Argentina |
"National Health Quality Plan 2021-2024" and the "Quality Evaluation and Improvement Plan at the First Level of Care" guide a PHC model centered on people, with high-resolution capacity, care continuity, and focus on promotion and prevention in environments that promote the safety of users, families, and the community, with a decentralized organization, health participation of Indigenous peoples, prioritized care lines, evaluation of results, and adequate coverage. |
Bolivia |
"Intercultural Community Family Health" (SAFCI) - aimed at implementing the Unified Health System through community participation, intersectorality, interculturality, and comprehensiveness. SAFCI professionals respond and report to the Ministry of Health and Sports authority, from which instructions, priorities, and action initiatives emanate. |
Brazil |
"Family Health Strategy" (ESF). The ESF is community-oriented and incorporates and is guided by a preferential gateway, multidisciplinary teams, community participation, intersectorality, addressing the social determinants of health, use of appropriate technology, and sustainable cost-benefit ratio. These general guidelines are evident in the 2011 National Primary Care Policy (PNAB) and changed in the 2017 update. |
Chile |
“Comprehensive Health, Family, and Community Care Model” (MAIS-FC) - expanded Alma Ata approach: people-centered, comprehensive, and continuing care operated in Family Health Centers (CESFAM) and Community Health Centers (CECOSF) by strengthening PHC health teams, networking, and intersectoral work, local management, and participation. |
Colombia |
Three independent, unarticulated PHC models: first-level PHC care model, administered by the Benefit Plan Administrative Entities, based on individual risk management through cost-effective clinical actions; models implemented by local health authorities based on collective or public health actions, offered without discrimination; intercultural models of Indigenous peoples. |
Ecuador |
“Comprehensive Care Model in Family, Community and Intercultural Health” (MAIS-FCI) - interventions in health promotion and prevention, equitable and continuing access to comprehensive services that consolidate the first care level as the gateway to the health system. |
Paraguay |
“Comprehensive Health Care Model” - comprehensive perspective through the development of a first care level that incorporates public health interventions with an approach based on human rights, social participation, community empowerment, and intersectoral collaboration, with the integration of horizontal programs with high health impact. |
Peru |
“Comprehensive Life Course Care Model for the Individual, Family and Community” (MCI) - (former “Comprehensive Health Care Model based on the Family and Community” - MAIS-BFC) - gateway from First-Level Health Establishments with their extramural and intramural actions, comprehensive care, with continuing provision and quality of care to cover health needs, emphasizing health promotion and risk prevention of individuals within their family and community and in a framework of shared responsibility with the individuals involved and the social stakeholders. |
Uruguay |
PHC as a strategy. Prioritizes the first care level with activities targeting individuals, family, community, and the environment, with adequate resolution and comprehensive care to fundamental health needs and the improvement of quality of life, participation of the human core involved and in direct contact with its natural and social habitat, interdisciplinary teams with infrastructure and technologies for outpatient, home, urgent, and emergency care. The First Care Level (PNA) is organized in the public subsector as Primary Care Networks (RAP), which implement units with autonomy in technical, budgetary, and health workforce management. |