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Primary Health Care Initiative

Through the Primary Health Care Initiative, PAI partners with civil society advocates at the global and country levels to improve primary health care systems — key to achieving universal health coverage.

A strong primary health care system can meet 90% of a population’s health needs and is the cornerstone to achieving health for all. However, financial barriers, infrastructure challenges, stigma and mistrust can stand in the way. PAI convenes the Primary Health Care Strategy Group, comprised of civil society advocates engaging at the global and country levels, to improve primary health care systems by promoting health equity and access to people-centered, high-quality essential health services.

The Primary Health Care Strategy Group, launched by PAI in March 2016, has helped to shape the global advocacy agenda and country-level policies with 18 members representing 11 organizations in 10 different countries.


• Alliance for Reproductive Health Rights (ARHR)
• Center for Health Science Training and Development (CHESTRAD)
• Community Working Group on Health (CWGH)
• Health and Rights Education Programme (HREP)
• Last Mile Health
• Living Goods
• Save the Children
• WACI Health
• White Ribbon Alliance (WRA)
• Youth Coalition


Ghana, Kenya, Liberia, Malawi, Nigeria, Uganda, Zimbabwe

PAI, in partnership with members of the Primary Health Care Strategy Group, has been driving progress toward improved global and domestic policy and financing for strong primary health care systems as a means toward achieving universal health coverage. In October 2018, the Global Conference on Primary Health Care was held in Astana, Kazakhstan and commemorated the 40th anniversary of the Alma Ata declaration, where leaders from around the world came together to endorse a new declaration that emphasized the importance of primary health care as the cornerstone to achieving universal health coverage.

As the Ebola outbreak taught us, we are only as strong as our weakest link. Now is the time not only to fight COVID-19, but to invest in resilient primary health systems that will protect every last one of us during this pandemic and beyond.
Marion Subah, Liberia country director, Last Mile Health

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