The Lancet Global Health Commission on financing primary health care: putting people at the centre

Horizontal Integration and Financing Reform of Rural Primary Care in China: A Model for Low-Resource and Remote Settings

“…Third, strengthening health systems with a PHC-based foundation demands savvy political leadership and sustained commitment, as well as proactive, adaptable financing arrangements to engage stakeholders at all levels, while taking into consideration the political, social, and economic contexts [ 13 ]. Most existing vertical alliances in China are loose networks that do not have shared responsibilities, management, patient care, or economic interests across member facilities [ 34 ].…”

“…Further, the latest COVID-19 pandemic has exposed multiple weaknesses in the health systems of both rich and poor countries [ 12 ]. Given the severe financing constraints and workforce insufficiencies in health services in many lower-income countries, especially post-COVID, attention should simultaneously be paid to both financing and service delivery enhancement [ 13 ].…”

An assertive, practical, and substantive agenda to catalyse meaningful change

“…The Lancet Global Health Commission on financing primary health care 1 combines a shared vision with practical guidance on how to align health financing with overall reform strategies that place primary care service delivery at the core. The Commission reinforces key messages that WHO has put forward on health financing reforms to enable progress towards universal health coverage (UHC).…”

Financing primary health care: seeing the bigger picture

“…In addition to analysing the key technical and political economy challenges faced in funding PHC, the Lancet Global Health Commission on financing primary health care 4 has not only identified areas of proven practice but also actionable policies. These will help low-income and middle-income countries (LMICs) invest more and better in people-centred PHC.…”