Learnings and next steps
Differences were observed in how the CLC concept added most value in Kenya vs South African contexts. In Kenya, improved quality was mostly through structural improvements, while in South Africa it was more through attitudes and staff behavior. KIT suggests this may be related to overall higher level of health expenditure and, therefore, availability of resources in South Africa. The contextual situation should therefore be considered in further developing and positioning the CLC concept.
For the CLC concept to succeed, it is important to establish a clear formal co-creation process that specifies the roles and responsibilities of local governments, implementing organizations, target communities, and Philips. These aspects are all important in order to optimally utilize the holistic set up and meet expectations of all stakeholders.
KIT notes that the CLC model has great potential to align with the three interrelated and synergistic components of the renewed definition of primary healthcare as defined by global health experts and world leaders in the Astana Declaration on Primary Health Care. These components include:
- Meeting people’s health needs through comprehensive promotive, protective, preventive, curative, rehabilitative, and palliative care;
- Systematically addressing the broader determinants of health; and
- Empowering individuals, families, and communities to optimise their health.
The synthesis study reports includes a more detailed assessment of the current CLC deployments related to these components.