Primary health care contributions to universal health coverage, Ethiopia

Using the framework of the Primary Health Care Performance Initiative we describe and analyse the practice of primary health care and identify successes and challenges. [...] UHC is about ment.16 Since 1993 primary health care has been the core of giving all people access to quality health services according to the country’s health system.16 The structure and composition need, while also ensuring that the use of these services does of the system has evolved over time and currently consists of not expose the user to financial hardship.1,2 Although there is primary hospi [...] We used the five domains of the UHC in these countries.12,15 Primary Health Care Performance Initiative conceptual frame- Ethiopia has been implementing the primary health-care work to guide the extraction and analysis of quantitative and approach since the mid-1970s when it developed its health qualitative data: (i) policy and system; (ii) inputs; (iii) contex- a School of Public Health, The Univ [...] The programme focuses on four areas: (i) promotion of hygiene and environment diture of US$ 110 million, 43% (US$ 47 sanitation; (ii) prevention and control of major communicable diseases; (iii) promoting and providing family health services; and (iv) health education and communication.17 million) of which was spent on health centres and health posts.35 Over 38 000 female health extension workers [...] Primary health care and universal health coverage, Ethiopia tive, have made important contributions Box 4. Example of two strategies to enhance community participation and ownership in to health-systems strengthening and Ethiopia scaling-up priority services.36 Despite these successes in health Model families and the health development army facilitate innovation, diffusion and behaviour systems in