摘要：Despite the current global and national momentum, 1 universal health coverage could remain an empty promise unless it is focussed on the provision of qual- ity ess ential services to everyone. And this, in turn, will not happen without strengthening local health systems. More than 25 years ago, the framing was slightly different – primary health care instead of universal health coverage – but the assessment was similar. In Au- gust 1987, the World Health Organiza- tion organized an interregional meeting in Harare, Zimbabwe, that resulted in the Declaration on strengthening district health systems based on primary health care (the "Harare Declaration"). 2 In the decades that followed, many actors joined forces to implement the district strategy, which emphasizes the impor- tance of organizing and coordinating health service delivery at the local level.
