Harnessing Country Experiences for Health Benefit Package Design: Evidence-Informed Deliberative Processes and Experiences From the Joint Learning Network; Comment on “Evidence-Informed Deliberative Processes for Health Benefit Package Design – Part II: A Practical Guide”

Document Type : Commentary

Authors

1 The World Bank, Jakarta, Indonesia

2 The World Bank, Washington, DC, USA

Abstract

Amidst competing priorities for allocating finite health resources, using evidence-informed priority setting is a valuable tool for achieving population-level health goals. The paper by Baltussen et al comprehensively reports on the development of practical guidance for evidence-informed deliberative processes (EDPs) which will help with sustainability of programs aimed at universal health coverage (UHC). The authors’ experience with the Joint Learning Network for UHC’s (JLN) peer-to-peer learning platform on evidence-informed priority setting offers insights on the practical challenges faced by countries in health benefits package (HBP) design, especially to draw in actors to advocate for the priorities and values across the health system. Lessons harvested from JLN countries that have established such advisory committees can provide practical insights for countries in earlier stages of establishing a systematic process for HBP design. Peer-to-peer learning modalities among countries offer viable and effective approaches to institutionalizing EDPs and systematic priority setting.

Keywords


  1. Tandon A, Bloom D, Oliveira Hashiguchi L, et al. Making the Case for Health: A Messaging Guide for Domestic Resource Mobilization. Joint Learning Network for Universal Health Coverage; 2021.
  2. World Health Organization (WHO). World Health Report. Geneva: WHO; 2010. http://apps.who.int/iris/bitstream/10665/44371/1/9789241564021_eng.pdf.
  3. Organization for Economic Co-operation and Development (OECD). Tackling Wasteful Spending on Health. Paris: OECD Publishing; 2017. https://www.oecd.org/els/health-systems/Tackling-Wasteful-Spending-on-Health-Highlights-revised.pdf.
  4. Li R, Hernandez-Villafuerte K, Towse A, Vlad I, Chalkidou K. Mapping priority setting in health in 17 countries across Asia, Latin America, and sub-Saharan Africa. Health Syst Reform. 2016;2(1):71-83. doi:1080/23288604.2015.1123338
  5. Chi YL, Jeffery M. Health Priority Setting: A Practitioner’s Handbook. Joint Learning Network for Universal Health Coverage; 2019.
  6. Regan L, Wilson D, Chalkidou K, Chi YL. The journey to UHC: how well are vertical programmes integrated in the health benefits package? A scoping review. BMJ Glob Health. 2021;6(8):e005842. doi:1136/bmjgh-2021-005842
  7. Joint Learning Network for Universal Health Coverage (JLN). Revising Health Benefits Packages—Guidance for Low- and Middle Income Countries (Forthcoming). JLN; 2022.
  8. Joint Learning Network. Making Explicit Choices on the Path to UHC: Guide for Health Benefits Package Revision. Joint Learning Network; 2022.
  9. Baltussen R, Jansen M, Oortwijn W. Evidence-informed deliberative processes for legitimate health benefit package design - part I: conceptual framework. Int J Health Policy Manag. 2022;11(10):2319-2326. doi:34172/ijhpm.2021.158
  10. Cotlear D, Nagpal S, Smith O, Tandon A, Cortez R. Going Universal: How 24 Developing Countries Are Implementing Universal Health Coverage from the Bottom Up. Washington, DC: World Bank Publications; 2015.
  • Receive Date: 02 December 2022
  • Revise Date: 26 September 2023
  • Accept Date: 30 September 2023
  • First Publish Date: 04 October 2023