The Primary Health Care Performance Initiative

PHCPI is a partnership dedicated to transforming the global state of primary health care. We strive to help create a world where strong primary health care is the reality, not the exception, for every person, family and community.

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© Bill & Melinda Gates Foundation/Prashant Pranjar

PHCPI was built on the belief that primary health care is the cornerstone of sustainable development, and that improving primary health care begins with better measurement. We work closely with governments and development partners who are looking to strengthen primary health care, providing them with the data, information and support they need to drive evidence-based improvements.

Founded in 2015 by the Bill & Melinda Gates Foundation, the World Health Organization and the World Bank Group, in collaboration with Ariadne Labs and Results for Development and our newest partners UNICEF, and the Global Fund  PHCPI draws on the strengths of our partners to work across the spectrum of primary health care measurement to improvement. PHCPI aims to ensure that data on primary health care is both accessible and used to drive decisions that change people’s lives. We are eager to work with additional partners who share our mission. Learn more about our leadership team here.

Our Approach

PHCPI supports stronger primary health care through three interconnected areas of work: Measurement, Improvement, and Engagement. 


PHCPI uses existing and emerging data to monitor and report on primary health care system performance, promote accountability, and help countries drive targeted improvements. PHCPI’s Conceptual Framework lays out the most important components of a strong primary health care system, showing the different elements of primary health care that countries should measure. Our set of 38 Core Indicators summarize existing comparable data on these elements. Our latest tool, the PHC Vital Signs Profiles – launched in October 2018 – goes one step further and provides the first-ever snapshot of the strength of primary health care systems in individual countries, shining a light on elements of the system that were previously overlooked. For more information on primary health care in specific countries, we invite you to access our data.


Ultimately, PHCPI aims to use measurement for improvement and accountability. We’re committed to helping countries and development partners bridge the gap between measurement and improvement by providing relevant, useful information on what works to improve primary health care. In 2019, we launched the Improvement Strategies, an interactive knowledge tool that provides a selection of evidence-informed improvement options based on the current status of a country's primary health care system. We've also identified 19 Promising Practices -- lessons for how to build strong primary health care systems -- in countries around the world. And we work closely with the Joint Learning Network for Universal Health Coverage (JLN) and other global partner networks to develop tools that countries can use to improve primary health care.


PHCPI works to elevate primary health care as a global priority by bringing together committed country-level policymakers, advocates and other development partners to help build strong primary health care systems and drive global and national attention to the issue. Explore our resources – including the Vital Signs Report – for more information, and contact us at to get involved.