Evaluation of the WHO Special Programme on Primary Health Care: Chile case study

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World Health Organization

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iv, 18, [14] p.
This case study was conducted as part of the preliminary evaluation of the WHO Special Programme on Primary Health Care (SP-PHC) and examines support provided to Chile between 2022 and 2023 in advancing primary health care (PHC) and universal health coverage. Using document review and qualitative interviews with national and subnational stakeholders, the report analyses the relevance, coherence, implementation and added value of SP-PHC interventions in relation to Chile’s health reform agenda. Particular attention is given to the strategic levers of political commitment and leadership, governance and policy frameworks, and the operationalization of models of care. The publication describes the structure of Chile’s mixed public and private health system, ongoing reforms to universalize PHC, and persistent challenges related to inequalities, financing, long waiting lists and coordination of care. It highlights technical cooperation provided by WHO and the Pan American Health Organization through policy dialogue, pilot initiatives, training, governance mechanisms and financial support linked to the Universal Health Coverage Partnership. The report also identifies lessons learned, best practices, sustainability considerations and opportunities for future WHO support to strengthen PHC implementation and health system transformation in Chile.

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