Lessons from the development process of the Afghanistan integrated package of essential health services.

Autor: Saeedzai SA; M&E HIS, Ministry of Public Health, Kabul, Afghanistan., Blanchet K; Global Health Development, University of Geneva Faculty of Medicine, Geneva, Switzerland karl.blanchet@unige.ch., Alwan A; Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK., Safi N; Health System Development, WHO Country office for Afghanistan, Kabul, Afghanistan., Salehi A; Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK., Singh NS; Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK., Abou Jaoude GJ; Institute for Global Health, University College London, London, UK., Mirzazada S; Geneva Centre of Humanitarian Studies, Faculty of Medicine, University of Geneva, Geneve, Switzerland., Majrooh W; Ex- Ministry of Public Health, Kabul, Afghanistan., Jan Naeem A; Ministry of Public Health, Kabul, Afghanistan., Skordis-Worral J; Institute for Global Health, UCL, London, London, UK., Bhutta ZA; Centre for Global Child Health, The Hospital for Sick Children, Toronto, Ontario, Canada., Haghparast-Bidgoli H; Institute for Global Health, University College London, London, UK., Farewar F; Ex- Ministry of Public Health, Kabul, Afghanistan., Lange I; Faculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK., Newbrander W; Management Sciences for Health, Cambridge, Massachusetts, USA., Kakuma R; Centre for Global Mental Health, London School of Hygiene & Tropical Medicine, London, UK., Reynolds T; Integrated Health Services, World Health Organization, Geneva, Switzerland., Feroz F; Ministry of Public Health, Kabul, Afghanistan.
Jazyk: angličtina
Zdroj: BMJ global health [BMJ Glob Health] 2023 Sep; Vol. 8 (9).
DOI: 10.1136/bmjgh-2023-012508
Abstrakt: In 2017, in the middle of the armed conflict with the Taliban, the Ministry of Public Health decided that the Afghan health system needed a well-defined priority package of health services taking into account the increasing burden of non-communicable diseases and injuries and benefiting from the latest evidence published by DCP3. This leads to a 2-year process involving data analysis, modelling and national consultations, which produce this Integrated Package of Essential health Services (IPEHS). The IPEHS was finalised just before the takeover by the Taliban and could not be implemented. The Afghanistan experience has highlighted the need to address not only the content of a more comprehensive benefit package, but also its implementation and financing. The IPEHS could be used as a basis to help professionals and the new authorities to define their priorities.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze: MEDLINE