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.