Abstract:
Pakistan developed an essential package of health services at the primary healthcare (PHC) level as a key component of health reforms aiming to achieve universal health coverage (UHC). This supplement describes the methods and processes adopted for evidence-informed prioritization of services, policy decisions adopted, and the lessons learned in package design as well as in the transition to effective rollout. The papers conclude that evidence-informed deliberative processes can be effectively applied to design affordable packages of services that represent good value for money and address a major part of the disease burden. Transition to implementation requires a comprehensive assessment of health system gaps, strong engagement of the planning and financing sectors, serious involvement of key national stakeholders and the private health sector, capacity building, and institutionalization of technical and managerial skills. Pakistan\'s experience highlights the need for updating the evidence and model packages of the Disease Control Priorities 3 (DCP3) initiative and reinforcing international collaboration to support technical guidance to countries in priority setting and UHC reforms.
摘要:
巴基斯坦在初级卫生保健(PHC)一级制定了一套基本的卫生服务,作为旨在实现全民健康覆盖(UHC)的卫生改革的关键组成部分。本补充说明了为以证据为依据的服务优先级排序所采用的方法和流程,通过的政策决定,以及在包装设计以及向有效推出过渡中吸取的经验教训。论文得出的结论是,以证据为依据的审议过程可以有效地应用于设计经济实惠的服务包,这些服务包代表了物有所值并解决了疾病负担的主要部分。向实施过渡需要全面评估卫生系统的差距,规划和融资部门的积极参与,主要国家利益攸关方和私营卫生部门的认真参与,能力建设,以及技术和管理技能的制度化。巴基斯坦的经验突出表明,需要更新疾病控制优先事项3(DCP3)倡议的证据和模型包,并加强国际合作,以支持各国在优先事项设定和UHC改革方面的技术指导。