Major Global Trends to Look Out for in Primary Health Care 2025
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Aim: To explore the major emerging global trends that will impact primary care and primary health care (PHC) in 2025 and beyond, and discuss strategies for PHC adaptation and transformation in response to these trends. Objectives:
To identify key global trends that will shape primary health care in 2025.
To discuss the challenges and opportunities these trends present for PHC workers and health systems in Africa.
To explore practical strategies for adapting to these trends and strengthening PHC resilience.
Join us as we explore the future of Primary Health Care and strategize for a resilient healthcare workforce in Africa!
Africa, a continent of unparalleled diversity and dynamism, stands at a critical juncture in its health care journey. Universal Health Coverage (UHC) remains an aspiration for many African nations, and achieving it requires an approach that is both strategic and contextually appropriate. The AfroPHC Policy Framework emerges as a beacon in this endeavor, illuminating the path towards a health care system that is not only universally accessible but also tailor-made for the unique needs and challenges of the African context.
Originally drafted by Prof. Shabir Moosa, this groundbreaking document is a culmination of insightful discussions, views, and conclusions from the AfroPHC policy workshops held in 2021. This framework is not just a document; it’s a call to action for Africa to be deliberate about UHC by fostering Primary Health Care (PHC) teams that are not only fit for purpose but also intricately tailored for the multifaceted African context. The AfroPHC Policy Framework underscores the importance of robust, community-oriented, and adaptable primary health care systems as the backbone of UHC in Africa.
Prof. Moosa, in collaboration with various stakeholders, infused the framework with rich discussions, views, and conclusions from the policy workshops. These sessions saw vibrant interactions, insightful debates, and the collective wisdom of health professionals, policy-makers, academics, and community representatives, all harmonized into a coherent policy guide.The central tenet of the AfroPHC Policy Framework is simple yet profoundly transformative: to be intentional about UHC by building and adequately supporting Primary Health Care (PHC) teams that are fit for purpose and resonate with the African milieu.
Why is this Framework Crucial? The essence of Universal Health Coverage lies in its inclusivity. Every individual, regardless of their socio-economic background or geographic location, should have access to quality health care without facing financial hardship. However, the generic blueprint for UHC may not effectively address the distinct challenges faced by the African populace. This is where the AfroPHC Policy Framework steps in, emphasizing the need for:
PHC Teams that Understand the Ground Reality: The continent’s health care nuances, from endemic diseases to infrastructural limitations, require teams that are trained, equipped, and motivated to work in the African context. Evidence shows that team based care results in better health outcomes and is more efficient and effective.
Cultural Sensitivity: Africa’s rich tapestry of cultures demands health care approaches that respect and integrate traditional beliefs and practices.
Local Ownership and Empowerment: Rather than imposing external models, there’s a pressing need to empower local communities to have a stake in shaping their health care systems.
Join the Conversation in Sydney, Australia- WONCA World Conference 2023: The AfroPHC Policy Framework is not just a document; it’s a movement. We invite all stakeholders, from health care professionals to policymakers, to delve into this framework and contribute to the discourse. Your insights, experiences, and expertise are invaluable in refining and implementing this vision.
A workshop will be held in Sydney, providing a platform for robust discussions, exchange of ideas, and collaborative strategizing. Be part of this transformative journey and play a role in reshaping Africa’s health care future.
Let’s be intentional. Let’s be African-centered. Let’s pave the way for a UHC that truly serves the heart of Africa.
For more details on the Sydney workshop click here.
As a beacon for frontline health workers devoted to Primary Health Care (PHC) service delivery and the realization of Universal Health Coverage (UHC) in Africa, we are excited to announce the launch of the AfroPHC Policy Framework titled “Building the PHC Team for UHC in Africa.”
Deep Dive into the AfroPHC Policy Framework: Gain insights into our comprehensive guideline crafted to build a resilient PHC team pivotal for driving UHC in Africa.
Engage in Rich Discussions: Partake in an interactive webinar, group deliberations, and a Q&A session to exchange experiences, perspectives, and best practices.
Drive Recommendations: Be part of a collective voice shaping the future of PHC teams, financing models, and effective PHC policy implementations.
Collaborate: Join stakeholders, policymakers, healthcare professionals, and communities in a unified mission to bolster PHC for UHC in Africa.
Event Structure:
Welcome (10 mins): Introduction to the AfroPHC Policy Framework.
Keynote (10 mins): Emphasizing the role of a robust PHC workforce for UHC.
Thematic Presentations (80 mins): Covering topics like multidisciplinary teams, community health workers, PHC financing models, and PHC Implementation Country successes and lessons.
Q&A Session (20 mins): Address audience queries.
Group Discussions (45 mins): Theme-based dialogues to drive actionable insights.
Plenary (60 mins): A summary of group findings and a moderated cross-theme exploration.
RSVP: register in advance for the webinar. Post registration, you will receive a confirmation email with further joining details. Please share this within your networks nad with your members.
In a world where patients and health workers often get lost in bureaucracy, our vision stands clear: an empowered, people-centric PHC team aptly equipped for Africa’s unique needs. We count on your invaluable participation to bring this vision closer to reality.
Meet Our Speakers
Dr. Jeff Markuns is a practicing family doctor and faculty member at Boston University, and currently the President for the North America Region of the World Organization of Family Doctors (WONCA). Most recently, Jeff was the Executive Director of the Primary Health Care Performance Initiative (PHCPI), a partnership between the Bill & Melinda Gates Foundation, the World Bank Group, UNICEF, the Global Fund and the World Health Organization with Ariadne Labs and Results for Development (R4D) as technical partners, all focused on better primary health care measurement for improvement in low and middle income countries. Jeff has particular expertise in education as the current and founding Director of the Masters program in Health Professions Education at Boston University. Jeff’s earlier clinical work has included both outpatient and inpatient services, including 20 years of labor and delivery, his teaching experience included his work as an Assistant Program Director for BU’s residency in Family Medicine, and his operational experience included leading one of BU’s primary Family Medicine clinical units in an affiliated community health center. As the Executive Director of the Global Health Collaborative in the Department of Family Medicine, Jeff’s deep experience with frontline primary health care and the human resource capacity-building necessary to support its success has led to successful long-term vertically and horizontally-integrated development efforts to promote primary health care system strengthening and workforce development, supporting programs throughout southeast Asia and in Lesotho in southern Africa.
Dr. Viviana Martinez-Bianchi is a family doctor, a fellow of the American Academy of Family Physicians, an Associate Professor, and the Director for Health Equity at Duke University’s Department of Family Medicine and Community Health, in North Carolina, USA. She served as Executive Member-at-Large of the World Organization of Family Doctors (WONCA) and WONCA liaison to the World Health Organization from 2016-2021, she is a member of the WONCA Rural Council, and has chaired WONCA’s Organizational Equity committee. She has been a member of the AfroPHC Advisory since its inception. She serves in multiple organizations, boards, taskforces and advisories addressing care for marginalized populations.
Dr. Faraz Khalid is currently a Research and Innovation Officer at Special Program for Primary Health Care at WHO Headquarters, and before this role, he was responsible for coordination for Universal Health Coverage reforms at the WHO’s Eastern Mediterranean Regional Office.
He has taken on multiple roles in the low- and middle-income countries health systems in the last seventeen years. He started his career as a medical doctor, transitioned to a program manager of an award winning innovative mhealth enabled social health protection program in Pakistan, has worked as health systems and financing consultant with World Health Organization, UNICEF, Asian Development Bank, and USAID.
Following his medical training, he completed his PhD in Global Health Policy and Management from Tulane School of Public Health and Tropical Medicine, USA and did Master’s in public health from London School of Hygiene and Tropical Medicine.
Dr. Salim Ali Hussein is a Public Health Practitioner in the Ministry of Health, heading Primary Health Care, in the Ministry of Health, Kenya since July 2019. Passionate in Health System strengthening.
Previously held positions; head of Department of Health Promotion, Division of Community Health and has been a District Medical Officer In Charge of Marsabit District and Makindu Sub District. He holds an MSc Public Health System Management and Application from Kenyatta University and MB ChB from University of Nairobi. I have been trained on Social Innovation and system Change at University of Cape Town, leading high performing healthcare organizations (LeHHO) at Strathmore University, Strategic Leadership Development Programme at Kenya School of Government, in Information, Education & Communication in Health at Okinawa International Centre, Japan, and in Executive Hospital Management at United State International University, Nairobi.
Dr Kalangwa Kalangwa is a Zambian medical doctor working for the Ministry of Health Headquarters as Assistant Director Health Promotion and Community Health in the department of Public Health and Research. He is also the spokesperson for the Ministry of Health. He has a special interest in solving health challenges using a public health approach. He has over 8 years experience in clinical medicine and public health. He holds a bachelor of science in Human Biology, a bachelor of Science in Medicine and Surgery and a masters degree in Epidemiology and Biostatistics, all obtained from the University of Zambia. He is currently perusing an MBA in Healthcare Management at UNICAF
The Virtual Workshops
The policy was constructed by over 500 members from over 20 African countries through virtual workshops since 2020. The workshops occurred on every third Tuesday of every month, 1-4 pm Central African Time, and the aim was to help build a shared perspective amongst PHC team members across Africa. All workshops were in the format of a moderated discussion with panellists and then group discussion and feedback. These workshops were accredited for continuing medical education (CME)/continuing professional development (CPD) across many African countries. They also had English/French/Portuguese translators available.
Final Policy Framework Workshop in Johannesburg, South Africa
In October 2022, AfroPHC was able to host an in-person meeting in Johannesburg, South Africa. The purpose of this meeting was to finalise the policy paper, and the call to action for PHC across the African continent. About 35 members of the AfroPHC Executive and Advisory Board convened, together with other key stakeholders and experts, as the first in-person meeting of AfroPHC.
The Executive Summary
As the largest grassroots African institution specifically dedicated to advocating for frontline health workers who are committed to PHC service delivery and universal health coverage (UHC), we call on all stakeholders across Africa to build and empower effective PHC teams to achieve high quality PHC and UHC in Africa.
Our experience of primary health care (PHC) is of patients who are treated as numbers in a queue, with poor comprehensiveness, continuity, and coordination. Health workers are also treated like numbers in a bureaucracy that fragments and undermines training and service for integrated care around patient and population needs.
Our vision for PHC and UHC is a PHC team with skills mix appropriate to Africa, including family doctors, family nurse practitioners, clinical officers, community health workers and others that are empowered to take care of an empaneled population in high-quality people centred PHC.
Africa, please heed to the call of your health professionals.
Currently, the PHC system in Africa faces many new challenges AND opportunities. To date, human resources for health in PHC are grossly insufficient in number, often inefficiently and inequitably distributed, lacking adequate training for delivering fully responsive and comprehensive frontline care, and are treated inequitably within the health system. Projections for the African health workforce suggest this will worsen over the next five years. There has been a lack of solidarity among key role players in healthcare to create adequate PHC funding in Africa. Resources do not appropriately or adequately reach the frontline PHC service platform due to outdated service delivery and payment models. However, there are opportunities that leaders can capitalize on: global PHC milestones, increasing political will for investment in PHC, and proven mechanisms for achieving a stronger workforce such as the professionalization and scaling up of community health workers, clinical role-sharing, and the integration of family doctors, advanced practice nurse practitioners and allied health professionals into PHC.
We call on African leaders and global stakeholders to develop and implement a regional forward-looking plan to:
1)Build robust PHC SYSTEMS.
This must be based on a high quality bio-psycho-social-spiritual approach for PHC that is comprehensive, coordinated and integrated person- family- and community-centred. It must integrate PHC priorities and Health in All Policies. It must be based on empanelling of defined populations to a specific PHC team using community oriented primary care. It must be supported by interoperable e-Health and a strong District Health System to coordinate public and private providers.
2)Educate, recruit and maintain a sufficient frontline PHC WORKFORCE.
This must include a complete workforce of locally trained family doctors, nurses, advanced practitioners, pharmacists, professionalized community health workers and others sufficient to deliver high quality PHC. This workforce must involve role-sharing with supportive supervision; distributed leadership; clinical governance by accountable clinicians; and an integrated human resources development and management plan suitable to PHC.
3)Support PHC with FINANCES.
There must be political and sustained funding action that considers PHC as an investment; a fight for global solidarity action on PHC funding pools; and better management of PHC across Africa with strategic purchasing and payment reforms using blended capitation.
This can all come together easily in a simple nationally-defined PHC contract using risk-adjusted blended capitation payment to decentralised PHC teams empanelled to enrolled populations, coordinated by the district health services to provide services to the full population, and easily administered at national or sub-national level for empowered public and private providers.
As the African Forum for Primary Health Care, we call on Africa to commit to making this plan a reality and building effective PHC teams for UHC in Africa. We commit to mobilising PHC workers across Africa to create PHC teams around empanelled populations as sentinel sites across Africa to share best practice and to show evidence of how effective we can be at both practice and population level if we are empowered to deliver quality PHC as a team.
The AfroPHC Call to Africa: Join AfroPHC and build effective primary health care teams for universal health coverage in Africa
In opening we call on Africa
To pay heed to the call of its health professionals for PHC and UHC in Africa.
To seize opportunities to overcome African challenges for PHC and UHC in Africa.
To embrace the World Health Report of 2008 and Astana Declaration of 2018 by prioritizing integrated, resilient, person-centred and high quality PHC within UHC, re-organising UHC around PHC service delivery, integrating public health with primary care, and bringing private PHC providers into a regulated PHC system for UHC in Africa.
In terms of PHC Systems we call on Africa
To embrace the disciplines of family medicine and generalist PHC, with its bio-psycho-social-spiritual approach to care, to achieve PHC and UHC in Africa by 2023 that is personalised, comprehensive, continuous, and coordinated, in line with global standards.
To embrace primary care, defined by WHO as an essential level of care, that needs to be responsive, person- family- and community-centred and covers the full spectrum of care within the paradigm of OneHealth for PHC and UHC in Africa by 2023.
To integrate priority programmes (communicable diseases, non-communicable diseases, mother-woman-child health, violence-trauma, mental health etc.) into PHC in a diagonal manner that both supports these vertical priorities as well as supporting horizontal integration by PHC teams around patient and population for UHC in Africa by 2033.
To strengthen rehabilitation and palliation in PHC by 2033 with decentralised and well-funded community rehabilitation and palliation services, where teams with an appropriate mix of skills and professional supervision are linked to multiple community practices for accountable care.
To integrate oral health into PHC by 2033 with team-based service delivery models that includes appropriate role- and task-sharing with a range of oral health care practitioners and dentist support and supervision and that are linked to multiple community practices for accountable care.
To strengthen access to medicines and investigations with greater embrace of pharmacy professionals and point-of care technology at PHC level to achieve PHC for UHC in Africa by 2033.
To strengthen coordination of PHC referrals to hospitals with the placement of postgraduate-trained family doctors in PHC teams by 2033 to achieve UHC in Africa.
To prioritise PHC as the foundation for UHC: making “Health in All Policies” an integrating and developmental public health approach to decentralised government, and strengthening PHC teams with local linkages to other sectors affecting social determinants of health by 2023 to deliver PHC and UHC in Africa.
To strengthen the district health service to coordinate decentralised and empowered providers by 2033 and to ensure they deliver on agreed-upon results as they implement PHC and UHC in Africa.
To embrace the strategy of empanelment of a defined population and linking them to a defined, fully staffed, and equipped PHC team and medical home by 2023 as a foundational step to achieving PHC and UHC in Africa.
To embrace community-oriented primary care in community practices of 30 000 by 2033 and aspire to community practices of 10 000 for achieving PHC and UHC in Africa by 2043.
To embrace the Blueprint for Rural Health and rural proof all health policies by 2023 to support rural and marginalised urban primary health care comprehensively, especially creating stepladder entry requirements for educational institutions and rural/marginalised urban student immersion for the full PHC team, to achieve PHC and UHC in Africa.
To recognise the unique challenges of women in PHC and to explore innovative and sustainable interventions to overcome these for PHC and UHC in Africa
To recognise the unique opportunities of youth in PHC and to explore innovative and sustainable interventions to address these for PHC and UHC in Africa.
To embrace the variety of eHealth solutions for PHC by ensuring that sustainable national e-health strategies are supported by accessible infrastructure, interoperability and user-friendly designs that enable the PHC team and patients/populations to enhance quality and support new models of care in PHC and UHC in Africa.
To engage communities and ensure social participation in advancing team-based PHC across Africa.
To embrace the culture of quality and patient safety with strong teamwork, and to measure and monitor performance to achieve quality PHC and UHC in Africa.
To develop and support practice and population research sites focussed on PHC across Africa and to expand the range of indicators that will assess the effectiveness of PHC teams empanelled to populations as a key service delivery reform
In terms of PHC Workforce we call on Africa
To build a larger, better trained PHC workforce (integrating public and private providers) with more opportunities (educational, financial, and clinical) and greater resources (starting with structurally defining PHC services) to enable PHC and UHC.
To acknowledge the burden on all cadres in PHC and to embrace trans professional collaboration with a mix of all health professionals using respectful, collaborative role sharing and supportive supervision for achieving PHC and UHC in Africa.
To embrace distributed leadership practices, and education for it, among all PHC workers and managers to achieve PHC and UHC in Africa.
To embrace the important role of medical, dental, nursing and other professions with post-graduate training for decentralised primary care settings to support clinical governance, coordinated care and efficient referrals to achieve PHC and UHC in Africa.
To standardise, professionalise and decently remunerate community healthcare workers that are strongly integrated with the PHC team, and furthermore to aspire to a target of one CHW per thousand persons by 2043 to achieve PHC and UHC in Africa.
To clarify and harmonise PHC workforce nomenclature for the different categories and disciplines in PHC, and to then embark on labour market analyses in PHC (including public and private) and specific PHC human resource for health (HRH) policies and strategic plans to scale up the PHC health workforce by 2033 to achieve PHC and UHC in Africa.
To implement a robust educational and credentialing systems for developing a competent workforce dedicated to delivering comprehensive PHC services necessary to achieve UHC in Africa.
To protect all PHC workers as a precious and vulnerable resource and to empower them to build quality and resilience as a team that works closely with communities to achieve PHC and UHC for Africa.
In terms of PHC Finances we call on Africa
To regard health as an investment and to leverage political goodwill for action on PHC/UHC by defining PHC in budget terms, ringfencing the financing of PHC and committing to at least 2% of their GDP on PHC for UHC in Africa.
To re-examine global social solidarity on PHC and strengthen contributions to PHC for UHC in Africa as a priority, starting with High-Income Countries increasing ‘donor aid’ to 2% of their health spend and ‘donor aid’ funds allocating 30% to an African Union funding pool for integrated PHC and UHC in Africa by 2033.
To work towards better funded single pools for UHC funding, prioritising strategic purchasing for PHC with standard and transparent contracting of both public and private providers in empowered decentralised units of PHC for UHC in Africa by 2043.
To embrace PHC teams paid by blended capitation models (including capitation, fee-for-service and performance payments) to achieve holistic and responsive PHC and UHC in Africa by 2043.
To embark on simple nationally-defined PHC contracting to community practices for accountable care from both public and private service providers.
In closing,
We call on Africa to empower and build an effective PHC team to achieve PHC and UHC in Africa. We, as the African Forum for Primary Health Care (AfroPHC), commit to educating and empowering providers and their communities at the frontline to support this goal in any way we can, including
building AfroPHC Chapters at country level as a forum
Join us as AfroPHC EC and President share country experiences in PHC, in collaboration with the Johns Hopkins Bloomberg School of Public Health, in a webinar on ‘Countries PHC System Experience: Lessons from Uganda, Kenya & Ethiopia’ as part of our series on Primary Health Care: Strengthening PHC Systems in LMICs. This session will feature speakers from Uganda, Kenya, and Ethiopia. Register here: https://lnkd.in/eBK9ie4m
Dear all, I wish to invite you to the AfroPHC Research Mentorship Programme meeting coming up on Tuesday 4th July, 2023 at [4-6pm GMT, 5-7pm WAT, 6-8pm CAT/SAST and 7-9pm EAT.] Lecture Title: Introduction to Research in PHC; Developing a Good Research Question. Lecture Speaker: Dr Mercy Wanjala
Tobacco kills up to half of its users. a plant with leaves that have high levels of the addictive chemical nicotine. After harvesting, tobacco leaves are cured, aged, and processed. In various ways. the resulting products may be smoked (in cigarettes, cigars, and pipes), applied to the gums (as dipping and chewing tobacco), or inhaled (as snuff).
Tobacco kills more than 8 million people each year. More than 7 million of those deaths are the result of direct tobacco use while around 1.2 million are the result of non-smokers being exposed to second-hand smoke. Keep the key to life in your hands, don’t give it to tobacco. Continued tobacco use corresponds to poorer addiction treatment outcomes, including a higher likelihood of relapse to substance use. The integration of tobacco-related services into addiction treatment can improve treatment outcomes, promote recovery, and reduce the well-established harms of ongoing tobacco use, including tobacco-related death and disease. Eliminate tobacco from your life before it kills you.
“I have taken inspiration from nature and feel one can achieve anything if one pursues it with diligence and perseverance and I have set my heart on attaining to do. This will equip me well in the art of assessing and cultivating human relationships, which is a necessity in any type of workplace and a discerning community as a whole, and having an opportunity to be part of this organization will be a value-added to my educational interests, involvement in a sorority and volunteer activities demonstrate attributes that make me a valuable employee in career practices. included in my list of talents leadership skills, reliability and work ethics in all roles and volunteer activities. Community involvement in volunteer programs such as community challenge and professional development programs in applied sciences and other resourced-based areas in education and early career practice, health, population surveys and census.”
OBJECTIVES:
Identify personal and socio-cultural beliefs, attitudes, values, and behaviours regarding tobacco and other drug use, as well as strategies for prevention through a visual display project on a specific drug-related topic or theme.
Identify and access community resources that deal with drug education (prevention, use, misuse, abuse, and public education) and incorporate this information into a visual display project.
Build teamwork skills that encourage collaborative work on a drug-related visual display, oral presentation, and written report.
This is a presentation on what stress is, and how it affects the body. It is also supposed to be an interactive and reflective session with the participants.
Webinar Title: Stress and Wellness
Objectives:
Understand stand stress How to note stress How to self-manage a stressful situation When to seek care Speaker: Miss Yvonne Kiogora
“My name is Yvonne Nkatha Kiogora. A practising Clinical Officer in Nairobi- Kenya. I have over 10 years in clinical practice. I have an expansive experience in both the public and private health sectors in different capacities. I am also trained in public health. Currently winding up my specialization in Mental health and Psychiatry. I am also pursuing a master’s in public health. I have a great love for mental health and wellbeing. I have been involved in community awareness of mental health through online media and also physically.”
AfroPHC has been developing a primary healthcare policy framework that is being launched on the 14th of March 2023. The framework consists of 31 main points/goals plus an opening and closing. Now, we are hosting a competition to create videos for each of the 33 points.
This competition is for healthcare students and professionals in Africa. Participation will be in groups and to participate, the group leader has to register below and download the video scripts document. This document has 33 scenes, one for each of the 33 points in the policy framework. In the scripts document, the policy framework points are in given in peach background. And this document can be downloaded here: https://drive.google.com/file/d/1tcbBgmYaFECY3v3UPXveiBGssCnKue39/view?usp=drivesdk
The participants are to shoot 5 videos for any 5 scenes directed in the scripts document. Each video should be atleast 15 seconds and atmost 30 seconds long (15-30 seconds long). The participants are to shoot the videos as directed in the scripts. They are free to make slight changes, the number of the main cast in the introduction and closing scenes can be reduced to 5. If participants feel like they can do one or more of the scenes in a better way than the one directed, they should email their suggested script(s) to innocential@innocentialdiaries.xyz for approval first before shooting. Such scripts will not be shared with other participants.
The participants are expected to collaborate with their healthcare centers for the video shooting and the equipment required. The scripts documents lists the extra requirements that might not be available in a healthcare center. Anyone can play any role given in the scripts document. However, identity clothing is required for each specified role. For example, a student nurse can act as a doctor in the play provided he dresses as a doctor in that play. The videos are to be simple and there’s no need for professional equipment or editing.
Technical requirements include:
Minimum resolution of the video of at least 720p.
The videos should have an aspect ratio of horizontal 4:3.
A maximum file size of 300MB, while utilizing commonly used video-codecs (e.g. H.264) and formats (.mov or .mp4).
Audio with a minimum bitrate of 128kbps.
Do not add text or watermarks or logos on the videos.
Only the calls should be cited in the videos. The words spoken in the videos should only be the calls recited.
The videos should not be significantly inclined torwards one gender.
Name the video files according to the scene titles given.
After shooting the 5 videos, the participants must put them in a Google drive folder and email the link to innocential@innocentialdiaries.xyz. Make sure this email has been granted access to the folder. These 5 videos should be submitted before the deadline, 12 February 2023, 2359hrs GMT+2. We will then shortlist two teams, and these two teams would have to shoot the videos for the remaining 28 scenes (to make a total of 33 videos, one video for each of the scenes given). They are to submit these videos as described above before the deadline, 28 February 2023, 2359hrs GMT+2.
The winners will be announced within a week, on this page and on our social accounts. There will be 2 winners. The 1st place will be awarded $500US. The second place will be awarded $250US. The ranking will be done by a set of judges and it will be based on creativity, quality and excellence. The winning participants will be required to grant AfroPHC the copyrights and ownership of their video content before being awarded the cash prizes.
Join our next webinar, hosted & sponsored by the African Forum for Primary Health Care & WONCA Africa. The presentation is about the approach to ATF – Antiretroviral Treatment Failure. The webinar will be held in English.
Webinar Title: “Antiretroviral Treatment Failure”
Objectives: 1. Assessing Adherence 2. Facilitating Adherence 3. 2nd and 3rd Line Regimens 4. Resistance Testing
Speaker: Dr Melanie Collins – General practitioner at Good Life Clinic in Johannesburg, South Africa. Focused predominantly on HIV prevention, diagnosis, and management, as well as Mental Health.
The African Forum for Primary Health Care (AfroPHC) will be convening a Final Consultation Workshop on 25th and 26th October 2022 in Johannesburg to conclude the extensive consultation process for the AfroPHC Policy Framework being developed. About 35 members of the AfroPHC Executive and Advisory Board are expected to participate, together with other key stakeholders and experts, as the first in-person meeting of AfroPHC.
In order to enhance the workshop there will be two public seminars/webinars 8-10pm South African time on 24th and 25th of October at the auditorium of Wits School of Public Health.
24th October
Prof. Kara Hanson: Overview of Lancet Global Health Commission Report on PHC Financing
Dr. Oludare Bodunrin: Overview of African Strategic Purchasing for PHC in Africa
25th October
Prof Shabir Moosa: Overview of National Health Insurance and PHC efforts in South Africa, including Proof of Concept in Johannesburg
She has spent the last 30 years researching the economics of health systems in low- and middle-income countries. Her major contributions are in the areas of health financing and the private health sector. She chaired the recent Lancet Global Health Commission on Financing Primary Health Care, and have authored key publications on how strategic purchasing can help to improve health system performance. Her work on the private sector has contributed to understanding of the opportunities and limitations of using the private sector to extend access to critical public health interventions and, more recently, to the challenges of regulating healthcare markets. She frequently advise national governments and international organisations on health system and financing issues. She is President-Elect of the International Health Economics Association.
Dr. Oludare (‘Dare) Bodunrin
Over the last decade, Oludare Bodunrin has been working on strategic initiatives to deliver quality health care to underserved populations in Nigeria. Fondly called ‘Dare, he currently serves as the Acting Director and Technical lead at the SPARC, a strategic purchasing initiative hosted by Amref Health Africa to broker support to countries as they design and implement reforms geared towards efficient and equitable use of financial resources for health. Before joining SPARC, he served as a senior program officer at the Results for Development (R4D) in Nigeria during which he led the design and implementation of Social Health Insurance Schemes, facilitated joint learning about sub-national healthcare policy makers and managed key program functions as country representative of R4D Nigeria. ‘Dare’s professional interest and experience includes, health insurance design and implementation, supply chain for healthcare commodities, primary healthcare systems strengthening, private sector engagement and Not-for-Profit Management. He strongly advocates for self-sufficiency, mutually beneficial partnership and home-grown evidence-based solutions for sustainable development in Africa
Prof Shabir Moosa
Prof Shabir Moosa is a family physician with an MBA and PhD. He works in public service clinics of Soweto and at the University of Witwatersrand, Johannesburg, South Africa. He has extensive experience in rural general practice and the development of family medicine and primary care services in both rural and urban district health services in South Africa and Africa. Shabir is involved in development and research around family medicine, community-oriented primary health care (COPC) and health management for Universal Health Coverage (UHC) in Africa. He is Member at Large in the Executive Committee of WONCA (World Organisation of Family Doctors), and Executive Coordinator of AfroPHC, the African Forum for Primary Health Care (PHC), bringing African PHC team leaders together to advocate for PHC and UHC
Join us at our next interactive AfroPHC Policy Workshop on “Bridging the Gap: Health Equity in PHC in Africa” 11am-2pm Ghana, 12pm-3pm Nigeria, 1-4 pm Central/Southern Africa and 2-5pm Kenya next Tuesday 18th October. Check your local time here. Link below
Our panel, moderated by Ms. Rawia Kamal, is made up of the following expert: Morrish Humphrey Ojok, Kim Yu and Viviana Martinez-Bianchi.
After the panel discussion of 1 hour, we will break up into small groups with specific facilitators / language groups for 45 minutes to discuss the following question/s.
In your experience, what are the factors that have contributed to health disparities and inequities in the access and delivery of primary health care from:
A community perspective?
A healthcare worker/ service delivery perspective?
What are some of the solutions you would recommend addressing these gaps and promote health equity?
We will close the meeting with feedback and summarise key issues. We want to build discussions into the draft AfroPHC Policy Document “Building the PHC Team for UHC in Africa”. The panel and feedback will have French translations. See more details, including speaker’s bios below.
Morrish Humphrey Ojok Country Manager Amref Health Africa in South Sudan. Morrish Humphrey Ojok serves as the Country Manager of Amref Health Africa in South Sudan. Morrish is an experienced leader in the field of global public health, health in emergencies and sexual and reproductive health and international development. He has extensive experience in driving complex programme deployment, monitoring and evaluation, strategic planning, and management in multiple countries. Morrish has over 17 years’ experience developing and delivering organizational strategies, with extensive experience of complex management and governance issues. He strongly believes that its through Primary Health Care that Universal Health Coverage can become a reality in Africa. He also believes that through partnership and collaboration with all stakeholders at all levels from community level, Government, private sector and with support from the broader international community and donors, innovative, culturally sensitive, and appropriate solutions to Africa’s health challenges can be found and fostered.
Dr. Kim Yu: Board certified in family medicine, Dr. Kim Yu is National Director for Clinical and Community Partnerships for Aledade, based in Orange County, California. Dr. Yu speaks internationally and trains family physicians, residents and medical students on health equity, population health, value-based care, health IT, leadership, advocacy, disaster relief, social media, and physician wellness. Dr. Yu currently serves as President of the Orange County Chapter of the California Academy of Family Physicians; She also chairs WONCA’s Special Interest Group in Health Equity and is AAFP delegate to the AMA. She is past president of the Michigan Academy of Family Physicians.
Dr. Viviana Martinez- Bianchi: Dr. Viviana Martinez-Bianchi is an associate professor in Duke’s Department of Family Medicine and Community Health, and named North Carolina’s 2021 Family Physician of the Year by the North Carolina Academy of Family Physicians (NCAFP). The honor is the most prestigious award from the NCAFP, the state’s largest specialty medical association, comprised of more than 4,300 members. Dr. Martinez-Bianchi, a family physician committed to health equity in her community and around the world, serves as Director of Health Equity for the Department of Family Medicine and Community Health at Duke University. She is a co-founder of the Latinx Advocacy Team & Interdisciplinary Network for COVID-19, better known as LATIN-19. The group was established in March of 2020 to address inequities in the COVID-19 pandemic response, the health system in general and communities in Central North Carolina. Prior to becoming Director of Health Equity, Dr. Martinez-Bianchi served as Program Director for the Duke Family Medicine Residency Program.
The International Institute for Primary Health Care-Ethiopia, in collaboration with Johns Hopkins Bloomberg School of Public Health is hosting a webinar on ‘Implementation research for PHC’ as the next installment in our series on Strengthening PHC Systems in LMICs. Professor Getnet Mitike of IPHC-E will moderate this session, with speakers joining us from The Johns Hopkins Bloomberg School of Public Health, USA and Pathfinder International…more
”Primary Health Care – the heart of every health system”, a 10-part seminar series runs from October 2022 to July 2023 providing an overview of the key features and functions of PHC, the potential of PHC in all health systems and its role in achieving universal health coverage.
The first session will be: Panel Discussion: Primary Health Care, the heart of every health system? 12.45 – 13.45, Wed 5 Oct 2022 Introduction: Liam Smeeth (LSHTM) Panellists: Kara Hanson (LSHTM), Shannon Barkley (WHO), Alex Mold (LSHTM), Shabir Moosa (Wits University) Chairs: Luke Allen (LSHTM) & Luisa Pettigrew (LSHTM)
Join us 1-3pm GMT this Friday 30th September to meet with as many colleagues from our Supporting Organisations https://atomic-temporary-69625775.wpcomstaging.com/supporting-organisations/ [with English-French translators]. The consultation will be facilitated by members of the Executive Board. The agenda is as follows. The link is below
Welcome/Introductions
Introduction to AfroPHC and Chapter Discussions on “What are the challenges of PHC in the region?”
Review of AfroPHC Policy Framework Discussions on “The Draft Policy Framework: what we like, don’t like and suggestions”
Join the AfroPHC WhatsApp groups and engage in discussions before and after our consultations https://chat.whatsapp.com/GV7f8h3T4vpAMYixbMCMiC See more here [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
We are very keen that as many local stakeholders participate. These include professional associations, ministries of health, accreditation / certification bodies, academics, patient advocacy groups etc. Please feel free to share this email to any key stakeholders you think should be there and ask them to join us to discuss AfroPHC and the Policy Framework.
Rejoignez-nous ce vendredi pour consulter les organisations de soutien
Nous tenons vraiment à ce que le plus grand nombre de personnes s’engagent avec AfroPHC et le projet de cadre politique. Vous pouvez faire un commentaire ici.
Rejoignez-nous de 13h à 15h GMT ce vendredi 30 septembre pour rencontrer autant de collègues de nos organisations de soutien https://atomic-temporary-69625775.wpcomstaging.com/supporting-organisations/ [avec des traducteurs anglais-français]. La consultation sera animée par les membres du Conseil d’administration.
L’ordre du jour est le suivant. Le lien est ci-dessous
• Bienvenue/Présentations
• Introduction à AfroPHC et discussions de chapitre sur « Quels sont les défis des SSP dans la région ? »
• Examen des discussions sur le cadre politique d’AfroPHC sur “Le projet de cadre politique : ce que nous aimons, n’aimons pas et suggestions”
• Discussions sur « Comment faire avancer AfroPHC ? »
Rejoignez les groupes AfroPHC WhatsApp et engagez des discussions avant et après nos consultations https://chat.whatsapp.com/GV7f8h3T4vpAMYixbMCMiC Voir plus ici [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
Nous tenons à ce qu’un maximum d’acteurs locaux y participent. Il s’agit notamment d’associations professionnelles, de ministères de la santé, d’organismes d’accréditation/de certification, d’universitaires, de groupes de défense des patients, etc. N’hésitez pas à partager cet e-mail avec toutes les parties prenantes clés qui, selon vous, devraient être présentes et à leur demander de se joindre à nous pour discuter d’AfroPHC et du cadre politique. .
Join us 1-3pm GMT this Friday 23rd September to meet with as many colleagues from HIFA, WHO AFRO, UNICEF, WorldBank, AU, CDC, AMREF, PHCPI Allies [with English-French translators]. The consultation will be facilitated by Shabir Moosa and Mercy Wanjala
The agenda is as follows. The link is below
Welcome/Introductions
Introduction to AfroPHC and Chapter Discussions on “What are the challenges of PHC in the region?”
Review of AfroPHC Policy Framework Discussions on “The Draft Policy Framework: what we like, don’t like and suggestions”
Join the AfroPHC WhatsApp groups and engage in discussions before and after our consultations https://chat.whatsapp.com/GV7f8h3T4vpAMYixbMCMiC See more here [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
We are very keen that as many local stakeholders participate. These include professional associations, ministries of health, accreditation / certification bodies, academics, patient advocacy groups etc. Please feel free to share this email to any key stakeholders you think should be there and ask them to join us to discuss AfroPHC and the Policy Framework.
Rejoignez-nous ce vendredi pour consulter les principales parties prenantes
Bonjour {{Subscriber.firstname}}
Nous tenons vraiment à ce que le plus grand nombre de personnes s’engagent avec AfroPHC et le projet de cadre politique. Vous pouvez faire un commentaire ici.
Rejoignez-nous de 13h à 15h GMT ce vendredi 23 septembre pour rencontrer autant de collègues de HIFA, WHO AFRO, UNICEF, WorldBank, AU, CDC, AMREF, PHCPI Allies [avec des traducteurs anglais-français]. La consultation sera animée par Shabir Moosa et Mercy Wanjala
L’ordre du jour est le suivant. Le lien est ci-dessous
Bienvenue/Présentations
Introduction à AfroPHC et discussions de chapitre sur « Quels sont les défis des SSP dans la région ? »
Examen des discussions sur le cadre politique d’AfroPHC sur “Le projet de cadre politique : ce que nous aimons, n’aimons pas et suggestions”
Discussions sur « Comment faire avancer AfroPHC ? »
Rejoignez les groupes AfroPHC WhatsApp et engagez des discussions avant et après nos consultations https://chat.whatsapp.com/GV7f8h3T4vpAMYixbMCMiC Voir plus ici [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
Nous tenons à ce qu’un maximum d’acteurs locaux y participent. Il s’agit notamment d’associations professionnelles, de ministères de la santé, d’organismes d’accréditation/de certification, d’universitaires, de groupes de défense des patients, etc. N’hésitez pas à partager cet e-mail avec toutes les parties prenantes clés qui, selon vous, devraient être présentes et à leur demander de se joindre à nous pour discuter d’AfroPHC et du cadre politique.
Join us at our next interactive AfroPHC Policy Workshop on “Women in African PHC” 11am-2pm Ghana, 12pm-3pm Nigeria, 1-4 pm Central/Southern Africa and 2-5pm Kenya next Tuesday 20th September. Check your local time here. Link below
Our panel, moderated by Dr Jamie Colloty, is made up of the following expert: Dr. Elizabeth Reji, WONCA Working Party for Women in Family Medicine.
After the panel discussion of 1 hour, we will break up into small groups with specific facilitators / language groups for 45 minutes to discuss the following question/s.
“What are the barriers/limitations to the involvement and participation in primary health care in Africa?( From both patient/community and provider perspective)”
“What sustainable solutions can we implement to overcome these barriers/ limitations?”
We will close the meeting with feedback and summarise key issues. We want to build discussions into the draft AfroPHC Policy Document “Building the PHC Team for UHC in Africa”. The panel and feedback will have French translations. See more details, including speaker’s bios below.
Dr. Elizabeth Reji has been in WONCA Africa Executive Committee for the past 10 years as the member at large and currently, the treasurer of this committee.A member of the Organisation Equity Committee WORLD WONCA and the Finance committee of the WONCA World. Ex-lead of WWPWFM Africa & currently, the Chair Elect for the WWPWFM WORLD. She holds a Master’s degree in Family Medicine (Pretoria university), Fellowship (College of Medicine, South Africa), Postgraduate Diploma in Health Science Education (Witwatersrand university). She is an Educator, Clinician, Administrator, Manager and Researcher. My mission is to encourage women to become a leader in any sphere of life.
Join us 1-3pm GMT this Friday 16th September to meet with as many colleagues from South Africa, Zimbabwe, Namibia, Botswana, Lesotho, Eswatini [with English-French translators]. The consultation will be facilitated by Cynthia Chaibva and Jamie Colloty
The agenda is as follows. The link is below
Welcome/Introductions
Introduction to AfroPHC and Chapter Discussions on “What are the challenges of PHC in the region?”
Review of AfroPHC Policy Framework Discussions on “The Draft Policy Framework: what we like, don’t like and suggestions”
Join the AfroPHC Southern Africa WhatsApp group and engage in discussions before and after our consultations https://chat.whatsapp.com/GV7f8h3T4vpAMYixbMCMiC See more here [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
We are very keen that as many local stakeholders participate. These include professional associations, ministries of health, accreditation / certification bodies, academics, patient advocacy groups etc. Please feel free to share this email to any key stakeholders you think should be there and ask them to join us to discuss AfroPHC and the Policy Framework.
Join us 1-3pm GMT this Friday 9th September to meet with as many colleagues from Nigeria, Ghana, Niger, Guinea, Benin, Burundi, Togo, Sierra Leone, Liberia, Mauritania, Gambia, Cote d’Ivoire, Burkina Faso, Mali, Senegal [with English-French translators]. The consultation will be facilitated by Joseph Ana and Umar Ibrahim.
The agenda is as follows. The link is below
Welcome/Introductions
Introduction to AfroPHC and Chapter Discussions on “What are the challenges of PHC in the region?”
Review of AfroPHC Policy Framework Discussions on “The Draft Policy Framework: what we like, don’t like and suggestions”
Join the AfroPHC Western Africa WhatsApp group and engage in discussions before and after our consultations https://chat.whatsapp.com/DvJvzMzonXr7E0Zt7ED8Wa See more here [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
We are very keen that as many local stakeholders participate. These include professional associations, ministries of health, accreditation / certification bodies, academics, patient advocacy groups etc. Please feel free to share this email to any key stakeholders you think should be there and ask them to join us to discuss AfroPHC and the Policy Framework.
Rejoignez-nous ce vendredi pour consulter en Afrique de l’Ouest
Nous tenons vraiment à ce que le plus grand nombre de personnes s’engagent avec AfroPHC et le projet de cadre politique. Vous pouvez faire un commentaire ici.
Rejoignez-nous de 13h à 15h GMT ce vendredi 9 septembre pour rencontrer autant de collègues du Nigeria, du Ghana, du Niger, de la Guinée, du Bénin, du Burundi, du Togo, de la Sierra Leone, du Libéria, de la Mauritanie, de la Gambie, de la Côte d’Ivoire, du Burkina Faso, du Mali, Sénégal [avec traducteurs anglais-français]. La consultation sera animée par Joseph Ana et Umar Ibrahim.
L’ordre du jour est le suivant. Le lien est ci-dessous
• Bienvenue/Présentations
• Introduction à AfroPHC et discussions de chapitre sur « Quels sont les défis des SSP dans la région ? »
• Examen des discussions sur le cadre politique d’AfroPHC sur “Le projet de cadre politique : ce que nous aimons, n’aimons pas et suggestions”
• Discussions sur « Comment faire avancer AfroPHC ? »
Rejoignez le groupe WhatsApp AfroPHC Afrique de l’Ouest et engagez des discussions avant et après nos consultations https://chat.whatsapp.com/DvJvzMzonXr7E0Zt7ED8Wa Voir plus ici [https://atomic-temporary-69625775.wpcomstaging.com/chapters/].
Nous tenons à ce qu’un maximum d’acteurs locaux y participent. Il s’agit notamment d’associations professionnelles, de ministères de la santé, d’organismes d’accréditation/de certification, d’universitaires, de groupes de défense des patients, etc. N’hésitez pas à partager cet e-mail avec toutes les parties prenantes clés qui, selon vous, devraient être présentes et à leur demander de se joindre à nous pour discuter d’AfroPHC et du cadre politique.
Collaborator(s) with access to major databases such as CINAL, EMBASE etc) are needed to do a review (any type) or secondary analysis on rural nursing or practice in Africa which will result in presenting at a rural health conference in Sydney next year.
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AfroPHC 