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Pakistan's Progress on Universal Health Coverage: Lessons Learned in Priority Setting and Challenges Ahead in
Ala Alwan1, Dean T Jamison2, Sameen Siddiqi3
1DCP3 Country Translation Project, London School of Hygiene and Tropical Medicine, London, UK.
Pakistan designed an essential health services package for primary healthcare (PHC) to achieve universal health coverage (UHC). Evidence-informed processes ensured affordability and addressed disease burden, with lessons for effective rollout.
Area of Science:
- Public Health
- Health Policy
- Health Systems Strengthening
Background:
- Pakistan initiated health reforms to achieve Universal Health Coverage (UHC) through an essential package of primary healthcare (PHC) services.
- This initiative aimed to prioritize services, inform policy decisions, and guide the effective rollout of the healthcare package.
Discussion:
- Evidence-informed deliberative processes are effective for designing affordable, high-value healthcare packages that address significant disease burdens.
- Successful transition to implementation necessitates a thorough assessment of health system gaps and robust stakeholder engagement.
Key Insights:
- Pakistan's experience demonstrates that well-designed, evidence-based primary healthcare packages can be cost-effective.
- Strong collaboration between planning, financing, and private health sectors is crucial for successful implementation.
Outlook:
- Pakistan's PHC reforms offer valuable lessons for other countries pursuing UHC.
- There is a need to update evidence and international collaboration for priority setting and UHC reforms, referencing Disease Control Priorities 3 (DCP3).
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