Building on work already done, DCP3 is working with the Ministry of Health officials and partners in developing a Universal Health Coverage package of highest priority health interventions that can be covered by locally available resources. The process of revising the package is guided by key principles of transparency and inclusivity, national ownership and execution, focus on feasibility and affordability, and engagement of government institutions, non-governmental stakeholders and development partners.
Collaboration includes governance arrangements and stakeholder engagement, assessing the health system, mapping existing interventions against DCP3 recommended package, using the best available evidence in prioritizing and costing interventions, updating the package through strategic decision-making process, and securing endorsement of decision makers.
Awareness and political support
DCP3 supported the Ministry of Health in raising political awareness on UHC Essential Packages of Health Services and in engaging national stakeholders to support and own this initiative. An inception workshop was held on 20 January 2022 to sensitize government officials, partner organizations and donors, build consensus on UHC, and develop a roadmap to review the EPHS.
Governance structure and institutional arrangements
Based on discussions during the inception workshop, the MOH adopted a governance structure and established a Secretariat for the process. The technical, managerial and political roles and tasks of different stakeholders have been agreed in discussions with MOH. DCP3 is supporting technical capacity building in the Secretariat through technical trainings, experience-sharing and learning by doing.
Health system and financing schemes assessments
DCP3 and partners reviewed the health system challenges in Liberia and provided an analysis of the fiscal space for health and current health financing schemes in the country. The outcome of the preliminary fiscal space analysis has been presented to MOH and partners during a technical working group (TWG) meeting in Monrovia on 19 May 2022.
DCP3, MOH and partners agreed on a prioritization process, which involves assessing the existing health services, building consensus on decision criteria, collecting evidence on decision criteria, developing evidence briefs for each intervention, and deliberations by TWGs and HCC. A workshop to assess health services in Liberia against the DCP3 218 EUHC interventions was held on 28-29 March 2022, involving 70 TWG members and clinicians.