Table 1. Framework to Determine the Extent to Which RPHCOs Are Comprehensive or Selective in Their Approach .

Key Elements	Continuum From Selective To Comprehensive PHC
	(Selective PHC) 1	2	3	4	(Comprehensive PHC) 5
Focus on population health	Individual care	− − − − − − −− − − − −− − − − − − − − − − − − − − −>			Population health
	Focus on individuals and curative care; medical interventions; disease-specific care	Main focus on curative care, and behavioral and lifestyle interventions; some attention on population health and prevention (mainly screening and immunisation)			Continuum of curative, rehabilitative, preventive and health promotion services in planning and priority setting; strong focus on the health of the whole population
Focus on equity of access and outcomes	No focus on equity	− − − − − − −− − − − −− − − − − − − − − − − − − − −>			Equity of access and outcomes
	No focus on equity; focus on disease specific strategies without attention to equity of access or outcomes	Interventions to facilitate equity of access; targeting specific population groups in need; Some evidence of collecting population data on social determinants of health			Focus on equity and social determinants of health; attention to equity of outcomes in the whole population through action on the social determinants of health
Community participation and control	No community participation	− − − − − − −− − − − −− − − − − − − − − − − − − − −>			Community controlled
	No community engagement or control in planning and decision-making	Some degree of community engagement mainly in identifying needs; limited engagement of communities in decision-making and priority setting; limited transfer of power to communities			Community controlled; community representation in organisational decision-making structure (eg, board membership)
Integration within the broader health system	Working in silo	− − − − − − −− − − − −− − − − − − − − − − − − − − −>			Integration within the broader health system
	No collaboration with the broader health system in governance, health planning, resource allocation and program implementation	Some degree of vertical collaboration with broader health system eg, data sharing; informal mechanisms for collaboration eg, regular meetings			Structural/functional vertical integration with the broader health system; strong collaboration with local or regional health organisations, secondary and tertiary health system via formal mechanisms
Inter-sectoral collaboration	No collaboration outside health sector	− − − − − − −− − − − −− − − − − − − − − − − − − − −>			Strong inter-sectoral collaboration
	No collaboration with non-health sectors eg, local government, housing, employment and education	Some degree of collaboration with non-health sectors; informal relationships eg, occasional meetings on specific local projects			Strong collaboration with non-health sectors: joint planning and priority setting; formal mechanisms for collaborative work eg, memorandum of understanding, board membership
Local responsiveness	Central management and control	− − − − − − −− − − − −− − − − − − − − − − − − − − −>			Flexible and local response
	Central funding allocation and priorities; no pool of flexible funding	Some degree of local funding flexibility and priority setting, with locally tailored programs			High level of flexible funding for locally tailored programs; organisational authority in responding to local needs

Abbreviations: RPHCOs, regional primary healthcare organisations; PHC, primary healthcare.