Photo credit: Joint Learning Network/Cicely Thomas

What We Do

As progression towards UHC continues, countries are grappling with the dual challenges of not only how to ensure financial protection, but also how to provide universal access to essential health services at all levels of care, including the primary level. Often, UHC schemes begin with insuring against hospitalization risk – while this has a significant benefit in protecting against catastrophic health expenditures, it can also deprioritize the importance of care at the primary level in creating a well-rounded, healthy life for citizens.

The UHC-PHC Self-Assessment Tool is a rapid diagnostic instrument for identifying practical policy opportunities in the health system to improve the relationship between health financing and PHC efforts. The tool can be useful for improving coordination among health financing and PHC efforts in countries around the world. It is most suitable for locations in which (a) the government is not sufficiently prioritizing PHC efforts, (b) PHC efforts work poorly or are not coordinated with health financing mechanisms, and, especially, (c) communication among the relevant stakeholders is limited. 

The tool does not provide a complete evaluation or mapping of PHC or UHC in the country. It focuses strongly on UHC, not the entire PHC system, so it looks closely at the role and function of the HFA, which can be crucial to improving UHC-PHC alignment. 

Technical Facilitators

Nathan Blanchet

Results for Development Institute

Carleigh Krubiner

International Decision Support Initiative

Cicely Thomas

Results for Development Institute

Co-Produced Resources

UHC Primary Health Care Self-Assessment Tool

A multi-stakeholder survey to help countries assess whether their national, state or district health financing approaches are well aligned with primary care initiatives, efforts, and programs.