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International Conference on PHC Agenda with session timings

Collaborate with the global health community for the best PHC outcomes

Interactive Roundtable Discussions, Lightning Talks, and Poster Sessions.

Date/Time

Agenda, Title & Description

Participants

September 5, 2023

16:00 - 18:00

Registration, Networking and Reception

Welcome to Day 1 of the International Conference on Primary Health Care! Begin by completing your registration at the designated area and collect your badges . After, join fellow attendees for a networking session, a great opportunity to connect and exchange insights. Later, join us at the reception to unwind and engage in meaningful discussions.

All Participants

Resilient Primary Health Care: The Foundation of Universal Health Coverage
In The Era of Sustainable Development Goals

Date/Time

Session Title & Description

Speakers

15:45-16:45 Interactive round table sessions

September 6, 2023

15:45-16:45
CHOOSE

Seminal Publication from Alliance for HPSR

Share recent seminal publications from the Alliance for HPSR and the Special Programme on PHC at WHO. The discussion will then focus on making the most of these resources, reaching target audiences, what further work is needed to fill in gaps in resources, etc.

A study to inform key policy reforms: Financial sustainability study of the free care policy in Burkina Faso

Join us for an insightful session as we share Burkina's experience in successfully implementing a free healthcare system. This engaging presentation will showcase the results of the comprehensive analysis conducted to assess the sustainability of the free healthcare program. Delve into the key reforms and recommendations that have emerged from this pioneering initiative, offering valuable lessons and inspiration for other nations striving to achieve equitable healthcare access for all

From Capital to Clinic: Advancing PHC delivery and financing from policy to action

Explore Kenya's innovative approach to primary health care (PHC) policy implementation and financing. Discover how they effectively disseminate policies and bridge implementation gaps using a hub and spoke model. Learn from their experiences in establishing primary care networks, investing in human resources, and reorganizing funding. This session contributes to global discourse on innovative PHC policy implementation. Don't miss the insights and lessons learned. Join us!

A Twinning Partnership Program to Strengthen Capacity for Policy and Practice of Primary Health Care: Effectiveness and Sustainability

The University of Queensland (UQ) in Australia and the International Institute for Primary Health Care- Ethiopia (IPHC-E) have been implementing a twinning partnership program, with the support of the Bill and Melinda Gates Foundation through the American International Health Alliance (AIHA), since January 2022. The purpose of this twinning partnership program is to capacitate the Institute (and its hubs) so that it becomes a centre of excellence and a World Health Organization’s (WHO’s) collaborating centre in primary health care (PHC). We have learned several lessons for effective and sustainable twinning program to strengthen institutional capacity for PHC. The objective of this session is to provide an overview of the twinning partnership program, including its strategies, activities and achievements, and summarize the lessons learned towards an effective and sustainable technical assistance program.

Leveraging Primary Health Care Platforms to Advance the Global Health Security Agenda

Global health security is predicated on a robust primary health care system that reduces fragmentation in health service delivery and advances universal health coverage. This roundtable discussion brings together top minds driving programmatic decision making on Global Health Security at USAID and project implementers. Participants will be asked to share their country case study experiences to add to the global discussion on best practices and future directions.

Beyond Astana: Configuring the World Health Organization Collaborating Centres for primary health care

The World Health Organization collaborating center (WHOCC) is an institution designated by the Director-General of WHO to form part of an international collaborative network set up by WHO to support its programme at the country, inter-country, regional, inter-regional and global levels in line with the WHO policy and strategy of technical cooperation. A WHOCC also contributes to strengthening country resources, in terms of information, services, research and training in support of national health development . Currently, more than 800 WHOCCs in over 80 member states are working with the WHO on areas (nursing, occupation health, communicable disease, nutrition, mental health, chronic diseases and health technologies). This session will focus on how WHO currently configures its WHOCCs on PHC, their distribution, focus subjects, activities and objectives, as PHC has been progressively redefined. It seeks to understand how these WHOCCs complement the evolution of PHC in the 21st century, and what is needed to shape its future development.

Alliance for HPSR





Pierre Yameongo Ministry of Health and Public Hygiene Burkina Faso





Melissa Wanda- PATH







Dr Yibeltal Assefa Alemu - AIHA











Palladium








Dr. Eskinder Wolka - International institute for primary health care

September 6, 2023

15:45-16:45
BUILD

Adaptation of the World Health Organization’s Integrated People-Centered Health Care Services approach for Maternal, Newborn and child health services in Zambia

Despite Zambia ratifying to implement the World Health Organization PeaCe health approach, its implementation has been limited. Attributable to the non-availability of the Integrated People at the Center of Health Services (IPCHCS) guidelines and the limited understanding of this approach among community members and health care workers; this session will share lessons on the implementation of the WHO IPCHS model in improving SRMNCAH in Zambia.

The NCD Navigator: A tool to improve data quality for a more focused, better-resourced NCD response in Kenya and Ghana

PATH created the NCD Navigator, a visual analytics system for ministry NCD leads and partners to guide resource allocation, strategy development and implementation, and stakeholder coordination. Discover how the NCD Navigator is improving data quality for a more focused, better resourced NCD response in Kenya and Ghana.

NCD Prevention Education For Youth: A Model Of Leveraging Digital Health In School

PATH and the Vietnam Ministry of Education partnered to address these behaviors through NCD prevention and education during the adolescent years. Explore how to leverage digital technologies to build a dynamic PHC system with effective-youth friendly primary prevention for NCDs.

Enhancing quality of counseling by community health volunteers during household visits: a digital symptoms’ checklist cocreated though human centered design in Siaya, Western Kenya.

Community health volunteers (CHVs) are essential in delivering critical messages and services as part of primary health care. PATH and Siaya County Health Management Team (CHMT) conducted a human centered design (HCD) activity to understand the experiences of CHVs and to co-create solutions to improve their quality of work.

Improved essential primary health care service provision on electronic community health system (eCHIS) platform; preliminary findings from implementation research

To this end JSI is supporting the Ethiopian Federal Ministry of Health’s (FMoH) effort in scaling up eCHIS with CIFF funding and assessed progress in population registration and provision of essential MCH service on eCHIS platform in 20 woredas.

Diagnostics on Key Bottleneck to Delivery of Health Services in PHC Facilities in Ethiopia

The Government of Ethiopia has put strengthening the PHC system at the core of its strategy to achieve UHC. However, key bottlenecks - including, budget constraints and financial management issues - impact PHC service delivery.

Deploying digital technology for Health Promotion in PHC: Learnings from the SMGL Project

Digital health interventions have played a key role in tackling key maternal and newborn health issues in low- and middle-income countries. As part of the Saving Mothers Giving Life 2.0 (SMGL 2.0) project in Kaduna state, Nigeria, the project has employed digital health strategies to improve access and quality of maternal and newborn care services to support the Kaduna State Ministry of Health (KDMOH) to reach the state’s MNH goals.

Strategizing IPC Integration in Primary Health Care: Insights from the Africa CDC IPC Assessment Tool

Our session aims to illuminate the pivotal role of Infection Prevention and Control (IPC) within primary health care settings, enriched by our recent data-driven insights. Leveraging the newly developed Africa CDC IPC Assessment Tool for PHC level, we have gathered comprehensive data from over 900 PHC facilities across Africa. This data provides an unprecedented look into the current state of IPC practices, challenges faced, and opportunities for enhancement. Alongside this, we explore the transformative power of community participation in reinforcing IPC measures. The session also emphasizes the necessity of intersectoral coordination, championing a cooperative approach across various sectors for an encompassing infection control strategy. Furthermore, the potential of cutting-edge technologies in amplifying IPC implementation will be discussed. The conversation culminates by spotlighting the crucial support mechanisms, offering a roadmap for holistic and data-informed IPC integration in primary health care.

Caroline Mangani-CHAI
Dr. Angel Mwiche







Dominic Muthai -PATH







Thuong Nguyen Hai -PATH




Beatrice Oyugi -CHAI








JSI






CHAI






Paulina Akanet  - athfinder International






Africa CDC

15:45-16:45 Lightning paper Talks

September 6, 2023

15:45-16:45
BUILD
Lightning paper Talks

Redesigning Referral experience from Primary Healthcare level in India : A Behavioral Science and Human Centered Design Approach

To achieve the goal of universal health coverage, the Government of India has rolled out a comprehensive primary healthcare strategy in the country. In alignment with GoI priorities, PATH has adopted a district saturation approach for demonstration of PHC in India. To understand behavioral barriers faced by the demand and supply side, a behavior science and human-centered design (HCD) approach was implemented across all elements of health systems for reimagining primary healthcare delivery.

Supporting home grown technology solutions for primary health care in Sierra Leone

There is an increasing gap in the global footprint of technological advances and innovations which remains dominated by global north countries.In 2022 Concern Sierra Leone partnered with Autohealth (SL) Limited, a tech startup founded by medical students with a drive to solve key issues in the health system. They developed a Safe Blood Management Information System (SBMIS) – LifeBlood - as well as a ‘Community Mobile App’. The LifeBlood platform digitizes current paper forms and working documents of the National Safe Blood Service and automates the various work streams and creates donor to transfusion tracking. Whereas the app aims to increase the number of voluntary blood donations in Sierra Leone. This collaboration is an example of local solutions for primary health service delivery gaps and evidence to support increased investment in local start up technology companies to provide sustainable solutions to key primary health and development obstacles.

An NCD medicine and product forecasting tool providing evidence for stronger supply chains

Gaps in the ability to forecast for the demand of medicines cause challenges for everyone from the government decision makers to patients. In response to this need, the Coalition for Access to NCD Medicines & Products developed an NCD Forecasting Tool for Essential Medicines and Products and accompanying toolkit, in partnership with the ministries of health in Kenya and Uganda. During this session, multisectoral members from the Coalition will explain why they developed the NCD forecasting program, lessons learned from its pilot, and its impact, both in country and globally.

Ethiopian Capitation Pilot Experience: setting an appropriate capitation rate for Ethiopian context

To address challenges related to the current fee-for-service provider payment modality, the EHIS with support from CHAI piloted capitation over two years. This study outlines the considerations made and lessons learned in designing a fit-for-context capitation model. The aim is to compare the performance of the two alternative designs of capitation based on accuracy, and suitability for scale-up.

Building back better: Supporting delivery of early childhood development and maternal mental health services as part of rebuilding primary health care after conflict in northern Amhara, Ethiopia

Background: Primary health care (PHC) has been affected by conflict in northern Amhara Region, Ethiopia. Conflict also affects early childhood development (ECD) and maternal mental health (MMH). As part of PHC rebuilding, facility-level providers were trained at 18 health centers and 81 health posts in six woredas. A multifaceted approach to integrate ECD and MMH into post-conflict PHC rebuilding is feasible and can improve key mental health and development outcomes.

Human-Centered Design (HCD) study to understand behavioral levers for the use of Covid-19 self-testing

Explore the evolution of COVID-19 testing methodologies in "Enhancing Uptake of COVID-19 Self-Testing." Discover insights from a Human-Centered Design approach that delves into barriers and enablers of self-testing adoption. Uncover factors shaping accessibility, user experience, and interventions for improved uptake. Join this session for a concise analysis of COVID-19 testing dynamics and strategies to enhance public health responses.

Ajay Patle- -PATH







Sarah Cundy- -Concern Worldwide










Dominic Muthai- - PATH








Clinton Health Access Initiative (CHAI)






Nesibu Agonafir - PATH






Mayank Sharma- PATH

16:45- 17:15 Poster sessions

September 6, 2023

16:15- 17:00
Poster sessions

Building sustainable primary health care systems through low-cost facility-based training of peer educators in Eastern and Southern provinces of Zambia

Discover a groundbreaking approach in Zambia aimed at tackling the persistent issue of attrition among trained peer educators in adolescent health services. The session delves into an ingenious strategy initiated by the Ministry of Health, supported by funding from Sweden and technical expertise from the Clinton Health Access Initiative (CHAI). Learn how facility-based training of health care workers as peer educator trainers is revolutionizing the landscape, optimizing resources, and ensuring sustainable adolescent health services. Preliminary results showcase the impact, with significant numbers trained using minimal resources. Join us to explore this transformative model that promises to bridge the attrition gap and create a robust peer educator network for a healthier adolescent population.

Mr Malombo Haswell - Ministry of Health Zambia

September 6, 2023

16:15- 17:00
Poster sessions

Primary Health Care Vital Signs Profile for Malaysia

Unveil Malaysia's PHC Vital Signs Profile, a dynamic collaboration with the Primary Health Care Performance Initiative. This session offers a concise yet insightful glimpse into Malaysia's PHC system. Developed on the PHCPI Conceptual Framework, the profile assesses finance, capacity, performance, and equity domains. Quantitative insights from 2018 and a 2021 capacity assessment using a progression model spotlight the system's dynamics. Discover strengths in drug supplies, funds management, infrastructure, and more. Challenges in population empanelment and a robust access index are explored. Be part of decoding the VSP's revelations, shaping policy actions for Malaysia's PHC journey.

Dr RACHEL KOSHY- MINISTRY OF HEALTH MALAYSIA

September 6, 2023

16:15- 17:00
Poster sessions

Innovative approaches to improving community-level data reporting and utilization for improved and sustainable health outcomes in the Uganda communities

Embark on a journey through Uganda's innovative approach to enhancing community data reporting and utilization. This session uncovers the evolution from low reporting rates to a dynamic transformation achieved through collaboration between Uganda Health Systems Strengthening Project (UHSS) and the Ministry of Health (MoH). Witness the unveiling of a groundbreaking solution – the Community Health Dashboard and Community Scorecard within DHIS2. Delve into how these tools empower decision-makers with data-driven insights, fostering evidence-based actions for improved community health. Explore remarkable achievements, including a substantial surge in national reporting rates from 35% to 71%, catalyzed by the community dashboard's power. This session showcases the instrumental role of data visualization in igniting performance discussions and propelling national health system enhancement.

Mr Steven Kikomeko- USAID UGANDA

September 6, 2023

16:15- 17:00
Poster sessions

Empowering communities with Mother to Mother/ Father to Father support groups approach to convey health & nutrition messages

To introduce the approach and advocate at national and international level for its scale up.

Mrs Ayalnesh Megra -

September 6, 2023

16:15- 17:00
Poster sessions

Effectiveness of competency-based training on improving maternal and child health knowledge and practice of volunteer community health workers and their network members in Ethiopia

To evaluate CBT’s impact on improving the reproductive, maternal, newborn, and child health (RMNCH) knowledge and practice of WDA leaders and their network members.

Dr Biruhtesfa Shiferaw - - JSI

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Resilient Primary Health Care: The Foundation of Universal Health Coverage
In The Era of Sustainable Development Goals

Date/Time

Sessions Title & Description

Speakers

11:15- 12:00 Interactive roundtable Sessions

EMPOWER
11:15- 12:00
Interactive roundtable Sessions​

Empowering Women for Equitable Healthcare Delivery: Strategies and Innovations

Join us as we explore dynamic strategies and innovative practices that amplify women's contributions and leadership within PHC and community settings. We will delve into sharing best practices from various organizations and local setups that uniquely incorporate women in PHC. Our session will highlight the imperative of women's leadership across all levels of healthcare service delivery and the benefits of fostering strong networks and mentorship programs to nurture women leaders. Moreover, our conversation will address how women in health leadership roles can leverage their positions to advocate for policies and initiatives promoting gender equality, diversity, and improved healthcare outcomes. We will conclude by focusing on effective approaches to inclusively prioritize vulnerable groups, ensuring that healthcare efforts leave no one behind. Through this comprehensive discussion, our participants will gain valuable insights into forging a path towards more equitable and effective healthcare systems driven by empowered women leaders.

Evaluation of capacity building interventions aimed at health extension workers (HEWs) in Ethiopia: A systematic review

Health workforce is critical for health systems to function optimally towards universal health coverage. In Ethiopia, community health workers legitimately known as health extension workers (HEWs) have been deployed at the community level since 2003 with the aim of ensuring the attainment of the right to health. However, the mere availability of HEWs may not be sufficient to achieve universal health coverage in the country. For this, several forms of capacity building interventions have been developed since the establishment of health extension program in Ethiopia. In this paper we will present a review finding on the outcome/impact of interventions aimed at building the capacity of HEWs in Ethiopia.

Re-imaging community involvement to increase immunization coverage in humanitarian context in South west region of Burkina Faso

Burkina Faso has experienced a humanitarian crisis born of armed conflicts since 2015, coupled with the 2019 Covid-19 outbreak straining the functioning of the health system. Community participation contributed to extend PHC coverage and successful ground health education to meet population immunization needs in fragile settings.

Engagement of community health workers for improved PHC services: TIMCI implementation experience in Tanzania

Lack of community awareness on disease danger signs is one of the biggest challenges to effective delivery of PHC services. PATH, in partnership with Swiss Tropical and Public Health Institute, Ifakara Health Research Institute, and government of Tanzania, directly engaged CHWs to lead community sensitization strategies toward enhanced caregiver understanding of signs of severe illness and improvement in their engagement with health care services.

Community Engagement: an important piece in improving PHC service delivery

“Three Delays" model proposes that pregnancy-related mortality is overwhelmingly due to delays in: (1) deciding to seek appropriate medical help for an obstetric emergency; (2) reaching an appropriate obstetric facility; and (3) receiving adequate care when a facility is reached. To address the three delays, Pathfinder international, is implementing the Saving Mothers Giving Life 2.0 (SMGL 2.0) project in Kaduna state, Nigeria with the goal of contributing to the state government’s efforts to reduce maternal and perinatal mortality within the state.

Reaching Zero-Dose And Under-Immunized Children In Remote And Underserved Settings Of Ethiopia: Evaluation, Project Hope, 2022

Ethiopia has recently made substantial gains in increasing coverage of childhood vaccination. Between 2000 and 2019, proportion of children who received all the routine antigens increased from 15 to 44%, and that of measles-containing vaccine 1 (MCV-1) doubled from 32 to 59%. Yet, important challenges remain unaddressed. In 2019, 23% of children 12-23 months of age were zero-dose and 39% under- immunized. Among GAVI-supported countries, Ethiopia is ranked fourth based on burden of zero-dose immunization. Other outstanding challenges include high dropout, and geographic and social inequality. The recent political unrest and Covid-19 pandemic have also threatened to revert the hard-fought gains.This project aimed at identifying and mapping clusters of missed communities and zero-dose children in Ethiopia, also explored demand and supply barriers, including gender and socio-cultural constraints, and generated evidence to inform policy and practice towards reaching zero-dose and under-immunized children in Ethiopia. Therefore, the objective of this session is to provide an overview of magnitude of zero dose and under immunized children in Remote and underserved populations of Ethiopia and recommend different strategies, to address those challenges, and summarize the lessons learned towards an effective and sustainable technical program assistance.

Investing in Health Worker Safety: Results from a Multi-modal Infection Prevention and Control (IPC) Program at Select Health Facilities in Five African Countries during the COVID-19 Pandemic

This program aimed to improve health facility infection prevention and control (IPC) performance and health worker behavior to reduce health worker infections.

Establishing Community Linkages to Strengthen Primary Health Care Services: The Role of Community Health Influencers Promoters and Services Implementation in Ohaozara LGA, Ebonyi State, Nigeria 

Implementing community-based strategies brings low-cost and quality healthcare closer to the people, vital to strengthen health systems. The United States President Malaria Initiative for States project supports the Ebonyi State government to implement the Community Health Influencers, Promoters, and Services (CHIPS) program to improve access to life-saving maternal and child health (MCH) services in hard-to-reach areas.

Empowering Health Sector Leaders: Journey and Milestones of the Leadership Incubation Program for Health (LIP-H) in Ethiopia,

Embark on a transformative journey through the milestones and accomplishments of the Leadership Incubation Program for Health (LIP-H) in Ethiopia. The Leadership Incubation Program for Health is a collaborative initiative by the Ministry of Health, IPHC-E, and AIHA, designed to nurture and empower leaders of the health sector.Objective: Describes the various components of LIP-H, including Coaching, Shadowing, leadership courses, networking, Psychometric assessment, and strategic problem-solving projects plus LIP-H program success factor, Implementation challenges, lessons learned, and how the LIP-H is influencing the future of healthcare leadership in Ethiopia will be discussed.

Global Primary Health Program

The Global PHC Program is one of the thematic area that the institute is working. The Program offers capacity building support to low-and middle-income countries across the world with the aim of creating or strengthening PHC systems. This session will focus on how the program is contributing to strengthening the countries’ PHC system and the different efforts that the program is running to address the aim. It will also create an opportunity for future collaboration with different stakeholders to different PHC System strengthening projects.

Sitra Nuredin - Women In Global Health













Tigist Astale (MPH) International Institute for Primary Health Care (IPHC-E)









Noel Kabore - JSI Research and Training Institute





Dr. Deusdedit Mjungu- PATH







Ene Odu- Pathfinder International








Prof. Gashaw Andargie - Project HOPE The People to People Health Foundation inc















Arone Mebrhatu Haile - Resolve to Save Lives







Iseghohimen Eguavon- Management Sciences for Health (MSH)







Selahadin Seid - IPHC-E/ AIHA







Tirsit Mehari - International Institute for Primary Health Care

ALIGN
11:15- 12:00
Interactive roundtable Sessions​

Institutional reforms as key improvement of governance and coordination of primary health care: a case study of Benin

This session demonstrates cross-cutting Benin PHC reforms like creating health sector regulatory, national council for PHC, operational structure etc. This session demonstrates cross-cutting Benin PHC reforms like creating health sector regulatory, national council for PHC, operational structure etc.

Making Health equity a reality for insecure and nomadic communities in the district of Timbuktu, Mali

This session is the live example of making health equity into reality by collaborating with local NGOs, community partnership in Timbuktu, Mali.

Sustaining PHC service delivery within the private sector using a total market approach

This session emphasizes on the importance of the private partnership with government for quality improvement, emergency services and insurance schemes using a total market approach in Kaduna state, Nigeria.

Aligning Stakeholder Support for Improved RMNCH Commodity Availability: Insights from a Kenyan Supply Chain Landscaping Exercise

This session aimed to discuss on the stakeholder alignment to map the stockout of the things required for maternal, reproductive, and child health which leads to enhance the collaborative intervention for budget planning, and financial support to procure all RMNCH commodities

How do we get back on track for SDG3?

This session get us on track for SDG3 by investing in the health faith based organizations that strengthen the local health system and improve the service delivery.

Dr.Rodrigue Kohun - Ministry of Health Benin






Moussa Sako - JSI




Paulina Akanet - Pathfinder International





inSupply Health Ltd.




Dennis Cherian- CORUS INERNATIONA

11:15- 12:00 Lightning Sessions

EMPOWER
11:15- 12:00
Lightning Sessions

HCD for PHC: Lessons from India, Nigeria, and Senegal in designing for more responsive and people centered PHC

HCD methods were applied to understand supply- and demand-side challenges of building a model Ayushman Bharat Health and Wellness Centers (AB-HWC) in Maharashtra. We explored the behavioral barriers and enablers in implementation of AB-HWC guidelines through stakeholder interviews with policy makers, providers, and end users.

Correlating Healthcare Professionals' Skill Sets with Patient Experience and Treatment Outcomes: Leveraging Data From Ihris and Emrs Through an Integrated Health Information Exchange

Explore the nexus of healthcare professionals' skills, training, and patient outcomes in "Building Sustainable Primary Health Care." Addressing the imperative for robust primary healthcare during COVID-19, this session advocates for integrated systems and digital solutions. Delve into Botswana's Health Information Exchange (HIE), harnessing data from EMRs and iHRIS. Discover IAHSPO, a methodology correlating professionals' attributes with patient outcomes, identifying training needs. Uncover how IAHSPO collects, integrates, and analyzes data to formulate evidence-based solutions for optimized healthcare delivery. Join this session to unravel the pivotal connection between healthcare workforce and sustainable primary health care, shaping resilient healthcare systems.

Abstract presenter

Mayank Sharma - PATH







Patrick Gichuki, Tumisang Kolaaganoand Mavis Motshegwa - Palladium Group

ALIGN

Strategic Health Purchasing Pilot in Indonesia: Stakeholder Alignment for Maternal and Newborn Health

Maternal and newborn healthcare is essential for the better health outcomes. This session highlights the significance of strategic health purchasing pilot program in Indonesia which provided the platform to collaborate with various stakeholder for the informed decision making.

Implementing PHC at subnational level in Malawi: district systems for alignment, accountability and data-driven planning

This session shed a light on significance of using innovative tools like District Implementation Plan Action Tracker to improve the implementation of District plan in Malawi.

What are the costs and resource needs of Ethiopia's Essential Health Services Package?

This session will shed a light on actual and normative cost for delivering primary healthcare services through essential health service package in Ethiopia

Inraini Syah - Result 4 Development





Dalitso Laviwa- CHAI





Engida Abdella - Breakthrough International Consultancy

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Resilient Primary Health Care: The Foundation of Universal Health Coverage
In The Era of Sustainable Development Goals

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