Framework to implement a life course approach in practice

The WHO Framework to implement a life course approach in practice summarizes current evidence to reorient health systems to produce health and well-being, draws on global examples of implementation, and proposes next steps. A life course approach acknowledges that health and well-being depend on the interaction of multiple protective and risk factors, particularly during sensitive and critical periods throughout people’s lives and across generations. It strengthens equity by recognizing how critical periods, transitions and cumulative exposures shape health trajectories. This framework targets a wide audience including governments, civil society, and other non-state actors committed to applying a life course approach and informs discussions on redesigning primary health care programmes to improve life course health trajectories.

A life course approach includes a good start to life, optimal development (of infants, children, adolescents and youth), adult health and well-being, healthy ageing and a dignified death at any age.

The framework provides:

• A strategic lens to advance universal health coverage and adapt systems to evolving needs by promoting health capacities and well-being.
• Conceptual foundations on how genetic, biological, psychosocial and environmental factors shape health and well-being across the life course and intergenerational health.
• Six core principles essential for operationalizing a life course approach.
• Country examples on implementation showing how services are being reoriented.

• Strategic actions needed to implement the approach, including multisectoral action and improved data and financing.