Primary Health Care | Results for Development https://r4d.org/health/primary-health-care/ Corporate Website Tue, 10 Nov 2026 14:10:16 +0000 en-US hourly 1 https://wordpress.org/?v=7.1.4 Beyond design: building the implementation capacity health reforms need https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/ https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/#respond Mon, 09 Nov 2026 22:25:23 +0000 https://r4d.org/?p=18508 The post Beyond design: building the implementation capacity health reforms need appeared first on Results for Development.

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]]> https://r4d.org/blog/beyond-design-building-the-implementation-capacity-health-reforms-need/feed/ 0 Ibrahim Kangamila https://r4d.org/about/our-team/ibrahim-kangamila/ Fri, 30 Oct 2026 18:04:48 +0000 https://r4d.org/?post_type=expert&p=18494 Ibrahim S. Kangamila brings 10+ years of health financing experience in Tanzania, from budgeting to pharmaceutical systems and public-private engagement.

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]]> Ibrahim S. Kangamila is a health systems and financing professional with more than 10 years of experience in health systems strengthening, public financial management, program leadership and policy engagement in Tanzania.

Mr. Kangamila is a senior program officer at Results for Development (R4D), where he leads the public financial management workstream in Tanzania, advancing reforms in health budgeting, budget execution, equitable resource allocation, financial accountability and sustainable primary health care financing.

Throughout his career, Mr. Kangamila has overseen a USAID-funded health systems portfolio exceeding $130 million, supporting program performance, governance and compliance. His work has strengthened pharmaceutical supply chains, private sector engagement and collaboration between government and nongovernmental health providers.

Before joining R4D, Mr. Kangamila was a senior private sector engagement adviser at JSI, where he led initiatives to strengthen pharmaceutical systems, improve stakeholder coordination and advance integration across GoTHOMIS, eLMIS, PlanRep and FFARS. He contributed to faith-based organization mapping, public-private engagement and alignment of digital systems with health planning and financial management. His experience in policy dialogue, health financing, governance and capacity building has given him a strong understanding of Tanzania’s health system and decentralized governance structures.

Mr. Kangamila holds a Master of Science in project management from the Open University of Tanzania and a Bachelor of Science in social protection from the Institute of Finance Management. He also studied global public health and social justice at the master’s level at Brunel University London and completed training in human resources for health at Harvard T.H. Chan School of Public Health. He is fluent in English and Kiswahili.

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]]> From Evidence To Action: Building a Health Policy Feedback Mechanism in Indonesia https://r4d.org/resources/from-evidence-to-action-building-a-health-policy-feedback-mechanism-in-indonesia/ Mon, 05 Oct 2026 21:38:51 +0000 https://r4d.org/?post_type=resource&p=18428 In large, decentralized countries like Indonesia, national health policies are interpreted and implemented by officials at many different levels, from provinces and districts to individual health facilities. At each level, policies may be adapted to local realities. But what local officials learn through implementation does not always make its way back to national decision-makers. That […]

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]]> In large, decentralized countries like Indonesia, national health policies are interpreted and implemented by officials at many different levels, from provinces and districts to individual health facilities. At each level, policies may be adapted to local realities. But what local officials learn through implementation does not always make its way back to national decision-makers. That can make it hard to understand what is working, what is impeding progress, and what may need to change. In Indonesia, participatory national-subnational planning forums exist, but meaningful subnational input into policy evaluation remains limited.

To address these challenges, Indonesia’s Health Development Policy Agency (BKPK) in the Ministry of Health is working with Results for Development and Gadjah Mada University to build and test a structured, two-way policy feedback mechanism. This brief shares key lessons from developing the mechanism and its first pilot phase of implementation with three provincial health offices, six district health offices, and local health policy and systems research institutions from those districts.

Early lessons suggest that policy feedback mechanisms require trust and relationship-building, clear roles, regular opportunities for joint reflection, and institutional arrangements that enable implementation evidence to influence policy decisions. Ultimately, Indonesia’s leaders hope to embed two-way feedback and learning as a routine governance practice that connects policy design with implementation and enables adaptation to local realities.

This work brings together learning from R4D’s Asia Health Policy and Systems Research Initiative and Advancing Realistic Health System Design and Planning project, both funded by the Gates Foundation.

A related blog examines the development and early implementation of this policy feedback mechanism in Indonesia. Read it here. 

 

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]]> Can Local Experience Improve National Health Policy? https://r4d.org/blog/can-local-experience-improve-national-health-policy/ https://r4d.org/blog/can-local-experience-improve-national-health-policy/#respond Mon, 05 Oct 2026 18:59:43 +0000 https://r4d.org/?p=18412 The post Can Local Experience Improve National Health Policy? appeared first on Results for Development.

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]]> https://r4d.org/blog/can-local-experience-improve-national-health-policy/feed/ 0 What it takes to embed nurturing care in primary health care https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/ https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/#comments Fri, 25 Sep 2026 13:00:00 +0000 https://r4d.org/?p=18349 The post What it takes to embed nurturing care in primary health care appeared first on Results for Development.

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]]> https://r4d.org/blog/what-it-takes-to-embed-nurturing-care-in-primary-health-care/feed/ 1 Translating an ambitious vision into realistic health system progress: Insights from a global convening https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/ https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/#comments Tue, 04 Aug 2026 18:01:19 +0000 https://r4d.org/?p=18155 The post Translating an ambitious vision into realistic health system progress: Insights from a global convening appeared first on Results for Development.

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]]> https://r4d.org/blog/translating-an-ambitious-vision-into-realistic-health-system-progress/feed/ 1 Community pharmacies don’t need to prove their value. They need a place in the system. https://r4d.org/blog/community-pharmacies-need-a-place-in-the-system/ https://r4d.org/blog/community-pharmacies-need-a-place-in-the-system/#comments Mon, 03 Aug 2026 16:49:48 +0000 https://r4d.org/?p=18141 The post Community pharmacies don’t need to prove their value. They need a place in the system. appeared first on Results for Development.

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]]> https://r4d.org/blog/community-pharmacies-need-a-place-in-the-system/feed/ 1 Inside Ghana’s Free Primary Health Care reform: What it takes to design system change https://r4d.org/blog/inside-ghanas-free-primary-health-care-reform/ https://r4d.org/blog/inside-ghanas-free-primary-health-care-reform/#respond Thu, 23 Jul 2026 13:00:22 +0000 https://r4d.org/?p=18180 The post Inside Ghana’s Free Primary Health Care reform: What it takes to design system change appeared first on Results for Development.

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]]> https://r4d.org/blog/inside-ghanas-free-primary-health-care-reform/feed/ 0 Building stronger health systems through better data use https://r4d.org/projects/building-stronger-health-systems-through-better-data-use/ Wed, 24 Jun 2026 12:00:06 +0000 https://r4d.org/?post_type=project&p=17856 R4D is designing and facilitating cross-country learning exchanges where health leaders gain the skills to analyze service delivery data, detect health system disruptions and use evidence to guide action in their countries.

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]]> From silos to systems: Multi-sectoral coordination for optimal child development https://r4d.org/blog/silos-to-systems-multi-sectoral-coordination-for-optimal-child-development/ https://r4d.org/blog/silos-to-systems-multi-sectoral-coordination-for-optimal-child-development/#respond Wed, 17 Jun 2026 10:00:31 +0000 https://r4d.org/?p=17933 The post From silos to systems: Multi-sectoral coordination for optimal child development appeared first on Results for Development.

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