​The Challenge

A common challenge faced by many countries – and one that presents major obstacles to an evidence-based strengthening of primary health care systems – is the current state of data and data systems for health. Although countries often report that they are “drowning” in data, the institutional structures, incentives, and workforce capabilities to enable the actual use of data for performance improvement are lacking.

Gaps in data collection and quality and the fragmentation of platforms for collecting data inhibit countries’ abilities to gain a complete picture of current system performance. Of those data that are collected, a lack of routine feedback mechanisms hinders the ability of system managers to take informed action for improvement at the community, facility, and policy levels. In short, health system managers need - but don’t often have - the right data at the right time to inform decisions.

A Collaborative Approach to Performance Measurement and Improvement

In order to address these challenges, the Primary Health Care Performance Initiative (PHCPI) is partnering with the JLN to launch a new collaborative on Primary Health Care for Improvement collaborative.

The JLN connects practitioners and policymakers through an innovative approach for the co-development of global knowledge products that bridge the gap between theory and the practical “how to” of implementing reforms to achieve UHC. Through this unique and very practical collaborative model for joint problem solving, including multilateral workshops, country learning exchanges, and virtual dialogue, the JLN brings complementary strengths to PHCPI that will allow members of this collaborative to build on real experience to test and produce new knowledge and tools for PHC performance measurement and improvement.

​The Vision

The ultimate goal of the PMI Collaborative is to ensure that health system managers have the right data at the right time to inform decision-making and progress towards high-quality, people-centered primary health care. To do this, Collaborative participants will work together to identify common bottlenecks and explore strategies to ensure that there are effective data feedback loops that transform data into actionable knowledge. The Collaborative will consider not only facility-level improvement, but will strive to support a national-level process that links, incentivizes, and promotes use of data at all levels of the system. This will require addressing challenges related to the measurement system, the capacity and use of data for decision-making, and the design, monitoring and dissemination of improvement strategies.

This work will build on the PHCPI conceptual framework, PHCPI Vital Signs and Diagnostic indicators, and relevant tools developed by the JLN including the JLN UHC-PHC Self-Assessment Tool and the JLN Tool Kit for Improving Data Analytics for Provider Payment Monitoring.

The PHC PMI Collaborative will use a combination of small, technical in-person meetings and an online members’ platform to collectively work on products that support performance measurement and improvement.

Technical Facilitators

Meredith Kimball

Chloe Lanzara

Cheryl Cashin

Primary Health Care Performance Initiative

PHCPI is a new partnership that brings together country policymakers, health system managers, practitioners, advocates and other development partners to catalyze improvements in primary health care (PHC) in low- and middle-income countries through better measurement and knowledge-sharing.

Recent Products

KaSAPI Program for Engaging MFIs for Information Campaigns and Collection

KaSAPI partners PhilHealth with existing microfinance institutions, rural banks, cooperatives, and other organized groups to better target and efficiently enroll groups of informal sector workers into the PhilHealth national insurance program (NHIP).


National Strategy to Expand Health Coverage through Mutuelles de Santé

Mali is beginning the pilot phase of its national strategy to extend health coverage to 80% (informal sector and rural agricultural workers) of its population through mutuelles de santé, or community-based health insurance schemes (CBHI).


Mobile Phones for Communication and Resource Mobilization

Kenya's National Hospital Insurance Fund is in the final stages of recruiting dealers for a new program that uses mobile phone technology and commercial intermediaries to expand enrollment and increase revenue. All other elements of the program are ready for a July 5th launch that will commemorate NHIF&rsquo


Using Private Insurers to Facilitate Enrollment in Villages

India's RSBY enters into agreement with private and public insurance companies to oversee scheme enrollment and manage claims processes. Insurers are selected based on an open bidding process, with one insurer per district. Insurer contracts can last up to three years based on insurer performance.


Engaging CSOs to Promote Health Insurance

Intermediary organizations are engaged by RSBY insurance companies and the state government to ensure effective outreach to beneficiaries and facilitate their enrollment and utilization of benefits.