The objective of this report is to highlight some primary healthcare exemplars through narrative case studies and bring out inspiring and innovative learnings that all actors within the primary healthcare system can utilize. The innovative solutions work in radically different pathways to improve efficiency and effectiveness in PHC within their context. Eight case studies to explored through interviews and categorized their learnings into buckets or components of an ideal PHC model system. The purpose of this is to allow readers to be able to pick and choose which area of the healthcare system (governance, workforce, financing) are they looking to learn from and use these solutions in their way. We identify flavors in the recipe of a strong comprehensive primary health care model as well as grounded innovations that are within the models and are stand-alone and can be adapted to fit in. Key factors for supporting sustained primary health in a community identified by the study include (1) foundational factors that help to prime the environment for policy-level action; (2) catalysts that facilitate coordination among diverse agencies; and (3) success factors for effective implementation and ongoing collaboration. This report is a narrative of the insights, levers, catalysts and elements of success with these case stories as examples