Achieving this outcome requires the expansion of integrated quality, and highly resolutive health care and services to be delivered throughout the life course, including sexual and reproductive health services for women², as well as health services for mothers and newborns, responding to the unique needs of populations where they live, based on the primary health care approach. Specifically, the following actions will be implemented:

1. Strengthen the capacity of health systems and services to increase resilience and deliver integrated person-centered care throughout the life course and ensure access to and coverage of quality person-centered health services for all, addressing the differentiated needs of people where they live in the context of a rapid demographic and epidemiological transition.

2. Strengthen integrated and person-centered care through the primary health care approach to boost and maintain health capacities and address communicable and noncommunicable diseases; vaccine preventable diseases; risk factors across the life course; sexual, reproductive, maternal, newborn, child, adolescent, and older persons’ and migrant populations’ health; and the social determinants of health.

3. Strengthen integrated health service delivery networks and improve the organization, management, and governance of health services at both the individual and population level, increasing the resolution capacity of the first level of care. This involves developing innovative models of care that are intersectoral and person-, family-, and community-centered and promote coordination, communication, information, and continuity of care and the integration of priority health programs, health technology and telemedicine services in health service networks.

4. Promote, strengthen, and improve health care for women and adolescents, mothers, and newborns, accelerating the reduction of maternal, neonatal, and child mortality, and strengthening capacity in sexual and reproductive health³ policies, care, and services.

5. Increase the capacity to respond to the differential needs of all populations through the reduction of availability, geographic, organizational, acceptability, and financial barriers to accessing health care and services, particularly for older persons and other people in conditions of vulnerability.

² In no case should abortion be promoted as a method of family planning. (Report of the International Conference on Population and Development [1994].) Available at: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/a_conf.171_13_rev.1.pdf

³Ibid.

Key Interventions

• Strengthen the development, design, and implementation of policies and strategies to promote integrated health services and care that are tailored to the health needs of women, newborns, children, adolescents, men, and older adults, throughout the life course.
• Support targeted interventions to accelerate the reduction of maternal and neonatal mortality, especially for populations living in situations of vulnerability, based on the primary health care approach.
• Strengthen capacity in the organization and management of integrated health service delivery networks, focusing on people’s needs for timely and satisfactory care, in line with the Policy on Integrated Care for Improved Health Outcomes (Document CSP30/10).
• Develop strategies to improve the resolution capacity of the first level of care, addressing the comprehensive needs of people where they live and taking into consideration the social determinants of health.
• Strengthen country capacities to implement the Regional Policy and Strategy for Ensuring Quality of Health Care, including Patient Safety (Documents CSP27/16 and Corrig.), with a focus on populations in situations of vulnerability.
• Promote and strengthen effective integration of social and health care that promotes sustainability of  coverage and ensures access to health services for older persons, including long-term care for those  who need it, in line with the Policy on Long Term Care (Document CD61/8).
• Support countries and territories in the planning, implementation, and scaling up of initiatives to promote and protect the health and well-being of migrant and host populations across the mobility continuum through national health policies, plans, and programs.