Spasenoska Dijana, Grundy John, Omam Lundi-Anne, Chaudhri Irtaza Ahmad, Khalid Faraz, O'Connell Thomas S, Tampe Tova
Department of Social Policy, London School of Economics and Political Science, London, UK.
College of Public Health, Medical and Veterinary Sciences, James Cook University Australia, Townsville, Australia.
BMC Glob Public Health. 2024 Apr 4;2(1):23. doi: 10.1186/s44263-024-00046-5.
Primary Health Care (PHC) is the most equitable and cost-effective way to enhance the health of populations and improve health security and is a requirement for achieving universal health coverage (UHC). Vital to advancing the PHC agenda is effective global health partnerships, particularly with Global Health Initiatives (GHIs) which provide financial support for improving population health. Despite progress, GHI support at times remained parallel to rather than embedded in national health strategies. To improve the impact of GHI support, World Health Organization (WHO) member states requested specific guidance to better align GHI support to national health strategies and PHC principles. We present the PHC-GHI Toolbox as a comprehensive set of resources for use by countries to apply the PHC approach to development of plans for securing and optimally utilizing funding received from GHIs, such as Gavi, the Vaccine Alliance; the Global Fund to Fight AIDS, Tuberculosis, and Malaria (GFATM); and the Global Financing Facility (GFF) as well as other donors. The PHC-GHI Toolbox includes a PHC resource database, GHI-specific overviews, a database of health system strengthening (HSS) investments, COVID-19 funding rapid assessment tool, and a focal point database for identifying expert technical assistance. This paper describes the process undertaken for Toolbox development and outlines its potential applications.
初级卫生保健（PHC）是增进民众健康、改善卫生安全最公平且最具成本效益的方式，也是实现全民健康覆盖（UHC）的一项要求。推进初级卫生保健议程的关键在于有效的全球卫生伙伴关系，特别是与全球卫生倡议（GHIs）的伙伴关系，这些倡议为改善民众健康提供财政支持。尽管取得了进展，但全球卫生倡议的支持有时仍与国家卫生战略并行，而非融入其中。为提高全球卫生倡议支持的影响力，世界卫生组织（WHO）成员国要求提供具体指导，以便更好地使全球卫生倡议的支持与国家卫生战略和初级卫生保健原则保持一致。我们推出初级卫生保健-全球卫生倡议工具箱，作为一套全面的资源，供各国用于应用初级卫生保健方法来制定计划，以确保并优化利用从全球卫生倡议获得的资金，如疫苗免疫全球联盟（Gavi）、抗击艾滋病、结核病和疟疾全球基金（GFATM）、全球融资机制（GFF）以及其他捐助方提供的资金。初级卫生保健-全球卫生倡议工具箱包括一个初级卫生保健资源数据库、特定全球卫生倡议概述、卫生系统加强（HSS）投资数据库、COVID-19资金快速评估工具以及一个用于识别专家技术援助的联络点数据库。本文描述了工具箱开发所采用的过程，并概述了其潜在应用。
