Transforming the Health System to Prioritize PHC
Using an implementation learning approach to support PHC efforts in Ghana, Kenya, and Uganda
After the collaborative learning phase of the Exchange concluded in March 2021, the partnership adopted an implementation learning approach to carry forward the discussions and decisions made by participants in the first phase through more focused, action-oriented learning at the country level.
Starting in June 2021 and running through January 2022, PHCPI facilitated this second phase of the Learning exchange by identifying three country teams who had proposed implementation cases consisting of their existing work portfolio and identified problems that would benefit from peer input and systematic implementation learning. The three implementation cases (IC) were:
- Advocacy in strengthening Ghana's primary health care
- Operationalizing primary care networks in Kenya
- Operationalizing supportive supervision guidelines in Uganda
All three cases were supported by a dedicated technical facilitation team who helped navigate the implementation-related challenges, as well as a group of peer learners—experienced PHC actors from other countries—that accompanied the IC teams through monthly learning checks and contributed their expertise and technical resources.
The three IC teams went through a process to refine their problem statements, outline long-term vision statements, and develop short-term outcomes. The teams developed a causal chain—a series of steps to take to achieve their short-term outcomes. During monthly learning checks, IC teams presented and discussed their progress toward achieving their target outcomes while peer learners and the facilitation team provided advice on addressing their implementation challenges. The IC teams also came together to tackle common challenges during bi-monthly virtual exchanges. These convenings focused on challenges such as strategic communications for domestic resource mobilization, strategic communications to create demand and ensure commitment to PHC, and strengthening referral systems. In an Experience Showcase at the end of the engagement, IC teams presented their most significant milestones, key lessons learned, and major challenges.
Explore the Implementation Cases
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GHANA: A civil society organization’s advocacy to improve the delivery and financing of PHC
The Ghana IC team envisioned a “strengthened and well-functioning primary health care system supported by a consolidated national essential health service package that is well-funded to cater to the health needs of the residents of Ghana.” -
KENYA: Expanding access to quality PHC through primary care networks
The Kenya IC team had an audacious vision: all Kenyans will have access to affordable quality PHC services closest to where they are. -
UGANDA: Operationalizing supportive supervision guidelines
The Uganda IC team envisioned “effective implementation of supportive supervision and mentorship of health facility staff from higher to lower levels [that] will lead to improved quality, utilization, and community trust of PHC services, efficiency in service delivery..., increased patient satisfaction, and reduced preventable mortality and morbidity.”