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Abstract

One of the most fundamental challenges of the health system in the world is dealing with pandemics. Strengthening the primary health care system is a solution for crisis resolution, proper response during crisis and stronger recovery of the system after crisis. This study examines the systematicity of other experiences in establishing or strengthening the primary health care system in dealing with pandemics. In this systematic review, Pubmed, Scopus, Web of Science, Science Direct, and the World Health Organization website were used to search for articles. Two people independently screened the titles and abstracts. In total, 24 articles and 6 reports were extracted. By reviewing the articles, the interventions of different countries to deal with pandemics at the PHC level were divided into three general categories. Intervention at the level of policymakers (seven interventions), intervention at the level of PHC systems (ten interventions), intervention at the community level (three interventions) that each of these interventions at these three levels had a significant impact on improving the performance of the PHC system in dealing with the pandemic.  The evidence based on the results of a systematic review of the experiences of primary health care systems (PHC) showed that by applying a comprehensive, coherent and community-based approach in the three areas of policymakers, PHC systems and society, it is possible to formulate policies. And taking appropriate measures to manage and face pandemics was successful.