Realising change is not simply a question of advancing the clinical knowledge of health workers. By also looking at the whole ‘system’ – whether at clinic, district or national level – PCI offers adaptable practical tools and advisory services encompassing clinic management, procurement, referral pathways, monitoring, evaluation and quality assurance. By sharing approaches for managing change, we enable communities to test and evolve solutions that ensure sustainable, affordable access to primary healthcare.

We provide technical expertise to partners testing new and innovative models, which recognises the importance of context as well as efficacy of proven clinical interventions, and in turn generates evidence of what works – promoting scalable models of care.

Independent trials have demonstrated that there are certain clinical interventions that are effective. Yet such interventions can – and do – still fail if we do not take account of so-called ‘local effect modifiers’. In other words, factors in the wider ecosystem – ranging from stigma, cultural norms, poverty, transport infrastructure, financing and incentives – can limit or even nullify the impact of ‘best practice’ interventions. We listen to our partners and collaborate to create new models of care which recognise these factors.