sci Pract

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Section: Discussionmentioning

confidence: 99%

How Can Community Data Be Leveraged to Advance Primary Health Care? A Scoping Review of Community-Based Health Information Systems

Pandya,

Kan,

Parr

et al. 2024

Glob Health Sci Pract

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“…Accountability is a matter of knowing and agreeing; acting and being responsible; being answerable; and reporting and monitoring (47)(48)(49).…”

Section: Multisectoral Accountability Mechanism For Delivering the Es...mentioning

confidence: 99%

Towards applying the essential public health functions for building health systems resilience: A renewed list and key enablers for operationalization

McDarby

Seifeldin

Mustafa

et al. 2023

Front. Public Health

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The COVID-19 pandemic, climate change-related events, protracted conflicts, economic stressors and other health challenges, call for strong public health orientation and leadership in health system strengthening and policies. Applying the essential public health functions (EPHFs) represents a holistic operational approach to public health, which is considered to be an integrated, sustainable, and cost-effective means for supporting universal health coverage, health security and improved population health and wellbeing. As a core component of the Primary Health Care (PHC) Operational Framework, EPHFs also support the continuum of health services from health promotion and protection, disease prevention to treatment, rehabilitation, and palliative services. Comprehensive delivery of EPHFs through PHC-oriented health systems with multisectoral participation is therefore vital to meet population health needs, tackle public health threats and build resilience. In this perspective, we present a renewed EPHF list consisting of twelve functions as a reference to foster country-level operationalisation, based on available authoritative lists and global practices. EPHFs are presented as a conceptual bridge between prevailing siloed efforts in health systems and allied sectors. We also highlight key enablers to support effective implementation of EPHFs, including high-level political commitment, clear national structures for institutional stewardship on EPHFs, multisectoral accountability and systematic assessment. As countries seek to transform health systems in the context of recovery from COVID-19 and other public health emergencies, the renewed EPHF list and enablers can inform public health reform, PHC strengthening, and more integrated recovery efforts to build resilient health systems capable of managing complex health challenges for all people.

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“…1 , 2 A recent collection of articles demonstrate that CHWs often represent and engage communities actively in national policy implementation processes and tracking globally. 3 As community members themselves, CHWs possess a unique understanding of the local context, including social barriers and facilitators to accessing timely and quality primary health care, and can facilitate effective linkages to care. In the context of disease outbreaks, such as the current global COVID-19 pandemic, CHWs continue to serve in this integral role as trustworthy sources of health information, prevention, and care, often performing their routine duties with added responsibilities.…”

Section: Introductionmentioning

confidence: 99%

Examining Roles, Support, and Experiences of Community Health Workers During the COVID-19 Pandemic in Bangladesh: A Mixed Methods Study

Roy¹,

Kennedy²,

Hossain³

et al. 2022

Glob Health Sci Pract

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During the first wave of the coronavirus disease (COVID-19) pandemic in Bangladesh, across all health areas, community health workers (CHWs) described a slight decrease in the routine services they were able to provide due to restrictions in movement posed by lockdowns and other challenges.nThe government and various nongovernmental organizations provided supportive mechanisms to CHWs through training, supplies, and supportive supervision; however, these supports were not always uniformly distributed across cadres, leading to some discontent among CHWs. n CHWs were crucial actors in the government's COVID-19 response, as they took on new pandemic-related responsibilities in their communities to prevent the spread of the disease while continuing their routine work.

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Strength in Diversity: Integrating Community in Primary Health Care to Advance Universal Health Coverage

Cited by 5 publications

References 24 publications

How Can Community Data Be Leveraged to Advance Primary Health Care? A Scoping Review of Community-Based Health Information Systems

How Can Community Data Be Leveraged to Advance Primary Health Care? A Scoping Review of Community-Based Health Information Systems

Towards applying the essential public health functions for building health systems resilience: A renewed list and key enablers for operationalization

Examining Roles, Support, and Experiences of Community Health Workers During the COVID-19 Pandemic in Bangladesh: A Mixed Methods Study

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