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Building implementable packages for universal health coverage
Teri Reynolds1, Thomas Wilkinson2, Melanie Y Bertram3
1Department of Integrated Health Services, World Health Organization, Geneva, Switzerland reynoldst@who.int.
BMJ Global Health
|May 17, 2023
Summary
Designing implementable health service packages is crucial for achieving universal health coverage (UHC). Effective package design bridges the gap between prioritizing services and ensuring their successful delivery to populations.
Area of Science:
- Health Services Research
- Public Health Policy
- Healthcare Management
Background:
- Universal health coverage (UHC) requires prioritizing essential health services.
- Service packages are vital for UHC but face implementation challenges.
- Current package development often neglects service delivery considerations.
Purpose of the Study:
- To explore challenges in translating prioritized health service packages into implementable realities.
- To identify strategies for designing more effective and deliverable service packages for UHC.
- To analyze country experiences in bridging the gap between service package design and implementation.
Main Methods:
- Review of country experiences and case studies.
- Analysis of service package structure and content choices.
- Qualitative assessment of implementation barriers and facilitators.
Main Results:
- Tensions exist between prioritization criteria and implementation needs in service package design.
- Failure to integrate delivery considerations early can undermine UHC goals.
- Specific choices in package structure and content significantly impact implementability.
Conclusions:
- Well-designed health service packages are essential for effective UHC implementation.
- Integrating service delivery considerations from the outset is critical for success.
- Actionable strategies can help countries bridge the intent-to-implementation gap for UHC service packages.
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