Primary health care
WHO established the Special Programme on Primary Health Care in 2020, following the Global Conference on Primary Health Care and the UN high-level meeting on universal health coverage, where countries declared their commitment to achieving universal health coverage through a primary health care approach.

Essential public health functions

Several global and regional WHO resolutions have been made on strengthening public health capacities and services, such as WHA69.1 which calls for strengthening essential public health functions (EPHFs) as a basis for improving public health practice and building resilient health systems capable of meeting Universal Health Coverage (UHC) goals. 

EPHFs are critical to the sustainability of health security and UHC while aligning with other complementary development efforts. This area of work aims to promote the importance of EPHFs, their multisectoral nature, and the conceptual and operational linkages with health security, resilience, governance, and social and environmental determinants - all of which contribute to achieving UHC and health-related Sustainable Development Goals (SDGs).

The WHO Fourteenth General Programme of Work 2025–2028 defines an output on strengthening national institutional capacity for essential public health functions to improve health system resilience.

Support to countries and regions on EPHFs includes the development of technical guidance on strengthening EPHFs; providing technical support for EPHF capacity building at national level; and promoting global efforts on EPHF in the context of health systems strengthening for sustained health systems resilience. 

The unified list of essential public health functions includes 12 functions:

  • Public health surveillance and monitoring: Monitoring and surveillance of population health status, risk, protective and promotive factors, threats to health, and health system performance and service utilization
  • Public health emergency management: Managing public health emergencies for international and national health security
  • Public health stewardship: Establishing effective public health institutional structures, leadership, coordination, accountability, regulations and laws
  • Multisectoral planning, financing and management for public health: Supporting effective and efficient health systems and multisectoral planning, financing and management for public health
  • Health protection: Protecting populations against health threats, for example environmental and occupational hazards and communicable and noncommunicable diseases, including mental health conditions, food insecurity, and chemical and radiation hazards
  • Disease prevention and early detection: Prevention and early detection of communicable and noncommunicable diseases, including mental health conditions and injuries
  • Health promotion: Promoting health and well-being as well as actions to address the wider determinants of health and inequity
  • Community engagement and social participation: Strengthening community engagement, participation and social mobilization for health and well-being
  • Public health workforce development: Developing and maintaining an adequate and competent public health workforce
  • Health service quality and equity: Improving appropriateness, quality and equity in provision of and access to health services
  • Public health research, evaluation and knowledge: Advancing public health research and knowledge development
  • Access to and utilization of health products, supplies, equipment and technologies: Promoting equitable access to and rational use of safe, effective and quality-assured health products, supplies, equipment and technologies 

Publications

Measuring integrated delivery of essential public health functions: a review of health systems and health security monitoring tools

Recent public health shocks, including the COVID-19 pandemic, have exposed persistent gaps in public health systems, particularly in routine monitoring...

Improving public health in health systems: guidance for country-level policies and actions

The world is facing intersecting crises from climate shocks and humanitarian emergencies to infectious disease outbreaks and economic instability that...

Governance for public health across the health and allied sectors: a report to guide country-level institutional capacity for essential public health functions underpinning multisectoral approaches

The diverse public health challenges require multisectoral, integrated action, supported by robust and well-coordinated governance that...

Global competency and outcomes framework for the essential public health functions

Achieving and sustaining national progress towards universal health coverage, health security and the health-related Sustainable Development Goals cannot...

Essential public health functions: A guide to map and measure national workforce capacity

Monitoring the composition of the workforce that delivers the essential public health functions (EPHFs), including a specific function and focus on emergency...

National workforce capacity for essential public health functions: Operational handbook for country-led contextualization and implementation

Achieving and sustaining national progress towards universal health coverage, health security and the health-related Sustainable Development Goals necessitates...

Defining essential public health functions and services to strengthen national workforce capacity

The purpose of this document is to support countries in contextualizing and implementing action area 1 of the roadmap and action plan to strengthen the...

Application of the essential public health functions: an integrated and comprehensive approach to public health

Experience with public health emergencies such as the COVID-19 pandemic clearly demonstrates that weak public health capacities leave populations and health,...

Essential public health functions in Ireland

This report represents a focused review of the essential public health functions (EPHFs) in Ireland with respect to policy and planning, infrastructure,...

Regional landscape of national public health institutions in Africa and their role, scope and capacity in supporting health systems resilience

This report was developed as part of a World Health Organization and United States Agency for International Development (USAID) collaboration...

National workforce capacity to implement the essential public health functions including a focus on emergency preparedness and response

Achieving and sustaining progress towards global health goals such as universal health coverage and health security requires a health and care workforce...

21st century health challenges: can the essential public health functions make a difference?: discussion paper

Countries worldwide are facing complex and diverse health challenges in 21st century, and usually there is one national health system for individual and...

Essential public health functions, health systems and health security

Since the first WHO list of essential public health functions (EPHFs) was published in 1998, EPHFs have been a recurring method used by WHO regions, Member States...

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