| Title: |
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 |
| Publisher Information: |
Kerman University of Medical Sciences |
| Publication Year: |
2024 |
| Collection: |
London School of Hygiene & Tropical Medicine: LSHTM Research Online |
| Description: |
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. |
| Document Type: |
article in journal/newspaper |
| File Description: |
text |
| Language: |
English |
| ISSN: |
2322-5939 |
| Relation: |
https://researchonline.lshtm.ac.uk/id/eprint/4676243/1/Raza-etal-2024-Costing-Interventions-for-Developing-an-Essential-Package-of-Health-Services.pdf; Raza, WajeehaORCID logo; Zulfiqar, Wahaj; Shah, Mashal Murad; Huda, MaryamORCID logo; Akhtar, Syeda Shehirbano; Aqeel, Urooj; Kanwal, Saira; Khalid, Muhammad; Zaidi, RazaORCID logo; Jansen, MaartenORCID logo; +6 more.Kitson, Nichola; Bijlmakers, LeonORCID logo; Siddiqi, SameenORCID logo; Alwan, AlaORCID logo; Vassall, Anna ORCID logo; and Torres-Rueda, Sergio ORCID logo (2024) Costing Interventions for Developing an Essential Package of Health Services: Application of a Rapid Method and Results From Pakistan. International journal of health policy and management, 13. p. 8006. ISSN 2322-5939 DOI:10.34172/ijhpm.2023.8006 |
| DOI: |
10.34172/ijhpm.2023.8006 |
| Availability: |
https://researchonline.lshtm.ac.uk/id/eprint/4676243/; https://doi.org/10.34172/ijhpm.2023.8006 |
| Rights: |
cc_by_4 |
| Accession Number: |
edsbas.9247ACB8 |
| Database: |
BASE |