Person-centredness and characteristics of primary health care services
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Implementing a package of services using several levels of the health system may be costly and creates challenges in respect of accurate and systematic record-keeping. The concept of people-centredness has resurfaced as a component of health service delivery reforms, in an effort to ensure that every community has a primary health care workforce accountable for its health literacy and health status.
The primary care team is expected to ensure the provision of comprehensive and continuous services, serving as a coordination hub for the communities under their responsibility. If the team itself is unable to perform any of the duties it is tasked with, it is required to refer patients on to the most appropriate health care providers.
This concept of primary care hubs was formalized through the 2008 World Health Report on Primary Health Care and through technical documents adopted by the WHO Regional Committee for Africa. Discussion on ways and means of operationalizing this concept as part of the process of revitalizing primary health care is taking place in various countries. However, implementation remains at a preliminary stage in most countries of the WHO African Region.