The report is based on the WBG's technical assistance which aimed to 1) provide a baseline of current PHC performance, understand the strengths and weaknesses of the PHC system, and where to target initiatives for improvement
2) identify and understand variation in PHC performance, especially in terms of quality, between facilities in urban and rural areas and in Yerevan
and 3) assess care integration among health services at different levels of care. Four key assessment studies were undertaken to support these aims: 1) a Service Delivery Indicators (SDI) survey to measure the quality and capacity of PHC facilities across the country through a nationally representative survey of over 300 facilities, 2) the Vital Signs Profile, the core tool of the Primary Health Care Performance Initiative (PHCPI), to provide a snapshot of a PHC system across four pillars: financing, capacity, performance, and equity, 3) vertical Integration Diagnostic and Readiness Tool to assess linkages between PHC and hospital care, and 4) an assessment of Ambulatory Care Sensitive Conditions to examine if all uncomplicated care is managed at the PHC level.