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From Universal Health Coverage services packages to budget appropriation: the long journey to implementation
Agnès Soucat1, Ajay Tandon2, Eduardo Gonzales Pier3
1Health & Social Protection, Agence Francaise de Developpement, Paris, France soucata@afd.fr.
Essential packages of health services (EPHS) can advance universal health coverage (UHC) financing, particularly in resource pooling and strategic purchasing. However, direct revenue generation through EPHS is often ineffective, requiring indirect fiscal measures and improved public financial management.
Area of Science:
- Health Policy and Financing
- Public Health Systems
- Healthcare Economics
Background:
- Essential Packages of Health Services (EPHS) are crucial for achieving Universal Health Coverage (UHC) financing.
- Stakeholders often have high expectations for EPHS in health financing but lack clear implementation mechanisms.
- Understanding the interplay between EPHS, health financing functions, and public financial management (PFM) is vital.
Conclusions:
- EPHS are more effective in promoting resource pooling and strategic purchasing than direct revenue generation.
- Effective use of EPHS requires improved dialogue with public finance authorities and integration into country health programs.
- Translating EPHS into adequate public financing is essential for overcoming coverage obstacles and achieving UHC.
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