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Why do many basic packages of health services stay on the shelf? A look at potential reasons in the WHO South-East Asia Region / Lluís Vinyals Torres;Valeria de Oliveira Cruz;Xavier Modol;Phyllida Travis

Tác giả : Lluís Vinyals Torres;Valeria de Oliveira Cruz;Xavier Modol;Phyllida Travis

Nhà xuất bản : World Health Organization. Regional Office for South-East Asia

Năm xuất bản : 2020

Chủ đề : 1. Health Services. 2. Journal / periodical articles.

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Tóm tắt :

Basic packages of health services (BPHSs) are often envisaged primarily as political statementsof intent to provide access to care, in an era of commitment to universal health coverage. Theyare often produced with little attention paid to health systems’ capacity to deliver these benefitpackages or other implementation challenges. Many countries of the World Health Organization(WHO) South-East Asia Region have invested in developing BPHSs. This perspective paper reflectson the issues that do not receive enough attention when packages are developed, which can oftenjeopardize their implementation. Countries of the region refer to burden-of-disease assessmentsand consider the cost-effectiveness of the listed interventions during their BPHS design processes.Some also conduct a costing study to generate “price tags” that are used for resource mobilization.However, important implementation challenges such as weak supply-side readiness, limited scopefor reallocation of existing resources and management not geared for accountability are too oftenignored. Implementation and its monitoring is further hampered by the limitations of existing healthinformation systems, which are often not ready to collect and analyse data on emerging interventionssuch as noncommunicable disease management. Among the countries of the WHO South-East AsiaRegion, those with better chances of executing their BPHSs have adapted their packages to theirimplementation, financing and monitoring capacities, and have considered the need for a modifiedservice delivery model able to provide the agreed services.

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https://iris.who.int/handle/10665/331833