DCP3 Country Translation Project
Achievements in Pakistan
Pakistan is the first country in the world to align its UHC Benefit Package with the DCP3 recommended high impact interventions. Read more about the process of developing and implementing a national Essential Package of Health Services and other achievements in Pakistan here.
DCP3 Country Translation Project
The Disease Control Priorities 3 (DCP3) Country Translation project is a multi-year initiative designed to respond to the increasing needs of low and lower-middle-income countries (LLMICs) for technical guidance and support in priority setting and the development of universal health coverage (UHC) essential packages of health services (EPHS). It works with countries to build local capacity in the areas of priority setting and evidence-based decision making on resource allocation and supports the development of EPHS that espouse key principles of UHC and are implementable within the available government resource envelope.
In 2018, with the support of the Bill & Melinda Gates Foundation, the DCP3 Country Translation Secretariat at the London School of Hygiene & Tropical Medicine used the evidence and model UHC packages developed through DCP3 to further achieve the following objectives:
- Increase the use of the DCP3 evidence and resources in LLMICs through piloting in selected countries to develop UHC EPHS;
- Improve the global evidence and resources to support best practices in priority setting and development and implementation of UHC EPHS;
- Strengthen the capacity of national decision makers and institutions in LLMICs to conduct priority setting and develop and sustain UHC EPHS;
- Develop a fast-track sub-package of highest priority basic health services for use in polio high-risk areas.
The strategic goal of this project is to enable decision makers in LMICs in allocating often tightly constrained budgets so that health system objectives are maximally achieved, in the pursuit of UHC. It also presents a conceptual model and a strategic approach for UHC that covers its three dimensions (i.e., expanding population coverage, increasing the range of essential services, and reducing financial risk). By publicly financing the highest-impact health interventions, the resulting range of essential services can be made accessible to all, and financial risk will be reduced.
What has been achieved?
The DCP3 Country Translation project has successfully delivered on several key aspects of the project. The project has been piloted in Pakistan, where the Ministry of National Health Services, Regulations and Coordination (MNHSR&C) in collaboration with the DCP3 Secretariat and other partners developed an Essential Package of Health Services containing 117 health interventions, out of which 88 interventions are for immediate implementation. Four provincial packages were also developed through a process similar to the design of the federal package. The implementation of the package will follow a phased approach, with implementation starting in 12 districts before being scaled up to 40 districts.
The project has also completed work on objective four, which included the development of a fast-track sub-package of highest priority basic health services in high-risk polio areas. The sub-package includes both high priority health and basic water, sanitation, and hygiene services and has been implemented in 40 high risk polio-endemic councils in Pakistan.
In Liberia, the Ministry of Health and DCP3 worked with partners to update the existing EPHS through evidence-informed processes, using the DCP3 evidence and model UHC packages. The work included evidence collection, fiscal space analysis, mapping of existing services, training on resource optimisation analyses to inform health intervention prioritisation, setting decision criteria for the prioritisation of interventions, conducting a prioritisation workshop, and developing and discussing funding scenarios. A UHC package of health services, focused on primary health care, is being adopted for implementation.
In both countries, the project has also strengthened the capacity and skills of staff in the Ministry of Health and other national partners, in public health leadership, priority setting, policy decision making, and in designing the national health benefits package. This has been achieved through training, technical meetings and working group sessions, regular consultations and advice from DCP3 staff, and hands-on practice.
What we will be doing next?
DCP3 will continue providing comprehensive technical support to MoH and relevant local partners to ensure sustainability of the process and implementation of the UHC Essential Packages of Health Services. A strategy is also being developed to reinforce technical support to low and middle-income countries in priority setting and in the development and implementation of affordable UHC packages of health services.