Political economy of primary health care resilience in Latin America and the Caribbean: insights from the WB/PAHO Commission recommendations.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 41133205.
- Also identified by DOI 10.1016/j.lana.2025.101241 and PMC identifier 12541814.
- Licence recorded as CC BY-NC-ND.
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Abstract
The World Bank-PAHO Lancet Regional Health Americas Commission, launched in January 2024, aims to transform primary health care (PHC) in Latin America and the Caribbean (LAC) to enhance resilience against public health emergencies. The Commission's 2025 report offer recommendations to strengthen integrated care, community empowerment, resilient financing, and intersectoral collaboration. Implementing these recommendations requires understanding political and economic factors. Political economy analysis provides insights into how stakeholder interests, institutions, ideologies, and political dynamics affect health policy implementation. Key factors include the influence of interest groups, the role of institutions, the conceptualization of PHC, and political ideologies. Historical legacies and institutional path dependence often hinder reform, but crises like the COVID-19 pandemic highlight the importance of robust, equitable health systems. Addressing political polarization and strengthening social participation will be crucial for building resilient PHC systems that respond to future health crises. Policymakers and advocates must consider these factors to implement the Commission's recommendations effectively.