Strengthening primary health care resilience through community innovation: a qualitative case study from Quito’s response to COVID-19
Quito's experience highlights the potential of decentralised municipal governance to lead PHC reform through integrated, preventive, and community-based strategies. The findings provide valuable lessons for other cities in low- and middle-income countries seeking to enhance PHC resilience in fragile contexts. Strengthening digital capacity and ensuring institutional protection and funding for ESC will be key to sustaining progress.
Authors
- Betzabé Tello (ORCID: https://orcid.org/0000-0001-5890-6436)
- Iván Dueñas-Espín (ORCID: https://orcid.org/0000-0002-6639-727X)
- Laura Di Giorgio
Institutions
- World Bank (US)
- Pontificia Universidad Católica del Ecuador (EC)
Publication Details
- Journal
- International Journal for Equity in Health
- Published
- 2025-10-10
- DOI
- https://doi.org/10.1186/s12939-025-02620-1
- Citations
- 1
- Primary Topic
- Public Health Policies and Education
- Type
- article
- Field-Weighted Citation Impact
- 2.82