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José Moya-Medina1, Jacobo Finkelman2, Joaquín Molina-Leza3

  • 1Representante de la Organización Panamericana de la Salud/Organización Mundial de la Salud en México. Ciudad de México, México.. moyajose@paho.org.

Salud Publica De Mexico
|February 20, 2025
PubMed
Summary

Essential Public Health Services (EPHS) are crucial for state-led health governance and population well-being. A revised framework strengthens countries in addressing evolving public health challenges.

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Area of Science:

  • Public Health
  • Health Policy
  • State Governance

Context:

  • Evolution of Essential Public Health Services (EPHS) frameworks.
  • Role of EPHS in health sector reforms.
  • Historical development from CDC, WHO, and PAHO versions.

Purpose:

  • To review the importance of EPHS.
  • To highlight their role in health governance and state response.
  • To present the updated PAHO EPHS framework from 2020.

Summary:

  • Multiple EPHS versions have guided public health importance amid reforms.
  • EPHS have been central to national debates in the Americas for two decades.
  • The updated EPHS aims to enhance national capacity for new public health challenges.

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Impact:

  • EPHS are fundamental to establishing public health as a state responsibility.
  • The revised framework reinforces state capacity in central, state, and local health domains.
  • Significant improvements in health systems measurement have been achieved through EPHS.