Implementing primary health care policy under changing global political conditions: Lessons learned from 4 national settings

Health systems struggle with equitable and affordable health spending. Over-medication, low-value care, poor access and social determinants of health amplify inequity. At the same time, primary health care (PHC) improves efficiency, equity, effectiveness, and population health. Community-basedperson- and population-centered care reduces health inequalities. This requires ongoing policy. This paper explores how to secure long-term PHC policies, from policy makers obsessed with quick wins.