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  1. Article ; Online: Afghanistan: health sector gains in peril.

    Samad, Diwa / Naem, Ahmad Jan / Feroz, Ferozuddin

    Lancet (London, England)

    2021  Volume 398, Issue 10306, Page(s) 1127

    MeSH term(s) Afghanistan ; Armed Conflicts ; Female ; Health Services Accessibility/economics ; Health Services Accessibility/organization & administration ; Health Services Needs and Demand/economics ; Humans ; Male ; Maternal-Child Health Services/economics ; Poverty
    Language English
    Publishing date 2021-09-07
    Publishing country England
    Document type Letter
    ZDB-ID 3306-6
    ISSN 1474-547X ; 0023-7507 ; 0140-6736
    ISSN (online) 1474-547X
    ISSN 0023-7507 ; 0140-6736
    DOI 10.1016/S0140-6736(21)02049-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Building implementable packages for universal health coverage.

    Reynolds, Teri / Wilkinson, Thomas / Bertram, Melanie Y / Jowett, Matthew / Baltussen, Rob / Mataria, Awad / Feroz, Ferozuddin / Jama, Mohamed

    BMJ global health

    2022  Volume 8, Issue Suppl 1

    Abstract: Since no country or health system can provide every possible health service to everyone who might benefit, the prioritisation of a defined subset of services for universal availability is intrinsic to universal health coverage (UHC). Creating a package ... ...

    Abstract Since no country or health system can provide every possible health service to everyone who might benefit, the prioritisation of a defined subset of services for universal availability is intrinsic to universal health coverage (UHC). Creating a package of priority services for UHC, however, does not in itself benefit a population-packages have impact only through implementation. There are inherent tensions between the way services are formulated to facilitate criteria-driven prioritisation and the formulations that facilitate implementation, and service delivery considerations are rarely well incorporated into package development. Countries face substantial challenges bridging from a list of services in a package to the elements needed to get services to people. The failure to incorporate delivery considerations already at the prioritisation and design stage can result in packages that undermine the goals that countries have for service delivery. Based on a range of country experiences, we discuss specific choices about package structure and content and summarise some ideas on how to build more implementable packages of services for UHC, arguing that well-designed packages can support countries to bridge effectively from intent to implementation.
    MeSH term(s) Humans ; Universal Health Insurance ; Health Services
    Language English
    Publishing date 2022-11-21
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2022-010807
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: The development of Afghanistan's Integrated Package of Essential Health Services: Evidence, expertise and ethics in a priority setting process.

    Lange, Isabelle L / Feroz, Ferozuddin / Naeem, Ahmad Jan / Saeedzai, Sayed Ataullah / Arifi, Fatima / Singh, Neha / Blanchet, Karl

    Social science & medicine (1982)

    2022  Volume 305, Page(s) 115010

    Abstract: Health systems in fragile states need to respond to shifting demographics, burden of disease and socio-economic circumstances in the revision of their health service packages. This entails making difficult decisions about what is and is not included ... ...

    Abstract Health systems in fragile states need to respond to shifting demographics, burden of disease and socio-economic circumstances in the revision of their health service packages. This entails making difficult decisions about what is and is not included therein, especially in resource-constrained settings offering or striving for universal health coverage. In this paper we turn the lens on the 2017-2021 development of Afghanistan's Integrated Package of Essential Health Services (IPEHS) to analyse the dynamics of the priority setting process and the role and value of evidence. Using participant observation of meetings and interviews with 25 expert participants, we conducted a qualitative study of the consultation process aimed at examining the characteristics of its technical, socio-cultural and organisational aspects, in particular data use and expert input, and how they influenced how evidence was discussed, taken up, and used (or not used) in the process. Our analysis proposes that the particular dynamics shaped by the context, information landscape and expert input shaped and operationalized knowledge sharing and its application in such a way to constitute a sort of "vernacular evidence". Our findings underline the importance of paying attention to the constellation of the priority setting processes in order to contribute to an ethical allocation of resources, particularly in contexts of resource scarcity and humanitarian need.
    MeSH term(s) Afghanistan ; Delivery of Health Care ; Health Priorities ; Health Services ; Humans ; Qualitative Research
    Language English
    Publishing date 2022-05-06
    Publishing country England
    Document type Journal Article
    ZDB-ID 4766-1
    ISSN 1873-5347 ; 0037-7856 ; 0277-9536
    ISSN (online) 1873-5347
    ISSN 0037-7856 ; 0277-9536
    DOI 10.1016/j.socscimed.2022.115010
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Afghanistan's basic package of health services: its development and effects on rebuilding the health system.

    Newbrander, William / Ickx, Paul / Feroz, Ferozuddin / Stanekzai, Hedayatullah

    Global public health

    2014  Volume 9 Suppl 1, Page(s) S6–28

    Abstract: In 2001, Afghanistan's Ministry of Public Health inherited a devastated health system and some of the worst health statistics in the world. The health system was rebuilt based on the Basic Package of Health Services (BPHS). This paper examines why the ... ...

    Abstract In 2001, Afghanistan's Ministry of Public Health inherited a devastated health system and some of the worst health statistics in the world. The health system was rebuilt based on the Basic Package of Health Services (BPHS). This paper examines why the BPHS was needed, how it was developed, its content and the changes resulting from the rebuilding. The methods used for assessing change were to review health outcome and health system indicator changes from 2004 to 2011 structured along World Health Organisation's six building blocks of health system strengthening. BPHS implementation contributed to success in improving health status by translating policy and strategy into practical interventions, focusing health services on priority health problems, clearly defining the services to be delivered at different service levels and helped the Ministry to exert its stewardship role. BPHS was expanded nationwide by contracting out its provision of services to non-governmental organisations. As a result, access to and utilisation of primary health care services in rural areas increased dramatically because the number of BPHS facilities more than doubled; access for women to basic health care improved; more deliveries were attended by skilled personnel; supply of essential medicines increased; and the health information system became more functional.
    MeSH term(s) Afghanistan/epidemiology ; Child ; Delivery of Health Care/organization & administration ; Female ; Health Services/supply & distribution ; Health Workforce/statistics & numerical data ; Humans ; Infant ; Male ; Mortality ; Public Health ; Quality Improvement
    Language English
    Publishing date 2014-05-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2234129-8
    ISSN 1744-1706 ; 1744-1692
    ISSN (online) 1744-1706
    ISSN 1744-1692
    DOI 10.1080/17441692.2014.916735
    Database MEDical Literature Analysis and Retrieval System OnLINE

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

    Saeedzai, Sayed Ataullah / Blanchet, Karl / Alwan, Ala / Safi, Najibullah / Salehi, Ahmad / Singh, Neha S / Abou Jaoude, Gerard Joseph / Mirzazada, Shafiq / Majrooh, Wahid / Jan Naeem, Ahmad / Skordis-Worral, Jolene / Bhutta, Zulfiqar A / Haghparast-Bidgoli, Hassan / Farewar, Fahrad / Lange, Isabelle / Newbrander, William / Kakuma, Ritsuko / Reynolds, Teri / Feroz, Ferozuddin

    BMJ global health

    2023  Volume 8, Issue 9

    Abstract: 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 ... ...

    Abstract 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.
    MeSH term(s) Humans ; Afghanistan ; Health Services ; Public Health
    Language English
    Publishing date 2023-09-28
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2023-012508
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic.

    Blanchet, Karl / Alwan, Ala / Antoine, Caroline / Cros, Marion Jane / Feroz, Ferozuddin / Amsalu Guracha, Tseguaneh / Haaland, Oystein / Hailu, Alemayehu / Hangoma, Peter / Jamison, Dean / Memirie, Solomon Tessema / Miljeteig, Ingrid / Jan Naeem, Ahmad / Nam, Sara L / Norheim, Ole Frithjof / Verguet, Stéphane / Watkins, David / Johansson, Kjell Arne

    BMJ global health

    2020  Volume 5, Issue 10

    Abstract: In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the ... ...

    Abstract In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the COVID-19 pandemic. Based on ethics and equity principles, it is crucial to ensure that patients not infected by COVID-19 continue to get access to healthcare and that the services they need continue to be resourced. We present a list of 120 essential non-COVID-19 health interventions that were adapted from the model health benefit packages developed by the Disease Control Priorities project.
    MeSH term(s) Altruism ; Betacoronavirus ; COVID-19 ; Coronavirus Infections ; Developing Countries ; Health Services Accessibility/organization & administration ; Health Services Accessibility/standards ; Humans ; Pandemics ; Pneumonia, Viral ; Poverty ; Public Health ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-10-07
    Publishing country England
    Document type Journal Article ; Review
    ISSN 2059-7908
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2020-003675
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic

    Blanchet, Karl / Alwan, Ala / Antoine, Caroline / Cros, Marion Jane / Feroz, Ferozuddin / Amsalu Guracha, Tseguaneh / Haaland, Oystein / Hailu, Alemayehu / Hangoma, Peter / Jamison, Dean / Memirie, Solomon Tessema / Miljeteig, Ingrid / Jan Naeem, Ahmad / Nam, Sara L / Norheim, Ole Frithjof / Verguet, Stéphane / Watkins, David / Johansson, Kjell Arne

    Abstract: In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the ... ...

    Abstract In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the COVID-19 pandemic. Based on ethics and equity principles, it is crucial to ensure that patients not infected by COVID-19 continue to get access to healthcare and that the services they need continue to be resourced. We present a list of 120 essential non-COVID-19 health interventions that were adapted from the model health benefit packages developed by the Disease Control Priorities project.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #841355
    Database COVID19

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  8. Article ; Online: Protecting essential health services in low-income and middle-income countries and humanitarian settings while responding to the COVID-19 pandemic

    Blanchet, Karl / Alwan, Ala / Antoine, Caroline / Cros, Marion Jane / Feroz, Ferozuddin / Amsalu Guracha, Tseguaneh / Haaland, Oystein / Hailu, Alemayehu / Hangoma, Peter / Jamison, Dean / Memirie, Solomon Tessema / Miljeteig, Ingrid / Jan Naeem, Ahmad / Nam, Sara L. / Norheim, Ole Frithjof / Verguet, Stéphane / Watkins, David / Johansson, Kjell Arne

    BMJ Global Health

    2020  Volume 5, Issue 10, Page(s) e003675

    Abstract: In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the ... ...

    Abstract In health outcomes terms, the poorest countries stand to lose the most from these disruptions. In this paper, we make the case for a rational approach to public sector health spending and decision making during and in the early recovery phase of the COVID-19 pandemic. Based on ethics and equity principles, it is crucial to ensure that patients not infected by COVID-19 continue to get access to healthcare and that the services they need continue to be resourced. We present a list of 120 essential non-COVID-19 health interventions that were adapted from the model health benefit packages developed by the Disease Control Priorities project.
    Keywords covid19
    Language English
    Publisher BMJ
    Publishing country uk
    Document type Article ; Online
    ISSN 2059-7908
    DOI 10.1136/bmjgh-2020-003675
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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