ArticleBulletin of the World Health Organization2020
Primary health care and sustainable development goals.
Article in Bulletin of the World Health Organization, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
48 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Competencies required for the performance of primary health care managers: a systematic review.Cadernos de saude publica · 2025Pooled it
- Recommendations of the Brazilian Society of Nephrology for the management of chronic kidney disease in primary health care.Jornal brasileiro de nefrologiaGuideline
- Population-oriented health promotion and disease prevention interventions in primary healthcare: a scoping review of reviews.BMC primary care · 2026Article
- Article
- Global health in the face of 'permacrises': why primary health care matters.Primary health care research & development · 2026Article
- Academic partnerships for family medicine and primary health care education: a global narrative review 7 years after Astana.Frontiers in medicine · 2026Review
- CDTD-Agent: a retrieval-augmented multi-agent digital health framework for integrated diabetes care: a single-case expert-rated pilot study.Frontiers in digital health · 2026Article
- Public awareness of testicular torsion is lacking in Edmonton.Canadian Urological Association journal = Journal de l'Association des urologues du Canada · 2025Article
- Primary healthcare quality of migraine in China: a study using unannounced standardized patients.The Lancet regional health. Western Pacific · 2025Article
- An unfinished agenda: insights from seven country case studies on strengthening primary health care in the Western Pacific Region.BMJ global health · 2025Review
- Change of primary health care service provider model in Vantaa: the impact on mortality and causes of death among older adults - a register-based follow-up study.BMC health services research · 2025Article
- Strategies to Strengthen Iraq's Primary Healthcare System: A Systematic Literature Review With Special Focus on Society 5.0.Public health challenges · 2025Review
- Effect of universal health insurance implementation on beneficiaries' evaluation of public health facilities in Egypt - a cross-sectional study.International journal for equity in health · 2025Article
- Work engagement, resilience and turnover intentions among nurses: a mediation analysis.BMC health services research · 2025Article
- Editorial: Raising awareness around trends in noncommunicable diseases and their risk factors to promote global prevention and control.Frontiers in public health · 2025Article
- Combine effects of robotic assisted gait training with transcranial magnetic stimulation on gait metrics and balance in stroke patients: a pilot randomized control.Frontiers in neurology · 2025Article
- Does vertical integration increase the costs for primary care inpatients? Evidence from a national pilot programme in China.Archives of public health = Archives belges de sante publique · 2024Article
- Identifying training needs of practising community pharmacists in Jordan-a self-assessment study.BMC health services research · 2024Article
- Nurturing transformative local structures of multisectoral collaboration for primary health care: qualitative insights from select states in India.BMC health services research · 2024Article
- Policy perception, job satisfaction and intentions to remain in rural area: evidence from the National Compulsory Service Programme in China.Global health research and policy · 2024Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We examine the potential and limitations of primary health care in contributing to the achievement of the health-related sustainable development goals (SDGs), and recommend policies to enable a functioning primary health-care system. Governments have recently reaffirmed their commitment to the SDGs through the 2018 Declaration of Astana, which redefines the three functions of primary health care as: service provision, multisectoral actions and the empowerment of citizens. In other words, the health-related SDGs cannot be achieved by the provision of health-care services alone. Some health issues are related to environment, necessitating joint efforts between local, national and international partners; other issues require public awareness (health literacy) of preventable illnesses. However, the provision of primary health care, and hence achievement of the SDGs, is hampered by several issues. First, inadequate government spending on health is exacerbated by the small proportions allocated to primary health care. Second, the shortage and maldistribution of the health workforce, and chronic absenteeism in some countries, has led to a situation in which staffing levels are inversely related to poverty and need. Third, the health workforce is not trained in multisectoral actions, and already experiences workloads of an overwhelming nature. Finally, health illiteracy is common among the population, even in developed countries. We recommend that governments increase spending on health and primary health care, implement interventions to retain the rural health workforce, and update the pre-service training curricula of personnel to include skills in multisectoral collaboration and enhanced community engagement.
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