Primary health care research in Bolivia: systematic review and analysis

Francisco N. Alvarez · Mart Leys · Hugo E Rivera Mérida · Giovanni Escalante Guzmán

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Healthcare Systems and Reforms Primary Care and Health Outcomes Healthcare Systems and Practices

Abstract

Bolivia is currently undergoing a series of healthcare reforms centred around the Unified Family, Community and Intercultural Health System (SAFCI), established in 2008 and Law 475 for Provision of Comprehensive Health Services enacted in 2014 as a first step towards universal health coverage. The SAFCI model aims to establish an intercultural, intersectoral and integrated primary health care (PHC) system, but there has not been a comprehensive analysis of effective strategies towards such an end. In this systematic review, we analyse research into developing PHC in Bolivia utilizing MEDLINE, the Virtual Health Library and grey literature from Pan American Health Organization/World Health Organization's internal database. We find that although progress has been made towards implementation of a healthcare system incorporating principles of PHC, further refining the system and targeting improvements effectively will require increased research and evaluation. Particularly in the 7 years since establishment of SAFCI, there has been a dearth of PHC research that makes evaluation of such key national policies impossible. The quantity and quality of PHC research must be improved, especially quasi-experimental studies with adequate control groups. The infrastructure for such studies must be strengthened through improved financing mechanisms, expanded institutional capacity and setting national research priorities. Important for future progress are improved tracking of health indicators, which in Bolivia are often out-of-date or incomplete, and prioritization of focused national research priorities on relevant policy issues. This study aims to serve as an aid towards PHC development efforts at the national level, as well as provide lessons for countries globally attempting to build effective health systems accommodating of a multi-national population in the midst of development.

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2018United Nations Development Programme (UNDP)1978DECLARATION OF ALMA-ATA 2012Age-specific and sex-specific mortality in 187 countries, 1970–2010: a systematic analysis for the Global Burden of Disease Study 2010 2011Addressing access barriers to health services: an analytical framework for selecting appropriate interventions in low-income Asian countries 2000Weak Links in the Chain: A Diagnosis of Health Policy in Poor Countries 2010The contribution of primary care to health and health systems in low- and middle-income countries: A critical review of major primary care initiatives 2008Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews 2011Strategies for integrating primary health services in low- and middle-income countries at the point of delivery

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