“The framework, presented in Chapter 3, describes the primary care system through the WHO Health Systems Building Blocks, with the addition of the community as the starting and center point. It highlights the complexity of the sector, providing a list of key variables for assessing the role of the private sector, its actors for primary care provision, and its engagement with government. It serves as a tool to understanding community and market behaviors and needs. To apply the framework, a four step process is proposed in Chapter 4. This process aims to help policy makers assess and design primary care interventions. The steps are as follows: defne the goal of the intervention; identify the key market; identify the key actors within each building block; and fnally, evaluate market forces and risks. By going through this framework, policy makers and program designers can strategize potential solutions to increase access to, and the quality of, primary care, and create programs that shift incentives toward more robust, sustainable, and locally driven solutions (see Figure 1 for the full range of expected outcomes). For existing programs, the framework can be used to map progress and make adjustments as required.”
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