Cargando…

Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries

This 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 a...

Descripción completa

Detalles Bibliográficos
Autores principales: Alwan, Ala, Majdzadeh, Reza, Yamey, Gavin, Blanchet, Karl, Hailu, Alemayehu, Jama, Mohamed, Johansson, Kjell Arne, Musa, Mohammed Yusuf Ahmed, Mwalim, Omar, Norheim, Ole Frithjof, Safi, Najibullah, Siddiqi, Sameen, Zaidi, Raza
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9853149/
https://www.ncbi.nlm.nih.gov/pubmed/36657808
http://dx.doi.org/10.1136/bmjgh-2022-010720
_version_ 1784872828974137344
author Alwan, Ala
Majdzadeh, Reza
Yamey, Gavin
Blanchet, Karl
Hailu, Alemayehu
Jama, Mohamed
Johansson, Kjell Arne
Musa, Mohammed Yusuf Ahmed
Mwalim, Omar
Norheim, Ole Frithjof
Safi, Najibullah
Siddiqi, Sameen
Zaidi, Raza
author_facet Alwan, Ala
Majdzadeh, Reza
Yamey, Gavin
Blanchet, Karl
Hailu, Alemayehu
Jama, Mohamed
Johansson, Kjell Arne
Musa, Mohammed Yusuf Ahmed
Mwalim, Omar
Norheim, Ole Frithjof
Safi, Najibullah
Siddiqi, Sameen
Zaidi, Raza
author_sort Alwan, Ala
collection PubMed
description This 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.
format Online
Article
Text
id pubmed-9853149
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher BMJ Publishing Group
record_format MEDLINE/PubMed
spelling pubmed-98531492023-01-21 Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries Alwan, Ala Majdzadeh, Reza Yamey, Gavin Blanchet, Karl Hailu, Alemayehu Jama, Mohamed Johansson, Kjell Arne Musa, Mohammed Yusuf Ahmed Mwalim, Omar Norheim, Ole Frithjof Safi, Najibullah Siddiqi, Sameen Zaidi, Raza BMJ Glob Health Analysis This 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. BMJ Publishing Group 2023-01-18 /pmc/articles/PMC9853149/ /pubmed/36657808 http://dx.doi.org/10.1136/bmjgh-2022-010720 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY. Published by BMJ. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits others to copy, redistribute, remix, transform and build upon this work for any purpose, provided the original work is properly cited, a link to the licence is given, and indication of whether changes were made. See: https://creativecommons.org/licenses/by/4.0/.
spellingShingle Analysis
Alwan, Ala
Majdzadeh, Reza
Yamey, Gavin
Blanchet, Karl
Hailu, Alemayehu
Jama, Mohamed
Johansson, Kjell Arne
Musa, Mohammed Yusuf Ahmed
Mwalim, Omar
Norheim, Ole Frithjof
Safi, Najibullah
Siddiqi, Sameen
Zaidi, Raza
Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
title Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
title_full Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
title_fullStr Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
title_full_unstemmed Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
title_short Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
title_sort country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries
topic Analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9853149/
https://www.ncbi.nlm.nih.gov/pubmed/36657808
http://dx.doi.org/10.1136/bmjgh-2022-010720
work_keys_str_mv AT alwanala countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT majdzadehreza countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT yameygavin countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT blanchetkarl countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT hailualemayehu countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT jamamohamed countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT johanssonkjellarne countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT musamohammedyusufahmed countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT mwalimomar countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT norheimolefrithjof countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT safinajibullah countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT siddiqisameen countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries
AT zaidiraza countryreadinessandprerequisitesforsuccessfuldesignandtransitiontoimplementationofessentialpackagesofhealthservicesexperiencefromsixcountries