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Framework for provision of essential health services through strengthened district/local health systems to support UHC in the context of the SDGS: report of the Secretariat / Regional Committee for Africa, 69

Tác giả : Regional Committee for Africa, 69

Nhà xuất bản : World Health Organization. Regional Office for Africa

Năm xuất bản : 2019

Chủ đề : 1. Goals. 2. Health Services. 3. Regional Health Planning. 4. Universal Health Care. 5. Governing body documents.

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Tóm tắt :

13 p. In the context of the sustainable development agenda, the focus of Sustainable Development Goal 3 (SDG3) is on ensuring healthy lives and well-being for all at all ages. Several international declarations recognize the district health system as an important vehicle for achieving universal health coverage (UHC) where everyone gets quality care when needed without incurring financial hardship,including the October 2018 Declaration of Astana on primary health care.2.A district health system refers to a network of organizations and health facilities that provides equitable, comprehensive and integrated health services to a defined population. Member States have made progress in district health system reforms,but their health systems are at different stages. On average, the African Region provides only 48% of thehealth services that could be potentially provided, due togaps in the availability of health services at health facilities as well as in the capacity of health facilities to deliver the requisite services.3.National health systems in the African Regionare beset by various issues and challenges, including:shortage of resources;poor organization and management;poor governance;limited capacity for data and information;inadequate medicines,health commodities and supplies;limited health service packages;weak referral systems;unavailability and lack of continuity of basic servicesduring health emergencies;and poor and inappropriate health infrastructure. On the other hand, there have been advances in technology, including the development of new medicines andvaccines, and digital health.4.A framework for provision of essential health services through strengthened district/local health systems to support UHC in the context of the SDGs has been developed. The framework has the following objectives: to guide Member States to strengthen and sustain district health systems in order to provide essential health services; and to articulate priority actions to enable Member States to deliver essential health services that respond to individual and communityneeds across the entire lifecycle. It sets targets and milestones and priority interventions to guide Member States on ways ofensuring thedelivery of quality health services to all through a proposed set of priority interventions and actions that address the issues and challenges encountered.5.The Regional Committee examinedand adoptedthe priority interventions and actions proposed in theFramework.

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https://iris.who.int/handle/10665/332966