Measuring the comprehensiveness of primary care requires attention to services provided across the life-course, burden of disease and from health promotion to palliation. The Primary Health Care Performance Initiative (PHCPI) (https://improvingphc.org/explore-country-data) selected three indicators to try and measure comprehensiveness of primary care from routinely collected data at a national level. These included the availability of HIV and TB services, services for non-communicable disease and five reproductive-maternal-neonatal-child health (RMNCH) services. A number of countries in sub-Saharan Africa are collaborating with the PHCPI and the evaluation of their comprehensiveness is shown in the Table below. Overall it appears that services for RMNCH are most available, closely followed by services for infectious diseases. Services for non-communicable diseases are much less available and ranged from 6% of facilities in Ghana to 97% in South Africa.  It was also striking that several countries could not provide data for all three indicators. Amongst those countries with complete data, Burkino Faso had the highest overall measurement at 89% and Ghana had the lowest at 55%. MORE…