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Addressing the UHC Challenge Using the Disease Control Priorities 3 Approach: Lessons Learned and an Overview of the
Ala Alwan1, Sameen Siddiqi2, Malik Safi3
1DCP3 Country Translation Project, London School of Hygiene and Tropical Medicine, London, UK.
International Journal of Health Policy and Management
|August 5, 2024
Summary
Pakistan
Area of Science:
- Health Services Research
- Health Policy and Planning
- Universal Health Coverage
Background:
- Pakistan's development of the Essential Package of Health Services (EPHS) is a significant stride towards achieving Universal Health Coverage (UHC).
- This initiative outlines the strategic approach, methodologies, and outcomes of the EPHS development process.
- It addresses the rationale, aims, challenges, and lessons learned in establishing a national health service package.
Purpose of the Study:
- To detail the systematic development of Pakistan's first national Essential Package of Health Services (EPHS).
- To outline the rationale, aims, methods, outcomes, challenges, and lessons learned during the EPHS design.
- To inform future health policy and service delivery strategies in pursuit of Universal Health Coverage.
Main Methods:
- The EPHS design was led by the Ministry of National Health Services, Regulations & Coordination.
- Technical guidance was provided by the Disease Control Priorities 3 Country Translation project and existing national expertise.
- A participatory, evidence-informed approach was employed for prioritization and decision-making.
Main Results:
- The comprehensive EPHS includes 117 interventions at US$29.7 per capita, plus 12 population-based interventions at US$0.78 per capita.
- An initial Immediate Implementation Package (IIP) of 88 district-level interventions is costed at US$12.98 per capita.
- Provincial packages were developed using the same evidence-informed process, with phased IIP implementation underway.
Conclusions:
- Successful EPHS design hinges on feasibility, affordability, national leadership, and stakeholder engagement.
- Key challenges include strengthening technical capacity, institutionalizing priority setting, addressing health system gaps, and bridging the financing gap.
- Progressive coverage towards 2030 requires sustained effort in these areas.
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