HAP continues to support the establishment and operation of PGs outside the 2 pilot regions (Fier and Dibra) through the promotion of the PG Guide and training material developed by HAP for health professionals in PHC. The upscaling is carried out in cooperation with the central and regional branches of the Order of Nurses. In addition, HAP has provided guidance, training and instruction for family physicians and nurses interested in PGs and has mobilized a group of local consultants with experience in PG operation to support PG initiatives outside the Fier and Dibra regions.

As a result, PGs have been established and made operational for issues related to nursing and medical care in PHC in the regions of Tiranë, Durrës, Elbasan, Lezhë, Shkodër, Vlorë, Kukës, and Gjirokastër with the participation of 49 FPs and 112 nurses.