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Costing Interventions for Developing an Essential Package of Health Services: Application of a Rapid Method and Results From Pakistan.

Costing Interventions for Developing an Essential Package of Health Services: Application of a Rapid Method and Results From Pakistan.

Authors :
Raza, Wajeeha
Zulfiqar, Wahaj
Shah, Mashal Murad
Huda, Maryam
Akhtar, Syeda Shehirbano
Aqeel, Urooj
Kanwal, Saira
Khalid, Muhammad
Zaidi, Raza
Jansen, Maarten
Kitson, Nichola
Bijlmakers, Leon
Siddiqi, Sameen
Alwan, Ala
Vassall, Anna
Torres-Rueda, Sergio
Source :
International Journal of Health Policy & Management; 2024 Special Issue, Vol. 13, p1-17, 17p
Publication Year :
2024

Abstract

Background: The Federal Ministry of National Health Services, Regulations and Coordination (MNHSR&C) in Pakistan has committed to progress towards universal health coverage (UHC) by 2030 by providing an Essential Package of Health Services (EPHS). Starting in 2019, the Disease Control Priorities 3rd edition (DCP3) evidence framework was used to guide the development of Pakistan's EPHS. In this paper, we describe the methods and results of a rapid costing approach used to inform the EPHS design process. Methods: A total of 167 unit costs were calculated through a context-specific, normative, ingredients-based, and bottom-up economic costing approach. Costs were constructed by determining resource use from descriptions provided by MNHSR&C and validated by technical experts. Price data from publicly available sources were used. Deterministic univariate sensitivity analyses were carried out. Results: Unit costs ranged from 2019 US$ 0.27 to 2019 US$ 1478. Interventions in the cancer package of services had the highest average cost (2019 US$ 837) while interventions in the environmental package of services had the lowest (2019 US$ 0.68). Cost drivers varied by platform; the two largest drivers were drug regimens and surgery-related costs. Sensitivity analyses suggest our results are not sensitive to changes in staff salary but are sensitive to changes in medicine pricing. Conclusion: We estimated a large number of context-specific unit costs, over a six-month period, demonstrating a rapid costing method suitable for EPHS design. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
23225939
Volume :
13
Database :
Complementary Index
Journal :
International Journal of Health Policy & Management
Publication Type :
Academic Journal
Accession number :
177452195
Full Text :
https://doi.org/10.34172/ijhpm.2023.8006