Vis enkel innførsel

dc.contributor.authorAlwan, Ala
dc.contributor.authorMajdzadeh, Reza
dc.contributor.authorYamey, Gavin
dc.contributor.authorBlanchet, Karl
dc.contributor.authorHailu, Alemayehu
dc.contributor.authorJama, Mohamed
dc.contributor.authorJohansson, Kjell Arne
dc.contributor.authorMusa, Mohammed Yusuf Ahmed
dc.contributor.authorOmar, Omar Mwalim
dc.contributor.authorNorheim, Ole Frithjof
dc.contributor.authorSafi, Najibullah
dc.contributor.authorSiddiqi, Sameen
dc.contributor.authorZaidi, Raza
dc.date.accessioned2024-05-13T11:33:33Z
dc.date.available2024-05-13T11:33:33Z
dc.date.created2023-05-08T13:09:26Z
dc.date.issued2023
dc.identifier.issn2059-7908
dc.identifier.urihttps://hdl.handle.net/11250/3130124
dc.description.abstractThis paper reviews the experience of six low-income and lower middle-income countries in setting their own essential packages of health services (EPHS), with the purpose of identifying the key requirements for the successful design and transition to implementation of the packages in the context of accelerating progress towards universal health coverage (UHC). The analysis is based on input from three meetings of a knowledge network established by the Disease Control Priorities 3 Country Translation Project and working groups, supplemented by a survey of participating countries. All countries endorsed the Sustainable Development Goals target 3.8 on UHC for achievement by 2030. The assessment of country experiences found that health system strengthening and mobilising and sustaining health financing are major challenges. EPHS implementation is more likely when health system gaps are addressed and when there are realistic and sustainable financing prospects. However, health system assessments were inadequate and the government planning and finance sectors were not consistently engaged in setting the EPHS in most of the countries studied. There was also a need for greater engagement with community and civil society representatives, academia and the private sector in package design. Leadership and reinforcement of technical and managerial capacity are critical in the transition from EPHS design to sustained implementation, as are strong human resources and country ownership of the process. Political commitment beyond the health sector is key, particularly commitment from parliamentarians and policymakers in the planning and finance sectors. National ownership, institutionalisation of technical and managerial capacity and reinforcing human resources are critical for success. The review concludes that four prerequisites are crucial for a successful EPHS: (1) sustained high-level commitment, (2) sustainable financing, (3) health system readiness, and (4) institutionalisation.en_US
dc.language.isoengen_US
dc.publisherBMJen_US
dc.rightsNavngivelse 4.0 Internasjonal*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/deed.no*
dc.titleCountry readiness and prerequisites for successful design and transition to implementation of essential packages of health services: Experience from six countriesen_US
dc.typeJournal articleen_US
dc.typePeer revieweden_US
dc.description.versionpublishedVersionen_US
dc.rights.holderCopyright 2023 The Author(s)en_US
dc.source.articlenumbere010720en_US
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode1
dc.identifier.doi10.1136/bmjgh-2022-010720
dc.identifier.cristin2146151
dc.source.journalBMJ Global Healthen_US
dc.identifier.citationBMJ Global Health. 2023, 8 (Suppl 1), e010720.en_US
dc.source.volume8en_US
dc.source.issueSuppl 1en_US


Tilhørende fil(er)

Thumbnail

Denne innførselen finnes i følgende samling(er)

Vis enkel innførsel

Navngivelse 4.0 Internasjonal
Med mindre annet er angitt, så er denne innførselen lisensiert som Navngivelse 4.0 Internasjonal