BMJ: Strengthening Primary Health Care Through Research: Prioritized knowledge needs to achieve the promise of the Astana Declaration

12 September, 2019

[*Note from HIFA moderator (Neil PW): The message below is forwarded from the Public Health in the Arab World discussion forum. Comment from me below.]

Effective primary health care is a critical part of ensuring health for all. To that end, leaders in many countries are eager to build, reform, and strengthen their primary health care systems to deliver high-quality, integrated, and patient-centered care. The question is, how?

In a sweeping new effort, 76 researchers, practitioners, and policy-makers from 19 countries identified the gaps in global knowledge about what works in primary health care and how to build effective primary health care systems and prioritized a new research agenda that focuses on four key areas:

· organization and models of care

· quality, safety, and performance management

· policy and governance

· financing of primary health care systems

The findings are published in 14 articles in a special issue of BMJ Global Health, Strengthening primary health care through research: Prioritized knowledge needs to achieve the promise of the Astana Declaration.

Dr. Nazar Elfaki

Polices & Health Systems Unit

MOH, Sultanate of Oman

M: +96892308270


The Public Health in the Arab World (PHAW) Listserv


Comment (NPW): The greatest gaps are not gaps in global knowledge. They are the gaps between global knowledge and personal knowledge/information availability of individuals (whether those individuals are health workers, policymakers, or the general public).

The words of the late James Grant, former Executive Director of UNICEF are still relevant today: "The single biggest piece of unfinished business' of the 20th century is to extend the basic benefits of modern science and medicine ... The most urgent task before us is to get medical and health knowledge to those most in need of that knowledge. Of the approximately 50 million people who were dying each year in the late 1980s, fully two thirds could have been saved through the application of that knowledge."

Grant J. Opening Session, World Summit on Medical Education, Edinburgh 1993. Medical Education 1994; 28 (supplement 1): 11.

Best wishes, Neil

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