- Define the comprehensive, universal package of legally guaranteed services to be progressively expanded in accordance with health needs, system capacities, and national context. The package of services is an essential element in guaranteeing the right to health and should therefore extend equally to all people, regardless of their ability to pay, without differences in quality and without financial risk. It should take into account the differential and unmet needs of all people, and address the specific needs of groups in conditions of vulnerability. This requires an adaptation of the legal and regulatory frameworks in accordance with the international human rights instruments applicable to health. Decision-making concerning the universal package of services should be evidence-based, with ethical, cultural and gender perspectives. A multidisciplinary approach in the assessment of health technologies and the economic evaluation of health interventions is needed. Mechanisms for social transparency in the different stages of the process are required.

- Transform the organization and management of health services through the development of health care models that focus on the needs of people and communities, increasing the resolution capacity of the primary level of care through integrated health services networks (IHSNs), based on the primary health care strategy.

- Immediately increase investment in the first level of care to improve resolution capacity, increase access and progressively expand the supply of services to quickly address unmet health needs, in accordance with the universal package.

- Increase employment options at the first level of care, with attractive labor conditions and incentives, particularly in underserved areas. Consolidate collaborative multidisciplinary health teams and ensure sufficient response capacity with access to health information and telehealth services (including telemedicine). Introduce new professional and technical profiles coherent with the universal package of legally guaranteed services and with the care model.

- Essential medicines and health technologies are part of the universal package of guaranteed services. It is critical to define processes that systematically and progressively improve the availability and rational use of medicines and other health technologies in health services, and develop regulatory capacity to ensure that such medicines are safe, efficacious and are of quality.

- Implement programs for the empowerment of people, including promotion, prevention, and educational activities that enable people to know more about their health situation and their rights and obligations. The participation of people and communities is fundamental for universal health coverage and people should be empowered to make informed decisions about their own health and the health of their family. It is important to recognize the role of women as (formal and informal) providers of health services and care.

Source: CE154/12 Strategy for Universal Health Coverage